Ergonomic risk assessment of nasogastric tube placement and implications for design and training

The placement of nasogastric (NG) tubes is known to be prone to error and may lead to serious issues for patient safety and wellbeing. In some instances these have been catastrophic and resulted in the death of the patient. This study sought to explore the potential risks associated with this procedure through the use of systematic prospective risk assessment. The research team used the Prospective Hazard Analysis (PHA) toolkit developed by Ward et al (2010) . The study has shown a wide number of risks that cover equipment design, work organisation, and training issues. The link between equipment design and training provides an important example of the need for a systematic approach to reducing errors and improving resilience in this aspect of healthcare.     

Unscharfe Konturen – kritische Standortbestimmung eines Beratungsnetzwerks

In our article, we discuss the field of network consultancy—from the perspective of a consultancy network. In the beginning, we focus on the phenomenon “network”: What is a network, what is its function? Which challenge do we have to deal with? We talk about our own experiences as a network organisation und discuss relevant topics, which also refer to ourselves. We debate whether it is always and basically possible to counsel organisational networks and talk about requirements, factors for success, and structural roadblocks in a consultancy process—also about charm and risks involved when a network of consultants counsels an organisational network. Furthermore, we are opening our toolbox: Which instruments and interventions are particularly helpful and useful in the process of organisation network consultancy? And how do we take care of our own network? In our conclusion, we finally emphasize why it is so important to deal with organisational network consultancy—because networks are the most relevant form of organisation in the future.     

Residential Child Care Agencies as Learning Organisations: Innovation and Learning from Mistakes

The residential child care sector has been scrutinised via numerous inquiries following revelations of abusive and poor practice. These inquiries have made numerous recommendations which involve changes in practice and organisational culture, much of which is congruent with the features of a learning organisation. This article details research which evaluates the extent to which residential child care agencies exhibit the characteristics of a learning organisation. The research involved qualitative and quantitative methods, drawing on the experiences of a range of staff from the residential child care sector within Scotland. The findings revealed that residential child care agencies exhibit many features of a learning organisation, yet the extent to which these characteristics are perceived to exist differs significantly in line with the position staff occupy. Most significant were the findings that many staff do not feel supported to take risks nor encouraged to develop innovative practice; mistakes are not used as learning opportunities and a culture of blame is felt to exist. The implications of this are significant and this article identifies changes necessary to allow residential child care agencies to operate as learning organisations.     

How context influences the ideologies and strategies of disabled people’s organisations: a case study from Cambodia

Abstract

Studies of disability movements have centred on exploring how movements have emerged and how their strategies have been devised to effectively advocate for the rights of the people with disabilities they represent. However, little attention has been focused on examining their organisational contexts and how they shape ideologies and choice of strategies, which have implications for the success of their advocacy endeavours. This article seeks to contribute to knowledge in this area by studying the case of a disabled people’s organisation in Cambodia. The resource dependency of disabled people’s organisations on international development partners results in their ideologies and strategies being driven by the latter. This has not only fragmented their resources, but also made their endeavours less relevant to the needs of people with disabilities. This may act to prevent such organisations from building a common ground for collective action, and from effectively pressing for social change.     

Relational Work in Economic Sociology: A Review and Extension

Understanding how economic transactions are constitutive in the development, maintenance, and solidification of relationships has been of particular importance for economic sociologists in recent years. Following the work of Viviana Zelizer, economic sociologists have expanded from a purely network‐based approach of analyzing economic action to consider how and in what ways relations shape economic life. This paper provides a review of Zelizer's relational view of economic activity and presents an extension to the theory. While scholars have successfully applied “relational work” to many areas of economic life, this paper asks whether one can use the theory to examine economic interactions between human and non‐human agents. The example of tithing in the Prosperity Gospel tradition is used in order to expand relational work to this realm.     

Constructing pride,shame, and humiliation as a mechanism of control: A case study of an English local authority child protection service

This paper reports on findings from the first study into the role of self-conscious emotions in child protection social work practice. This ethnographic case study employed constructionist grounded theory methods to develop a conceptual understanding of the emotional experiences of the social workers. Integrating data from 246.5 h of observations, 99 diary entries, 19 interviews, and 329 pages of documents, a conceptual framework is presented to understand the emotional experiences of the social workers, before using this framework to analyse the case organisation and experiences of those within it. Pride, shame, and humiliation can be considered to be strategically used as a mechanism of control by constructing contextually specific boundaries for shameful and praiseworthy behaviour. By policing these boundaries the actions of the organisation and the social workers could be regulated to ensure they developed institutionally acceptable identities, enabling the organisation to gain legitimacy. While the analysis that has been provided here is specific not only to the organisation that the research took place in, but also to the time in which the data were collected within the organisation, case studies provide important insights into one context that can be useful to understand the processes in others.     

