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One of the biggest challenges as a neurosurgical trainee is to master the handover. This requires developing an organisational efficiency to concisely relay relevant patient information to a suitably qualified person to execute a given task. A trainee can work extremely hard during an on call, making suitable decisions, implementing previous plans to perfection and covering slack in a team. But if the presentation of this work is unclear then it undoes a lot of that hard work and generates an impression of a trainee being disorganised. Success in a handover requires an understanding of whom you are talking to, what you are saying, how you are saying it and if the way you are communicating gains and maintains interest. Above all a handover should ensure the smooth continuity of care of a patient.
This study focuses on the practicalities of establishing and maintaining AI infrastructure, as well as the considerations for responsible governance by investigating the integration of a pre-trained large language model (LLM) with an organisation’s knowledge management system via a chat interface. The research adopts the concept of “AI as a constituted system” to emphasise the social, technical, and institutional factors that contribute to AI’s governance and accountability. Through an ethnographic approach, this article details the iterative processes of negotiation, decision-making, and reflection among organisational stakeholders as they develop, implement, and manage the AI system. The findings indicate that LLMs can be effectively governed and held accountable to stakeholder interests within specific contexts, specifically, when clear institutional boundaries facilitate innovation while navigating the risks related to data privacy and AI misbehaviour. Effective constitution and use can be attributed to distinct policy creation processes to guide AI’s operation, clear lines of responsibility, and localised feedback loops to ensure accountability for actions taken. This research provides a foundational perspective to better understand algorithmic accountability and governance within organisational contexts. It also envisions a future where AI is not universally scaled but consists of localised, customised LLMs tailored to stakeholder interests.
Chapter 7 aims to further explore the impact of dyslexia on performance at work. It will incorporate the framework of adult dyslexia outlined earlier in the book along with ideas for strategy development so that the latter can be put into practise to manage job demands. In the chapter, we will explore the main areas that our dyslexia contributors have most commonly identified as challenges over-and-above the literacy/language challenges discussed in chapters 5 and 6. This chapter, therefore, discusses the common challenges in the workplace related to new situations or novelty, as well as time management, stress and work overload, and remembering information. It also covers how dyslexia can impact on workplace training and professional examinations. Ideas related to developing job specific expertise will be covered as these can reduce the impact of challenges and increase confidence. The 4 M’s strategy that we introduced in chapter 6 will be something we will discuss further in this chapter. It will also discuss issues related to organisation and prioritisation, which links to metacognition and planning discussed in previous chapters.
This brief chapter examines how narratives are useful in work psychology. Narratives can be used for everything from career planning to worker relations and ideas around job identity. People often want to identify with the organisation they work for, and successful identification can be positive in terms of satisfaction and productivity. If there is a shared narrative between workers and managers, then the organisation is likely to be more successful. Narrative is a useful device for examining the nature and progress of careers, and activities such as appraisal can enhance these narratives.
This essay explores the organisational character of Facebook's Libra currency by undertaking a critical reading of documents published by the Libra Association. Drawing on the conceptual work of Marilyn Strathern and Michel Serres, it illustrates how ownership cuts the network and encourages parasitism as a means of driving future profit. Central to this is the claim that Libra is not an exercise in democratising money, but rather, the opposite: Libra is run as a club, for the benefit of club members. The conceptual theme of ‘cutting’ is used to organise the argument. Rather than a cutting-edge technology, Libra's true innovation is organisational and consists in overturning the decentralised character of blockchain, such that distributed ledger technology is re-centralised by big tech firms. Outsiders are thus cut-off from Libra; only those inside the club have the right to participate in Libra and its governance. This position also affords members an exclusive capacity to take a cut of the profits generated through Libra. As a private organisation, members have sole rights to future profits generated from the Libra ecosystem and are in this way incentivised to create new product opportunities over time.
