Models of Management System Standards: A Review of the Integration Issues

The subject of Integrated Management Systems in terms of quality, environmental and occupational health and safety management has become of increasing interest to researchers and business alike during the last 3 years or so. This paper focuses on a review of the various models of integration found in the academic literature and also those advocated by the standards bodies, such as the British Standards Institution and the International Organization for Standardization. A number of writers advocate alignment of ISO 9001 and ISO 14001 and present models to facilitate this; however, integration into a single standard is, in general, not favoured. Various models have been developed to overcome these difficulties, but the authors believe that none is completely satisfactory. It is considered that a model of integration based on the EFQM Model for Business Excellence will allow the limitation of the standards to be overcome and the total systems approach to integration to be facilitated.     

'Clinton faces nation': a case study in the construction of focus group data as public opinion

This paper analyses the way in which a particular newspaper report constructs ‘public opinion’ based on data from small‐scale qualitative research. Using as a case study a report of a focus group discussion of Clinton's grand jury testimony, we show how these data are ‘worked up’ as representative, generalisable, and valid. By capitalising on the advantages of focus group data, while attending to and countering their disadvantages, the newspaper report is able to suggest that the views of ten people in San Francisco offer an authoritative indication of public opinion about Clinton across the USA. Finally, we sketch out some of the implications of this case study in relation to the construction of facticity more generally.     

Safety culture

'Developing a positive health and safety culture is important if high standards of health and safety are to be achieved and maintained. There is a limit to the health and safety performance an organization can achieve without addressing the contribution which human factors have to play in eliminating occupational accidents and ill health' (David Eves, Deputy Director UK Health and Safety Executive; HSE 1997).     

Cleveland 20 years on: themes of disruption and repair in the trauma narratives of children,adults and society

This is the second of two linked papers which explores coherent and incoherent narratives emerging from Cleveland. It draws a parallel between the disrupted narratives of child and adult survivors of child sexual abuse and professional and societal narratives of Cleveland. The paper looks at the therapeutic task of individual repair using attachment‐based therapy, illustrated by clinical examples. It identifies five key challenges relevant to repair in the interpersonal, intra‐personal and societal domains. Copyright © 2008 John Wiley & Sons, Ltd.     

Managing Contradiction: Stockholder and Stakeholder Views of the Firm as Paradoxical Opportunity

Stockholder and stakeholder perspectives have been positioned in the literature as being in tension, and thus a potential source of innovation and change. However, researchers have overlooked a systematic examination of this presumption in theory and in practice. This study explores the ways that stockholder and stakeholder assumptions are presented by theorists and compares these with expressions of stockholder and stakeholder perspectives used by firms in practice. We argue that theoretical entrenchment dichotomizing these perspectives has disrupted the ability of researchers to leverage this tension. While scholarship remains trapped in a vicious cycle, we also argue that firms in practice express only the acceptance dimension of a virtuous cycle. Our empirical research demonstrates that firms accept and accommodate the paradoxical tension between managing for stockholders versus balancing the interests of stakeholders. This is evidenced by strategies we identify as book‐ending, cadence, continuous and simultaneous co‐mingling, and hybridization. We find that in practice these tensions are more integrated whereas in theory they are treated as more distinct and, often, in conflict. We suggest ways in which both scholarship and practice can better leverage tension as paradoxical opportunity.     

A qualitative study of innovations implemented to improve transition of care from maternity to child and family health (CFH) services in Australia

BackgroundThe transition of care (ToC) from maternity services, particularly from midwifery care to child and family health (CFH) nursing services, is a critical time in the support of women as they transition into early parenting. However significant issues in service provision exist, particularly meeting the needs of women with social and emotional health risk factors. These include insufficient resources, poor communication and information transfer, limited interface between private and public health systems and tension around role boundaries. In response some services are implementing strategies to improve the transition of care from maternity to CFH services.AimThis paper describes a range of innovations developed to improve transition of care between maternity and child and family health services and identifies the characteristics common to all innovations.MethodsData reported were collected in phase three of a mixed methods study investigating the feasibility of implementing a national approach to child and family health services in Australia (CHoRUS study). Data were collected from 33 professionals including midwives, child and family health nurses, allied health staff and managers, at seven sites across four Australian states. Data were analysed thematically, guided by Braun and Clarke's six-step process of thematic analysis.FindingsThe range of innovations implemented included those which addressed; information sharing, the efficient use of funding and resources, development of new roles to improve co-ordination of care, the co-location of services and working together. Four of the seven sites implemented innovations that specifically targeted families with additional needs. Successful implementation was dependent on the preliminary work undertaken which required professionals and/or organisations to work collaboratively.ConclusionImproving the transition of care requires co-ordination and collaboration to ensure families are adequately supported. Collaboration between professionals and services facilitated innovative practice and was core to successful change.     

Foster Carer Strain and its Impact on Parenting and Placement Outcomes for Adolescents

Drawing on recently completed research funded by the Departmentof Health, this article examines the extent of strain on thefoster carers of adolescents, its influence on parenting practicesand the overall impact on placement outcomes. The research find­ingsshow that foster-carers’ parenting capacity was markedlyreduced in a number of specific areas when they had experienceda high number of stressful life events in the six months priorto the young person’s arrival or were under considerablestrain during the placement. Conduct problems, hyperactivityand violent behaviour by the young people increased carer strain,as did contact difficulties with the children’s families.Problems in contacting social workers were linked to elevatedstrain, whilst strain was lessened when carers received helpfrom friends or from local professionals. Signifi­cantlyhigher disruption rates were experienced by strained carersand these placements were also less beneficial to the youngpeople.     

GIRLS MAKING CHOICES ABOUT CAREERS: THE IMPORTANCE OF PERSONAL EXPERIENCE

Because of the gender-differentiated nature of the Australian workforce, it is important to gain a clear understanding of how girls and women make choices about careers. The data in this paper originate from a study involving girls discussing their subject choices as they move into Year 11 at school. The study revealed a strong link between subject choices and career aspirations. Furthermore, personal experiences of a career through home or school activities were usually necessary for a girl to aspire towards that career. This raises questions about the efficacy of trying to influence career decisions through brief exposure to role models. It also suggests the need to supplement the experiences of those girls with limited experiences related to careers.