Facing conflict: patterns of relationships amongst Lithuanian social workers in the workplace and the role of supervision

The complexity of the Lithuanian social work profession is analysed in this paper. The aim of the research presented is to identify the patterns of relationships that Lithuanian social workers develop in the workplace when facing conflict. The research findings suggest that social work presupposes instability, mobility, fluidity, risks and consequently conflict and multiple emotional reactions from those involved. The complexity of social work, evoking various professional risks and conflicts, anticipates emotional reactions from social workers, such as anger and avoidance. Professional conflict and change can become a resource of positive emotional reactions and a stimulus for the development of the organisation. Professional relationships that are based on equality, openness and participation, even in situation of change or conflict can cultivate energy, creativity and enthusiasm. For conflict within an organisation to be resolved, external support that is methodologically grounded and professional is needed. Supervision can help to recognise the interrelation of patterns of relationships in the workplace when facing conflict, through reflection on one's professional functioning.     

Keeping rail on track: preliminary findings on safety culture in Australian rail

'Safety culture' is identified in the literature as a critical element of healthy and safe workplaces. How can rail organizations ensure that consistently effective work health and safety cultures are maintained across the diversity of their operations? This paper reports on research that is currently underway in the Australian rail industry aimed at producing a Model of Best Practice in Safety Culture for the industry. Located in rail organizations dedicated to the mining industry as well as urban rail and national freight operations, the research examines the constructs of organizational culture that impact on the development and maintenance of healthy and safe workplaces. The research uses a multi-method approach incorporating quantitative (survey) and qualitative (focus groups, interviews and document analysis) methods along with a participative process to identify interventions to improve the organization and develop plans for their implementation. The research uses as its analytical framework the 10 Platinum Rules, from the findings of earlier research in the New South Wales (Australia) mining industry, Digging Deeper. Data collection is underway at the time of writing and preliminary findings are presented at this stage. The research method may be adapted for use as a form of organizational review of safety and health in organizational culture.     

Internet risks and expert views: a case study of the insider perspectives of youth workers in Hong Kong

This study collects and analyses the viewpoints of front-line youth workers regarding the notion of ‘Internet risks’. Previous studies have examined and discussed various dangers of the Internet. Parental, school, and governmental interventions are often called for by those concerned. The implicit assumption is that these are the people who possess the expertise to tackle the problems at hand. Through participation in three forums focusing on ‘Internet risks’, and in-depth interviews with 10 such ‘experts’ in Hong Kong, the study examines if this is a valid assumption. It finds that experts perceive Internet risks rather differently. In addition to the more conventional views about content, contact and conduct risks, our interviewees are aware that a new order is quickly emerging in the new media environment. Despite being considered as ‘experts’, they do not necessarily know how to tackle the so-called ‘youth-at-risk’. Rather, they are exploring how they would capitalize on the opportunities offered by the developments. The key findings highlight the need to critically review the notion of ‘Internet risks’. As with other risk frameworks, the ultimate aim is to develop intervention programmes. In this regard, risks are often treated as concrete problems that can be solved. Youth experts, however, find that the changing scope, speed and persistence of communication in today's information society present the biggest challenge in youth work. The existing framework of risks was unable to describe and account for such risks. In response, Internet risk has to be reconceptualized so that more updated, relevant and imaginative intervention can be introduced.     

Knowledge management and the missing tradition - on the role of tradition,knowledge and competencies in industrial production

The ideas of knowledge management, competence strategy and learning organisation have been dominating debates on organisational behaviour and management recently. This article argues that most contributions to this debate are based on a quite naïve conception of knowledge and competencies. One important problem is the neglect of tradition. Through an analysis of the conventional views of knowledge and competencies and through a rehabilitation of tradition the article shows how tradition can provide us with another conception of knowledge management and related ideas. Two case studies from small Danish manufacturing companies are presented in order to show how tradition functions even in the most modem organisations.     