This chapter analyses how the ecumenical synods contributed to the organisation of the festival network. It first discusses their involvement in the organisation of individual agones. The sources indicate that there was a broad spectrum of synod involvement: the old, well-established agones probably did not require a lot of organisational assistance, whereas the organisation of some newly founded agones was entirely outsourced to one of the synods. Between these two extremes, synod involvement varied according to specific circumstances. Second, this chapter investigates how the synods helped maintain the festival network as a whole. Due to the combined experiences of their travelling members, they had a unique overview of the agonistic circuits and as such could provide valuable input when the festival calendar was reformed. Communication went the other way around as well: for instance, they communicated changes in schedules and imperial decisions to their members. In sum, the synods were the lubricant that kept the agonistic machine running. The synods were thus not simply a by-product of the ‘agonistic explosion’ of the Principate but rather a key factor that made it possible.
This chapter examines the organisational structure of the ecumenical synods. First, a new interpretation of their organisation is proposed. Whereas earlier scholars have argued for a (con)federal structure consisting of a leading group in Rome and quasi-independent local branches in the provinces, the sources indicate that the ecumenical synods were much more uniformly organised, with a central headquarters in Rome, local headquarters in certain cities and mobile delegations travelling along the agonistic circuits. Next comes an overview of synod officials and a discussion of the finances of the two associations. The chapter then proceeds to discuss the relationship between the synods and the emperor. Whereas several other scholars believe that the synods were a tool with which the emperor kept the agonistic world under control, it appears that the synods had more agency than was earlier assumed. Finally, this chapter analyses other agonistic associations in the Roman empire and their relationship with the ecumenical synods.
Edited by
Bruce Campbell, Clim-Eat, Global Center on Adaptation, University of Copenhagen,Philip Thornton, Clim-Eat, International Livestock Research Institute,Ana Maria Loboguerrero, CGIAR Research Program on Climate Change, Agriculture and Food Security and Bioversity International,Dhanush Dinesh, Clim-Eat,Andreea Nowak, Bioversity International
Organisational empowerment is a critical pathway to support the sustainable transformation of food systems, mediated through different types of organisations. Collective action can be an effective strategy to include marginalised groups who may otherwise be excluded from agricultural development, extension, financing, or other aspects of climate-resilient food security. Key empowerment actions by farmer and producer organisations include building capacity, supporting greater access to inputs and information, facilitating the formation of agricultural enterprises, connecting to policy and markets, and encouraging youth membership and leadership. A focus on livelihoods, production, and poverty reduction can be a basis for increased agency and influence in decision-making. Women’s collective action is a platform to access information, technology, and a share of finances, which can lead to agency and leadership in local decision-making. For youth organisations, it is important to mobilise finance, provide support to post-production activities, support rural youth networks and recognise the role of young women in food systems.
The Introduction provides an overview of the book and explains its rationale, main goals, and research questions. It presents how the book is organised and its target readership.
The introduction begins by addressing the uses of studying cultural institutions. It provides a working definition of ‘institution’ and a historical overview of the emergence of the infrastructure of institutions in the period 1700 to 1900. The logic of choosing the period is addressed in relation to the uneven translation from cultural institutions based on the court and church to voluntary institutions that had an arms-length relationship to the state. It also discusses the historical irony that just as a ‘romantic’ definition of the literary individualism emerged that might seem to pit literature against Institutions, there was a proliferation of institutions of literature. The purview of the collection in relation to British national and imperial culture and identities is explained and the opportunities for further work in related areas discussed in the framework of the collection’s own historical moment at a time when the university-based discipline of Literature seems to be undergoing a fundamental change in its structure and purposes.
