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1 – 10 of over 5000Understanding patterns identified in research on emergency teams (ETs) may not only enrich applied understanding of coordinated emergency response but also broader theory about…
Abstract
Understanding patterns identified in research on emergency teams (ETs) may not only enrich applied understanding of coordinated emergency response but also broader theory about communication and the adaptive potential of groups and teams more generally. This chapter establishes the theoretical significance of ETs, especially for scholarship wishing to acknowledge and account for their embeddedness in organizations and institutions. Further, it describes what has been learned from ET research with regard to the impact of stress, the management of emergent ambiguity, and the role of communication in postincident learning and continuous improvement.
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Meghan D. Morris, Brandon Brown and Scott A. Allen
Worldwide efforts to identify individuals infected with the hepatitis C virus (HCV) focus almost exclusively on community healthcare systems, thereby failing to reach high-risk…
Abstract
Purpose
Worldwide efforts to identify individuals infected with the hepatitis C virus (HCV) focus almost exclusively on community healthcare systems, thereby failing to reach high-risk populations and those with poor access to primary care. In the USA, community-based HCV testing policies and guidelines overlook correctional facilities, where HCV rates are believed to be as high as 40 percent. This is a missed opportunity: more than ten million Americans move through correctional facilities each year. Herein, the purpose of this paper is to examine HCV testing practices in the US correctional system, California and describe how universal opt-out HCV testing could expand early HCV detection, improve public health in correctional facilities and communities, and prove cost-effective over time.
Design/methodology/approach
A commentary on the value of standardizing screening programs across facilities by mandating all facilities (universal) to implement opt-out testing policies for all prisoners upon entry to the correctional facilities.
Findings
Current variability in facility-level testing programs results in inconsistent testing levels across correctional facilities, and therefore makes estimating the actual number of HCV-infected adults in the USA difficult. The authors argue that universal opt-out testing policies ensure earlier diagnosis of HCV among a population most affected by the disease and is more cost-effective than selective testing policies.
Originality/value
The commentary explores the current limitations of selective testing policies in correctional systems and provides recommendations and implications for public health and correctional organizations.
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Lakia M. Scott and Elena M. Venegas
The purpose of this paper is to discuss issues of contemporary language conflict in educational contexts.
Abstract
Purpose
The purpose of this paper is to discuss issues of contemporary language conflict in educational contexts.
Design/methodology/approach
This is a conceptual paper which examines current educational practices and policies through the lens of linguistic hegemony.
Findings
The authors identify three primary areas in which linguistic hegemony persists at present, including English-only policies, varied perspectives on language difference and harsh graduation mandates.
Originality/value
The authors extend upon Antonio Gramsci’s notion of hegemonic culture as well as Robert Phillipson’s concept of linguistic imperialism in identifying current instances of linguistic hegemony in educational policies and practices throughout the USA.
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The purpose of this paper is to complicate and critique contemporary scholarship on high-reliability organizations (HROs). This paper argues that although HRO scholarship helps to…
Abstract
Purpose
The purpose of this paper is to complicate and critique contemporary scholarship on high-reliability organizations (HROs). This paper argues that although HRO scholarship helps to identify communicative patterns that facilitate reliability and safety, it also simplifies processes that undermine the effectiveness of existing recommendations for HROs.
Design/methodology/approach
This paper frames high-reliability organizing as the enactment of mindfulness, which is the theoretical mechanism behind each of the five principles of high-reliability organizing. Using this framework, this paper then elaborates on each of the HRO principles: preoccupation with failure, reluctance to simplify interpretations, sensitivity to operations, commitment to resilience, and deference to expertise.
Findings
This paper details how research guided by HRO theory must address the following obstacles to safety and resilience: information accessibility limiting preoccupation with failure, identity constructions encouraging the simplification of interpretations, message fatigue repressing sensitivity to operations, the information environment within HROs weakening commitment to resilience, and generational differences impeding deference to expertise.
Originality/value
This paper highlights key issues obstructing safety and reliability in organizations that have been largely ignored by extant literature and encourages scholars to do more to acknowledge the role communication plays in constituting and reconstituting organizational reliability. Failing to fully address complex communicative interactions in HROs obstructs efforts to safeguard employee health and safety.
