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Giuseppe Scaratti
Department of Psychology, Catholic University of the Sacred Heart, Italy

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Conceptual analysis article
Published: 04 February 2021 in Frontiers in Psychology
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The paper addresses the epistemological and theoretical assumptions that underpin the concept of Work and Organizational Psychology as idiographic, situated, and transformative social science. Positioning the connection between uniqueness and generalization inside the debate around organization studies as applied approaches, the contribution highlights the ontological, gnoseological, and methodological implications at stake. The use of practical instead of scientific rationality is explored, through the perspective of a hermeneutic lens, underlining the main features connected to the adoption of an epistemology of practice. Specifically, the contribution depicts the configuration of the applied research as a relational practice, embedded in the unfolding process of generating knowledge dealing with concrete social contexts and particular social objects. The discussion of a case study regarding a field research project allows one to point out challenges and constraints connected to the enactment of the research process as a social accomplishment.

ACS Style

Giuseppe Scaratti; Silvia Ivaldi. Uniqueness and Generalization in Organizational Psychology: Research as a Relational Practice. Frontiers in Psychology 2021, 12, 1 .

AMA Style

Giuseppe Scaratti, Silvia Ivaldi. Uniqueness and Generalization in Organizational Psychology: Research as a Relational Practice. Frontiers in Psychology. 2021; 12 ():1.

Chicago/Turabian Style

Giuseppe Scaratti; Silvia Ivaldi. 2021. "Uniqueness and Generalization in Organizational Psychology: Research as a Relational Practice." Frontiers in Psychology 12, no. : 1.

Journal article
Published: 20 March 2019 in Sustainability
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In recent years, the number of new organizations aiming to accomplish principles of sustainability has rapidly grown, leading analysts and scholars to announce almost a new industrial revolution. An example of this is the proliferation of the so-called fabrication laboratories (FabLabs) that nowadays are perceived as being forerunners in innovative and sustainable high-tech production through peer-to-peer collaborative practices and sharing. However, the challenges managers face in translating these promotional aims into organizational action is vastly understudied. To address this research gap, we have studied the management of two FabLabs, in Italy and Finland. In this study, we draw from a psycho-sociological framework applying cultural-historical activity theory, and especially from the concepts of activity system and contradiction. According to this perspective, a sustainable organization is based on promotion, enrichment, regeneration, and flexible change efforts, and it is related to the managerial and ability to bring internal and external stakeholders together to recognize and solve tensions and contradictions collectively. Through our case studies, we have provided new research knowledge on how managers make an effort to translate sustainability into action in the complex context of FabLabs, involving multiple, often competing stakeholders and activity systems. Our analysis reveals multiple tensions in the collective activity, stemming from system level contradictions, which represent a challenge for the daily work of the FabLab managers. In the paper we also suggest how an engaged management orientation towards sustainably can be promoted, and we discuss future research topics.

ACS Style

Laura Galuppo; Anu Kajamaa; Silvia Ivaldi; Giuseppe Scaratti. Translating Sustainability into Action: A Management Challenge in FabLabs. Sustainability 2019, 11, 1676 .

AMA Style

Laura Galuppo, Anu Kajamaa, Silvia Ivaldi, Giuseppe Scaratti. Translating Sustainability into Action: A Management Challenge in FabLabs. Sustainability. 2019; 11 (6):1676.

Chicago/Turabian Style

Laura Galuppo; Anu Kajamaa; Silvia Ivaldi; Giuseppe Scaratti. 2019. "Translating Sustainability into Action: A Management Challenge in FabLabs." Sustainability 11, no. 6: 1676.

Chapter
Published: 16 February 2019 in Using Arts-based Research Methods
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This chapter positions the narrative approach as consolidated practice in the field of organizational studies, and explores and expands its potential to detect the interpretations that practitioners make of the realities in which they live, thus to grasp their cultural, social, personal, practical features. The use of ad hoc narratives as an art-based method is discussed as a way to foster reflexivity and learning from experience. Narratives are presented with illustrative examples from two different healthcare fields as a means for detecting material and symbolic dimensions, the weaving of roles, objects, critical incidents, shifting points, routine in use, which can be elaborated on, developing negotiation and relational processes. The distinctive feature of this approach is the relational texture that develops around a narrative and reflexive space, which is a basic condition in our proposal of art-based intervention.