The tempered radical enjoys their work and is committed to their organisation. Yet, something important to them, like their values or identity, makes them feel different from their workplace's dominant culture. This sense of difference, and their tempered approach to radical change, allow them to work unnoticed in organisations as invisible champions of inclusion. This study examines how tempered radicals use their abilities as change agents to foster inclusion. It takes advantage of manufacturing industries' highly collaborative, richly diverse and rapidly changing employment environment. Drawing participants from all organisational levels demonstrates the broad influence of the tempered radical. Twenty-four qualitative interviews were conducted using a narrative inquiry methodology and interpreted through thematic analysis. This study builds on current theory and makes a valuable contribution by proposing a framework to illustrate the key characteristics of the tempered radical incorporating inclusion in the workplace.
This collection provides students and researchers with a new and lively understanding of the role of institutions in the production, reception, and meaning of literature in the period 1700–1900. The period saw a fundamental transition from a patronage system to a marketplace in which institutions played an important mediating role between writers and readers, a shift with consequences that continue to resonate today. Often producers themselves, institutions processed and claimed authority over a variety of cultural domains that never simply tessellated into any unified system. The collection's primary concerns are British and imperial environments, with a comparative German case study, but it offers encouragement for its approaches to be taken up in a variety of other cultural contexts. From the Post Office to museums, from bricks and mortar to less tangible institutions like authorship and genre, this collection opens up a new field for literary studies.
Reflecting on sustained calls for patient-centredness and culture change in long-term care, we evaluated the relative importance of personal and organisational predictors of palliative care, hypothesising the former as weaker predictors than the latter. Health-care employees (N = 184) from four Canadian long-term care homes completed a survey of person-centred care, self-efficacy, employee wellbeing and occupational characteristics. Using backward stepwise regression models, we examined the relative contributions of these variables to person-centred palliative care. Specifically, blocks of variables representing personal, organisational and occupational characteristics; palliative care self-efficacy; and employee wellbeing were simultaneously regressed on variables representing aspects of person-centred care. The change in R2 associated with the removal of each block was examined to determine each block's overall contribution to the model. We found that occupational characteristics (involvement in care planning), employee wellbeing (compassion satisfaction) and self-efficacy were reliably associated with person-centred palliative care (p < 0.05). Facility size was not associated, and facility profit status was less consistently associated. Demographic characteristics (gender, work experience, education level) and some aspects of employee wellbeing (burnout, secondary trauma) were also not reliably associated. Overall, these results raise the possibility that humanistic care is less related to intrinsic characteristics of employees, and more related to workplace factors, or to personal qualities that can be cultivated in the workplace, including meaningful role engagement, compassion and self-efficacy.
To gain insights into what business model-building and model-changing aspects make physiotherapy primary healthcare organisations (PTPHOs) attain and sustain superior performance in a changing environment, according to their managers.
Background:
Since 2006, the transition towards managed competition in the Dutch healthcare market has been intended to improve the performance of primary healthcare organisations like PTPHOs. In such a market, competition on efficiency with reimbursement system has been introduced. Consequently, performance entails achieving and sustaining quality, efficiency, and financial outcomes. Superior performance requires that PTPHOs continuously align their external environment and internal organisation. The business model literature suggests that business model-building and model-changing support this alignment process.
Methods:
This qualitative study had an explorative design. A pre-defined interview guide based on business model theory was applied. Semi-structured interviews were conducted with physiotherapy primary healthcare organisation managers and transcribed verbally. The transcripts were analysed using directed content analysis.
Findings:
The study results show, both verbally and graphically, that PTPHOs generate superior performance in a changing environment through business model-building and model-changing. Participating managers (n = 25) confirmed extant findings that business model-building consists of strategy and business model configuration. In addition, business model-building entails establishing interfaces to exploit external environment and internal organisation information. Also, these interfaces are evaluative techniques and tools, action, and process – make sense of knowledge and information. To sustain superior performance, it is essential to change the business model. This can be achieved through three change cycles: business model change, short-term change, and long-term change.
Conclusion:
Managers of both superior and lower performance organisations independently stress the importance of the same business model-building and model-changing aspects related to attainment and sustainment of superior performance. However, superior performance PTPHOs address building and changing business models in a more diversified and integrated way than their lower performance counterparts.