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Morag MacDonald, Robert Greifinger, Scott A. Allen and David Kane
Scott A. Allen and Raed Aburabi
It is a simple fact that prisons cannot exist – practically, legally, ethically or morally – without the support of physicians and other health professionals. Access to adequate…
Abstract
Purpose
It is a simple fact that prisons cannot exist – practically, legally, ethically or morally – without the support of physicians and other health professionals. Access to adequate healthcare is one of the fundamental measures of the legitimacy of a jail or prison. At the same time, there is a fundamental tension in the missions of the prison and doctor. The primary mission of the prison is security and often punishment. Reform and rehabilitation have intermittently been stated goals of prisons in the last century, but in practice those humane goals have rarely governed prison administrative culture. The primary mission of the physician is to promote the health and welfare of his or her patient. The paper aims to discuss these issues.
Design/methodology/approach
At times, what is required to serve the patient’s best interest is at odds with the interests of security. Much of the work of the prison physician does not conflict with the operation of security. Indeed, much of the work of the prison physician is allowed to proceed without much interference from the security regime. But given the fundamental discord in the legitimate missions of security vs medicine, conflict between the doctor and the warden is inevitable.
Findings
In this paper, the authors consider the example of patient confidentiality to illustrate this conflict, using case examples inspired by real cases from the experience of the authors.
Originality/value
The authors provide an ethical and practical framework for health professionals to employ when confronting these inevitable conflicts in correctional settings.
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The long-entrenched belief that “white” equates to inherent racial superiority is intrinsically linked to “racism and pseudo-science used to justify slavery, imperialism…
Abstract
The long-entrenched belief that “white” equates to inherent racial superiority is intrinsically linked to “racism and pseudo-science used to justify slavery, imperialism, colonialism, and genocide” (Smithsonian National Museum of African American History and Culture, n.d.). This widely propagated belief plagues American society maintaining disparities in wealth, health, education, housing, and employment, and disproportionately marginalizing African and Hispanic Americans. The resultant inequities and systemic racial disparities in school practices, policies, and institutional structures sabotage efforts to mediate the inaccuracies of America’s history. School libraries and librarians can provide the materials, resources, and expertise to counter erroneous notions of White superiority while affirming all students’ positive racial identities.
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Andrew Waguih Ishak and Elizabeth Ann Williams
Organizations of all types desire to be imbued with resilience, or the ability to withstand and bounce back from difficult events (Richardson, 2002; Walsh 2003). But resilience…
Abstract
Purpose
Organizations of all types desire to be imbued with resilience, or the ability to withstand and bounce back from difficult events (Richardson, 2002; Walsh 2003). But resilience does not play the same role in every organization. Previous research (Weick and Sutcliffe, 2011) has argued that organizations can be more or less resilient. For high reliability organizations (HROs) such as fire crews and emergency medical units, resilience is a defining feature. Due to the life-or-death nature of their work, the ability to be successful in the face of difficult events is imperative to the process of HROs. The paper aims to discuss these issues.
Design/methodology/approach
This is a theory piece.
Findings
The authors put forth a dual-spectrum model that introduces adaptive and anchored approaches to organizational resilience.
Research limitations/implications
There are organizations for which resilience is only enacted when the organization must overcome difficult events. And at the other end are organizations that may not enact resilience in difficult times, and therefore fail or deteriorate. But while it has been shown that organizations can be more or less resilient, there has been little attention paid to how organizations may have differing types of resilience.
Originality/value
In this piece, the authors theorize that resilience may differ in type between organizations. Drawing on theoretical approaches to resilience from communication (Buzzanell, 2010), organizational behavior (Weick and Sutcliffe, 2011), and motivational psychology (Dweck, 2016), the authors introduce a model that views resilience as a dynamic construct in organizations. The authors argue that an organization’s resilience-centered actions affect – and are determined by – its approach to Buzzanell’s (2010) five communicative processes of resilience. The authors offer testable propositions, as well as theoretical and practical implications from this model, not only for HROs, but for all organizations.
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John E. Ehiri and Martin Birley
This paper, which is based on experience from a recent, large, social‐marketing intervention to improve reproductive health in Orissa, India, reviews evidence of harmful effects…
Abstract
This paper, which is based on experience from a recent, large, social‐marketing intervention to improve reproductive health in Orissa, India, reviews evidence of harmful effects of improper disposal of male condoms, e.g. ingestion by cattle, effects on humans (e.g. rag pickers), length of time to biodegrade, drain blockage, screen‐cleaning and disposal costs to waste‐water treatment systems. Evidence of impact on the aquatic environment, of hormones from oral contraceptive pills excreted in urine was examined. Given the dearth of published and anecdotal data on the subject, it is concluded that further evidence of the magnitude and severity of the problem in Orissa and similar places in less developed countries is required to facilitate planning of mitigation actions that can be incorporated into social marketing of reversible contraceptives.
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