Cooperative innovation through a talent management pool: A qualitative study on coopetition in healthcare

In recent years, the Dutch healthcare sector has been confronted with increased competition. Not only are financial resources scarce, Dutch hospitals also need to compete with other hospitals in the same geographic area to attract and retain talented employees due to considerable labour shortages. However, four hospitals operating in the same region are cooperating to cope with these shortages by developing a joint Talent Management Pool. ‘Coopetiton’ is a concept used for simultaneous cooperation and competition. In this paper, a case study is performed in order to enhance our understanding of coopetition. Among other things, the findings suggest that perceptions of organizational actors on competition differ and might hinder cooperative innovation with competitors, while perceived shared problems and resource constraints stimulate coopetition. We reflect on the current coopetition literature in light of the research findings, which have implications for future research on this topic.     

Presidential Address: Heroes,Warriors, and Burqas: A Feminist Sociologist's Reflections on September 11

My presidential address looked back at the gendered imagery of American heroes and warriors, Muslim terrorists, and oppressed Islamic women as they appeared in comparatively sophisticated media sources in the first 6 months after September 11. The imagery was conventionally gendered, but the actions of women and men reported in the same sources showed multiple gendering—heterogeneity within homogeneity. Making this multiplicity of gendering visible blurs and undermines gender lines and the inequities built on them. The social constructions of heroism, masculinity, and Islamic womanhood are core parts of the gender politics of September 11, a politics deeply embedded in the current debates over the causes and consequences of terrorism and war.     

The Pyramid Model: A Useful Tool in Career Counseling With University Students

Often university students are faced with career decisions and seek help from the university counseling center. The pyramid model is a useful tool to assist the counselor and the student in the decision-making process. The metaphor enables the student to understand the tasks that lie ahead in the career counseling process. It is holistic. A case study is included to illustrate the three-dimensional model of career counseling of university students.     

Trauma Events, Residence in Refugee Camps, and Educational Attainment as Predictors of Trauma Symptoms of Albanian Refugees in Macedonia

Adult members of 79 Albanian families who had fled from Kosovo to Macedonia during the immediate postwar period (June–August 1999) were interviewed. In conjunction with therapeutic intervention, the Harvard Trauma Questionnaire (HTQ) and the General Health Questionnaire (GTQ) were administered. Trauma symptoms as measured by the HTQ and psychological distress as measured by the GHQ were highly correlated. The best predictor of psychological distress was severity of the trauma experienced. Refugees with high educational attainment had fewer trauma symptoms than those with lower educational attainment. Refugees who lived with host families in towns showed fewer trauma symptoms than those who lived in camps, but they were also more highly educated. The results of hierarchical multiple regression analyses suggested that educational attainment may mediate the effect of place of residence. Educational attainment may be an indicator of resourceful and effective coping strategies that ameliorate the effects of trauma.     

“He Survives Everything”: A Latency-Aged Child with Play Disruption in the Face of Trauma and Early Object Loss

It is hypothesized that trauma and early object loss result in the arrest of the normal and healthy progression of a child's development and also disrupts a child's capacity to engage in symbolic play. In therapy, over time, with a constant object, a latency-aged child was able to re-enact early trauma and loss, make substantial gains in development, and begin to play in a symbolic and expressive way.     

用XPS和AES研究MoS_4~(2-)在钢铁表面的配位化学反应

本文研究MoS_4~(2-)在钢铁表面发生配位化学反应所形成的具有装饰效果的多种彩色Mo-S-Fe表面簇合物膜。FI-IR、F-IR、FT-Raman、XPS和AES分析表明,簇合物膜由Fe、Mo、S、O元素组成,在膜表面铁以Fe(Ⅲ)、钼以Mo(Ⅵ)状态存在,而在膜内层以Fe(Ⅱ)、Mo(Ⅳ)和Mo(Ⅵ)共存,S和O都呈-2介,膜表面含少量 4、 6价硫。从AES深度分布曲线的组成恒定区求得了各组元素的相对原子百分浓度和膜层厚度,反应时间越长,膜越厚,膜为多分层子结构。加热后膜层所含元素种类及价态不变,但其元素分布有所改变。     