This chapter analyses different aspects of resilience, or the lack thereof, within the experiences of those affected by five decades of armed conflict in Colombia. Although resilience has long been understood in a person-centred way, this chapter argues that such personal aspects of resilience cannot be understood in isolation from broader socio-economic aspects such as work, social relations and communities’ wider developmental and infrastructural conditions. The chapter discusses whether and how transitional justice has addressed these issues in Colombia. Looking particularly at reparations, it demonstrates that transitional justice has predominantly taken a person-centric approach oriented towards monetary compensation, while disregarding the wider social, built and natural environment. It also explores how the needs of those affected by conflict can change over time and across conflict experiences and geographical spaces. This necessarily requires an ongoing analysis of locally-specific needs and conditions, in line with the core elements of adaptive peacebuilding. The chapter concludes with reflections on how transitional justice, including the restorative justice sentences which will be applied by Colombia’s most recent transitional justice mechanism – the Special Jurisdiction for Peace – could help to promote the resilience that conflict-affected communities need to move forward.
Teachers work across a diverse range of learning environments in an array of different contexts, sectors and settings. The first section of this chapter explores this theme, and provides insight into how classroom management practices are historically, socially and culturally contextualised.
In the second section of the chapter, we introduce some of the theoretical principles and practical issues associated with establishing and maintaining positive, supportive, safe and inclusive learning environments that encourage all students to participate fully in educational opportunities.
Managing the classroom environment, particularly in relation to addressing diverse student behaviours, has been shown to be an area of major concern – often the greatest concern – for many preservice and beginning teachers (Mayer et al., 2015), and this has been the case for many years (see, for example, Veenman, 1984). Managing the classroom for diverse learners is the focus of the third section of this chapter.
In the fourth section, you will gain insight into classroom management frameworks and plans.
The decades after the death of Louis II has been traditionally intended as the first great crisis of the Carolingian politics in Italy, in which war paved the way to the break-down sealed by the year 888. The aim of this chapter is to study royal diplomas addressed to two italian recipients through a time of political turmoil: the sees of Arezzo and Parma in order to study the ways in which political communication was built by the different kings and emperors between 875 and 924. Moreover, the study of royal praecepta will consent the interpretation of the local responses to the challenges of politics and the ways in which memory was constructed by two of the most significant italian bishoprics during the Carolingian period.
Although an individual anaesthesia provider secures the patient’s airway, upstream organisational events will influence how airway management is actually performed in any institution. Decisions around equipment purchases, staff training, post-operative care arrangements and even departmental staffing will all influence how an anaesthetic is administered. While standardised equipment, and high quality protocols, guidelines and behaviours ensure better patient outcomes in the event of an airway emergency, this cannot be achieved without input from the institution to facilitate education and training for all airway team members. Organisations should learn from both critical incidents and examples of excellent practice, and have mechanisms to record airway events. Human factors (ergonomics) are a vital component of successful airway management and organisations should incorporate human factors education in their airway training programmes. Communication about patients known to have a difficult airway is vital and must be done effectively, especially when this involves communication between hospitals or even countries.
This chapter begins with an overview of the wartime organisation of the WAAF, WRNS and ATS. It then moves on to a discussion of voluntary recruitment for these forces and the decision to introduce military conscription for women in 1941. It concludes with the findings of a government committee set up in 1942 under Violet Markham to inquire into the amenities and welfare conditions in the three women’s services. The committee also investigated rumours of immorality that plagued these forces (and the ATS in particular).
This article is to commemorate and celebrate achievements of Professor Milan Šamánek who passed away on 29 April, 2020. Milan was an excellent and visionary paediatric cardiologist who helped to establish paediatric cardiology as a speciality in Czechoslovakia and several other east European countries in the late 1970s. Milan was also paramount for connecting the East and West, helping in no small way to establish the Association for European Paediatric Cardiology (AEPC) as the leading learned society in Europe.