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Article
Publication date: 21 August 2017

Catherine Pope and Joanne Turnbull

The purpose of this paper is to explore the human work entailed in the deployment of digital health care technology. It draws on imagined configurations of computers and machines…

Abstract

Purpose

The purpose of this paper is to explore the human work entailed in the deployment of digital health care technology. It draws on imagined configurations of computers and machines in fiction and social science to think about the relationship between technology and people, and why this makes implementation of digital technology so difficult. The term hubots is employed as a metaphorical device to examine how machines and humans come together to do the work of healthcare.

Design/methodology/approach

This paper uses the fictional depiction of hubots to reconceptualise the deployment of a particular technology – a computer decision support system (CDSS) used in emergency and urgent care services. Data from two ethnographic studies are reanalysed to explore the deployment of digital technologies in health services. These studies used comparative mixed-methods case study approaches to examine the use of the CDSS in eight different English NHS settings. The data include approximately 900 hours of observation, with 64 semi-structured interviews, 47 focus groups, and surveys of some 700 staff in call centres and urgent care centres. The paper reanalyses these data, deductively, using the metaphor of the hubot as an analytical device.

Findings

This paper focuses on the interconnected but paradoxical features of both the fictional hubots and the CDSS. Health care call handling using a CDSS has created a new occupation, and enabled the substitution of some clinical labour. However, at the same time, the introduction of the technology has created additional work. There are more tasks, both physical and emotional, and more training activity is required. Thus, the labour has been intensified.

Practical implications

This paper implies that if we want to realise the promise of digital health care technologies, we need to understand that these technologies substitute for and intensify labour.

Originality/value

This is a novel analysis using a metaphor drawn from fiction. This allows the authors to recognise the human effort required to implement digital technologies.

Details

Journal of Health Organization and Management, vol. 31 no. 5
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 28 June 2021

Michael Clark, Michelle Cornes, Martin Whiteford, Robert Aldridge, Elizabeth Biswell, Richard Byng, Graham Foster, James Sebastian Fuller, Andrew Hayward, Nigel Hewett, Alan Kilminster, Jill Manthorpe, Joanne Neale and Michela Tinelli

People experiencing homelessness often have complex needs requiring a range of support. These may include health problems (physical illness, mental health and/or substance misuse…

Abstract

Purpose

People experiencing homelessness often have complex needs requiring a range of support. These may include health problems (physical illness, mental health and/or substance misuse) as well as social, financial and housing needs. Addressing these issues requires a high degree of coordination amongst services. It is, thus, an example of a wicked policy issue. The purpose of this paper is to examine the challenge of integrating care in this context using evidence from an evaluation of English hospital discharge services for people experiencing homelessness.

Design/methodology/approach

The paper undertakes secondary analysis of qualitative data from a mixed methods evaluation of hospital discharge schemes and uses an established framework for understanding integrated care, the Rainbow Model of Integrated Care (RMIC), to help examine the complexities of integration in this area.

Findings

Supporting people experiencing homelessness to have a good discharge from hospital was confirmed as a wicked policy issue. The RMIC provided a strong framework for exploring the concept of integration, demonstrating how intertwined the elements of the framework are and, hence, that solutions need to be holistically organised across the RMIC. Limitations to integration were also highlighted, such as shortages of suitable accommodation and the impacts of policies in aligned areas of the welfare state.

Research limitations/implications

The data for this secondary analysis were not specifically focussed on integration which meant the themes in the RMIC could not be explored directly nor in as much depth. However, important issues raised in the data directly related to integration of support, and the RMIC emerged as a helpful organising framework for understanding integration in this wicked policy context.

Practical implications

Integration is happening in services directly concerned with the discharge from hospital of people experiencing homelessness. Key challenges to this integration are reported in terms of the RMIC, which would be a helpful framework for planning better integrated care for this area of practice.

Social implications

Addressing homelessness not only requires careful planning of integration of services at specific pathway points, such as hospital discharge, but also integration across wider systems. A complex set of challenges are discussed to help with planning the better integration desired, and the RMIC was seen as a helpful framework for thinking about key issues and their interactions.

Originality/value

This paper examines an application of integrated care knowledge to a key complex, or wicked policy issue.