ACS Style

Giuseppe Scaratti; Mara Gorli; Frode Heldal. Using Narratives and Portraits to Foster Reflexivity and Learning from Experience in Healthcare Organizations in Italy and Norway. Using Arts-based Research Methods 2019, 135 -166.

AMA Style

Giuseppe Scaratti, Mara Gorli, Frode Heldal. Using Narratives and Portraits to Foster Reflexivity and Learning from Experience in Healthcare Organizations in Italy and Norway. Using Arts-based Research Methods. 2019; ():135-166.

Chicago/Turabian Style

Giuseppe Scaratti; Mara Gorli; Frode Heldal. 2019. "Using Narratives and Portraits to Foster Reflexivity and Learning from Experience in Healthcare Organizations in Italy and Norway." Using Arts-based Research Methods , no. : 135-166.

Journal article
Published: 08 February 2019 in Sustainability
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In the new framework of the Psychology of sustainability and sustainable development, this paper addresses the issue of building socially sustainable processes to develop a better quality of life in an urban context. The aim is to explore and highlight the connection between the acknowledgment of a pluralistic and multi-stakeholder scenario, the entwined implications for sustainability at different levels (personal, social, organizational), and the enhancement of the participatory process of planning for future accomplishments. A case study supported by the Municipality of Milano (Italy) is analyzed with the aim to understand the key issues to improve the well-being of the citizens. The paper describes the context of the experience, highlighting the Delphi approach adopted and the ways applied to involve citizens in urban development policies. Discussion and conclusions address the lesson learnt from the case study, pointing out how to prompt and nurture sharing and knowing opportunities and the specific conditions that can support plural stakeholders’ engagement in a sustainable urban future.

ACS Style

Silvia Ivaldi; Francesca Bertè; Sergio Sorgi; Giuseppe Scaratti. Toward a Sustainable Future: The Case of the Municipality of Milan. Sustainability 2019, 11, 876 .

AMA Style

Silvia Ivaldi, Francesca Bertè, Sergio Sorgi, Giuseppe Scaratti. Toward a Sustainable Future: The Case of the Municipality of Milan. Sustainability. 2019; 11 (3):876.

Chicago/Turabian Style

Silvia Ivaldi; Francesca Bertè; Sergio Sorgi; Giuseppe Scaratti. 2019. "Toward a Sustainable Future: The Case of the Municipality of Milan." Sustainability 11, no. 3: 876.

Research article
Published: 11 December 2018 in Journal of Business and Technical Communication
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Coworking spaces are shared working environments in which independent knowledge workers gather. Coworking is consistently described in terms of community and collaboration—yet these terms are defined inconsistently in the coworking literature. This study reviews the literature on coworking to better examine how community relates to collaboration. To anchor a more systematic analysis of community in coworking, the authors introduce Adler and Heckscher’s typology of communities; apply it to a study of six coworking spaces in the United States, Italy, and Serbia; and develop the typology to better understand coworking.

ACS Style

Clay Spinuzzi; Zlatko Bodrožić; Giuseppe Scaratti; Silvia Ivaldi. “Coworking Is About Community”: But What Is “Community” in Coworking? Journal of Business and Technical Communication 2018, 33, 112 -140.

AMA Style

Clay Spinuzzi, Zlatko Bodrožić, Giuseppe Scaratti, Silvia Ivaldi. “Coworking Is About Community”: But What Is “Community” in Coworking? Journal of Business and Technical Communication. 2018; 33 (2):112-140.

Chicago/Turabian Style

Clay Spinuzzi; Zlatko Bodrožić; Giuseppe Scaratti; Silvia Ivaldi. 2018. "“Coworking Is About Community”: But What Is “Community” in Coworking?" Journal of Business and Technical Communication 33, no. 2: 112-140.

Journal article
Published: 01 December 2018 in Learning, Culture and Social Interaction
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The paper presents a formative intervention realized in Italy through which the authors highlight how participants develop transformative agency inside collective situations. The authors attempt to illustrate how the use of narrative and conversational material allows the identification, recognition, and elaboration of the organizational contradictions in formative interventions. The paper addresses the early steps of expansive learning (i.e., questioning and analyzing the situation), focusing on the emergence of conflicting motives and crises stemming from the practitioners' lived activity. The study explores the potential that stories and narratives used as mirror materials have in enhancing dialogue and sense making processes through which professional are able to examine conventional practices and evaluate habitual ways of seeing and behaving. The authors conclude the paper by discussing potentials and limits in the use of narrative accounts inside formative interventions.

