Donald Nordberg and Rebecca Booth
This paper aims to examine how board evaluations have emerged as an important tool in public policy and corporate practice for enhancing board effectiveness.
Abstract
Purpose
This paper aims to examine how board evaluations have emerged as an important tool in public policy and corporate practice for enhancing board effectiveness.
Design/methodology/approach
The authors review the extensive literature on effectiveness and the emerging literature on board evaluation to identify ways to assess the current policy direction for external evaluation of corporate boards.
Findings
The paper develops an integrated framework of effectiveness that can be used as a tool for board evaluation, in particular for externally facilitated exercises.
Research limitations/implications
Through its integration of prior conceptual work this paper advances our theoretical understanding of this emerging part of policy and practice, with to-date lack much empirical basis.
Practical implications
The framework that is developed shows ways to focus how the practice is conducted by boards and external evaluators alike.
Social implications
It can also help policy formation by pointing out the limitations as well as benefits of various policy options.
Originality/value
In pointing to ways to develop study of the field through empirical research, it provides direction for future academic research. It also identifies a need for and direction toward the professionalization of practice.
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Purpose – Using elective egg and sperm freezing as a case to compare representations of men and women as agents of biological reproduction, this chapter aims to understand how…
Abstract
Purpose – Using elective egg and sperm freezing as a case to compare representations of men and women as agents of biological reproduction, this chapter aims to understand how gender and risk are co-produced in the context of new reproductive technologies (NRTs).
Methodology – Through a content analysis of newspaper articles published between 1980 and 2016 about egg and sperm freezing, the author traces how fertility risks facing men and women are portrayed in the media.
Findings – Candidates for egg freezing were portrayed in one of the three ways: as cancer patients, career women, or single and waiting for a partner. The ideal users of sperm freezing are depicted in primarily two ways: as cancer patients and as employees in professions with hazardous working conditions. Threats to future fertility for women pursuing careers uninterrupted by pregnancy and child-rearing and women seeking romantic partners are largely portrayed as the result of internal risks. However, threats to future fertility for men working in dangerous professions are largely portrayed as external to them.
Research Limitations – Race and class did not emerge as dominant themes in these data; given the lack of accessibility to NRTs by class and race, this silence must be interrogated by further research.
Value – By comparing the constructions of at-risk groups, the author argues the medicalization of reproduction is gendered as fertility risks portrayed in the media take on a different character between men and women. This research shows how the gendered construction of infertility risk reinforces normative expectations around child-rearing and perpetuates gender inequity in parenting norms.
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Family life can be seriously disrupted when a mother is imprisoned. The separation changes and often reduces the type, frequency and quality of contact that can be achieved…
Abstract
Family life can be seriously disrupted when a mother is imprisoned. The separation changes and often reduces the type, frequency and quality of contact that can be achieved between family members, and especially for children when their mothers were their primary carers and living with them before her imprisonment. In England and Wales, prisoners are permitted contact with children and families through prison visits, telephone contact and letter-writing through the post, and in some prisons via email. Despite the recent policy interest in supporting prisoners' family ties, research has highlighted the challenges that families and prisoners face using these communicative mechanisms. Building on this, the chapter contributes new knowledge by shifting the lens to explore how family members construct and adjust their practices to promote mother–child contact during maternal imprisonment.
The empirical study draws on semistructured interviews with mothers in prison and family members (caregivers) to children of female prisoners. Guided by a ‘family practices’ theoretical framework (Morgan, 2011), the findings show innovative adjustments, a willingness to make sacrifices and alternative routes to improve contact utilised by mothers and caregivers to prioritise mother–child contact. We see the strength, resilience and autonomy shown by family members to promote their relationships in spite of communicative barriers. There are important lessons to be learned from the families' lived experience for policy and practice, which, without due and genuine consideration, might further hinder opportunities for mother–child contact during maternal imprisonment.
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Mike Akroyd, Janet Allison, Sarah Booth, Carole Gilligan, David Harrison, Victoria Holden and Rebecca Mace
Seclusion is the supervised containment of a patient, away from others, when immediately necessary to manage safety on a psychiatric inpatient ward. When seclusion is necessary…
Abstract
Purpose
Seclusion is the supervised containment of a patient, away from others, when immediately necessary to manage safety on a psychiatric inpatient ward. When seclusion is necessary, it should be used for the shortest time possible, with a regular multidisciplinary review of the patient’s mental and physical health, medication and risk guiding decisions around continuation or ending of this restrictive measure. However, many medical and nursing staff can be anxious about taking part in such reviews. Simulation has been used in many areas of medicine to help people to develop competence and confidence, in a safe setting where their own needs can be paramount. This paper aims to describe the use of a blended learning approach, including simulation, to build confidence and competence amongst healthcare professionals in the safe review of seclusion.
Design/methodology/approach
A multidisciplinary group, including input from individuals with lived experience of use of seclusion, put together a one-day training course, which included group debate exploring the relationship between seclusion and the Human Rights Act, guided discussion of videos exploring some aspects of practice and a half-day of simulation where multidisciplinary teams could act as the team reviewing a patient who had been secluded.
