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Navigating and understanding organisational complexity in health services: The value of POSH-VRE

Published online by Cambridge University Press:  09 December 2019

Ann Dadich*
Affiliation:
School of Business, Western Sydney University, 169 Macquarie Street, ParramattaNSW, 2150, Australia
Aileen Collier
Affiliation:
Faculty of Medical and Health Sciences, University of Auckland, 89 Grafton Road, Grafton Auckland, 1010, New Zealand
Michael Hodgins
Affiliation:
School of Business, Western Sydney University, 169 Macquarie Street, ParramattaNSW, 2150, Australia
*
*Corresponding author. Email: A.Dadich@westernsydney.edu.au

Abstract

This methodological article introduces positive organisational scholarship in healthcare and video reflexive ethnography (POSH-VRE) as a methodology to cut through the challenges of accessing and engaging organisations for research. We demonstrate how POSH-VRE can open space to navigate and better understand organisational complexity and build capacity. Organisational complexity denotes the interrelated components of a system. POSH-VRE can be helpful within complex organisations, such as health services, because it focuses on positive healthcare practices and experiences. We exemplify this with reference to a study on brilliant community-based palliative care. Using fieldnotes and video-recordings, we reveal the value of positive recognition – or celebration; video-cameras; and courtesy, whereby we adapted to different contexts. POSH-VRE can be of scholarly, methodological, and organisational value. It enables researchers to navigate organisational complexity and co-construct findings with nonacademic experts. Furthermore, it can encourage nonacademic experts to improve practice by learning from their own capacities to navigate organisational complexity.

Type
Research Article
Copyright
Copyright © Cambridge University Press and Australian and New Zealand Academy of Management 2019