ACS Style

Silvia Ivaldi; Giuseppe Scaratti. Narrative and conversational manifestation of contradictions: Social production of knowledge for expansive learning. Learning, Culture and Social Interaction 2018, 25, 100255 .

AMA Style

Silvia Ivaldi, Giuseppe Scaratti. Narrative and conversational manifestation of contradictions: Social production of knowledge for expansive learning. Learning, Culture and Social Interaction. 2018; 25 ():100255.

Chicago/Turabian Style

Silvia Ivaldi; Giuseppe Scaratti. 2018. "Narrative and conversational manifestation of contradictions: Social production of knowledge for expansive learning." Learning, Culture and Social Interaction 25, no. : 100255.

Articles
Published: 18 January 2018 in Teaching in Higher Education
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Critical reflexivity has been acknowledged as fundamental in higher education. For facing complex situations in turbulent environments, students nowadays need not only to be taught technical knowledge, but also to be helped develop “relevant” learning for their future professional practice. In recent years, scholars have concentrated on what makes the internship experience a successful opportunity for the parties involved, and have also discussed the crucial role of a mentor/tutor in sustaining relevant and effective learning. However, the specific conditions that make tutorship successful in promoting critical reflexivity in such a boundary crossing experience need to be further explored. Aim of this paper is therefore to analyze what tutorship conditions sustain the development of critical reflexivity in internship. For this purpose, we will present the case study of an internship program run by one of the largest universities in northern Italy.

ACS Style

Silvio Ripamonti; Laura Galuppo; Andreina Bruno; Silvia Ivaldi; Giuseppe Scaratti. Reconstructing the internship program as a critical reflexive practice: the role of tutorship. Teaching in Higher Education 2018, 23, 751 -768.

AMA Style

Silvio Ripamonti, Laura Galuppo, Andreina Bruno, Silvia Ivaldi, Giuseppe Scaratti. Reconstructing the internship program as a critical reflexive practice: the role of tutorship. Teaching in Higher Education. 2018; 23 (6):751-768.

Chicago/Turabian Style

Silvio Ripamonti; Laura Galuppo; Andreina Bruno; Silvia Ivaldi; Giuseppe Scaratti. 2018. "Reconstructing the internship program as a critical reflexive practice: the role of tutorship." Teaching in Higher Education 23, no. 6: 751-768.

Book chapter
Published: 01 January 2018 in The SAGE Handbook of Qualitative Business and Management Research Methods: History and Traditions
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The SAGE Handbook of Qualitative Business and Management Research Methods provides a state-of - the art overview of qualitative research methods in the busin

ACS Style

Giuseppe Scaratti; Mara Gorli; Laura Galuppo; Silvio Ripamonti. Action Research: Knowing and Changing (in) Organizational Contexts. The SAGE Handbook of Qualitative Business and Management Research Methods: History and Traditions 2018, 286 -306.

AMA Style

Giuseppe Scaratti, Mara Gorli, Laura Galuppo, Silvio Ripamonti. Action Research: Knowing and Changing (in) Organizational Contexts. The SAGE Handbook of Qualitative Business and Management Research Methods: History and Traditions. 2018; ():286-306.

Chicago/Turabian Style

Giuseppe Scaratti; Mara Gorli; Laura Galuppo; Silvio Ripamonti. 2018. "Action Research: Knowing and Changing (in) Organizational Contexts." The SAGE Handbook of Qualitative Business and Management Research Methods: History and Traditions , no. : 286-306.

Chapter
Published: 07 December 2017 in The New Normal of Working Lives
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Coworking spaces first appeared in San Francisco in 2005 but are now found all over the world. This chapter looks at this form of workspace organisation and its associated values and practices, such as collaboration, reciprocity, community, and sustainability. These suggest that coworking is giving rise to new ways of working and managing organisations. The chapter critically analyses how coworking managers effectively interpret coworking spaces as new ordinary organisations. It presents a typology of coworking, identifying four different types of coworking organisations which are associated with different forms of management. The chapter presents research conducted in Italy.