Details

Journal of Integrated Care, vol. 30 no. 1
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 3 April 2018

Joanne Vincett

The purpose of this paper is to offer practical researcher self-care strategies to prepare for and manage the emotions involved in doing organizational ethnographic research…

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Abstract

Purpose

The purpose of this paper is to offer practical researcher self-care strategies to prepare for and manage the emotions involved in doing organizational ethnographic research. Institutional ethics policies or research training programs may not provide guidance, yet emotions are an integral part of research, particularly for ethnographers immersed in the field or those working with sensitive topics or vulnerable or marginalized people.

Design/methodology/approach

The paper draws on ethnographic fieldwork over nine months with a voluntary organization in the UK, Yarl’s Wood Befrienders, to explore the experiences and activities of volunteer visitors who offer emotional support to women detained indefinitely in an immigration removal center. The author is a “complete member researcher,” or “at-home ethnographer,” a volunteer visitor and a former detainee.

Findings

The author describes the emotional impact the research personally had on her and shares learning from overcoming “compassion fatigue.” Self-care strategies based on the literature are recommended, such as a researcher self-assessment, identification of the emotional risks of the research, and self-care plan formulated during project planning. Suggested resources and activities to support the well-being of researchers are explored.

Practical implications

This paper provides practical resources for researchers to prepare for and cope with emotional and mental health risks throughout the research process. It builds awareness of safeguarding researchers and supporting them with handling emotional disruptions. Without adequate support, they may be psychologically harmed and lose the potential to critically engage with emotions as data.

Originality/value

The literature on emotions in doing research rarely discusses self-care strategies. This paper offers an actionable plan for researchers to instil emotional and mental well-being into the research design to navigate emotional challenges in the field and build resilience.

Details

Journal of Organizational Ethnography, vol. 7 no. 1
Type: Research Article
ISSN: 2046-6749

Keywords

Article
Publication date: 13 June 2008

Jane Turner and Sharon Mavin

The purpose of this paper is to explore subjective life histories and leadership journeys of senior leaders, drawing upon elements of an authentic leadership framework (life…

2822

Abstract

Purpose

The purpose of this paper is to explore subjective life histories and leadership journeys of senior leaders, drawing upon elements of an authentic leadership framework (life trigger events, values and emotions). The paper surfaces partial life histories and the often unheard of individual experiences of becoming a leader, offering stories to others as a media for learning and extending authentic leadership theory.

Design/methodology/approach

The paper draws upon a qualitative empirical study engaging 22 UK senior leaders in semi‐structured interviews, involving a life‐history approach to generate subjective narratives of how individuals establish and sustain leadership.

Findings

The empirical data highlights that elements of authentic leadership theory resonate in practice. Senior leaders' life histories and in particular negative trigger events are significant to their approach as leaders. The values of honesty and integrity were important to the leaders, with some able to sustain their values uncompromisingly. The leaders openly expressed emotion and vulnerability when re‐telling their stories, but whether they do so as leaders in relationships with others, requires further research. Authentic leadership theory may be over simplified in terms of emotion and vulnerability in practice.

Practical implications

Elements of authentic leadership offer alternative understandings of experiences of leaders. The life history approach enables important insights into leaders' subjective realities and should be integral to leadership development approaches.

Originality/value

The paper offers empirical data from UK senior leaders, highlighting the unheard of strutting and fretting of leadership and contributing empirical research to authentic leadership theory.

Details

Leadership & Organization Development Journal, vol. 29 no. 4
Type: Research Article
ISSN: 0143-7739

Keywords

Article
Publication date: 13 April 2015

Delma Poniman, Sharon Purchase and Joanne Sneddon

The purpose of this paper is to explore the emergence and implementation of traceability systems in the Western Australian (WA) Halal food industry. In particular, to understand…

2848

Abstract

Purpose

The purpose of this paper is to explore the emergence and implementation of traceability systems in the Western Australian (WA) Halal food industry. In particular, to understand how individuals in facilitating organizations perceive the Halal idea logic and the benefits that a traceability system can provide to the Halal food processing industry.

Design/methodology/approach

An empirical qualitative approach was employed to examine these issues utilizing in-depth interviews. Thematic analysis was carried out using Leximancer software.

Findings

Findings suggest that individual’s perception of Halal idea logic is aligned to the roles they perform. These perceptions were impacted by the specific objectives or business interests of each organization. Facilitating organizations also perceive that traceability systems are a strategic tool in the Halal food processing industry.

