Natalia D'Souza and Shane Scahill
This study explores nurses' views as to whether they see community pharmacists as “entrepreneurial” and what this might mean for working together in primary care. Pharmacists are…
Abstract
Purpose
This study explores nurses' views as to whether they see community pharmacists as “entrepreneurial” and what this might mean for working together in primary care. Pharmacists are expected to fully integrate with their colleagues – particularly nurses – under the New Zealand health policy. Yet, there is scarce literature that examines multidisciplinary teamwork and integration through an entrepreneurial identity lens. This is particularly important since around the world, including New Zealand, community pharmacies are small businesses.
Design/methodology/approach
This was an exploratory qualitative study. A total of 18 semi-structured interviews were conducted with nurses from primary care, nursing professional bodies and academics from nursing schools. Interviews were audio recorded and transcribed verbatim. Coding was undertaken through general inductive thematic analysis.
Findings
In total three key themes emerged through analysis: the entrepreneurial profile of the community pharmacist, the lack of entrepreneurship across the profession, and the role identity and value that community pharmacists hold, as viewed by nurses. There appeared to be pockets of entrepreneurship in community pharmacy; nurses did not express a blanket label of entrepreneurship across the whole sector. Nurses also discussed several forms of entrepreneurship including commercial-oriented, clinical and social entrepreneurship. The social entrepreneurship identity of community pharmacists sat most comfortably with nurse participants. Overall, nurses appeared to value community pharmacists but felt that they did not fully understand the roles that this profession took on.
Research limitations/implications
This paper contributes to the academic literature by identifying three domains of entrepreneurship relevant to community pharmacy as well as multi-level barriers that will need to be jointly tackled by professional bodies and policy-makers. Improving nurses' and other healthcare professionals' knowledge of community pharmacists' role and expertise is also likely to facilitate better inter-professional integration.
Originality/value
There is scarce literature that attempts to understand how entrepreneurial identity plays out in health organisation and management. This study adds to the knowledge base of factors influencing integration in healthcare.
Details
Keywords
Trudi Aspden, Munyaradzi Marowa, Rhys Ponton and Shane Scahill
The New Zealand Pharmacy Action Plan 2016–20 acknowledges the young, highly qualified pharmacist workforce, and seeks to address pharmacist underutilisation in the wider health…
Abstract
Purpose
The New Zealand Pharmacy Action Plan 2016–20 acknowledges the young, highly qualified pharmacist workforce, and seeks to address pharmacist underutilisation in the wider health setting. Anecdotal evidence suggests many recently qualified pharmacists are dissatisfied with the profession. Therefore, those completing BPharm programs after 2002, who had left or were seriously considering leaving the New Zealand pharmacy profession, were invited to comment on future-focused pharmacy documents, and the current direction of pharmacy in New Zealand.
Design/methodology/approach
An online questionnaire was open December 2018 to February 2019. Recruitment occurred via e-mail lists of universities and professional organisations, print and social media, and word-of-mouth. Free-text responses were thematically analysed using a general inductive approach.
Findings
From the 328 analysable surveys received, 172 respondents commented on the documents and/or direction of the pharmacy profession. Views were mixed. Overarching document-related themes were positive direction, but concern over achievability, the lack of funding details, lack of implementation, their benefits for pharmacists and the public, and ability to bring about change and secure a future for the profession. Overall pharmacy was considered an unattractive profession needing to change.
Originality/value
This study highlights dissatisfied recent BPharm graduates agree with the vision in the documents but do not see progress towards achieving the vision occurring, leading to frustration and exit in some cases. Policymakers should be aware of these views as considerable resource goes into their development.
Details
Keywords
Pushkar Silwal, Natalia D'Souza, Trudi Jane Aspden and Shane Scahill
The study aims to estimate the prevalence of workplace bullying, personal and work-related impacts, reporting practices for bullying, and the reasons for not reporting bullying…
Abstract
Purpose
The study aims to estimate the prevalence of workplace bullying, personal and work-related impacts, reporting practices for bullying, and the reasons for not reporting bullying incidents in the New Zealand pharmacy sector.
Design/methodology/approach
An online survey was conducted among registered pharmacists and pharmacist interns in New Zealand from June to August 2020. The questionnaire comprises both close-ended and semi-structured free-text questions. Goldberg’s 12-item General Health Questionnaire (GHQ-12) assessed the respondents’ general psychological health status, and a 22-item Negative Acts Questionnaire-Revised (NAQ-R) was used to estimate bullying prevalence together with the self-rated/self-labeled questions. The qualitative information obtained from the free-text responses was used to support and elaborate on the quantitative results.