ACS Style

Silvia Ivaldi; Ivana Pais; Giuseppe Scaratti. Coworking(s) in the Plural: Coworking Spaces and New Ways of Managing. The New Normal of Working Lives 2017, 219 -241.

AMA Style

Silvia Ivaldi, Ivana Pais, Giuseppe Scaratti. Coworking(s) in the Plural: Coworking Spaces and New Ways of Managing. The New Normal of Working Lives. 2017; ():219-241.

Chicago/Turabian Style

Silvia Ivaldi; Ivana Pais; Giuseppe Scaratti. 2017. "Coworking(s) in the Plural: Coworking Spaces and New Ways of Managing." The New Normal of Working Lives , no. : 219-241.

Evaluation study
Published: 15 September 2017 in Implementation Science
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Advanced Computerized Decision Support Systems (CDSSs) assist clinicians in their decision-making process, generating recommendations based on up-to-date scientific evidence. Although this technology has the potential to improve the quality of patient care, its mere provision does not guarantee uptake: even where CDSSs are available, clinicians often fail to adopt their recommendations. This study examines the barriers and facilitators to the uptake of an evidence-based CDSS as perceived by diverse health professionals in hospitals at different stages of CDSS adoption. Qualitative study conducted as part of a series of randomized controlled trials of CDSSs. The sample includes two hospitals using a CDSS and two hospitals that aim to adopt a CDSS in the future. We interviewed physicians, nurses, information technology staff, and members of the boards of directors (n = 30). We used a constant comparative approach to develop a framework for guiding implementation. We identified six clusters of experiences of, and attitudes towards CDSSs, which we label as “positions.” The six positions represent a gradient of acquisition of control over CDSSs (from low to high) and are characterized by different types of barriers to CDSS uptake. The most severe barriers (prevalent in the first positions) include clinicians’ perception that the CDSSs may reduce their professional autonomy or may be used against them in the event of medical-legal controversies. Moving towards the last positions, these barriers are substituted by technical and usability problems related to the technology interface. When all barriers are overcome, CDSSs are perceived as a working tool at the service of its users, integrating clinicians’ reasoning and fostering organizational learning. Barriers and facilitators to the use of CDSSs are dynamic and may exist prior to their introduction in clinical contexts; providing a static list of obstacles and facilitators, irrespective of the specific implementation phase and context, may not be sufficient or useful to facilitate uptake. Factors such as clinicians’ attitudes towards scientific evidences and guidelines, the quality of inter-disciplinary relationships, and an organizational ethos of transparency and accountability need to be considered when exploring the readiness of a hospital to adopt CDSSs.

ACS Style

Elisa G. Liberati; Francesca Ruggiero; Laura Galuppo; Mara Gorli; Marien González-Lorenzo; Marco Maraldi; Pietro Ruggieri; Hernan Polo Friz; Giuseppe Scaratti; Koren H. Kwag; Roberto Vespignani; Lorenzo Moja. What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation. Implementation Science 2017, 12, 1 -13.

AMA Style

Elisa G. Liberati, Francesca Ruggiero, Laura Galuppo, Mara Gorli, Marien González-Lorenzo, Marco Maraldi, Pietro Ruggieri, Hernan Polo Friz, Giuseppe Scaratti, Koren H. Kwag, Roberto Vespignani, Lorenzo Moja. What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation. Implementation Science. 2017; 12 (1):1-13.

Chicago/Turabian Style

Elisa G. Liberati; Francesca Ruggiero; Laura Galuppo; Mara Gorli; Marien González-Lorenzo; Marco Maraldi; Pietro Ruggieri; Hernan Polo Friz; Giuseppe Scaratti; Koren H. Kwag; Roberto Vespignani; Lorenzo Moja. 2017. "What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation." Implementation Science 12, no. 1: 1-13.

Journal article
Published: 13 February 2017 in Journal of Workplace Learning
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Purpose This paper aims to present a transnational research intervention that relies on the qualitative monitoring of disadvantaged people’s work integration program. In particular, the paper adopts the concept of networking and knotworking to intercept and describe the ways in which organizational payers shape knowledge in their contexts of work inclusion. Design/methodology/approach The research is based on a developmental ethnographic research to detect meaningful, situated knowledge related to the activities for work integration of disadvantaged people. Two main techniques, “at home ethnography” (Ellis and Bochner, 2000; Hansen, 2006) and participant observation (Alvesson, 2009), were used for gathering data. Findings The paper highlights the existing contradictions within and between the multiple activity systems. The advantages of using the activity theory’s lenses are underlined together with two main approaches related to the assumption of a networking and knotworking orientation. The findings also refer to some new paths professionals identified for their daily activity. Originality/value The paper provides a better understanding of the contemporary challenges of working, that is extremely helpful to policy makers and other practitioners, including researchers.

