“…To date, gossip has predominantly featured within the organizational and management literature as either: (i) coincidental to the mainstream disciplines and domains, materializing as a by-product (and even waste product) of inquiry into, for example, organizational culture, storytelling and conflict (e.g. Gabriel, 1991Gabriel, , 1995Kolb & Putnam, 1992); or (ii) in the 'popular management' literature, where the common assumption is that gossip is detrimental to work morale and productivity, is not to be encouraged or condoned, and therefore is a problem to be 'managed' (e.g. Baker & Jones, 1996;Therrien, 2004).…”
This article examines the key themes surrounding gossip including its contexts, the various outcomes (positive and negative) of gossip as well as a selection of challenges and controversies. The challenges which are highlighted revolve around definitional issues, methodological approaches, and ethical considerations. Our analysis suggests that the characteristics and features of gossip lend itself to a process-oriented approach whereby the beginning and, particularly, end points of gossip are not always easily identified. Gossip about a subject or person can temporarily disappear only for it to re-surface at some later stage. In addition, questions pertaining to the effects of gossip and ethical-based arguments depend on the nature of the relationships within the gossip triad (gossiper, listener/respondent and target).
Keywords:gossip; organizations; process orientation; methodology; ethics.Gossip is a ubiquitous yet seemingly ephemeral type of informal talk, and much of what is currently known about gossip is diffused across social history, communication studies, anthropology, psychology and sociology. Gossip has received attention in relation to its role for
“…To date, gossip has predominantly featured within the organizational and management literature as either: (i) coincidental to the mainstream disciplines and domains, materializing as a by-product (and even waste product) of inquiry into, for example, organizational culture, storytelling and conflict (e.g. Gabriel, 1991Gabriel, , 1995Kolb & Putnam, 1992); or (ii) in the 'popular management' literature, where the common assumption is that gossip is detrimental to work morale and productivity, is not to be encouraged or condoned, and therefore is a problem to be 'managed' (e.g. Baker & Jones, 1996;Therrien, 2004).…”
This article examines the key themes surrounding gossip including its contexts, the various outcomes (positive and negative) of gossip as well as a selection of challenges and controversies. The challenges which are highlighted revolve around definitional issues, methodological approaches, and ethical considerations. Our analysis suggests that the characteristics and features of gossip lend itself to a process-oriented approach whereby the beginning and, particularly, end points of gossip are not always easily identified. Gossip about a subject or person can temporarily disappear only for it to re-surface at some later stage. In addition, questions pertaining to the effects of gossip and ethical-based arguments depend on the nature of the relationships within the gossip triad (gossiper, listener/respondent and target).
Keywords:gossip; organizations; process orientation; methodology; ethics.Gossip is a ubiquitous yet seemingly ephemeral type of informal talk, and much of what is currently known about gossip is diffused across social history, communication studies, anthropology, psychology and sociology. Gossip has received attention in relation to its role for
“…Conflict tends to be manifested at different levels and has assorted dimensions and forms depending on the context. This is likely to explain why in this subject area there is not a common and agreed definition for conflict (Kolb and Putnam, 1992). It is a complex social phenomenon and is recognised in the academic fields of politics, psychology, management and international relations..…”
“…12 How conflict is managed has more influence on tensions and ongoing relationships than the conflict itself. Wilmot and Hocker (2011) define interpersonal conflict as an expressed struggle between interdependent parties with perceived incompatible goals, scarce resources, and interference from others in achieving goals.…”
Section: Conceptual Frameworkmentioning
confidence: 99%
“…Interdependence carries elements of cooperation and elements of competition. 10,12 If people view conflict as involving shared interests and common goals, this results in cooperative outcome interdependence. 13 From this cooperative viewpoint, conflict is perceived as, “when one goes down, we all go.” Individuals who practice cooperative outcome interdependence are more likely to debate issues and opposing points of view with an open mind, and seek solutions that benefit everyone involved.…”
Background
In an effort to increase cost-effectiveness of health care and reduce overall costs, patient-centered medical homes have been proposed to spur fundamental changes in the way primary care is delivered. One of the chief principles that describe a patient-centered medical home is that care is organized across all elements of the broader health care system, including community pharmacies.
Objectives
To identify and describe challenges to a physician-pharmacist approach to coordinating patient care.
Methods
A descriptive, exploratory, non-experimental study was conducted in Wisconsin (U.S. State) from June–December, 2011. Data were collected through two rounds of face-to-face interviews with physicians and community pharmacists. The first round involved one-on-one interviews with pharmacists and physicians. The second round brought pharmacist-physician dyads together in an open-ended interview exploring issues raised in the first round. Content analysis was guided by a conflict management conceptual framework using NVivo 10 qualitative software.
Results
A total of four major themes emerged from the conflict analysis of interviews that illustrate challenges to coordinated patient care: Scarce resources, technology design and usability, insurance constraints, and laws and policy governing patient care. The study findings indicate that both groups of healthcare professionals work within an environment of conflict and have to negotiate the challenges and strains that exist in the current healthcare system. Their need to work together, or interdependence, is primarily challenged by scarce resources and external interference.
Conclusions
Bringing physicians and pharmacists together for a face-to-face interaction successfully stimulated conversation about opportunities in which each profession could help the other to provide optimal care for their patients. This interaction appeared to dispel assumptions and build trust. Results of this project may provide pharmacists with the confidence to reach out to their physician colleagues to improve efficiencies and overall patient care.
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