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Tourism is capable of distributing wealth and participating substantially in the economic development of many countries. However, to ensure these benefits, the planning, management, and monitoring of a sustainable offer become crucial. Despite the increasingly widespread attention to sustainability in this sector, however, the concept of sustainable tourism still appears fragmented and fuzzy. The theoretical frameworks used in many studies often reduce sustainability to its environmental or social aspects and consider such pillars as separate issues. Furthermore, although most studies acknowledge that a potentially wide number of stakeholders play a role in sustainable tourism production, they have so far focused on host communities, tourism producers, or tourists themselves independently. Fewer explorations have addressed simultaneously different stakeholders, their perceptions of sustainable tourism experience, and the various concerns and tensions that may arise. This study aims to investigate sustainability issues in tourism by considering the voices of two relevant stakeholders involved in “co-producing” the tourism experience: tourists and tour operators. Based on a qualitative study conducted in Italy, the article critically discusses how travelers and tour operators craft the sustainability idea, the implicit assumptions that rely on their different perspectives, and their practical implications. The results highlight four different narratives on sustainable tourism, which are related to different assumptions on sustainability and actions legitimated to generate sustainable value. Finally, the article offers insights into how to develop a more holistic and critical approach to sustainable tourism through education and communication.
Laura Galuppo; Paolo Anselmi; Ilaria De Paoli. The Challenge of Generating Sustainable Value: Narratives About Sustainability in the Italian Tourism Sector. Frontiers in Psychology 2020, 11, 1 .
AMA StyleLaura Galuppo, Paolo Anselmi, Ilaria De Paoli. The Challenge of Generating Sustainable Value: Narratives About Sustainability in the Italian Tourism Sector. Frontiers in Psychology. 2020; 11 ():1.
Chicago/Turabian StyleLaura Galuppo; Paolo Anselmi; Ilaria De Paoli. 2020. "The Challenge of Generating Sustainable Value: Narratives About Sustainability in the Italian Tourism Sector." Frontiers in Psychology 11, no. : 1.
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.
Laura Galuppo; Anu Kajamaa; Silvia Ivaldi; Giuseppe Scaratti. Translating Sustainability into Action: A Management Challenge in FabLabs. Sustainability 2019, 11, 1676 .
AMA StyleLaura Galuppo, Anu Kajamaa, Silvia Ivaldi, Giuseppe Scaratti. Translating Sustainability into Action: A Management Challenge in FabLabs. Sustainability. 2019; 11 (6):1676.
Chicago/Turabian StyleLaura Galuppo; Anu Kajamaa; Silvia Ivaldi; Giuseppe Scaratti. 2019. "Translating Sustainability into Action: A Management Challenge in FabLabs." Sustainability 11, no. 6: 1676.
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.
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 StyleSilvio 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 StyleSilvio 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.
The SAGE Handbook of Qualitative Business and Management Research Methods provides a state-of - the art overview of qualitative research methods in the busin
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 StyleGiuseppe 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 StyleGiuseppe 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.
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.
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 StyleElisa 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 StyleElisa 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.
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.
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 StyleGiuseppe 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 StyleGiuseppe 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.
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.
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 StyleMara 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 StyleMara Gorli; Elisa G. Liberati; Laura Galuppo; Giuseppe Scaratti. 2017. "The Patient Centered Organizational Model in Italian Hospitals." Healthcare Ethics and Training , no. : 290-308.
Nowadays, managing change in complex services requires that middle management re-designs its objects and professional practices, in order to cope with new needs. It seems therefore crucial to activate training settings that allow managers to: (1) develop research and analytical skills on their own work practices and professional objects; (2) face and manage conflict, related to every change, that represents an opportunity to reflect and review one's own practices; and (3) build new and shared repertories of managerial practices, able to support a better form of living and working together within the management community. Moving from these hypotheses, inside the setting of a training intervention conducted in an educational service, the article discusses a specific tool used to generate opportunity of exchange, and reflection, within a challenging framework of change.
Mara Gorli; Silvio Carlo Ripamonti; Laura Galuppo. Change and Management of Complex Services: The Ethno-narrative Form to Support Good Living and Working Together. World Futures 2016, 72, 284 -303.
AMA StyleMara Gorli, Silvio Carlo Ripamonti, Laura Galuppo. Change and Management of Complex Services: The Ethno-narrative Form to Support Good Living and Working Together. World Futures. 2016; 72 (5-6):284-303.
Chicago/Turabian StyleMara Gorli; Silvio Carlo Ripamonti; Laura Galuppo. 2016. "Change and Management of Complex Services: The Ethno-narrative Form to Support Good Living and Working Together." World Futures 72, no. 5-6: 284-303.
