Talk by members of executive hospital boards influences the organizational positioning of nurses. Talk is a relational leadership practice. Using a qualitative‐ interpretive design we organized focus group meetings wherein members of executive hospital boards (7), nurses (14), physicians (7), and managers (6), from 15 Dutch hospitals, discussed the organizational positioning of nursing during COVID crisis. We found that members of executive hospital boards consider the positioning of nursing in crisis a task of nurses themselves and not as a collective, interdependent, and/or specific board responsibility. Furthermore, members of executive hospital boards talk about the nursing profession as (1) more practical than strategic, (2) ambiguous in positioning, and (3) distinctive from the medical profession. Such talk seemingly contrasts with the notion of interdependence that highlights how actors depend on each other in interaction. Interdependence is central to collaboration in hospital crises. In this paper, therefore, we depart from the members of executive hospital boards as leader and “positioner,” and focus on talk— as a discursive leadership practice—to illuminate leadership and governance in hospitals in crisis, as social, interdependent processes.
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This research explores two processes: globalisation and regionalisation. They will be analysed by means of what the author calls the 'conceptual triangle': the mutual interdependence of politics, economy and society. This analysis will be undertaken from a cultural sociological perspective. This means, that especially the way people value and give meaning to the processes of globalisation and regionalisation - but also vice versa: how these processes influence the values and meaningful structures of people - are central to this study.
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Innovation in the 21st century has been moving continuously away from the model embraced in the last century, which was characterized as a profit-oriented and silo-targeted one. Currently, the logic is being driven towards “the social” sense and value of the transformation within the reality of complexity and the continuous necessity of designing and re-designing concepts towards sustainability of a different level. The underlying motive of innovation has been for long perceived as generating predominantly economic value. However, co-designing the society in the future is now being transformed into tackling social challenges in a multi-layered complexity scenario. Thus, there has been identified a need to find complementary ways to nurture innovation, generating social and public value based on interdependence and the emergence of interrelated and constantly networking actors.
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Purpose This study aims to enhance understanding of the collaboration between chairs of nurse councils (CNCs) and members of executive hospital boards (BM) from a relational leadership perspective. Design/methodology/approach The authors used a qualitative and interpretive methodology. The authors study the daily interactions of BM and CNCs of seven Dutch hospitals through a relational leadership lens. The authors used a combination of observations, interviews and document analysis. The author’s qualitative analysis was used to grasp the process of collaborating between BM and CNCs. Findings Knowing each other, relating with and relating to are distinct but intertwined processes that influence the collaboration between BM and CNC. The absence of conflict is also regarded as a finding in this paper. Combined together, they show the importance of a relational process perspective to understand the complexity of collaboration in hospitals. Originality/value Collaboration between professional groups in hospitals is becoming more important due to increasing interdependence. This is a consequence of the complexity in organizing qualitative care. Nevertheless, research on the process of collaborating between nurse councils (NCs) and executive hospital boards is scarce. Furthermore, the understanding of the workings of boards, in general, is limited. The relational process perspective and the combination of observations, interviewing and document analysis proved valuable in this study and is underrepresented in leadership research. This process perspective is a valuable addition to skills- and competencies-focused leadership literature.
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This study will examine whether voluntary work or an internship in a developing country contributes to the development of global citizenship among young people. For the purpose of this study, global citizenship will be defined as a combination of social awareness and possessing international competencies. For a period of four years, a group of 1000 participants between 14 and 25 years old was followed using online self-administered surveys, surveys conducted within the social environment and a smaller number of in-depth interviews. Data collection took place prior to an internship or voluntary work in a developing country, following their return, and six months after their return. Almost all of the international competencies that according to prior research are required to be able to function effectively when communicating with people from a different cultural background were found to have increased during their their stay abroad. Only reading and writing skills in the local language of the area were shown not to have improved. The greatest amount of improvement occurred in the area of intercultural competencies, namely attitude, knowledge, behaviour and skills. Following their stay abroad, the personal and social competencies of participants were also shown to have increased. Relatively speaking, their international professional and academic skills improved the least. Despite this, following the return from voluntary work or an internship in a developing country, a larger number of participants were shown to be exhibiting a socially responsible attitude with an understanding of interdependence, equality of all people and a shared responsibility for solving global issues, and expressed this more frequently in their behaviour. In addition, an increase in flexibility, cultural empathy, social initiative and emotional stability among participants was observed. What essentially characterises the participants according to the in-depth interviews is the ability they have developed to look through someone else’s eyes at their own culture and living conditions in the Netherlands and to use their improved self-confidence to live a more socially aware life and/or engage in international activities after their return from abroad.
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With artificial intelligence (AI) systems entering our working and leisure environments with increasing adaptation and learning capabilities, new opportunities arise for developing hybrid (human-AI) intelligence (HI) systems, comprising new ways of collaboration. However, there is not yet a structured way of specifying design solutions of collaboration for hybrid intelligence (HI) systems and there is a lack of best practices shared across application domains. We address this gap by investigating the generalization of specific design solutions into design patterns that can be shared and applied in different contexts. We present a human-centered bottom-up approach for the specification of design solutions and their abstraction into team design patterns. We apply the proposed approach for 4 concrete HI use cases and show the successful extraction of team design patterns that are generalizable, providing re-usable design components across various domains. This work advances previous research on team design patterns and designing applications of HI systems.
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The covid-19 pandemic has strained organizational systems, with the health care field particularly affected given sudden surges of demand and changes of policy. The pandemic showcases the need to understand how social systems can be resilient to such external shocks. Drawing on ‘joint production motivation' theory, this article offers a theoretical framework linking a social system’s resilience with individual behavior. We examine a population strongly affected by the outbreak of the covid-19 pandemic: nursing students participating in internship programs before and during the crisis. Of the 141 nursing students in our sample, 23% opted to continue their internship. Four characteristics of work teams (collaborative contact, shared understanding, task interdependence, and collaborative organizational cultures) are hypothesized to explain students’ continued occupational commitment during the crisis. Results from binomial logistic regression analyses show task interdependence and intrinsic motivation positively affect the decision for continued participation in internship programs during the pandemic.
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This report is the result of a research interest stemming from the case presented by the City of Budapest on the misalignment between EU funding opportunities and the interdependence of the national government. The main research question was “Which channels exist for a local or regional government to access EU funding directly, without the need for interference of the national government?”. Recent political developments in Hungary have led to an increasing amount of budgetary challenges for the City of Budapest. Besides domestic factors, the European Commission’s decision to suggest to withhold cohesion and RRF funds to Hungary raises the question of what different avenues of direct EU funding instruments might be at the city’s disposal. Therefore, the aim of this research is to provide recommendations on what avenues the City of Budapest might want to invest in in terms of advocacy activities on the EU level. We first conducted a desk research, mapping the current landscape of EU funding instruments under the direct management of the EU (the overview can be found in the appendix). Secondly, ten interviews were conducted in October and November 2022 with several multi-level stakeholders from the European Parliament, the European Commission, the umbrella organisation of cities in the European Union ‘Eurocities’, a Hungarian journalist and a regional representation in Central-Eastern Europe. Based on these conversations, we identified five main findings with corresponding recommendations for action.
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