Findings
This paper found that the course’s blended learning approach helped participants to feel more confident in their understanding of several aspects of seclusion, including what their team discussions should include before and after seeing a patient and in knowing when to end a period of seclusion.
Originality/value
While simulation is slowly becoming a more familiar component of the undergraduate and postgraduate education offer in psychiatry, the authors are unaware of any evaluation of a dedicated simulation-based training course around reviews of seclusion.
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David B. Carter, Rebecca Warren and Anne Steinhoff
This paper examines the 2012–2013 Starbucks tax crisis in the United Kingdom (UK) as an anatomy of tragedy. The tragedy in relation to Starbucks is the displacement of an…
Abstract
Purpose
This paper examines the 2012–2013 Starbucks tax crisis in the United Kingdom (UK) as an anatomy of tragedy. The tragedy in relation to Starbucks is the displacement of an opportunity to examine the relationship between financial capital and national capitalisms. The paper illustrates how the crisis displaced opportunities for substantive critique concerning financial capital, national capitalisms, multinationals, taxation and society.
Design/methodology/approach
As a critical, discursive intervention, the paper examines how rhetoric was employed in 157 media articles published in six UK newspapers and on two news portals (both in print and online). The paper employs rhetorical redescription to the document archive, presenting the finding and analysis as a play in the style of an Aristotelian tragedy.
Findings
Analysis of the Starbucks approach to transfer pricing identifies misunderstandings of accounting, taxation transfer pricing, and ‘‘resolution” and how the media's construction of Starbucks as immoral, anti-British, potentially illegal operated to confuse the politics. The effect of these misunderstandings and confusion was to take attention away from a politics concerning financial capital valorisation and national capitalisms (jurisdictions raising tax revenue for government spending and social services).
Originality/value
First, the paper explores the politics of displacement to illustrate the metonymic concealment of the primary identity of the political. Second, Aristotelian tragedy is employed to study and present methods of displacement. Third, the empirics are depicted in a dramatic format to illustrate how rhetorical interventions by the media and actors displaced the political focus away from financial capital and national capitalisms.
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American sociology has long been concerned with the social conditioning of American character, particularly with regard to caring for others. This interest can be traced to Alexis…
Abstract
American sociology has long been concerned with the social conditioning of American character, particularly with regard to caring for others. This interest can be traced to Alexis de Tocqueville's Democracy in America (1899[1838]) in which he reflected on how democratic participation in government and voluntary associations in the 1830s shaped the American character. Tocqueville believed that participation in social institutions, and especially voluntary societies, balanced the potentially excessive individualism he observed in the United States. David Riesman's The Lonely Crowd: A Study of Changing American Character (1950) picked up similar themes in an exploration of the isolation of the individual within modern society. These concerns reached a broad audience more recently in Robert N. Bellah, Richard Madsen, William M. Sullivan, Ann Swidler, and Steven M. Tipton's Habits of the Heart: Individualism and Commitment in American Life (1985) in which the authors argued that the scale had swung in favor of individualism at the expense of commitment to the social good. Robert Wuthnow (1991) addressed these issues again in Acts of Compassion: Caring for Others and Helping Ourselves, in which he explored how in volunteer work, Americans attempted to reconcile compassion with individualism. These studies, primarily focusing on white, middle‐class Americans, have laid the groundwork for an exploration of the social nature of the American character within the context of caring for others.
Daniel Briggs, Luke Telford, Anthony Lloyd and Anthony Ellis
This paper aims to explore 15 UK adult social care workers’ experiences during the COVID-19 pandemic.
Abstract
Purpose
This paper aims to explore 15 UK adult social care workers’ experiences during the COVID-19 pandemic.
Design/methodology/approach
This paper’s 15 open-ended interviews with adult social care workers are complemented by digital ethnography in COVID-19 social media forums. This data set is taken from a global mixed-methods study, involving over 2,000 participants from 59 different countries.
Findings
Workers reported a lack of planning, guidance and basic provisions including personal protective equipment. Work intensification brought stress, workload pressure and mental health problems. Family difficulties and challenges of living through the pandemic, often related to government restrictions, intensified these working conditions with precarious living arrangements. The workers also relayed a myriad of challenges for their residents in which, the circumstances appear to have exacerbated dementia and general health problems including dehydration, delirium and loneliness. Whilst COVID-19 was seen as partially responsible for resident deaths, the sudden disruptions to daily life and prohibitions on family visits were identified as additional contributing factors in rapid and sudden decline.
Research limitations/implications
Whilst the paper’s sample cohort is small, given the significance of COVID-19 at this present time the findings shed important light on the care home experience as well as act as a baseline for future study.
Social implications
Care homes bore the brunt of illness and death during the first and second COVID-19 waves in the UK, and many of the problems identified here have still yet to be actioned by the government. As people approach the summer months, an urgent review is required of what happened in care homes and this paper could act as some part of that evidence gathering.
Originality/value
This paper offers revealing insights from frontline care home workers and thus provides an empirical snapshot during this unique phase in recent history. It also builds upon the preliminary/emerging qualitative research evidence on how the COVID-19 pandemic impacted care homes, care workers and the residents.