Understanding Environmental Risk Perceptions: A Case of Contested Illness in South Florida

Communities facing environmental health threats can experience contention when residents have conflicting interpretations of risks; yet little is known about the social–psychological processes that contribute to divergent risk perceptions in these cases. Drawing on previous work on environmental contamination, contested illness, and literature on risk perceptions, we offer a framework for analyzing how residents assess potential environmental risks. Using the case of The Acreage, Florida, we examine a community where a cancer cluster has been established, but an environmental cause has not been determined. Specifically, we ask how residents individually assess risks concerning possible environmental contamination in cases of contested illness. Data come from 57 in‐depth interviews conducted with current and former residents of The Acreage. We argue that residents utilized particular cognitive heuristics to develop understandings and assessments of the situation. However, when these assessments contradicted those of other residents, community conflict emerged. We conclude by discussing how the framework utilized in our analysis can be applied in future research of contaminated communities.     

How Women Engineers Do and Undo Gender: Consequences for Gender Equality

The image of engineering as a masculine profession has reproduced the perception that engineering is unsuitable for women. While various strategies have been used to try to increase the number of women entering engineering education and employment, their success has been limited. At the same time it has been argued that the way gender is ‘done’ in work can help diminish or increase inequality between the sexes. Using empirical research exploring women engineering students’ workplace experiences, this article considers how gender performance explains their behaviour and attitudes. Butler implied that doing gender can result in our being ‘undone’. This was specifically found to be the case for the women students in this study, who performed their gender in a particular way in order to gain male acceptance. In doing this they utilized certain coping strategies: acting like one of the boys, accepting gender discrimination, achieving a reputation, seeing the advantages over the disadvantages and adopting an ‘anti‐woman’ approach. These strategies are part of women's enculturation and professionalization in engineering, yet they also fail to value femaleness. In ‘doing’ engineering, women often ‘undo’ their gender. Such gender performance does nothing to challenge the gendered culture of engineering, and in many ways contributes to maintaining an environment that is hostile to women.     

Young people and social networking sites: exploring the views and training opportunities of CAMHS social workers in Ireland

ABSTRACT

Social Networking Sites (SNS) (e.g. Facebook, Instagram) have become a fundamental part of the daily lives of many young people. SNS engagement has been associated with a number of risks and benefits, some of which are particularly relevant to young people who access child and adolescent mental health services (CAMHS). Consequently, understanding how and why young people engage with SNS, and the associated risks and benefits, may become an increasingly important part of CAMHS social work.

This small-scale study (n = 15) utilised an online survey to explore the importance that a sample of Irish CAMHS social workers attribute to maintaining an awareness of how young people use SNS, whether they, in their professional lives, have been offered the opportunity to learn about SNS engagement among young people, and whether they have taken it upon themselves to learn about this topic.

Findings suggest that participants consider an understanding of SNS to be an important part of CAMHS practice. However, participants report that they do not feel sufficiently aware of SNS trends among young people, suggesting that there is scope for SNS-focused training/learning opportunities among this sample of CAMHS social workers. Implications for practice and suggestions for future research are outlined.     

Firm friends: exploring the supportive components in gay men's workplace friendships

Research shows that friendships are among the most important sources of support for gay men. Despite insights into how friends can be significant providers of emotional, practical and affirmational support, particularly when gay men 'come out' or experience discrimination on the basis of sexual orientation, scholars have rarely considered the role of work friends in supporting gay men in the workplace. This is remarkable given that work organisations remain challenging arenas for sexual minority employees to fashion a meaningful sense of self. Drawing on in-depth interview data with twenty-eight gay men employed in the UK, this article argues that gay men can rely on work friends for different forms of support in helping them to negotiate and sustain a viable sense of self. The findings show how the gender and sexuality of organisation influences which men and women are available as work friends, and the types of support they might give. Also, the affirmational support received from work friends is important not only for validating participants' sexual identities, but also identities of class and parenthood. The study aims to complicate stereotypes of men's workplace friendships as sources of support used largely for advancing careers and personal gain.     

Is this the end? organising identity as a post-modern means to a modernist end

Many analyses have focused on the extent to which processes of Japanisation have affected power relations (Sewell and Wilkinson, 1992), commitment relations (Chonko, 1988) and health relations (Strauss et al., 1982) within organisations. There has, however, been less of a focus on the uses post-modern forms of work organisation make of individual identity. This paper attempts with the use of case study material, to show how organisations seek to modify individuals' identities to match those of their companies. It illustrates a situation in which despite forward sounding rhetoric, organisations are still seeking to gain control over individuals, rather than share in a partnership with them; but in which, also individual employees can still resist, despite hard economic times.     

