The Management of Wicked Problems in Health and Social Care: 1st Edition (Hardback) book cover

The Management of Wicked Problems in Health and Social Care

1st Edition

Edited by Will Thomas, Anneli Hujala, Sanna Laulainen, Robert McMurray

Routledge

254 pages

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Hardback: 9781138103627
pub: 2018-10-05
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Description

At a time of growing pressure on health and social care services, this book draws together contributions which highlight contemporary challenges for their management. Providing a range of contributions that draw on a Critical Management Studies perspective the book raises macro-level concerns with theory, demographics and economics on the one hand, as well as micro-level challenges of leadership, voice and engagement on the other. Rather than being an attempt to define the ‘wickedness’ of problems in this field, this book provides new insights designed to be of interest and value to researchers, students and managers.

Contributions from international researchers explore four main topics:

    • identifying contemporary challenges in health and social care;
    • managing, leading and following;

    • listening to silent voices in delivering change; and
    • new methodologies for understanding care challenges.

The concerns discussed in this volume are ‘wicked’ in so far as they are persistent, pernicious and beyond the curative abilities of any single organisation or profession. Such problems require collaboration but also new approaches to listening to those who suffer their effects. This book demonstrates such listening through its engagement with policy makers, leaders, followers, professions, patients, forgotten groups and silenced voices. Moreover, it considers how future research might be transformed so as to shine a more inclusive light on ‘wicked’ problems and their amelioration. This is a timely and engaging book that challenges you – the reader – to think again about how we should look at, engage with and support all those involved in health and social care.

Table of Contents

List of Contributors

Acknowledgments

Editors’ Introduction

SECTION 1 Contemporary Wicked Challenges to Health and Social Care

1 The Concept of Wicked Problems : Improving the Understanding of Managing Problem Wickedness in Health and Social Care

HARRI RAISIO , ALISA PUUSTINEN AND PIRKKO VARTIAINEN

2 The Politics of Care : Wicked Concerns Constituent in Care Reforms

WILL THOMAS AND SUSAN HOLLINRAKE

3 Personalization of Care : A Wicked Problem or a Wicked Solution?

JANET CARTER ANAND , GAVIN DAVIDSON , BERNI KELLY AND GERALDINE MACDONALD

SECTION 2 Managing, Leading and Following

4 The Wicked Problem of Leadership in the NHS

GAURISH CHAWLA AND MARK LEARMONTH

5 Lofty Ideals and Lowly Troubles Among Nursing Home Managers

MONICA ANDERSSON BÄCK AND CHARLOTTA LEVAY

6 The Unnoticed Role of Employees in Ethical Leadership

MERJA SINKKONEN AND SANNA LAULAINEN

7 Destructive Leadership as a Wicked Problem in Health Care—Can We Blame the Leader Only?

MINNA HOFFRÉN AND SANNA LAULAINEN

8 Health Care Communication Technology and Its Promise of Patient Empowerment : Unpacking Patient Empowerment Through Patients’ Identity Constructions

LAURA VISSER , INGE BLEIJENBERGH , YVONNE BENSCHOP AND ALLARD VAN RIEL

SECTION 3 Silent Voice s: Making the Invisible Visible

9 Blame Culture in the National Health Service (NHS), UK

RUTH STRUDWICK

10 A Darker Side to Interorganizational Relations

KRISTINA BROWN

11 Defi cit Discourses and Aboriginal and Torres Strait Islander Disadvantage : A Wicked Problem in Australian Indigenous Policy?

ELIZABETH PYLE , DEANNA GRANT-SMITH AND ROBYN MAYES

12 Unpacking Dependency; Managing ‘Becoming’—Supporting the Experiences of Patients Living With Chronic Disease

WILL THOMAS

SECTION 4 Beyond Conventional Methodologies for Understanding Wicked Challenges

13 Improving Young People’s Mental Health? Understanding Ambivalence to Seeking Support Among Young Adults With Asperger Syndrome

EDMUND COLEMAN-FOUNTAIN AND BRYONY BERESFORD

14 Action Research in the Health and Social Care Settings. A Tool for Solving Wicked Problems?

MARTA STRUMI N SKA-KUTRA

15 Four Different Ways to View Wicked Problems

ANNELI HUJALA , SANNA LAULAINEN , ANDY BROOKES , MAARIT LAMMASSAARI AND TAMARA MULHERIN

16 The Promise of Visual Approaches in Organizational and Management Research

JARI MARTIKAINEN

Index

About the Editors

Will Thomas is an Associate Professor in the University of Suffolk Business School, UK

Anneli Hujala is a Senior Reseacher in the Department of Health and Social Management at the University of Eastern Finland

Sanna Laulainen is a Senior Lecturer in the Department of Health and Social Management at the University of Eastern Finland

Robert McMurray is Professor of Work and Organisation at The York Management School, UK

About the Series

Routledge Studies in Health Management

The health care sector is now of major significance, economically, scientifically and societally. In many countries, health care organizations are experiencing major pressures to change and restructure, while cost containment efforts have been accentuated by global economic crisis. Users are demanding higher service quality, and health care professions are experiencing significant reorganization whilst operating under increased demands from an ageing population.

Critically analytic, politically informed, discursive and theoretically grounded, rather than narrowly technical or positivistic, the series seeks to analyse current health care organizations. Reflecting the intense focus of policy and academic interest, it moves beyond the day to day debate to consider the broader implications of international organizational and management research and different theoretical framings.

The series welcomes proposals on the following themes:

  • What organization theories best shed light on current health care organizations?
  • How does organizational change take place in health care organizations?
  • How can novel health policy arenas (e.g. patient safety and quality) be conceptualised?
  • Which narratives of health care reforming become influential and why in the political and policy domains?
  • Who are the key actors in current health care reform? E.g. Rise of management consulting and think tanks.
  • ‘doing more with less’ in health care post the 2008 economic crisis; what is the assessment of policies and strategies adopted?
  • Why do countries vary in their experience of health care reform?
  • What are the key developments within the health care professions and their implications for health care management?
  • How important is the push from Science and Technology reshaping health care systems?
  • What are the broader social and organizational effects of new ICTs in health care settings?

Learn more…

Subject Categories

BISAC Subject Codes/Headings:
BUS000000
BUSINESS & ECONOMICS / General
BUS074000
BUSINESS & ECONOMICS / Nonprofit Organizations & Charities
BUS079000
BUSINESS & ECONOMICS / Government & Business