Engaging Professionals in Sustainable Workplace Innovation: Medical Doctors and Institutional Work

This paper investigates the role of medical professionals in the success and longevity of the implementation of workplace innovation and organizational change in the Accident and Emergency (A&E) Departments of two large public hospitals, in Australia and Canada, during the introduction of process improvement using Lean Management (LM) methodologies. We ask why and how doctors resist, influence or enable LM initiatives in healthcare. Using a qualitative methodology, we contribute to institutional work theory by unpacking the complex forms of boundary and practice work undertaken by key actors who effectively use their professional status and power to enable practice changes to be embedded. Our findings lend support to the importance of the involvement and ownership of senior doctors in the design, introduction and implementation of successful workplace innovation and organizational change. Senior doctors use their professional expertise, positional and political power at the industry, organization and workplace levels to influence strategically the use of resources designated for workplace innovation to improve efficiencies, quality of patient care and maintain their dominance. The significant organizational change achieved reflected the ownership and leadership of the workplace innovation by senior doctors in ‘hybrid roles’ who captured the rhetoric and minimized adversarialism among key stakeholders.     

Does meeting standards affect charitable giving? An empirical study of New York metropolitan area charities

Charitable donations constitute a significant revenue source for many nonprofit organizations. To help donors decide which nonprofits to support, watchdog organizations such as the Better Business Bureau (BBB) Wise Giving Alliance have developed standards to promote wise giving. The effectiveness of these guides in channeling limited resources to the best‐managed nonprofits is not widely studied. This research attempts to empirically investigate the effects of standards on public giving, controlling for factors that have documented effects on donations. Specifically, it regresses public support on the extent to which local nonprofits meet the standards of the Better Business Bureau Serving Metropolitan New York, Mid‐Hudson and Long Island Regions, controlling for organization size, board size, service category, government funding, fundraising expense, and giving price. The study found that BBB standards have a positive effect on giving behavior. Meeting BBB standards is associated with higher levels of public support. Participating in assessment programs and striving to meet the standards are recommended for nonprofits seeking to improve funding through charitable contributions. Further study that extends the search for the mechanism that links meeting standards to improved donations is recommended.     

A Pedagogical Approach to Engaging Social Work Students in Research

Attitudes of US-based students in graduate-level social work master's in social work (MSW) toward required research courses often appear ambivalent, but developing an effective pedagogical approach to research could have lasting implications on students, educators, and the field. This article uses Bandura's social learning theory (SLT) to provide a framework for successfully engaging MSW students in the content of an introductory research class. This article outlines the thinking behind and the strategies used to engage students in the course content.     

Spatial planning in small islands: the need to discuss the concept of ecological structure

The concepts of green infrastructure and ecological structure (ES) are current topics of discussion among the scientific community and spatial planners. ES is mandatory in Portugal in land-planning, such as municipal master plans, but no consensus has been reached on how to implement it. The concept has not yet been implemented in the Azores, a Portuguese autonomous region, even though the Region has the responsibility of adapting legislation or accomplishing the Portuguese legislature. This study presents a critical analysis of the available literature about ES and proposes a conceptual framework to define ES for small islands, which have unique characteristics, focusing on the Azorean archipelago. The conceptual framework meets the requirements of local legislation and uses an ecological function approach that is increasingly advocated in recent European recommendations. This framework is presented as a strategic and flexible way to identify both the important elements (recognized in current legislation) in a territory and the remaining potential of the territory. The framework also supports decision-making by allowing the identification of integrated solutions, decreasing trade-offs as much as possible and reconciling the needs of nature conservation and socioeconomic development. This framework could be applied to other small islands and other territories, with local adaptations.     

‘Where are you from?’: Identifying place1

Many social research projects, such as interviews, focus groups, and surveys, take local place as a given: they choose participants from a particular place, take this place as background for what the participants say, ask them about place‐related issues, and correlate responses with different places. But people can identify places in different ways, in geographical or relational terms, and in different levels of scale. This study analyses passages in focus groups in which participants say where they are from, shows that participants generally take the question and answer as routine, and then shows the ways the interaction develops when this routineness is broken, amended, or called into question. When a participant revises their statement of where they are from, they adapt to what they see as the knowledge and stance of their interlocutor, they re‐present themselves, and they create possibilities for further talk, defending, telling stories, or showing entitlement to an opinion. I argue that the ways people answer this question, interactively, can tell us about them, and us, as well as about their map of the world.     

The Ageing of Australia: Fiscal Sustainability,Intergenerational Equity and Inter‐temporal Fiscal Balance

Australian public policy makers are presently confronted with significant demographic changes that will profoundly affect the formulation of rational economic and social policy over the long term. This paper seeks to outline the potential impact of this demographic change and place it in historical perspective. The challenges posed by an ageing population for fiscal policy are explored and it is stressed that policy inertia will invite severe costs in future. It is argued that an appropriate policy stance should be developed in the context of a framework for inter‐temporal fiscal balance not only to focus on long‐run fiscal sustainability, but also to include considerations of intergenerational equity.