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Discourses of middle managers' cross-boundary collaboration in health and social care
- Authors:
- HUJALA Anneli, et al
- Journal article citation:
- Journal of Integrated Care, 30(2), 2022, pp.203-215.
- Publisher:
- Emerald
Purpose: In the implementation of integrated care, the role of managers is important and their mutual collaboration should be addressed more visibly. The purpose of this study was to investigate how cross-boundary collaboration is constructed in the discourse of middle-level managers in health and social care. Design/methodology/approach: The study was based on a discursive approach. Group discussions with three groups of Finnish middle managers (n = 39) were analyzed using discourse analysis. Findings: Five ways of talking about cross-boundary collaboration were identified, labeled "ideal", "structure", "defence", "money" and "support" discourses. In the ideal discourse, cross-boundary collaboration appeared as a "good thing" and is self-evident. Structural discourse defined managers as passive actors in self-sustaining entities. Defensive discourse highlighted the problems of cross-boundary collaboration and the hierarchy within the health and social sectors. Financial discourse constituted the ultimate obstacle to successful cross-boundary collaboration, and both strengthened and explained defensive discourse. Supportive discourse portrayed other managers as partners and as an important resource. Research limitations/implications: Cross-boundary collaboration can be experienced as a resource, helping managers cope with their workload. However, identification of and continuous attention to challenges at macro, meso and micro levels of integrated care is crucial for successful collaboration. Thus, critical discussion of collaboration needs to be given space. Originality/value: The study design and discursive approach highlights the power of language and give voice to middle managers who are key actors when implementing integrated care. (Edited publisher abstract)
The shift to collaborative working and integration in the English NHS: developing shared leadership in primary care networks
- Authors:
- WILLCOCKS Steve, CONWAY Tony
- Journal article citation:
- Journal of Integrated Care, 30(1), 2022, pp.28-41.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore leadership in the context of the policy shift to collaborative working and integration currently being pursued in the UK NHS. As ways of integrating care are being explored in other countries it can be argued that this topic may have wider policy significance. This paper is particularly concerned with leadership in Primary Care Networks in the English NHS. Design/methodology/approach: This paper is a conceptual paper using literature relating to the antecedents of shared leadership and relevant policy documents pertaining to the English NHS. The paper is informed, theoretically by the conceptual lens of shared leadership. A conceptual framework is developed identifying the antecedents of shared leadership that help to explain how shared leadership may be developed. Findings: The paper identifies the challenges that may be faced by policymakers and those involved in Primary Care Networks in developing shared leadership. It also reveals the implications for policymakers in developing shared leadership. Research limitations/implications: The paper is conceptual. It is acknowledged that this is a preliminary study and further work will be required to test the conceptual framework empirically. Practical implications: The paper discusses the policy implications of developing leadership in primary care networks. This has relevance to both the NHS and other countries. Originality/value: There is limited research on the antecedents of shared leadership. In addition, the conceptual framework is applied to a new policy initiative. (Edited publisher abstract)
The use of a guided peer review assessment for investigative interviewers of child witnesses
- Authors:
- BRUBACHER Sonja P., et al
- Journal article citation:
- Journal of Forensic Practice, 24(1), 2022, pp.1-17.
- Publisher:
- Emerald
Purpose: Investigative interviewers assess their colleagues' interviews (‘peer review’) as a necessary part of their practice, and for their self-development. Yet, there is little guidance around what the process involves and how they might do it. Research suggests that effective peer review is supported by using guidance material. The goal of the present work was to describe the use of such a guide by a group of professionals who regularly conduct investigative interviews with children, to share what was learned with other professionals seeking to create a formalized peer review process. Design/methodology/approach: Sixty US child witness interviewers completed a guided peer review assessment of an anonymous interview, as an assignment at the conclusion of an 18-hour training program that focused on developing their interviewing skills. They consented to the use of their learning data in research, and the research was approved by the university's research ethics board. Peer reviews were coded for the extent to which they used the guide to support their evaluations, and the overall quality of the review to assess the utility of the guide in supporting them to conduct effective assessments. Findings: In general, the guide and instructions for providing feedback were moderately effective in supporting the peer assessments, but results suggested specific training in how to deliver peer review would be useful. Practical implications: Through this process, the authors identified components that would be helpful to further increase the efficacy of peer review. Originality/value: The aim of this work was to spark a greater conversation among practitioners and academics about professionalizing the peer review process and aiding interviewers to develop peer review tools that would support their continued growth. The authors conclude with five key tips for professionals that stem from the experiences creating and evaluating the guide in combination with existing literature and three areas for future investigation. (Edited publisher abstract)
Aging researchers in early stages (ARIES): a model for career development collaboration of researchers in aging
- Authors:
- OUCHI Kei, BHASIN Shalender, ORKABY Ariela R.