Purpose The purpose of this study is to introduce the Human Resources (HR) module of the SAP suite in the Italian branch of a leading multinational pharmaceutical company. This study can be re-conducted within the interpretive tradition of information technology studies focusing on the attempt to understand and describe how software users in the HR department interpreted the enterprise resource planning (ERP) technology, how they changed their work practices and the changes that occurred in organizational discourses and meanings alongside the process. Design/methodology/approach The case study/intervention took start with the impulse of the Italian HR department manager, who was struck by the way that the ERP system technology implementation was affecting work life of the employees in the department. This research/intervention used interviews, focus groups and internal documents as sources of data. The authors conducted and analyzed 20 narrative interviews and 3 focus groups with middle managers, and they analyzed about 120 pages of internal memos. Findings The implementation of ERP systems is almost invariably accompanied by great expectations of increased process rationalization, efficiency and cost-effectiveness, and upper managers’ discourses make large use of what Engeström et al., 2010 have called process efficiency rhetoric. But the ERP technology, most likely, will neither revolutionize management nor will it become a “complete calculation machine” that runs an entire work organization (Quattrone and Hopper, 2005, p. 731). Originality/value The implementation of the ERP system has caused conflicts and disturbances, aggravating contradictions that already existed between activity systems and introducing new types of contradictions. Pre-existent contradictions become clearer; there is a stronger interconnection between activity systems. The individual agents could experiment an expansion in their activities if only they will initiate a movement of expansive learning and if they are not prevented from doing so by coercive control. The natural expansion of the subjects’ scope of activity and horizons of possibilities could be sustained by the ERP technology if it is not used as a tool for domination and if the upper management does not try and separate what cannot in actuality be separated: The actors’ capabilities of improvised learning, which makes the institution of a new mode of the activity possible, and their capacity to assume collective control of the meaning and direction of the transformation of the activity. ERPs are technologies that can naturally bring transformations in the activity system and networks where they are introduced, but in some cases, they can easily and in a non reflective manner be intended as tools for oppression by the upper management.
Silvio Carlo Ripamonti; Laura Galuppo. Work transformation following the implementation of an ERP system. Journal of Workplace Learning 2016, 28, 206 -223.
AMA StyleSilvio Carlo Ripamonti, Laura Galuppo. Work transformation following the implementation of an ERP system. Journal of Workplace Learning. 2016; 28 (4):206-223.
Chicago/Turabian StyleSilvio Carlo Ripamonti; Laura Galuppo. 2016. "Work transformation following the implementation of an ERP system." Journal of Workplace Learning 28, no. 4: 206-223.
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.
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 StyleMara 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 StyleMara 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.
Managers today increasingly find themselves facing unexpected problems, needing to learn how to cope with complex environments and to take action in an often chaotic flow of events. This article discusses how researchers can engage managers in a form of dialogical action research, capable of nurturing knowledge and change. This is achieved by creating space for collaborative dialogue between managers and researchers, and supplementing it with the integration of a reflexive writing practice. We first present methodological reflections related to the challenges of sustaining management practice through action research. Second, we explicate dialogical action research and illustrate the reflexive writing practice through two vignettes which provide opportunities to reflexively explore “how things work” in managers’ organizational contexts. This forms the basis for sustaining participation and learning at individual and collective levels. Finally, we identify and discuss the specific conditions and limits of such an approach.
Silvio Ripamonti; Laura Galuppo; Mara Gorli; Giuseppe Scaratti; Ann L. Cunliffe. Pushing Action Research Toward Reflexive Practice. Journal of Management Inquiry 2015, 25, 55 -68.
AMA StyleSilvio Ripamonti, Laura Galuppo, Mara Gorli, Giuseppe Scaratti, Ann L. Cunliffe. Pushing Action Research Toward Reflexive Practice. Journal of Management Inquiry. 2015; 25 (1):55-68.
Chicago/Turabian StyleSilvio Ripamonti; Laura Galuppo; Mara Gorli; Giuseppe Scaratti; Ann L. Cunliffe. 2015. "Pushing Action Research Toward Reflexive Practice." Journal of Management Inquiry 25, no. 1: 55-68.