Supervising Mental Health Clinicians in The Context of Complex Organisational Dynamics

This article discusses the complex dynamics and challenges of providing supervision to mental health clinicians working within an organisational context when the supervisor is not part of the organisation and has no formal managerial or accountability responsibility. It considers two models of supervision and their application to three supervisory relationships in an organisational context. It concludes that for supervision to be effective there needs to be a consideration of the social defences in operation within the organisation and how they are met by the anxieties and defences of the supervisor and supervisee. This requires a mixed approach by the supervisor of the technical with the inter-subjective as a reliance on one model of supervision risks limiting the effectiveness of the intervention. The role of the supervisor can enable the supervisee to establish a clinical framework and the necessary environment essentials for their practice.     

Resilience as Reflexivity: A New Understanding for Work with Looked-After Children

This article argues that the current model of resilience in the social work literature, through its predominant focus on outcomes and behaviours rather than the underlying processes of development involved, risks superficiality and appears to lack an underpinning psychological theory of the way in which resilience develops. In response, I propose a psychodynamic understanding of this process, which sees resilience as rooted in the capacity for reflexivity (defined here as an awareness of one's own mental state and the mental states of others), and which describes how this capacity develops. This holds that a strong-enough ego, with the capacity for resilience-as-reflexivity, is the necessary precursor of the child's ability to make use of positive experiences. This psychodynamic understanding of resilience development aims to give social workers a greater appreciation of how the mental health of children in the care system may have been affected by their experiences, and how they can be helped to develop the psychological foundations of resilience and therefore better mental health. I suggest that workers can use this understanding to assess the stage of resilience-development a child has reached, and to inform therapeutic work aimed at strengthening their resilience.     

Community Organizing with Women of Color:

The problems of women of color are related to gender, ethnic, and class inequality, yet little attention has been paid to methods for changing these structural conditions; most social work literature on gender and ethnicity has focused on individual models for change. Recent research on feminist organizing has identified ways in which community organization methods can be made more effective for use with groups of women. The implementation of these methods with women of color, however, will require addressing deficiencies of feminist theory in analyzing women's experience. This article presents one approach to organizing with women of color that suggests how race and gender issues can be worked on simultaneously. The issues and practice principles are relevant for both women of color and European American women organizing in communities of color.     

Rapid Gender Analysis and its use in crises: from zero to fifty in five years

ABSTRACT

This article explores how and why the international non-government organisation, CARE, developed its own system of gender analysis, Rapid Gender Analysis (RGA), during the humanitarian response in Syria. The article tracks and reviews a sample of the first 50 CARE RGA reports to share recurrent gender themes that emerge across them, including the lack of women’s meaningful participation in decision-making, limitations on women and girls’ mobility, increased risks of gender-based violence, and recurring issues facing humanitarian organisations in providing a gender-sensitive response. RGA has now been used in more than 50 crises around the world and is featured as a good practice in the Inter-Agency Standing Committee Gender Handbook. It is giving humanitarians faster and more complete access to information about gender norms than ever before. But, this article asks, has the RGA made a difference and, if so, to whom?     

What Theories and Methods From Relationship Research Can Contribute to Sex Research

Sexual and relationship satisfaction tend to be closely linked in the context of romantic relationships. Understanding how sexual processes influence relationships and how aspects of the relationship influence a couple’s sex life can provide insight into the maintenance of sexual desire and satisfaction over time. In this article, we review how theories and methods that form the foundation for relationship research have made—and will continue to make—sexuality research a stronger, more theoretical, and methodologically sophisticated science. We discuss the key theories that have been used to advance our understanding of who is more likely to be sexually satisfied in relationships, when sex is most satisfying, and how couples can have more satisfying sex lives and relationships. We then provide an overview of dyadic and repeated-measures designs and demonstrate how the use of these types of research methods allows relationship and sexuality researchers to answer novel and nuanced questions about how romantic partners influence each other, as well as how sexual processes unfold in couples’ daily lives and over time. Throughout the review, we highlight what we see as fruitful directions for future research at the intersection of sexuality and relationships.