Abstract
Details
Keywords
Gordon C.A. Dickson, Lesley Price, William M. Maclaren and William M. Stein
This exploratory study investigates perceptions of two groups of NHS staff, of a range of risks, topical and relevant to accident and emergency (A&E). Literature suggests that the…
Abstract
This exploratory study investigates perceptions of two groups of NHS staff, of a range of risks, topical and relevant to accident and emergency (A&E). Literature suggests that the effectiveness of a risk management strategy is lessened if staff exposed to risk, and managers, have different perceptions of the nature and severity of the risk. A self‐administered questionnaire was distributed to registered A&E nurses and to Trust managers at directorate level and above, working in five large inner‐city NHS Trusts. Managers and nurses were asked to quantify their perceptions of nine defined adverse events. They were also asked to identify the jobholder with day‐to‐day responsibility for managing four specific risks. Completed forms were obtained from 38 per cent of managers and nurses. Results showed broadly that managers tended to quantify risks of violence and stress to A&E nurses less highly than did nurses. By contrast, they tended to quantify risks to patients more highly than did nurses. Overall, a coherent pattern of difference in risk perception between the two groups was identified. It is argued that identification of differences of perception is an essential part of the risk management process. Illustrations are given of ways in which these differences can undermine the effectiveness of a risk management strategy.
Details
Keywords
Margaret Crawford and William Stein
This paper aims to put forward for consideration new insights into the creation of “second order” change in local government.
Abstract
Purpose
This paper aims to put forward for consideration new insights into the creation of “second order” change in local government.
Design/methodology/approach
In‐depth interviews were carried out in five local authorities to investigate risk management (RM) processes. Interviewees were guided by, but not limited to, outline questions to avoid imposing any preconceived theories about the structure and range of RM processes.
Findings
The extent to which RM was found to be embedded was unexpected, particularly in contrast with observed reactions to previous initiatives. A framework to describe the observed phenomenon is found in the concept of first‐order and second‐order change and a possible explicatory concept in Hood's analysis of administrative design. Part of the explanation may also lie in the alignment of the initiative aims with the interest of front‐line staff.
Research limitations/implications
The reported phenomenon is based on a small sample, as is normal in in‐depth case study research. Further empirical work is required.
Practical implications
If the changes are found to have taken place generally, it may be possible to apply some of the attributes of RM to future initiatives. It may also be possible for individual organisations to build on RM successes in order to develop a “learning culture” which could have a beneficial effect in other areas.
Originality/value
Changes in culture are notoriously difficult to achieve. The comparison of the effect of introducing corporate risk management with the effect of previous initiatives may provide some insight into ways of encouraging culture change.
Details
Keywords
Abstract
Details
Keywords
Margaret Crawford and William Stein
Local authorities in the UK have lagged behind other sectors in developing a sector‐wide approach to the risk management aspects of corporate governance. The governance framework…
Abstract
Local authorities in the UK have lagged behind other sectors in developing a sector‐wide approach to the risk management aspects of corporate governance. The governance framework published in 2001, however, goes further than the private sector combined code in its reporting requirements. This paper reviews the guidance documents issued by statutory and professional bodies and evaluates their effectiveness in assisting local authorities to meet corporate governance requirements for risk management. This analysis is supplemented by a study of the risk management structures and procedures in five UK local authorities in a research project funded by the Chartered Institute of Public Finance Accountants through the auspices of the British Accounting Association Public Sector Accounting Special Interest Group. Based on a number of in‐depth individual interviews this study notes several areas of weakness in both the guidance offered and the policies adopted by local authorities.
Details
Keywords
WHEN A FRIEND OF MINE retired he had been like most businessmen, a reader of the lighter kind of book—thrillers, 'tecs, westerns—for evenings and weekends. Now he had most of the…
Abstract
WHEN A FRIEND OF MINE retired he had been like most businessmen, a reader of the lighter kind of book—thrillers, 'tecs, westerns—for evenings and weekends. Now he had most of the day for it, too, and I could see he was becoming surfeited with it.
Born in Pittsburgh, PA, on November 1, 1910, Taylor Ostrander grew up in Westchester County, back in New York, his family's home state for many generations. He went to public…
Abstract
Born in Pittsburgh, PA, on November 1, 1910, Taylor Ostrander grew up in Westchester County, back in New York, his family's home state for many generations. He went to public schools in White Plains and Scarsdale and graduated from Hackley School in Tarrytown in 1928; that fall he entered Williams College in Williamstown, MA, where his mother's father was in the class of 1882.
Under this heading are published regularly abstracts of all Reports and Memoranda of the Aeronautical Research Committee, Reports and Technical Notes of the U.S. National Advisory…
Abstract
Under this heading are published regularly abstracts of all Reports and Memoranda of the Aeronautical Research Committee, Reports and Technical Notes of the U.S. National Advisory Committee for Aeronautics, and publications of other similar research bodies as issued
Under this heading are published regularly abstracts of all Reports and Memoranda of the Aeronautical Research Committee, Reports and Technical Notes of the U.S. National Advisory…
Abstract
Under this heading are published regularly abstracts of all Reports and Memoranda of the Aeronautical Research Committee, Reports and Technical Notes of the U.S. National Advisory Committee for Aeronautics, and publications of other similar research bodies as issued