Findings
The self-labeled prevalence of workplace bullying was 36.9%, with almost 10% reporting it occurring almost daily to several times per week. The 54.7% prevalence based on the NAQ-R assessment compares well with the prevalence of witnessing the incidents (58.5%). Psychological distress symptoms were experienced by 37.1% in pre-COVID and 45.3% during COVID-year 1. Supervisors or direct managers were the commonest perpetrators (32.7%). Only 28.8% of those who experienced bullying had reported the incidents formally.
Research limitations/implications
This study is cross-sectional, and the relationships indicated are bi-directional. The consistency of the results is reassuring, however inferring causality of effect is challenging. Future studies and analyses should focus on this. This study suggests that in the pharmacy environment bullying from the top is reasonably prevalent, is not commonly reported and requires the design and implementation of prevention and management strategies that take into account and mitigate these bullying factors. Professional pharmacy leadership organizations, National Health Authority and Pharmacy regulators could play a significant role in awareness and training to reduce bullying with the development and promotion of strategies to curb it and improve reporting.
Originality/value
This is the first paper to describe the prevalence and impact of workplace bullying, and the practices of reporting bullying incidents in the New Zealand pharmacy sector. Based on empirical evidence, pharmacists represent a small share of total healthcare workforce, yet the overall prevalence of bullying is consistent with professions with much larger numbers such as medicine and nursing.
Details
Keywords
Kathryn Peri, Ngaire Kerse, Simon Moyes, Shane Scahill, Charlotte Chen, Jae Beom Hong and Carmel M Hughes
– The purpose of this paper is to establish the relationship between organisational culture and psychotropic medication use in residential care.
Abstract
Purpose
The purpose of this paper is to establish the relationship between organisational culture and psychotropic medication use in residential care.
Design/methodology/approach
Cross-sectional analyses of staff and resident’s record survey in residential aged care facilities in Auckland, New Zealand (NZ). The competing values framework categorised organisational culture as clan, hierarchical, market driven or adhocracy and was completed by all staff. The treatment culture tool categorised facilities as having resident centred or traditional culture and was completed by registered nursing staff and general practitioners (GP). Functional and behavioural characteristics of residents were established by staff report and health characteristics and medications used were ascertained from the health record. Multiple regression was used to test for associations between measures of culture with psychotropic medication use (anxiolytics, sedatives, major tranquillisers).
Findings
In total 199 staff, 27 GP and 527 residents participated from 14 facilities. On average 8.5 medications per resident were prescribed and 42 per cent of residents received psychotropic medication. Having a diagnosis of anxiety or depression (odds ratio (OR) 3.18, 95 per cent confidence interval (CI) 1.71, 5.91), followed by persistent wandering (OR 2.53, 95 per cent CI 1.59, 4.01) and being in a dementia unit (OR 2.45, 95 per cent CI 1.17, 5.12) were most strongly associated with psychotropic use. Controlling for resident- and facility-level factors, health care assistants’ assignation of hierarchical organisational culture type was independently associated with psychotropic medication use, (OR 1.29, CI 1.08, 1.53) and a higher treatment culture score from the GP was associated with lower use of psychotropic medication (OR 0.95, CI 0.92, 0.98).
Originality/value
Psychotropic medication use remains prevalent in residential care facilities in NZ. Interventions aimed at changing organisational culture towards a less hierarchical and more resident-centred culture may be another avenue to improve prescribing in residential aged care.
Details
Keywords
Kym Thorne and Alexander Kouzmin
Post 9/11 events not only exposed the visible and invisible aspects of the often intertwined self‐interest of political, economic and especially religious elites, but also…
Abstract
Purpose
Post 9/11 events not only exposed the visible and invisible aspects of the often intertwined self‐interest of political, economic and especially religious elites, but also presented a practical and ideological vacuum susceptible to “once and for all” opportunistic fantasies of ultra and Neo‐conservative, cum religious, fanatics. The purpose of this paper is to counter balance the constant flow of Neo‐liberal and religious‐fundamentalist propaganda that is having a destructive effect on hard‐won civil ideals and democratic freedoms.
Design/methodology/approach
This paper presents a study of the relationship between visible and invisible power in the context of a historical study of the great age of tolerance and co‐existence between Jews, Muslims and Christians. The paper uses Benvenisti's “double history” methodology to recover what is visible on the surface and the “buried history” of what is invisible to discern the implications the Spanish Convivencia has for contemporary debates over political and religious “purity”.
Findings
This paper discovers dangerous signs of a continuing ahistorical hubris amongst elites and others that denies the historical evidence for the possibility of mutual accommodations between political and religious communities. This paper locates the need to recover lost, or discounted, multiple histories and (in)visible portents of a future other than the triumphalism of Western, especially “exceptionalist” US interests.
Research limitations/implications
This paper demonstrates the need for more research into the use/misuse of historical evidence within (in)visible power mechanisms designed to serve ideological and hegemonic interests.