Patient centered care (PCC) is an essential dimension of healthcare systems' mission worldwide and is recognized as an important condition for ensuring the quality of care. Nonetheless, it is also acknowledged that various care providers perceive patient centeredness differently and that there remain several unanswered questions about the aspects of healthcare delivery that are linked to an actual achievement of PCC. In the paper, we categorize the current research on PCC into two streams ("dyadic" and "organizational") and we discuss the strengths and weaknesses of each. Despite their important contributions to healthcare services research, these approaches to PCC do not fully capture the network of practices and relationships constituting patients and providers' experiences within healthcare contexts. Therefore, we propose an alternative interpretation of PCC that integrates insights from "practice theories" and emphasizes the negotiated and local nature of patient centeredness, which is accomplished through the engagement of providers and patients in everyday care practices. To develop such interpretation, we propose a research approach combining ethnographic and reflexive methods. Ethnography can help achieve more nuanced descriptions of what PCC truly encapsulates in the care process by drawing attention to the social and material reality of healthcare contexts. Reflexivity can help disentangle and bring to surface the tacit knowledge spread in everyday care practices and transform it into actionable knowledge, a type of knowledge that may support services improvement toward PCC. We anticipate that such improvement is far from straightforward: an actual achievement of PCC may challenge the interests of different stakeholders and unsettle consolidated habits, hierarchies and power dynamics. This unsettlement, however, can also serve as a necessary condition for engaging in a participative process of internal development. We discuss the outcomes, limitations and benefits of our approach through a hospital case study.
Elisa Giulia Liberati; Mara Gorli; Lorenzo Moja; Laura Galuppo; Silvio Ripamonti; Giuseppe Scaratti. Exploring the practice of patient centered care: The role of ethnography and reflexivity. Social Science & Medicine 2015, 133, 45 -52.
AMA StyleElisa Giulia Liberati, Mara Gorli, Lorenzo Moja, Laura Galuppo, Silvio Ripamonti, Giuseppe Scaratti. Exploring the practice of patient centered care: The role of ethnography and reflexivity. Social Science & Medicine. 2015; 133 ():45-52.
Chicago/Turabian StyleElisa Giulia Liberati; Mara Gorli; Lorenzo Moja; Laura Galuppo; Silvio Ripamonti; Giuseppe Scaratti. 2015. "Exploring the practice of patient centered care: The role of ethnography and reflexivity." Social Science & Medicine 133, no. : 45-52.
Mara Gorli; Laura Galuppo; Elisa Giulia Liberati. Hospital Innovations in the Light of Patient Engagement. Insights from the Organizational Field. Patient Engagement A Consumer-Centered Model to Innovate Healthcare 2015, 1 .
AMA StyleMara Gorli, Laura Galuppo, Elisa Giulia Liberati. Hospital Innovations in the Light of Patient Engagement. Insights from the Organizational Field. Patient Engagement A Consumer-Centered Model to Innovate Healthcare. 2015; ():1.
Chicago/Turabian StyleMara Gorli; Laura Galuppo; Elisa Giulia Liberati. 2015. "Hospital Innovations in the Light of Patient Engagement. Insights from the Organizational Field." Patient Engagement A Consumer-Centered Model to Innovate Healthcare , no. : 1.
Computerized Decision Support Systems (CDSSs) connect health care professionals with high-quality, evidence-based information at the point-of-care to guide clinical decision-making. Current research shows the potential of CDSSs to improve the efficiency and quality of patient care. The mere provision of the technology, however, does not guarantee its uptake. This qualitative study aims to explore the barriers and facilitators to the use of CDSSs as identified by health providers.The study was performed in three Italian hospitals, each characterized by a different level of familiarity with the CDSS technology. We interviewed frontline physicians, nurses, information technology staff, and members of the hospital board of directors (n=24). A grounded theory approach informed our sampling criteria as well as the data collection and analysis.The adoption of CDSSs by health care professionals can be represented as a process that consists of six "positionings," each corresponding to an individual's use and perceived mastery of the technology. In conditions of low mastery, the CDSS is perceived as an object of threat, an unfamiliar tool that is difficult to control. On the other hand, individuals in conditions of high mastery view the CDSS as a helpful tool that can be locally adapted and integrated with clinicians' competences to fulfil their needs. In the first positionings, the uptake of CDSSs is hindered by representational obstacles. The last positionings, alternatively, featured technical obstacles to CDSS uptake.Our model of CDSS adoption can guide hospital administrators interested in the future integration of CDSSs to evaluate their organizational contexts, identify potential challenges to the implementation of the technology, and develop an effective strategy to address them. Our findings also allow reflections concerning the misalignment between most Italian hospitals and the current innovation trends toward the uptake of computerized decision support technologies.