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References

Bakhtin, M. (1984). Problems of Dostoevsky's poetics (C. Emerson, Trans.). Minneapolis: University of Minnesota Press.CrossRefGoogle Scholar
Barker Caza, B., & Caza, A. (2008). Positive organizational scholarship: A critical theory perspective. Journal of Management Inquiry, 17(1), 2133.CrossRefGoogle Scholar
Bleakley, A. (2006). Broadening conceptions of learning in medical education: The message from teamworking. Medical Education, 40(2), 150157.CrossRefGoogle ScholarPubMed
Bradley, V., Liddle, S., Shaw, R., Savage, E., Rabbitts, R., Trim, C., Lasoye, T. A., & Whitelaw, B. C. (2015). Sticks and stones: Investigating rude, dismissive and aggressive communication between doctors. Clinical Medicine, 15(6), 541545.CrossRefGoogle ScholarPubMed
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77101.CrossRefGoogle Scholar
Braun, V., & Clarke, A. (2011). What can ‘thematic analysis’ offer health and wellbeing researchers? International Journal of Qualitative Studies on Health and Well-Being, 9(1), 12.Google Scholar
Bright, D. S., & Miller, M. T. (2013). Appreciative inquiry and positive organizational scholarship: A philosophy of practice for turbulent times. In Vogelsang, J., Townsend, M., Minahan, M., Jamieson, D., Vogel, J., Viets, A., Royal, C. & Valek, C. (Eds.), Handbook for strategic HR: Best practices in organization development from the OD network (pp. 399410). New York, NY: American Management Association.Google Scholar
Cameron, K. S., & Caza, A. (2004). Contributions to the discipline of positive organizational scholarship. American Behavioral Scientist, 47(6), 731739.CrossRefGoogle Scholar
Carroll, K. (2009). Outsider, insider, alongsider: Examining reflexivity in hospital-based video research. International Journal of Multiple Research Approaches, 3(3), 246263.CrossRefGoogle Scholar
Cicely Saunders International, Hospice UK, Macmillan, Marie Curie, National Council for Palliative Care, Motor Neuron Disease Association, & Sue Ryder. (2016). On the brink: The future of end-of-life-care. London: End of Life Campaign.Google Scholar
Clark, A. (2012). Visual ethics in a contemporary landscape. In Pink, S. (Ed.), Advances in visual methodology (pp. 1736). London: Sage Publications.CrossRefGoogle Scholar
Collier, A., De Bellis, A., Hosie, A., Dadich, A., Symonds, T., Prendergast, J., Rodrigues, J., & Bevan, A. (2019). Fundamental care for people with cognitive impairment in the hospital setting: A study combining positive organisational scholarship and video-reflexive ethnography. Journal of Clinical Nursing, 111. doi: 10.1111/jocn.15056.Google ScholarPubMed
Collier, A., Hodgins, M., Crawford, G., Every, A., Womsley, K., Jeffs, C., Houthuysen, P., Kang, S., Thomas, E., Weller, V., Van, C., Farrow, C., & Dadich, A. (2018). What does it take to deliver brilliant home-based palliative care? A video reflexive ethnography. Palliative Medicine, 33(1), 91101.CrossRefGoogle ScholarPubMed
Dadich, A., Collier, A., Hodgins, M., & Crawford, G. (2018). Using POSH VRE to examine positive deviance to new public management in healthcare. Qualitative Health Research, 28(8), 12031216.CrossRefGoogle Scholar
Dadich, A., Fulop, L., Ditton, M., Campbell, S., Curry, J., Eljiz, K., Fitzgerald, A., Hayes, K. J., Herington, C., Isouard, G., Karimi, L., & Smyth, A. (2015). Finding brilliance using positive organizational scholarship in healthcare. Journal of Health Organization and Management, 29(6), 750777.CrossRefGoogle Scholar
DeMatteo, D., & Reeves, S. (2011). A critical examination of the role of appreciative inquiry within an interprofessional education initiative. Journal of Interprofessional Care, 25(3), 203208.CrossRefGoogle ScholarPubMed
De Wilde, R. (2000). Innovating innovation: A contribution to the philosophy of the future. Paper presented at the Policy agendas for Sustainable Technological Innovation (POSTI) international conference, London.Google Scholar
Dixon-Woods, M., Baker, R., Charles, K., Dawson, J., Jerzembek, G., Martin, G., McCarthy, I., McKee, L., Minion, J., Ozieranski, P., Willars, J., Wilkie, P., & West, M. (2014). Culture and behaviour in the English national health service: Overview of lessons from a large multimethod study. BMJ Quality & Safety, 23(2), 106115.CrossRefGoogle ScholarPubMed
Doyle, E., & Buckley, P. (2017). Embracing qualitative research: A visual model for nuanced research ethics oversight. Qualitative Research, 17(1), 95117.CrossRefGoogle Scholar
Fraser, S. W., & Greenhalgh, T. (2001). Coping with complexity: Educating for capability. British Medical Journal, 323, 799803.CrossRefGoogle ScholarPubMed
Gouldner, A. (1970). The coming crisis of western sociology. New York, NY: Basic Books.Google Scholar