Practical implications

The research provides insights into how to improve existing understanding of the Halal idea logic within Halal food business networks and the benefits of implementing traceability systems in Halal food production. Joint activity between firms creates a network effect, where the value created is greater than that which the firms alone can create.

Originality/value

Though traceability systems have become increasingly popular in the food industry, little research has been undertaken to understand how individuals in facilitating organizations perceive these systems, particularly in the growing Halal food industry. Hence, the study contributes to the literature of traceability studies and the area of change and process adaptation in business relationships in the context of halal food production.

Details

Asia Pacific Journal of Marketing and Logistics, vol. 27 no. 2
Type: Research Article
ISSN: 1355-5855

Keywords

Article
Publication date: 13 August 2020

Joanne Brooke and Monika Rybacka

The purpose of this study was to explore the social needs and experiences of older prisoners who were attending one of two social initiatives in a prison in England.

Abstract

Purpose

The purpose of this study was to explore the social needs and experiences of older prisoners who were attending one of two social initiatives in a prison in England.

Design/methodology/approach

This paper is based on an interpretative phenomenological study, conducted in a prison in the South West of England. Older prisoners attending an initiative implemented for those over 55, a purposive activity or a social task group, participated in focus groups, which were audio recorded and thematically analysed.

Findings

Two overarching themes were identified. Firstly, the need to feel safe: prisoners felt attending an initiative provided them with a safe haven away from noisy and boisterous younger prisoners, who they perceived as different from them and who received preferential treatment. Secondly, being provided with a purpose: prisoners felt they belonged among their peers, which motivated them to attend and support group activities.

Research limitations/implications

This study was completed in one prison. However, both initiatives supported the social needs of older prisoners and enabled them to leave their cells, although they felt unsafe when not attending an initiative.

Originality/value

There remains a need to support the process of integrating younger and older prisoners, by the provision of both integrated and separate initiatives, with the aim of developing cross-generational and bi-directional peer support.

Details

International Journal of Prisoner Health, vol. 17 no. 2
Type: Research Article
ISSN: 1744-9200

Keywords

Article
Publication date: 3 June 2014

William R. Lindsay, Kerry Joanne Smith, Samantha Tinsley, Jane Macer and Sandra Miller

Although studies suggest alcohol abuse is not the major problem among offenders and others with intellectual disabilities (ID), it is still a significant problem. There are also…

Abstract

Purpose

Although studies suggest alcohol abuse is not the major problem among offenders and others with intellectual disabilities (ID), it is still a significant problem. There are also suggestions that alcohol may have a more serious effect on those with ID. The purpose of this paper is to describe a treatment for alcohol-related difficulties designed for people with ID.

Design/methodology/approach

A programme for alcohol-related problems is described and four case studies are presented to illustrate the sessions and review the way in which people with ID have responded to the methods. The cases have a mixture of alcohol-related problems including anger, anxiety, social withdrawal and depression. The alcohol programme is coordinated with a range of person centred interventions for specific difficulties.

Findings

All cases responded to the programme positively. Two cases showed reductions in anger, two reported reductions in anxiety and one reported reductions in depression. All cases increased their alcohol knowledge considerably.

Research limitations/implications

The programme seems promising in its approach to alcohol-related difficulties. It is noted that alcohol education alone is likely to improve participants’ wellbeing in the absence of coordinated intervention for other relevant personal difficulties. A controlled treatment trial for effectiveness is clearly required.

Originality/value

The paper describes a programme for alcohol-related problems and may be the first such programme that has contained pilot evaluation.

Details

Journal of Intellectual Disabilities and Offending Behaviour, vol. 5 no. 2
Type: Research Article
ISSN: 2050-8824

Keywords

Article
Publication date: 18 October 2011

Jennifer E. van Bekkum, Joanne M. Williams and Paul Graham Morris

The aim of this study is to investigate perceptions of cycle commuting barriers in relation to stage of change, gender and occupational role. Stage of change is a key construct of…

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Abstract

Purpose

The aim of this study is to investigate perceptions of cycle commuting barriers in relation to stage of change, gender and occupational role. Stage of change is a key construct of the transtheoretical model of behaviour change that defines behavioural readiness (intentions and actions) into five distinct categories.