Elisa Giulia Liberati; Laura Galuppo; Mara Gorli; Marco Maraldi; Francesca Ruggiero; Matteo Capobussi; Rita Banzi; Koren Kwag; Giuseppe Scaratti; Oriana Nanni; Pietro Ruggieri; Hernan Polo Friz; Claudio Cimminiello; Marco Bosio; Massimo Mangia; Lorenzo Moja. Barriere e facilitatori all’implementazione dei sistemi di supporto decisionale computerizzati in ospedale: uno studio “grounded theory”. Recenti Prog Med 2015, 106, 180 -191.
AMA StyleElisa Giulia Liberati, Laura Galuppo, Mara Gorli, Marco Maraldi, Francesca Ruggiero, Matteo Capobussi, Rita Banzi, Koren Kwag, Giuseppe Scaratti, Oriana Nanni, Pietro Ruggieri, Hernan Polo Friz, Claudio Cimminiello, Marco Bosio, Massimo Mangia, Lorenzo Moja. Barriere e facilitatori all’implementazione dei sistemi di supporto decisionale computerizzati in ospedale: uno studio “grounded theory”. Recenti Prog Med. 2015; 106 (2015Aprile):180-191.
Chicago/Turabian StyleElisa Giulia Liberati; Laura Galuppo; Mara Gorli; Marco Maraldi; Francesca Ruggiero; Matteo Capobussi; Rita Banzi; Koren Kwag; Giuseppe Scaratti; Oriana Nanni; Pietro Ruggieri; Hernan Polo Friz; Claudio Cimminiello; Marco Bosio; Massimo Mangia; Lorenzo Moja. 2015. "Barriere e facilitatori all’implementazione dei sistemi di supporto decisionale computerizzati in ospedale: uno studio “grounded theory”." Recenti Prog Med 106, no. 2015Aprile: 180-191.
Purpose – The aim of the paper is to investigate social sustainability by focussing on the stakeholder theory and by presenting specific levers and capabilities for building more socially sustainable organizations. Design/methodology/approach – The paper is based on the analysis of recent academic and managerial literature. Through comparing theoretical and methodological perspectives from multiple authors, a specific theoretical and methodological viewpoint based on the stakeholder theory is proposed. Findings – The paper discusses the idea that building socially sustainable organisations requires the management of multi-stakeholder processes that are physiologically conflicting and that often create paradoxical tensions. Participative settings of action and reflection and capabilities as reflexivity and “paradoxical thinking” are proposed as key levers for dealing with multi-stakeholders processes towards a more socially sustainable organizing. Research limitations/implications – This paper raises reflections focussed on the “social pillar” of sustainability and does not consider different types of organizations in different multi-stakeholders processes. Such a perspective does not exhaust the variety of cases and research studies that could be considered in the field and further developed. Originality/value – The value of the paper is in its construction of a framework for both research and practical purposes in the domain of management and sustainability. The work also attempts to link the concepts of reflexivity and paradox to a methodological proposal for leading the organizational journey towards social sustainability.
Laura Galuppo; Mara Gorli; Giuseppe Scaratti; Cesare Luigi Kaneklin. Building social sustainability: multi-stakeholder processes and conflict management. Social Responsibility Journal 2014, 10, 685 -701.
AMA StyleLaura Galuppo, Mara Gorli, Giuseppe Scaratti, Cesare Luigi Kaneklin. Building social sustainability: multi-stakeholder processes and conflict management. Social Responsibility Journal. 2014; 10 (4):685-701.
Chicago/Turabian StyleLaura Galuppo; Mara Gorli; Giuseppe Scaratti; Cesare Luigi Kaneklin. 2014. "Building social sustainability: multi-stakeholder processes and conflict management." Social Responsibility Journal 10, no. 4: 685-701.
Computerized clinical decision support systems (CDSSs) have been shown to improve the efficiency and quality of patient care by connecting healthcare professionals with high quality, evidence-based information at the point-of-care. The mere provision of CDSSs, however, does not guarantee their uptake. Rather, individual and institutional perceptions can foster or inhibit the integration of CDSSs into routine clinical workflow. Current studies exploring health professionals’ perceptions of CDSSs focus primarily on technical and usability issues, overlooking the social or cultural variables as well as broader administrative or organizational roles that may influence CDSS adoption. Moreover, there is a lack of data on the evolution of perceived barriers or facilitators to CDSS uptake across different stages of implementation. We will conduct a qualitative, cross-sectional study in three Italian specialty hospitals involving frontline physicians, nurses, information technology staff, and members of the hospital board of directors. We will use semi-structured interviews following the Grounded Theory framework, progressively recruiting participants until no new information is gained from the interviews. CDSSs are likely to become an integral and diffuse part of clinical practice. Various factors must be considered when planning their introduction in healthcare settings. The findings of this study will guide the development of strategies to facilitate the successful integration of CDSSs into the regular clinical workflow. The evaluation of diverse health professionals across multiple hospital settings in different stages of CDSS uptake will better capture the complexity of roles and contextual factors affecting CDSS uptake.