- Journal article citation:
- Quality in Ageing and Older Adults, 22(2), 2021, pp.75-80.
- Publisher:
- Emerald
Purpose: Individuals over age 65 represent the fastest-growing segment of the population, yet they are also the least studied group and are most likely to be excluded from research most likely to apply to them. A significant reason for this deficit has been a dearth of scientists and clinicians to care for and study the many diseases that impact older adults. The purpose of this manuscript is to help early-stage clinician-scientists develop local forums fostering their career developments. Design/methodology/approach: In this manuscript, the difficulties associated with raising new generations of researchers in aging and offer suggestions for how early-stage clinician-scientists can foster career development in aging are discussed. This paper draws upon a local example, ARIES, to explain how early-stage investigators can be brought together with the goal of creating a pipeline of future leaders in aging research. Findings: The model may empower more early-stage clinicians to successfully pursue aging research. Originality/value: The current success of aging researchers in the early stages serves as a model for creating similar career development programs designed for early-stage researchers in aging. (Edited publisher abstract)
Corruption, impunity and mistrust: moving beyond police gatekeepers for researching gangs
- Author:
- VAN DAMME Ellen
- Journal article citation:
- Journal of Aggression Conflict and Peace Research, 13(2-3), 2021, pp.125-135.
- Publisher:
- Emerald
Purpose: This paper aims to discuss the importance of having several entry points into the field, via gatekeepers who do not belong to law enforcement agencies, in contexts where the police cannot be defined as trustworthy. Design/methodology/approach: The argumentation of this paper is based on qualitative research on women and gangs in Honduras. An ethnographical methodology was implemented, which included over a year of observations, 65 interviews and two focus groups in gang-controlled communities and detention centers in Central America (with a focus on Honduras), between 2017 and 2020. The paper implements a feminist reflexive approach, focusing on patriarchy, positionality and silence. Findings: Collaborating with the police as gatekeepers in gang research needs to be reevaluated. In countries such as Honduras, the police are riddled with corruption and impunity, which eventually leads to mistrust among gang members and other citizens. Hence, it is recommended to approach other, non-law enforcement, gatekeepers, who often stand much closer to the gangs and have a less conflicted or biased position toward them and toward other people living in gang areas. Research limitations/implications: A feminist reflexive approach is recommended for researching women and gangs, and thus also for choosing the right gatekeepers in the field, taking into account researchers’ and gatekeepers’ positionality. Originality/value: Police corruption in relation to gangs and gang-related crimes often goes unreported and silences people living in gang-controlled areas. This paper exposes these conflicted roles, not only regarding police abuse vis-à-vis gangs and people living in gang areas but also in relation to gang researchers in the field. (Edited publisher abstract)
Keep safe: collaborative practice development and research with people with learning disabilities
- Authors:
- WAKE Anthony, et al
- Journal article citation:
- Tizard Learning Disability Review, 25(4), 2020, pp.173-180.
- Publisher:
- Emerald
Purpose: This collaborative paper (working together) describes collaborative practice development and research by and with people from the learning disabilities community. This paper aims to show some of the activities which supported the collaborative practice development and research to show and encourage others to do more collaboration. The paper format is based on a previous collaborative paper published in the Tizard Learning Disability Review (Chapman et al., 2013). Design/methodology/approach: The collaborative practice development and feasibility study [1] focuses on an intervention called Keep Safe. This is an intervention for young people with learning disabilities who are 12 years and older and have shown “out-of-control” or harmful sexual behaviour. Findings: The paper gives examples of activities of the Keep Safe Advisory Group in planning, doing and thinking about Keep Safe development and feasibility. The authors list some good things and some difficulties in collaborating. They look at which parts of Frankena et al.’s (2019a) Consensus Statement on how to do inclusive research were done, which ones were not, and why. Social implications: The paper ends with some thoughts about collaborating with people from the learning disabilities community: for people with learning disabilities, practitioners and researchers. Originality/value: The paper is original in its illustration of collaborative practice development and research and measuring the activities against the inclusive research consensus statement. (Edited publisher abstract)
Commentary on “Keep safe: collaborative practice development and research with people with learning disabilities
- Authors:
- CLIFTON Matt, CHAPMAN Steve
- Journal article citation:
- Tizard Learning Disability Review, 25(4), 2020, pp.181-184.
