Jennifer Creese, John-Paul Byrne, Anne Matthews, Aoife M. McDermott, Edel Conway and Niamh Humphries
Workplace silence impedes productivity, job satisfaction and retention, key issues for the hospital workforce worldwide. It can have a negative effect on patient outcomes and…
Abstract
Purpose
Workplace silence impedes productivity, job satisfaction and retention, key issues for the hospital workforce worldwide. It can have a negative effect on patient outcomes and safety and human resources in healthcare organisations. This study aims to examine factors that influence workplace silence among hospital doctors in Ireland.
Design/methodology/approach
A national, cross-sectional, online survey of hospital doctors in Ireland was conducted in October–November 2019; 1,070 hospital doctors responded. This paper focuses on responses to the question “If you had concerns about your working conditions, would you raise them?”. In total, 227 hospital doctor respondents (25%) stated that they would not raise concerns about their working conditions. Qualitative thematic analysis was carried out on free-text responses to explore why these doctors choose to opt for silence regarding their working conditions.
Findings
Reputational risk, lack of energy and time, a perceived inability to effect change and cultural norms all discourage doctors from raising concerns about working conditions. Apathy arose as change to working conditions was perceived as highly unlikely. In turn, this had scope to lead to neglect and exit. Voice was seen as risky for some respondents, who feared that complaining could damage their career prospects and workplace relationships.
Originality/value
This study highlights the systemic, cultural and practical issues that pressure hospital doctors in Ireland to opt for silence around working conditions. It adds to the literature on workplace silence and voice within the medical profession and provides a framework for comparative analysis of doctors' silence and voice in other settings.
Details
Keywords
Niamh Humphries, Karen Morgan, Mary Catherine Conry, Yvonne McGowan, Anthony Montgomery and Hannah McGee
Quality of care and health professional burnout are important issues in their own right, however, relatively few studies have examined both. The purpose of this paper is to…
Abstract
Purpose
Quality of care and health professional burnout are important issues in their own right, however, relatively few studies have examined both. The purpose of this paper is to explore quality of care and health professional burnout in hospital settings.
Design/methodology/approach
The paper is a narrative literature review of quality of care and health professional burnout in hospital settings published in peer-reviewed journals between January 2000 and March 2013. Papers were identified via a search of PsychInfo, PubMed, Embase and CINNAHL electronic databases. In total, 30 papers which measured and/or discussed both quality of care and health professional burnout were identified.
Findings
The paper provides insight into the key health workforce-planning issues, specifically staffing levels and workloads, which impact upon health professional burnout and quality of care. The evidence from the review literature suggests that health professionals face heavier and increasingly complex workloads, even when staffing levels and/or patient-staff ratios remain unchanged.
Originality/value
The narrative literature review suggests that weak retention rates, high turnover, heavy workloads, low staffing levels and/or staffing shortages conspire to create a difficult working environment for health professionals, one in which they may struggle to provide high-quality care and which may also contribute to health professional burnout. The review demonstrates that health workforce planning concerns, such as these, impact on health professional burnout and on the ability of health professionals to deliver quality care. The review also demonstrates that most of the published papers published between 2000 and 2013 addressing health professional burnout and quality of care were nursing focused.
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Lee D. Parker and James Guthrie
This editorial aims to consider contemporary issues for accounting scholars, in particular journals rating and benchmarking, arguing that current international trends are risking…
Abstract
Purpose
This editorial aims to consider contemporary issues for accounting scholars, in particular journals rating and benchmarking, arguing that current international trends are risking academic research quality.
Design/methodology/approach
This paper takes the form of an editorial review and argument.
Findings
The paper acknowledges that accounting academic research is important to the higher education system, careers and publishers. However, its quality and the construction and measurement of the quality of accounting journals and research impact on society continue to be hotly debated.
Research limitations/implications
The editorial offers scope for accounting academics to engage in debate about the impact of journal rankings and benchmarking on their teaching and research, important issues in higher education, not only in Australia, but also internationally.
Originality/value
The paper provides commentary on the “quality” of accounting research and measurement practices associated with rating and benchmarking academic journals.
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Keywords
Amber L. Cushing and Giulia Osti
This study aims to explore the implementation of artificial intelligence (AI) in archival practice by presenting the thoughts and opinions of working archival practitioners. It…
Abstract
Purpose
This study aims to explore the implementation of artificial intelligence (AI) in archival practice by presenting the thoughts and opinions of working archival practitioners. It contributes to the extant literature with a fresh perspective, expanding the discussion on AI adoption by investigating how it influences the perceptions of digital archival expertise.
Design/methodology/approach
In this study a two-phase data collection consisting of four online focus groups was held to gather the opinions of international archives and digital preservation professionals (n = 16), that participated on a volunteer basis. The qualitative analysis of the transcripts was performed using template analysis, a style of thematic analysis.
Findings
Four main themes were identified: fitting AI into day to day practice; the responsible use of (AI) technology; managing expectations (about AI adoption) and bias associated with the use of AI. The analysis suggests that AI adoption combined with hindsight about digitisation as a disruptive technology might provide archival practitioners with a framework for re-defining, advocating and outlining digital archival expertise.
Research limitations/implications
The volunteer basis of this study meant that the sample was not representative or generalisable.
Originality/value
Although the results of this research are not generalisable, they shed light on the challenges prospected by the implementation of AI in the archives and for the digital curation professionals dealing with this change. The evolution of the characterisation of digital archival expertise is a topic reserved for future research.