ACS Style

Giuseppe Scaratti; Silvia Ivaldi; Jean Frassy. Networking and knotworking practices: work integration as situated social process. Journal of Workplace Learning 2017, 29, 2 -23.

AMA Style

Giuseppe Scaratti, Silvia Ivaldi, Jean Frassy. Networking and knotworking practices: work integration as situated social process. Journal of Workplace Learning. 2017; 29 (1):2-23.

Chicago/Turabian Style

Giuseppe Scaratti; Silvia Ivaldi; Jean Frassy. 2017. "Networking and knotworking practices: work integration as situated social process." Journal of Workplace Learning 29, no. 1: 2-23.

Editorial
Published: 31 January 2017 in Management Learning
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In recent years, there has been a growing concern around the connection between theory and practice, rigour and relevance, theoretical consistency and impact. This Special Issue links with the literature on the co-production of knowledge and aims to extend the debate to the concept and practice of social value and social relevance, and their impact on different ways of knowing, researching and learning in organizations and in complex contexts and systems.

ACS Style

Giuseppe Scaratti; Laura Galuppo; Mara Gorli; Caterina Gozzoli; Silvio Ripamonti. The social relevance and social impact of knowledge and knowing. Management Learning 2017, 48, 57 -64.

AMA Style

Giuseppe Scaratti, Laura Galuppo, Mara Gorli, Caterina Gozzoli, Silvio Ripamonti. The social relevance and social impact of knowledge and knowing. Management Learning. 2017; 48 (1):57-64.

Chicago/Turabian Style

Giuseppe Scaratti; Laura Galuppo; Mara Gorli; Caterina Gozzoli; Silvio Ripamonti. 2017. "The social relevance and social impact of knowledge and knowing." Management Learning 48, no. 1: 57-64.

Chapter
Published: 01 January 2017 in Healthcare Ethics and Training
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The concepts of patient-centered care and patient engagement are often used interchangeably in health policy debates. In fact, it is frequently – and implicitly – assumed that putting patients at the centre of care will more or less spontaneously lead to fully engaged patients. This chapter questions these assumptions. By focusing on the hospital's patient-centered reform in Italy, the chapter discusses the overlaps but also the discrepancies between the practices of putting patients at the centre and those of engaging patients. Discrepancies may appear at three levels: the new hospital model may challenge the establishment of a close alliance between patients and professionals, the new hospital spaces may not be perceived as a catalyst for improving patients' experiences, and the inter- and intra- professional struggles derived from the new configuration of hospital teams at an early stage may hinder patient care delivery. The chapter proposes some strategies for patient-centered hospitals to increase their capacity to engage patients and families in the management of their care plan.

ACS Style

Mara Gorli; Elisa G. Liberati; Laura Galuppo; Giuseppe Scaratti. The Patient Centered Organizational Model in Italian Hospitals. Healthcare Ethics and Training 2017, 290 -308.

AMA Style

Mara Gorli, Elisa G. Liberati, Laura Galuppo, Giuseppe Scaratti. The Patient Centered Organizational Model in Italian Hospitals. Healthcare Ethics and Training. 2017; ():290-308.

Chicago/Turabian Style

Mara Gorli; Elisa G. Liberati; Laura Galuppo; Giuseppe Scaratti. 2017. "The Patient Centered Organizational Model in Italian Hospitals." Healthcare Ethics and Training , no. : 290-308.