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Alexandra Smith, Rebecca Olson, Maddison Cuerton, Keesha Abdul Khalil, Phillip Good and Janet Hardy
Symptom control is a key aim of advanced cancer and palliative care. Yet, wellbeing in this context is complex, highly contextual, and contested. The World Health Organisation’s …
Abstract
Symptom control is a key aim of advanced cancer and palliative care. Yet, wellbeing in this context is complex, highly contextual, and contested. The World Health Organisation’s (WHO, 2021, p. 10) recent definition of wellbeing, for example, emphasises ‘meaning and purpose’. Models of care – such as the biopsychosocial model – aim to attend to this complexity. And such models matter: if assessments of an intervention lowlight effects relating to psychological and social domains, the potential benefits of these interventions may go unrecognised. In this chapter, the authors provide the results of a review of symptom assessment scales used in advanced cancer and palliative care settings. Combining the analytic strengths of a critical review with the brevity of a rapid review (Grant & Booth, 2009), this critical rapid review asks: to what degree do scales measuring the impacts/effects of symptoms on wellbeing in advanced cancer contexts incorporate the three components of the ‘biopsychosocial’ model: biological, psychological, and social? Findings – considered in the context of conflicting evidence on the effectiveness of medicinal cannabis in supporting patient wellbeing – show that only five of the eleven scales identified through the review attend to social aspects of wellbeing. These findings reinforce critiques of the biopsychosocial model and demonstrate the dominance of dualistic, biomedical conceptualisations of wellbeing. Drawing on Barry et al.’s (2008) scholarship on interdisciplinarity, the findings underscore the limitations of numeric measures of wellbeing conducted in isolation and support calls for an ontological reimagination of wellbeing in advanced cancer and palliative care contexts.
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Timo Lorenz, Chelsea Rebecca Brüning, Mitzi Waltz and Marc Fabri
The purpose of this paper is to reveal barriers and their coherences between discrimination and self-perceived employability which students and employees on the autism spectrum…
Abstract
Purpose
The purpose of this paper is to reveal barriers and their coherences between discrimination and self-perceived employability which students and employees on the autism spectrum often face and need to overcome. These include discrimination based on disability, when applying for a job or retaining employment. This research located barriers in three different categories: formality – problems that focus on organizational structures in the application process; social – communication and interaction problems; and job demand barriers – obstacles that epitomize work-related strains.
Design/methodology/approach
Barriers and discrimination can prevent individuals from accessing the labor market which can lead to severe consequences for an individual on the autism spectrum, such as poverty, social deprivation or lack of health promotion and equal treatment. Self-perceived employability can be regarded as an additional strength, as it describes the perception of an individual’s own skills and versatility to acquire and keep a job. In total, 53 German-speaking individuals on the autism spectrum participated in an online survey.
Findings
Results showed statistically significant coherences between both, formality and social barriers with discrimination. Formality barriers also indicated statistically significant coherences with self-perceived employability. A mediation model with discrimination as mediator between each category of barriers and self-perceived employability was examined. The non-significant results suggest that discrimination does not work as a superior construct but as a sole influence next to barriers and self-perceived employability.
Originality/value
Individuals on the autism spectrum epitomize a less common research approach. Moreover, diversity policies and practices in the workplace often do not focus on including individuals on the autism spectrum even though the employment rates for this specific group of potential highly qualified employees were reported to be consistently lower when compared to any other group of disabled people. Findings suggest possible starting points for future research, which are discussed alongside practical strategies to overcome barriers and change discriminatory attitudes toward skilled individuals on the autism spectrum.
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Fiona Sherwood-Johnson, Kirstein Rummery, Julia Lawrence, Kathryn Mackay, Kathryn Ramsay and Rebecca McGregor
Most abuse affecting older adults in the UK, as across Europe, takes place within caring relationships, where one person is disabled and needs care/support. This paper critically…
Abstract
Purpose
Most abuse affecting older adults in the UK, as across Europe, takes place within caring relationships, where one person is disabled and needs care/support. This paper critically appraises two of the key theoretical explanations. First, feminist theories of “intimate partner abuse” tell us that it is mostly men who perpetrate abuse against women. Second, “carer strain”: the stress caused by caring responsibilities, often with inadequate help from services. Neither fully reflects the complex dynamics of “dangerous care” leading to a lack of voice and choice in safeguarding responses. This paper aims to articulate the need for an overarching theoretical framework, informed by a deeper understanding of the intersectional risk factors that create and compound the diverse experiences of harm by disabled people and family carers over the life course.
Design/methodology/approach
The critical synthesis of the theoretical approaches informing UK policy and practice presented here arises from a structured literature review and discussions held with three relevant third sector agencies during the development of a research proposal.
Findings
No single theory fully explains dangerous care and there are significant gaps in policy, resources and practice across service sectors, highlighting the need for joint training, intersectional working and research across service sectors.
Originality/value
Drawing both on existing literature and on discussions across contrasting policy and practice sectors, this paper raises awareness of some less well-acknowledged complexities of abuse and responses to abuse in later life.