A structuration framework for bridging the macro–micro divide in health‐care governance

Bodolica, Virgínia; Spraggon, Martin; Tofan, Gabriela

doi:10.1111/hex.12375

Cited by 32 publications

(29 citation statements)

References 67 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, a number of studies have been conducted using Stones' strong structuration theory using case studies and mixed methods [43]. There has been work on accounting research [45,78], the adoption of IT in health care [42], health care governance [79], and carbon accounting and policy development [54]. Similar to these, the recreation SECAS meta-framework could be applied at various focal levels (manager level as the agent in focus) to address the process of integration of recreation management with the management of other resources at the forest level.…”

Section: Discussionmentioning

confidence: 99%

Recreation as a Social-Ecological Complex Adaptive System

Morse

2020

Sustainability

View full text Add to dashboard Cite

The environment and society are both the context for and product of human actions and interactions. Outdoor recreation is the primary interaction many people have with the environment and it is an interaction that greatly contributes to human well-being. To sustainably manage the social and ecological components of outdoor recreation, an integrative and dynamic systems perspective is needed. Analyses that link recreation management and recreational experiences to both social and ecological outcomes across multiple sales and over time are not developed. This article will outline how a number of fragmented recreation management frameworks such as the recreation experience model, beneficial outcomes, the recreation opportunity spectrum, limits of acceptable change, and constraints theory can be organized within a larger social-ecological framework. The outdoor recreation meta-framework presented here links structuration theory from the social sciences with theories of complex adaptive systems and hierarchical patch dynamics from ecology to understand the human and ecological drivers for and responses to outdoor recreation.

show abstract

Section: Discussionmentioning

confidence: 99%

Recreation as a Social-Ecological Complex Adaptive System

Morse

2020

Sustainability

View full text Add to dashboard Cite

show abstract

“…As others have shown, initiatives in the healthcare setting continue to be developed in isolation rather than interactively at micro- and macro-levels. This is an inefficient and expensive undertaking that rarely translates into higher quality of care [55]. …”

Section: Discussionmentioning

confidence: 99%

A Scoping Review of Facilitators of Multi-Professional Collaboration in Primary Care

Sørensen¹,

Stenberg²,

Garnweidner-Holme

2018

Int J Integr Care

View full text Add to dashboard Cite

Introduction:Multi-professional collaboration (MPC) is essential for the delivery of effective and comprehensive care services. As in other European countries, primary care in Norway is challenged by altered patient values and the increased expectations of health administrations to participate in team-based care. This scoping review reports on the organisational, processual, relational and contextual facilitators of collaboration between general practitioners (GP) and other healthcare professionals (HCPs) in primary care.Methods:A systematic search in specialist and Scandinavian databases retrieved 707 citations. Following the inclusion criteria, nineteen studies were considered eligible and examined according to Arksey and O’Malley’s methodological framework for scoping reviews. The retrieved literature was analysed employing a content analysis approach. A group of stakeholders commented on study findings to enhance study validity.Results:Primary care research into MPC is immature and emerging in Norway. Our analysis showed that introducing common procedures for documentation and handling of patient data, knowledge sharing, and establishing local specialised multi-professional teams, facilitates MPC. The results indicate that advancements in work practices benefit from an initial system-level foundation with focus on local management and MPC leadership. Further, our results show that it is preferable to enhance collaborative skills before introducing new professional teams, roles and responsibilities. Investing in professional relations could build trust, respect and continuity. In this respect, sufficient time must be allocated during the working day for professionals to share reflections and engage in mutual learning.Conclusion:There is a paucity of research concerning the application and management of MPC in Norwegian primary care. The work practices and relations between professionals, primary care institutions and stakeholders on a macro level is inadequate. Health care is a complex system in which HCPs need managerial support to harvest the untapped benefits of MPC in primary care. As international research demonstrates, local managers must be supported with infrastructure on a macro level to understand the embedding of practice and look at what professionals actually do and how they work.

show abstract

“…Publications about ST span the literature of many disciplines relevant to UNC. Moreover, ST has been used successfully to guide metatheorizing activities to address the structure-agency perspective in sociotechnical systems (including health care) and to bridge humanist and structuralists perspectives about health outcomes (Bodilica, Spraggon, & Tofan, 2015;Bostrom, Gupta, & Thomas, 2009;Groves, Meisenbach, & Scott-Cawiezell, 2011;Hardcastle, Usher, & Holmes, 2005;Jones & Karsten, 2008;Oppong, 2014).…”

Section: Metatheory As a Cross-disciplinary Bridgementioning

confidence: 99%

“…ST represents a synthesis of two seemingly discordant views of social phenomena: determinism and voluntarism (Baber, 1991;Bodilica et al, 2015;Jones & Karsten, 2008;Lee, 1990). In the extreme determinist view (also known as structural functionalism), human activity is a function of macro-level social structures (i.e.…”

Section: Structuration Theory As a Metatheoretical Guidementioning

confidence: 99%

Advancing the science of unfinished nursing care: Exploring the benefits of cross‐disciplinary knowledge exchange, knowledge integration and transdisciplinarity

Jones

Willis

Amorim‐Lopes

et al. 2019

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aims The aims of this paper are to explore the role of cross‐disciplinary knowledge exchange and integration in advancing the science of unfinished nursing care and to offer preliminary guidance for theory development activities for this growing international community of scholars. Background Unfinished nursing care, also known as missed care or rationed care is a highly prevalent problem with negative consequences for patients, nurses and healthcare organizations around the world. It presents as a ‘wicked’ sustainability problem resulting from structural obstacles to effective resource allocation that have been resistant to conventional solutions. Research activity related to this problem is on the rise internationally but is hindered by inconsistencies in conceptualizations of the problem and lack of robust theory development around the phenomenon. A unified conceptual framework is needed to focus scholarly activities and facilitate advancement of a robust science of unfinished nursing care. Design Discussion paper. Data Sources This discussion paper is based on our own experiences in international and interdisciplinary research partnerships related to unfinished nursing care. These experiences are placed in the context of both classic and current literature related to the evolution of scientific knowledge. Implications for Nursing The problem of unfinished nursing care crosses multiple scientific disciplines. It is imperative that the community of scholars interested in solving this wicked problem engage in meaningful cross‐disciplinary knowledge integration and move towards transdisciplinarity. Conclusion Metatheorizing guided by structuration theory should be considered as a strategy to promote transdiciplinarity around the problem of unfinished nursing care.

show abstract

A structuration framework for bridging the macro–micro divide in health‐care governance

Cited by 32 publications

References 67 publications

Recreation as a Social-Ecological Complex Adaptive System

Recreation as a Social-Ecological Complex Adaptive System

A Scoping Review of Facilitators of Multi-Professional Collaboration in Primary Care

Advancing the science of unfinished nursing care: Exploring the benefits of cross‐disciplinary knowledge exchange, knowledge integration and transdisciplinarity

Contact Info

Product

Resources

About