Journal article
Published: 09 May 2016 in Journal of Workplace Learning
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Purpose The aim of the paper is to analyze the process of “germ cell” formation by framing it as an opportunity for promoting organizational learning and transformation. The paper aims to specifically answer two research questions: Why does the “germ cell” have a pivotal role in organization’s transformation? and Which conditions facilitate the formation of the “germ cell” in the management of complex and uncertain problems? Design/methodology/approach The paper answers the research questions first by presenting the literature related to knowing and learning inside organizations, and second by introducing the concept of “germ cell” and connecting it with the metaphors of “waiting experiment” and “anchoring forward”. Finally, the paper analyzes the steps by which the “germ cell” is shaped, thus owing to the exploration of problematic situations, underpinning the “germ cell’s ” role to open perspectives for multiple applications and development. Two research interventions are presented by focusing on the construction of the “germ cell” moving from the problematic situations to promote organizational learning and change. Findings The paper describes the formation of the “germ cell” as a process that opens possibilities for subjects to recognize and reflect on the recurrent and taken-for-granted practices and concepts and give sense to them by making the inner contradiction and the ways for managing it visible. Originality/value The unfolding and challenging inceptive configuration of the germ cell sheds light on the discursive/conversational/language processes and the activities entangled in socio-material instrumentalities and environments in which people are involved.

ACS Style

Silvia Ivaldi; Giuseppe Scaratti. The formation of germ cell for organizational learning. Journal of Workplace Learning 2016, 28, 224 -244.

AMA Style

Silvia Ivaldi, Giuseppe Scaratti. The formation of germ cell for organizational learning. Journal of Workplace Learning. 2016; 28 (4):224-244.

Chicago/Turabian Style

Silvia Ivaldi; Giuseppe Scaratti. 2016. "The formation of germ cell for organizational learning." Journal of Workplace Learning 28, no. 4: 224-244.

Journal article
Published: 01 February 2016 in Social Science & Medicine
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Delivery of interdisciplinary integrated care is central to contemporary health policy. Hospitals worldwide are therefore attempting to move away from a functional organisation of care, built around discipline-based specialisation, towards an approach of delivering care through multidisciplinary teams. However, the mere existence of such teams may not guarantee integrated and collaborative work across medical disciplines, which can be hindered by boundaries between and within professions. This paper analyses the boundaries that affect collaboration and care integration in newly created multidisciplinary teams. Empirical data are drawn from an ethnographic research conducted in the sub-intensive stroke unit of an Italian public hospital. Data collection involved 180 h of observations and conversations with 42 healthcare providers. Findings show that disciplinary boundaries hinder both intra-professional and inter-professional collaboration. Doctors from different disciplines adopt different, and sometimes conflicting, clinical approaches, doctors and nurses construct discipline-specific professional identities, and conflicts emerge between doctors and nurses from different disciplines over the regulation of the medical-nursing boundary. Achieving collaboration and integration between professionals from different disciplines may be particularly challenging when the group with less institutional power (nurses, in this case) has developed a high level of expertise on the needs of the patients targeted by the team. Effective interdisciplinary work thus requires not only bridging boundaries within the medical professional group, but also addressing the dynamics of resistance in merging doctors and nurses with different disciplinary backgrounds. In the paper, we summarise these results in a framework that contributes knowledge to the field of professional boundaries in healthcare while offering practical insights to forge new interdisciplinary relationships, which are more embedded in the daily experience of care providers

ACS Style

Elisa Giulia Liberati; Mara Gorli; Giuseppe Scaratti. Invisible walls within multidisciplinary teams: Disciplinary boundaries and their effects on integrated care. Social Science & Medicine 2016, 150, 31 -39.

AMA Style

Elisa Giulia Liberati, Mara Gorli, Giuseppe Scaratti. Invisible walls within multidisciplinary teams: Disciplinary boundaries and their effects on integrated care. Social Science & Medicine. 2016; 150 ():31-39.

Chicago/Turabian Style

Elisa Giulia Liberati; Mara Gorli; Giuseppe Scaratti. 2016. "Invisible walls within multidisciplinary teams: Disciplinary boundaries and their effects on integrated care." Social Science & Medicine 150, no. : 31-39.

Journal article
Published: 01 January 2016 in STUDI ORGANIZZATIVI
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ACS Style

Silvia Ivaldi; Giuseppe Scaratti. Competenze manageriali e costruzione sociale di conoscenza. Una ricerca sul campo. STUDI ORGANIZZATIVI 2016, 9 -38.

AMA Style

Silvia Ivaldi, Giuseppe Scaratti. Competenze manageriali e costruzione sociale di conoscenza. Una ricerca sul campo. STUDI ORGANIZZATIVI. 2016; (2):9-38.

Chicago/Turabian Style

Silvia Ivaldi; Giuseppe Scaratti. 2016. "Competenze manageriali e costruzione sociale di conoscenza. Una ricerca sul campo." STUDI ORGANIZZATIVI , no. 2: 9-38.