Originality/value
In our uncertain age, this paper is notable for developing a historically grounded vision of a real‐politic new world order based on mutual accommodation and respect.
Details
Keywords
Ricarda Hammer and Tina M. Park
While technologies are often packaged as solutions to long-standing social ills, scholars of digital economies have raised the alarm that, far from liberatory, technologies often…
Abstract
While technologies are often packaged as solutions to long-standing social ills, scholars of digital economies have raised the alarm that, far from liberatory, technologies often further entrench social inequities and in fact automate structures of oppression. This literature has been revelatory but tends to replicate a methodological nationalism that erases global racial hierarchies. We argue that digital economies rely on colonial pathways and in turn serve to replicate a racialized and neocolonial world order. To make this case, we draw on W.E.B. Du Bois' writings on capitalism's historical development through colonization and the global color line. Drawing specifically on The World and Africa as a global historical framework of racism, we develop heuristics that make visible how colonial logics operated historically and continue to this day, thus embedding digital economies in this longer history of capitalism, colonialism, and racism. Applying a Du Boisian framework to the production and propagation of digital technologies shows how the development of such technology not only relies on preexisting racial colonial production pathways and the denial of racially and colonially rooted exploitation but also replicates these global structures further.
Details
Keywords
This Chapter applies the philosophy of Emmanuel Levinas to business’ role in the ‘War on Terror’. Specifically, it uses Levinasian ethics to explain how organisations, often with…
Abstract
This Chapter applies the philosophy of Emmanuel Levinas to business’ role in the ‘War on Terror’. Specifically, it uses Levinasian ethics to explain how organisations, often with an abundance of ethical resources, become associated with military drones strikes against civilians, and offers ideas that challenge this practice. The chapter comprises several sections beginning with a brief introduction to the ‘War on Terror’ and the use of military drones. A concise discussion about business ethics and just war theory follows after which, the chapter explains Levinas’ ethics and his views on war. These ideas are applied to transform business ethical practice in this controversial area. The Chapter concludes with a summary of its main points.
Details
Keywords
The purpose of this paper is to overview and critique the over‐reach of highly ideological assumptions of neo‐classical economics into policy and governance terrains. The ontology…
Abstract
Purpose
The purpose of this paper is to overview and critique the over‐reach of highly ideological assumptions of neo‐classical economics into policy and governance terrains. The ontology and epistemology of neo‐classical economics know no bounds in their imperial extension to non‐market applications. The colonization of Public Administration in Australia, and elsewhere, is a vexing epistemological issue, demanding some reckoning.
Design/methodology/approach
This deconstructive, critical essay seeks to provide a set of “check‐lists” of issues for those teaching, or proselytizing, governance within highly reduced public domains.
Findings
This paper moves an epistemological “audit” of “public choice theory” some steps forward, especially in the face of significant ideological and policy convergence, among putative social‐democratic governance regimes, regarding out‐sourcing, no‐bid contracting, agency “capture”, risk and a renewed urgency for necessary re‐regulation. The paper identifies policy imperatives for a new age of regulation after 35 years of prevailing “market fundamentalism”.
Originality/value
There has been much hubris associated with so‐called policy convergence in a globalized context. Deconstructing such hubris within a divergent world is long overdue for the next generation of scholars/policy apologists/rating agencies/and economists prone to some reflexivity in plying their “dismal” trade.
Details
Keywords
Rui Falcao, Antonio Carrizo Moreira and Maria João Carneiro
The business angels market dramatically changed the modus operandi and nature of business angels’ activity, evolving from lone investors to angel groups managed professionally…
Abstract
Purpose
The business angels market dramatically changed the modus operandi and nature of business angels’ activity, evolving from lone investors to angel groups managed professionally. This paper aims to analyze the impact of angel perceived career development on angel satisfaction and, consequently, on their intention to continue investing.
Design/methodology/approach
A model was tested through covariance-based structural equation modeling (SEM) using AMOS based on data collected from 336 business angels from seven European countries.
Findings
The results highlight that: the perception of personal development is a decisive factor in pursuing the career of business angel; personal development has a higher explanatory power in angel career development than fostering innovation; and the perception of career development has positive impacts on angels’ job satisfaction and reinvestment intention. The paper ends with implications and guidelines for angels, gatekeepers and entrepreneurs, which may increase satisfaction with the angel experience and contribute to enriching business angel work.
Research limitations/implications
Cross-sectional self-reported data were used to analyze the results of this study.
Originality/value
To paper extends the body of knowledge of business angels’ perceived career development, with implications for business angels, which may increase satisfaction with angel experience and, therefore, contribute to enhancing business angels’ activity. Thus, this study provides a consistent reference for forthcoming studies regarding the career of business angels and their relationship with entrepreneurs.