Design/methodology/approach

A cross‐sectional online questionnaire was completed by staff and PhD students (n=831) based in cycle‐friendly buildings in a large UK university. The questionnaire included questions relating to demographics, stages of behaviour change and 18 potential barriers. Data were analysed using t‐tests, one‐way ANOVAs and two‐way ANOVAs.

Findings

Overall, environmental factors were perceived as the biggest barriers to cycle commuting. However, perceptions of cycle commuting barriers significantly differed between stages of change, genders and occupational roles. Precontemplators, females and support staff commonly perceived greater barriers to cycle commuting compared to maintainers, males and academic staff.

Practical implications

The results indicate that tailored individual‐level behaviour change interventions focusing on reducing perceptions of barriers that take into account stage of change, gender and occupational differences may play a role in encouraging people to cycle to work.

Originality/value

The study reveals evidence of a significant subjective element involved in perception formation of some potential barriers associated with cycle commuting. Women not only hold stronger perceptions compared to males of risk‐orientated barriers but also of more general barriers associated with cycle commuting. The findings also suggest that occupational roles may influence an individual's perceptions of cycle commuting barriers.

Details

Health Education, vol. 111 no. 6
Type: Research Article
ISSN: 0965-4283

Keywords

Book part
Publication date: 4 June 2019

Ian Collinson

Heavy metal music has had a long relationship with environmental and ecological concerns, one that can be traced as far back as Black Sabbath’s ‘Into the Void’ (1971). Academic…

Abstract

Heavy metal music has had a long relationship with environmental and ecological concerns, one that can be traced as far back as Black Sabbath’s ‘Into the Void’ (1971). Academic work has, however, been slow to recognise the entanglements of metal, environment and ecology in either the global or an Australian context. More recently, however, popular music scholars have begun to acknowledge how the sonic anger of black, death and other genres of extreme metal might be an appropriate medium for social and environmental commentary and protest (Lucas, 2015, p. 555). Therefore, according to Wiebe-Taylor (2009), metal’s ‘darker side is not simply about shock tactics and sensory overload…’, because, ‘metal also makes use of its harsh lyrics, sounds and visual imagery to express critical concerns about human behaviour and decision making and anxieties about the future’ (p. 89). Taking an ecocritical approach, this chapter will map and analyse the environmental concerns and ecological anxieties of Australian metal across a range of different bands and metal genres, as they emerge through three ‘dead-end’ discourses-misanthrophism, apocalypticism, Romanticism – which offer little or no hope of survival.

Details

Australian Metal Music: Identities, Scenes, and Cultures
Type: Book
ISBN: 978-1-78769-167-4

Keywords

Article
Publication date: 17 March 2020

Martina Hutton and Charlotte Lystor

This paper focuses on the analytical importance of voice and the value of listening and representing voices in private contexts. It highlights the under-theorised position of…

Abstract

Purpose

This paper focuses on the analytical importance of voice and the value of listening and representing voices in private contexts. It highlights the under-theorised position of relationality in family research. The paper introduces the listening guide as a unique analytical approach to sharpen researchers’ understanding of private experiences and articulations.

Design/methodology/approach

This is a conceptual and technical paper. It problematises voice, authority and analytical representation in the private location of family and examines how relational dynamics interact with the subtleties of voice in research. It also provides a practical illustration of the listening guide detailing how researchers can use this analytical approach.

Findings

The paper illustrates how the listening guide works as an analytical method, structured around four stages and applied to interview transcript excerpts.

Practical implications

The listening guide bridges private and public knowledge-making, by identifying competing voices and recognises relations of power in family research. It provides qualitative market researchers with an analytical tool to hear changes and continuities in participants’ sense of self over time.

Social implications

The paper highlights how peripheral voices and silence can be analytically surfaced in private domains. A variety of studies and data can be explored with this approach, however, research questions involving vulnerable or marginal experiences are particularly suitable.

Originality/value

The paper presents the listening guide as a novel analytic method for researching family life – one, which recovers the importance of voice and serves as a means to address the lack of debate on voice and authority in qualitative market research. It also highlights the under-theorised position of relationality in tracing the multiple subjectivities of research participants. It interrupts conventional qualitative analysis methods, directing attention away from conventional coding and towards listening as an alternative route to knowledge.

Details

Qualitative Market Research: An International Journal, vol. 24 no. 1
Type: Research Article
ISSN: 1352-2752

Keywords

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