Search results

This paper aims to examine an organisation's enactment of clinical governance through applying and advancing a theoretical model.

The research site was a large organisation within an autonomous jurisdiction. The study focused on one organisational division. There were nine interviews and 15 focus groups (118 participants). Ethnographic observations totalled 60.5 hours. Document analysis was conducted with organisational reports and website. Data were examined against the model's four attributes and 24 elements, and used to conduct an organisational culture analysis.

Analysis showed that a majority of elements, 17 of 24, were strongly identifiable. The remainder were identifiable but not strongly so. Analysis suggested two additions to the model: the inclusion of two elements to an existing attribute and a new attribute and defining elements. This showed that the organisation was working towards, but not yet having achieved, a positive quality and safety culture. In particular, a schism in understanding between managers and frontline staff was noted.

The study empirically applied and refined a health service theory. The new model, the “clinical governance practice model”, can be broadly applied, and can continue to be developed to expand the evidence base for the field.

Substantively, the study accounts for differences in managerial and frontline staff actions in applying clinical governance. Investigations to understand and identify strategies to bridge the differences are required.

The study is an original application and refinement of a health service theory. The study identifies that the interpretation of clinical governance, whilst different in different places, gives rise to similar disagreements.

This paper seeks to address the recent challenges in the international human resource development (HRD) research and the related methodological strategy.

This inquiry is based on a survey of literatures and integrates various comparative research strategies adopted in other major social science disciplines.

Based on comparative strategies found in other disciplines, the authors propose a framework to advance comparative HRD research and theory development.

The proposed framework emphasizes methodological consistency in HRD research and improving the relevance and rigor in theory development. It also highlights the required qualities of comparative researchers.

This is an initial effort in analyzing the emerging comparative HRD literature for an alternative framework to advance methodological research on HRD theory building.

This special issue aims to address the complexities and dynamics in contemporary China’s citizen-making processes, with a focus on the educational dimension.

The four articles in this special issue present citizen-making processes in both educational and cultural arenas. Based on the rich, first-hand data collected inside and outside China, the researchers revealed the dynamics of the educative processes, as the interplay of different mechanisms produces new understandings of citizenship practice.

This special issue sheds light on the rise of new types of citizens, who are emerging at the grassroots level in China, beyond the state’s strict direct regulations, along with the rise of market forces and multicultural communities in Chinese society today. Contributors to this special issue have captured an ongoing change, in that the diversified citizen-making mechanisms are, to a certain extent, mitigating the party-state’s definitive monopoly on forging citizens and are creating new spaces for individuals to develop fresh forms of political subjectivity and citizenship practice. In this sense, we argue for the unpacking of the citizen-making processes in present-day China not only from the lens of state-dominated, top-down initiatives but also from that of participatory, bottom-up initiatives performed by grassroots groups with differentiated socio-economic statuses and cultural traditions.

This special issue can be regarded as a contribution to the growing field of Chinese citizenship studies, which constitutes an integral part of the unfinished project of citizenship after orientalism.