Head, T. C. (2013). Appreciative inquiry: Debunking the mythology behind resistance to change. In Vogelsang, J., Townsend, M., Minahan, M., Jamieson, D., Vogel, J., Viets, A., Royal, C., & Valek, C. (Eds.), Handbook for strategic HR: Best practices in organization development from the OD network (pp. 576583). New York, NY: American Management Association.Google Scholar
Hibbert, P., Coupland, C., & MacIntosh, R. (2010). Reflexivity: Recursion and relationality in organizational research processes. Qualitative Research in Organizations and Management, 5(1), 4762.CrossRefGoogle Scholar
Iedema, R., Carroll, K., Collier, A., Hor, S., Mesman, J., & Wyer, M. (2018). Video reflexive ethnography in health research and healthcare improvement. Milton Park: Taylor & Francis.CrossRefGoogle Scholar
Iedema, R., Merrick, E. T., Rajbhandari, D., Gardo, A., Stirling, A., & Herkes, R. (2009). Viewing the taken-for-granted from under a different aspect: A video-based method in pursuit of patient safety. International Journal of Multiple Research Approaches, 3(3), 290301.CrossRefGoogle Scholar
Iedema, R., Mesman, J., & Carroll, K. (2013). Visualising health care practice improvement: Innovation from within. London: Radcliffe Publishing.Google Scholar
International Association of Video-Reflexive Ethnographers. (n.d.). About us [Website]. Retrieved from https://videoreflexiveethnography.wordpress.com/about.Google Scholar
Jürges, H., Laferrère, A., & Lemoine, A. (2019). 35 End of life and palliative care in Europe: An exploration of SHARE data. In Börsch-Supan, A., Bristle, J., Andersen-Ranberg, K., Brugiavini, A., Jusot, F., Litwin, H., & Weber, G. (Eds.), Health and socio-economic status over the life course: First results from SHARE waves 6 and 7 (pp. 337346). Boston, MA: De Gruyter. doi: 9783110617245.CrossRefGoogle Scholar
Krikorian, A., Maldonado, C., & Pastrana, T. (2019). Patient's perspectives on the notion of a good death: A systematic review of the literature. Journal of Pain and Symptom Management. doi: 10.1016/j.jpainsymman.2019.07.033.Google ScholarPubMed
Meier, E. A., Gallegos, M. A., Montross Thomas, L. P., Depp, C. A., Irwin, S. A., & Jeste, D. V. (2016). Defining a good death (successful dying): Literature review and a call for research and public dialogue. American Journal of Geriatric Psychiatry, 24(4), 261271.CrossRefGoogle Scholar
Mesman, J. (2011). Resources of strength: An exnovation of hidden competences to preserve patient safety. In Rowley, E. & Waring, J. (Eds.), A socio-cultural perspective on patient safety (pp. 7192). Surrey: Ashgate.Google Scholar
Mesman, J., Walsh, K., Kinsman, L., Ford, K., & Bywaters, D. (2019). Blending video-reflexive ethnography with solution-focused approach: A strengths-based approach to practice improvement in health care. International Journal of Qualitative Methods, 18, 110.CrossRefGoogle Scholar
Mills, K. A. (2017). What are the threats and potentials of big data for qualitative research? Qualitative Research, 18(6), 591603.CrossRefGoogle Scholar
Moll, S. (2012). Navigating political minefields: Partnerships in organizational case study research. Work, 43(1), 512.CrossRefGoogle ScholarPubMed
Morrison, L. J., & Portenoy, R. (2010). Giving a grand rounds presentation. Journal of Palliative Medicine, 13(12), 14771484.CrossRefGoogle ScholarPubMed
NSW Health. (2014). NSW state health plan: Towards 2021. North Sydney, NSW: NSW Health.Google Scholar
Perez, T. S. (2017). In support of situated ethics: Ways of building trust with stigmatised ‘waste pickers’ in Cape Town. Qualitative Research, 19(2), 148163.CrossRefGoogle Scholar
Piper, H., & Simons, H. (2005). Ethical responsibility in social research. In Somekh, B. & Lewin, C. (Eds.), Research methods in the social sciences (pp. 5663). London: Sage Publications.Google Scholar
Rafter, N., Hickey, A., Condell, S., Conroy, R., O'Connor, P., Vaughan, D., & Williams, D. (2014). Adverse events in healthcare: Learning from mistakes. QJM: An International Journal of Medicine, 108(4), 273277.CrossRefGoogle ScholarPubMed
Simons, H., & Usher, R. (2000). Introduction: Ethics in the practice of research. In Simons, H. & Usher, R. (Eds.), Situated ethics in educational research (pp. 111). London: Routledge.Google Scholar
Tarala, R., & Vickery, A. W. (2005). Hospital grand rounds in Australia. Medical Journal of Australia, 183(11), 592594.CrossRefGoogle ScholarPubMed
Tenzek, K. E., & Depner, R. (2019). Still searching: A meta-synthesis of a good death from the bereaved family member perspective. Behavioral Sciences, 7(2), 118.Google Scholar
Ting, D. K. (2017). A good death is hard to find. Canadian Journal of Emergency Medicine, 19(5), 390391.Google ScholarPubMed
Wieringa, S., Engebretsen, E., Heggen, K., & Greenhalgh, T. (2017). Has evidence-based medicine ever been modern? A Latour-inspired understanding of a changing EBM. Journal of Evaluation in Clinical Practice, 23(5), 964970.CrossRefGoogle ScholarPubMed