- Publisher:
- Emerald
Purpose: Inspired by the work of the Keep Safe Advisory Group, this paper aims to explain and make the case for co-production as a powerful model for working alongside people with learning disabilities. Design/methodology/approach: The collaborative approach of the Keep Safe advisory group is the authors’ springboard for a deep dive into the power and potential of co-production as a model. As organisational leaders – one with and one without a learning disability – the authors draw on their personal experience to argue that co-production is essential to recognising the adulthood of people with learning disabilities. Findings: Co-production means the equal sharing of power and responsibility from the start, best served by the leap of faith of a blank agenda. Co-production values different kinds of expertise as complementary – broadly considered as expertise from lived experience and professional expertise. When working co-productively, a deep investment of time to understand people pays dividends in outcomes and everyone’s personal and professional growth. Co-production enriches the lives of everyone taking part. Originality/value: Co-production, though common currency in health and social care, remains too rarely understood and practiced. Readers will benefit from this reflective viewpoint, which aims to clarify and deepen what co-production really means. In particular, enabling people with learning disabilities to take responsibility for themselves and others is rarely considered but is presented here as foundational to human maturity and adulthood. (Edited publisher abstract)
From development to exploitation of digital health solutions: lessons learnt through multidisciplinary research and consultancy
- Authors:
- BUL Kim, et al
- Journal article citation:
- Journal of Enabling Technologies, 14(4), 2020, pp.273-279.
- Publisher:
- Emerald
Purpose: This viewpoint paper provides an overview of lessons learnt throughout the whole cycle of development to exploitation of digital solutions in health and wellbeing settings. This paper aims to address learnings that can be applied to all digital health technologies, including assistive technologies, apps, wearables, medical devices and serious games. Design/methodology/approach: Based on the knowledge and experiences of working within a multidisciplinary team, the authors discuss lessons learnt through research and consultancy projects in digital health and translate these into pragmatic suggestions and recommendations. Findings: Firstly, the importance of collaborating and co-creating with multidisciplinary stakeholders and end users throughout the whole project lifecycle is emphasised. Secondly, digital health solutions are not a means to an end, nor a panacea; decisions should be evidence-based and needs-driven. Thirdly, whenever possible, research designs and tools need to be more adaptive and personalised. Fourthly, the use of a mixed-method system approach and continuous evaluation throughout the project’s lifecycle is recommended to build up the evidence base. Fifthly, to ensure successful exploitation and implementation, a business case and timely bottom-up approach is recommended. Finally, to prevent research waste, it is our shared responsibility to collaborate with existing consortia and create an awareness of existing solutions and approaches. Originality/value: In conclusion, collaborating in the field of digital health offered insights into how to be more purposeful and effective in development, evaluation and exploitation of digital health solutions. Moving this diverse and dynamic field forward is challenging but will contribute to greater long-term impact on society. (Edited publisher abstract)
Collaborative working in the resettlement of young people leaving custody
- Authors:
- OLAITAN Paul, PITTS John
- Journal article citation:
- Safer Communities, 19(3), 2020, pp.89-101.
- Publisher:
- Emerald
Purpose: This paper aims to endeavour to sketch out a blueprint for effective collaborative working in resettlement. Design/methodology/approach: The paper is based on a review of the relevant research and interviews with professionals concerned with the resettlement of young people from custody in organisations and agencies that were partners in the Beyond Youth Custody programme. Findings: Practitioners working on the youth resettlement pathway between custody and community report collaborative practices to be more beneficial both to the young people involved as well as the practitioners themselves, in the conduct of their efforts. Originality/value: To the best of the authors’ knowledge, the originality of this paper consists in its investigation of resettlement practice by consulting those actually engaged in the resettlement process. (Edited publisher abstract)
Practitioner perspectives of multi-agency safeguarding hubs (MASH)
- Authors:
- SHORROCK Sarah, MCMANUS Michelle M., KIRBY Stuart
- Journal article citation:
- Journal of Adult Protection, 22(1), 2020, pp.9-20.
- Publisher:
- Emerald
Purpose: The challenges of transferring the theoretical requirements of an effective multi-agency partnership into everyday practices are often overlooked, particularly within safeguarding practices. Therefore, the purpose of this paper is to explore practitioner perspectives of working within a multi-agency safeguarding hub (MASH) and those factors that encourage or hinder a multi-agency approach to safeguarding vulnerable individuals. Design/methodology/approach: Semi-structured interviews with 23 practitioners from one MASH location in the North of England were conducted, with a thematic analysis being used to analyse findings. Findings: The interviews with practitioners illustrated the complexity of establishing a multi-agency approach to safeguarding. It was inferred that whilst information sharing and trust between agencies had improved, the absence of a common governance structure, unified management system, formalisation of practices and procedures and shared pool of resources limited the degree to which MASH could be considered a multi-agency approach to safeguarding. Practical implications: Establishing a multi-agency approach to safeguarding is complex and does not occur automatically. Rather, the transition to collaborative practices needs to be planned, with agreed practices and processes implemented from the beginning and reviewed regularly. Originality/value: Few studies have investigated the implementation of MASH into safeguarding practices, with this paper providing a unique insight into practitioner opinions regarding the transition to multi-agency practices. Whilst there is a focus on MASH, the challenges to arise from the research may be reflective of other multi-agency partnerships, providing a foundation for best practice to emerge. (Edited publisher abstract)