Lorenzo Moja; Elisa Giulia Liberati; Laura Galuppo; Mara Gorli; Marco Maraldi; Oriana Nanni; Giulio Rigon; Pietro Ruggieri; Francesca Ruggiero; Giuseppe Scaratti; Alberto Vaona; Koren Hyogene Kwag. Barriers and facilitators to the uptake of computerized clinical decision support systems in specialty hospitals: protocol for a qualitative cross-sectional study. Implementation Science 2014, 9, 1 -6.
AMA StyleLorenzo Moja, Elisa Giulia Liberati, Laura Galuppo, Mara Gorli, Marco Maraldi, Oriana Nanni, Giulio Rigon, Pietro Ruggieri, Francesca Ruggiero, Giuseppe Scaratti, Alberto Vaona, Koren Hyogene Kwag. Barriers and facilitators to the uptake of computerized clinical decision support systems in specialty hospitals: protocol for a qualitative cross-sectional study. Implementation Science. 2014; 9 (1):1-6.
Chicago/Turabian StyleLorenzo Moja; Elisa Giulia Liberati; Laura Galuppo; Mara Gorli; Marco Maraldi; Oriana Nanni; Giulio Rigon; Pietro Ruggieri; Francesca Ruggiero; Giuseppe Scaratti; Alberto Vaona; Koren Hyogene Kwag. 2014. "Barriers and facilitators to the uptake of computerized clinical decision support systems in specialty hospitals: protocol for a qualitative cross-sectional study." Implementation Science 9, no. 1: 1-6.
Reflexivity is a primary requirement for professional work. Our aim was to describe a methodology suitable for detecting the development of reflexive practice through the analysis of 59 Master’s degree students’ journals. We explore the use and changes of reflexive practice in relation to the settings and activities of the course using analysis of the mental language: We analyse how the reflexive practice is characterized, how it evolves through time and how it can be promoted. Data analysis shows that reflexivity is not monodimensional but multidimensional. Reflexive practice increases during the course: The different dimensions vary over time according to different organizational and educational conditions. This methodology allows us to formulate new hypotheses about which elements of the setting and process are effective in supporting participants’ reflexive practice.
Andreina Bruno; Laura Galuppo; Silvia Gilardi. Evaluating the reflexive practices in a learning experience. European Journal of Psychology of Education 2011, 26, 527 -543.
AMA StyleAndreina Bruno, Laura Galuppo, Silvia Gilardi. Evaluating the reflexive practices in a learning experience. European Journal of Psychology of Education. 2011; 26 (4):527-543.
Chicago/Turabian StyleAndreina Bruno; Laura Galuppo; Silvia Gilardi. 2011. "Evaluating the reflexive practices in a learning experience." European Journal of Psychology of Education 26, no. 4: 527-543.
This article explores the importance of power and dissymmetry in promoting participative knowledge and change in action research. Based on the analysis of two action research cases, the paper builds its argument by analyzing two key aspects: the construction of the action research setting and its maintenance during the process. It does so by highlighting the decisions assumed with respect to the relationship between researchers and participants and with respect to power issues. The findings indicate that promoting a functional dissymmetry in internal relationships allows distribution of the necessary types of power that make the participants use their authority and knowledge to invest in change. Thus, the distributed leadership is essential every time an organization needs to create a realistic and workable change of roles and responsibilities inside its boundaries. The article discusses some key factors in employing dissymmetry for sustained learning and knowledge-sharing.
Laura Galuppo; Mara Gorli; Silvio Ripamonti. Playing Dissymmetry in Action Research: The Role of Power and Differences in Promoting Participative Knowledge and Change. Systemic Practice and Action Research 2010, 24, 147 -164.
AMA StyleLaura Galuppo, Mara Gorli, Silvio Ripamonti. Playing Dissymmetry in Action Research: The Role of Power and Differences in Promoting Participative Knowledge and Change. Systemic Practice and Action Research. 2010; 24 (2):147-164.
Chicago/Turabian StyleLaura Galuppo; Mara Gorli; Silvio Ripamonti. 2010. "Playing Dissymmetry in Action Research: The Role of Power and Differences in Promoting Participative Knowledge and Change." Systemic Practice and Action Research 24, no. 2: 147-164.