Dilemmas in provision of urban mental health services for latency age children

Urban mental health facilities are increasingly overwhelmed by the sheer number of cases, at a time when federal, state and local funding cutbacks are greater than ever before. Additional to the numbers of cases needing care, is a growing number of cases presenting overwhelming social problems, i.e., emotional and medical pathology, economic deprivation, and substance abuse, with resultant family violence and child abuse. The case-loads in mental health agencies have become almost indistinguishable from those on the roles of child protection, juvenile justice, and child welfare agencies. Mental health service is near to impossible to provide, prior to major environmental manipulation, via educational planning, and frequent placement of children in day treatment programs, day care, or securing of in-home assistance, via home-maker services. These needed referrals take inordinate time, given the unresponsive, poorly coordinated bureaucracies providing such services. Many of the families seen are burdened by overwhelming social pathology, e.g., poverty, huge numbers of children per family, single-parenthood, drugs, and neighborhood violence. Treatment is increasingly difficult to provide, given the poor access to child serving systems, by parents and professionals, alike. Token services and worker burn-out in response to overwhelming difficult cases and excessive assignments, suggest a situation of crisis proportion. Clearly coalitions must be formed by over-burdened professionals, to better educate governing bodies, politicians, boards and administrators, and parents regarding this growing crisis. Professionals, battle-weary, are retreating from agency practice, simultaneous with agency cut-backs of staff and service. Agency administrators are cowed by local and state directives regarding budgetary cuts, and the situation worsens daily, as overburdened line staff struggle with an impossible challenge. Some sort of advocacy and social action must be taken by leaders in the field, to better inform and educate those responsible for budgetary allocations. Latency age children are among the most vulnerable, caught in deteriorating schools and neighborhoods, living with incredible daily violence, and pressures from drug dealers, pushers, adolescent gangs, and inadequate supports in their homes. This group of children is being pushed to become the violent adolescents of tomorrow. Major innovations and changes in delivery of services is necessary in health and mental health agencies serving this at-risk population. Proposed is a school based model of practice to provide access, coordination and collaboration of needed services.This paper was presented at the National Health Policy Forum, National Academies of Practice, April 1992.Ph.D. Specialization in the treatment of Children and Adolescents, Ph.D. Program.     

Examining Localized Patterns of Air Quality Perception in Texas: A Spatial and Statistical Analysis

Environmental and human health issues associated with outdoor air pollution, such as ozone, sulfur dioxide, and other pollutants in metropolitan regions, are an area of growing concern for both policy officials and the general public. Increasing attention from the news media, new health data, and public debate over the effectiveness of clean air regulations have raised the importance of air quality in the public consciousness. While public perceptions of air quality have been studied thoroughly dating back to the 1960s, little empirical research has been conducted to explain the spatial aspects of these perceptions, particularly at the local level. Although recent studies suggest characteristics of local setting are important in shaping perceptions of air quality, the roles of proximity, neighborhood characteristics, and location have not been clarified. This study seeks to improve understanding of the major factors shaping public perceptions of air quality by examining the spatial pattern of local risk perception, the role of socioeconomic characteristics in forming these perceptions, and the relationship between perceived and scientifically measured air pollution. First, we map the spatial pattern of local air quality perceptions using Geographic Information Systems (GIS) across the Dallas and Houston metropolitan areas. Next, we explain these perceptions through local contextual factors using both bivariate correlations and multivariate regression analysis. Results indicate that perceptions of air quality in the study areas are not significantly correlated with air quality based on readings of air monitoring stations. Instead, perceptions appear to be influenced by setting (urban vs. rural), state identification, access to information, and socioeconomic characteristics such as age, race, and political identification. We discuss the implications of the findings and provide direction on how further research can provide a deeper understanding of the local contextual factors influencing public perceptions.