Chapter
Published: 01 January 2016 in Cases on Applied and Therapeutic Humor
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The concepts of patient-centered care and patient engagement are often used interchangeably in health policy debates. In fact, it is frequently – and implicitly – assumed that putting patients at the centre of care will more or less spontaneously lead to fully engaged patients. This chapter questions these assumptions. By focusing on the hospital's patient-centered reform in Italy, the chapter discusses the overlaps but also the discrepancies between the practices of putting patients at the centre and those of engaging patients. Discrepancies may appear at three levels: the new hospital model may challenge the establishment of a close alliance between patients and professionals, the new hospital spaces may not be perceived as a catalyst for improving patients' experiences, and the inter- and intra- professional struggles derived from the new configuration of hospital teams at an early stage may hinder patient care delivery. The chapter proposes some strategies for patient-centered hospitals to increase their capacity to engage patients and families in the management of their care plan.

ACS Style

Mara Gorli; Elisa G. Liberati; Laura Galuppo; Giuseppe Scaratti. The Patient Centered Organizational Model in Italian Hospitals. Cases on Applied and Therapeutic Humor 2016, 152 -170.

AMA Style

Mara Gorli, Elisa G. Liberati, Laura Galuppo, Giuseppe Scaratti. The Patient Centered Organizational Model in Italian Hospitals. Cases on Applied and Therapeutic Humor. 2016; ():152-170.

Chicago/Turabian Style

Mara Gorli; Elisa G. Liberati; Laura Galuppo; Giuseppe Scaratti. 2016. "The Patient Centered Organizational Model in Italian Hospitals." Cases on Applied and Therapeutic Humor , no. : 152-170.

Journal article
Published: 16 November 2015 in Journal of Health Organization and Management
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Purpose – The purpose of this paper is to understand how the introduction of a patient-centered model (PCM) in Italian hospitals affects the pre-existent configuration of clinical work and interacts with established intra/inter-professional relationships. Design/methodology/approach – Qualitative multi-phase study based on three main sources: health policy analysis, an exploratory interview study with senior managers of eight Italian hospitals implementing the PCM, and an in-depth case study that involved managerial and clinical staff of one Italian hospital implementing the PCM. Findings – The introduction of the PCM challenges clinical work and professional relationships, but such challenges are interpreted differently by the organisational actors involved, thus giving rise to two different “narratives of change”. The “political narrative” (the views conveyed by formal policies and senior managers) focuses on the power shifts and conflict between nurses and doctors, while the “workplace narrative” (the experiences of frontline clinicians) emphasises the problems linked to the disruption of previous discipline-based inter-professional groups. Practical implications – Medical disciplines, rather than professional groupings, are the main source of identification of doctors and nurses, and represent a crucial aspect of clinicians’ professional identity. Although the need for collaboration among medical disciplines is acknowledged, creating multi-disciplinary groups in practice requires the sustaining of new aggregators and binding forces. Originality/value – This study suggests further acknowledgment of the inherent complexity of the political and workplace narratives of change rather than interpreting them as the signal of irreconcilable perspectives between managers and clinicians. By addressing the specific issues regarding which the political and workplace narratives clash, relationship of trust may be developed through which problems can be identified, mutually acknowledged, articulated, and solved.

ACS Style

Elisa Giulia Liberati; Mara Gorli; Giuseppe Scaratti. Reorganising hospitals to implement a patient-centered model of care. Journal of Health Organization and Management 2015, 29, 848 -873.

AMA Style

Elisa Giulia Liberati, Mara Gorli, Giuseppe Scaratti. Reorganising hospitals to implement a patient-centered model of care. Journal of Health Organization and Management. 2015; 29 (7):848-873.

Chicago/Turabian Style

Elisa Giulia Liberati; Mara Gorli; Giuseppe Scaratti. 2015. "Reorganising hospitals to implement a patient-centered model of care." Journal of Health Organization and Management 29, no. 7: 848-873.

