Organizational cultures can contain enduring traits that apparently make no sense. To shed some light on how and why organizational nonsense happens, I examine the case of some apparently nonsensical attributes often associated with French corporations. As nontraditional research, I propose a methodology combining cultural interpretation and production of fiction. I use humor to build ideal-typed representations through three satirical vignettes that depict elegant design generating widespread patching across organizations, working meetings becoming the ceremonial dumping of faits accomplis and absurdity being naturalized as normal organizational practice. These vignettes provide points-of-entry to examine some poorly understood aspects of French corporate cultures, interpreted with the support of arguments of historical, sociological, and institutional nature. The resulting interpretation depicts systems of groups that seek for a cordial cohabitation by continuously renegotiating their essentially ascribed positions.
In this article, we challenge the notion that complex and resilient problemssuch as global warming and povertywill have to be resolved by governments or responsible corporations. Instead, we argue for the potency of social initiatives promoted by communities of engaged people. A variety of experiences from around the world, and especially from Brazilians with their "Why not?" temperament, suggest characteristics of the origin, development, and diffusion of these initiatives. We conclude that social initiatives, by addressing local problems of a global nature, using networks connected across communities, may be the greatest hope for this troubled world.
The COVID-19 pandemic places unique challenges to medical rescuers’ occupational health. Thus, it is crucial to assess its direct and indirect impacts on key psychological outcomes and adaptation strategies. This study aims to analyse the impact of this pandemic on medical rescuers’ coping and emotion regulation strategies, and their levels of work-related psychological outcomes, such as burnout, trauma and post-traumatic growth. Additionally, it aims to analyse the contribution of coping and emotion regulation strategies, employed to manage the COVID-19 pandemic, on burnout, trauma and post-traumatic growth. A sample of 111 medical rescuers answered the Brief Cope, Emotion Regulation Questionnaire, Oldenburg Burnout Inventory, Impact of Event Scale-Revised and Post-Traumatic Growth Inventory. Medical rescuers resorted moderately to coping and emotion regulation strategies, since the beginning of COVID-19. They presented moderate burnout and post-traumatic growth and low trauma. Coping presented a higher weight on burnout, trauma and post-traumatic growth, than emotion regulation. Expressive suppression and dysfunctional coping predicted burnout and trauma, and problem and emotion-focused coping predicted post-traumatic growth. Dysfunctional coping mediated and, thus, exacerbated the effect of expressive suppression on burnout and on trauma. Practitioners should pay closer attention to professionals with higher burnout and trauma. Occupational practices should focus on reducing dysfunctional coping and expressive suppression and promoting problem-focused coping.
This study reports on lessons learned from the experience of 25 progressive leaders in Brazil, Colombia, Costa Rica, and Uruguay who are engaged in contributing to advance their societies towards a better future. In particular, we examined if the solution to complex societal problems could profit from Mintzberg (2015) 'rebalancing society' proposition. The study unveils a strong agreement among them about the most crucial problems faced in the region and, to an extent, how to solve them. Moreover, although these leaders tend to agree with the 'rebalancing society' underlying principles, the study also indicates that the proposition does not fully account either for the context of low-quality institutions that is typical of Latin America or for the need for a more profound shift of mentality in the region.
Objective Our aim was to assess the feasibility and preliminary results of implementing a telehealth system, Alice Agora, as a tool for optimizing health delivery in a new primary care-based health system. Results We had 4193 consultations over the last 6 months (February and August 2021). Preliminary results show patients high level of satisfaction (Consumer satisfaction score of 4.92). The chief complaints were related to upper respiratory tract (n = 1542; 28.5%), gastrointestinal (n = 781; 14.43%), musculoskeletal (n = 607; 11.22%), and other (n = 643; 11.88%). We found that 20.1% (842) of the cases were solved digitally, that is, by a chat only with a nurse, through the use of health protocols, and 43.9% were solved by nurses with medical assistance. Only 6.6% (277) of the cases had to be referred to the emergency room (ER). This means that 64% of the cases were completely resolved by our nurses-driven system. Forty-eight hours readmission rates were higher for the uncoordinated ER cases compared with the coordinated cases (14.81% vs. 5.87%; p = 0.016). The same pattern was observed for the 72-h readmission rates (16.67 vs. 7.26%; p = 0.02).
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