Research article
Published: 09 October 2015 in Evaluation
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This article describes the theoretical basis and characteristics of a process-based, negotiated and generative approach to the evaluation of organizations. Illustrated by a case study, it highlights the inappropriateness of standardized instruments in the face of complexity and uncertainty, suggesting ways to improve the practice of evaluating dynamic complex systems. It underlines how conducting an evaluation within an organization is an opportunity to produce knowledge that reflects on and can potentially transform existing systems. Using an action-research method, ‘instructions to the double’, the implications for data collection and analysis suited to complex interventions and complex environments, are presented and discussed. In particular, the article describes the monitoring and evaluation of practices as unfolding processes, in which evaluative methods and tools are context dependent and subject to social, dynamic and contested mobilization of knowledge. The collective negotiation and production of knowledge in collaboration with practitioners working within the organization, is considered as the necessary condition for enhancing the formative and transformative role of evaluation and supporting reflexivity in professional practices.

ACS Style

Silvia Ivaldi; Giuseppe Scaratti; Gianni Nuti. The practice of evaluation as an evaluation of practices. Evaluation 2015, 21, 497 -512.

AMA Style

Silvia Ivaldi, Giuseppe Scaratti, Gianni Nuti. The practice of evaluation as an evaluation of practices. Evaluation. 2015; 21 (4):497-512.

Chicago/Turabian Style

Silvia Ivaldi; Giuseppe Scaratti; Gianni Nuti. 2015. "The practice of evaluation as an evaluation of practices." Evaluation 21, no. 4: 497-512.

Journal article
Published: 14 September 2015 in Journal of Workplace Learning
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Purpose – The purpose of this paper is to explore the enactment of safety routines in a transshipment port. Research on work safety and reliability has largely neglected the role of the workers’ knowledge in practice in the enactment of organisational safety. The workers’ lack of compliance with safety regulations represents an enduring problem that often involves first-level managers, who are willing to turn a blind eye toward divergent practices. The CHAT conceptual vocabulary and theoretical model is used to explore this issue. Design/methodology/approach – A grounded, empirical study in a large transshipment port in the Mediterranean area is conducted. Ethnographic methods including participant observation and interviews are used, and emerging data are analyzed through an interpretive methodology. The paper explores 30 employees’ narrated accounts of how safety rules are enacted or infringed while living and working in the field in a transshipment port. Data obtained through organisational shadowing provided secondary data. Interview data were analyzed using content analysis, using a CHAT framework. Constant comparison and theoretical sensitivity were pursued through an iterative analysis process. Findings – This study documented the critical role the workers’ knowledge played in practice in ensuring the efficient functioning of the port, and evidenced that the disconnect between safety procedures and technical productivity standards is the most important factor determining the erratic compliance with prescribed procedures. The selective application of safety norms was deliberate in nature, collectively shared and culturally regulated. Research limitations/implications – This contribution fails to address probably the most important aspect of the activity theoretical approach: its developmental orientation. The initial analysis intervention was meant to lead to a longitudinal process of expansive learning and development in the activity system. The authors had planned to initiate a cycle of expansive learning laboratories involving representatives of the dockworkers, the port management and the safety certification firm, but this had to be postponed to an undefined time due to the significant changes occurred in the international maritime cargo industry and the decision of the multinational company who owns the transshipment port to cut down its cargo traffic and privilege other ports in the Mediterranean area. Practical implications – The practical implications of the case study concern the conception and design of safety training and management for the port organisation. By acknowledging the disconnect between espoused safety routines and the constraints and affordances of the workers’ everyday work practice, it is suggested that safety training could be more effective if it engaged the workers (or first-level supervisors) in the fine tuning of safety regulations. Workplace learning opportunities could enable the workers to learn and construct situated safety practices. Social implications – This paper seeks to highlight how the consideration of local knowledge and context-dependent practices can achieve better comprehension of situated application of safety norms. Originality/value – The paper contributes to understanding the complexity of enacting and translating safety procedures into everyday work practices.

ACS Style

Silvio Carlo Ripamonti; Giuseppe Scaratti. Safety learning, organizational contradictions and the dynamics of safety practice. Journal of Workplace Learning 2015, 27, 530 -560.

AMA Style

Silvio Carlo Ripamonti, Giuseppe Scaratti. Safety learning, organizational contradictions and the dynamics of safety practice. Journal of Workplace Learning. 2015; 27 (7):530-560.

Chicago/Turabian Style

Silvio Carlo Ripamonti; Giuseppe Scaratti. 2015. "Safety learning, organizational contradictions and the dynamics of safety practice." Journal of Workplace Learning 27, no. 7: 530-560.