The myth of patient centrality

Purpose: The purpose of this paper is to critically examine the extent of patient centrality within integrated chronic back pain management services and compare policy rhetoric with practice reality. Context: Integrated chronic back pain management services. Data sources: We have drawn on theories of integration and context specific journals related to integration and pain management between 1966 and 2006 to identify evidence of patient centrality within integrated chronic pain management services. Discussions: Despite policy rhetoric and guidelines which promote patient centrality within multidisciplinary services, we argue that evaluations of these services are scant. Many papers have focused on the assessment of pain in multidisciplinary services as opposed to the patient’s experience of these services. Conclusions: A latent measure of the reality of its magnitude needs to be captured through analysis of the patient perspectives. Capturing patient’s thoughts about integrated services will promote patient centrality and support the reality rather than endorse the rhetoric

The role of philosophical context in the development of theory: Towards methodological pluralism

The research strategy dictates the major direction of the research and constitutes one of the important decisions made by the researcher. However, researchers? understanding on theory at the outset of the research guides the design of the research. The paper presents an overview of the involvement of theory within different research philosophies, approaches and methods. The relationship between data and theory is an issue that has been long debated. Moving from data to theory is commonly discussed in social constructionism with inductive approach and ideographic methods. However, within positivism philosophy with deductive approach and nomothetic methods, moving from theory to data is common. However, the growing concept of philosophical pluralism and methodological pluralism challenges the polarised views on philosophies and approaches, which suggests that methodologies are best used in complementary way

The electromagnetic environment in CFC structures

Extensive measurements of induced voltages and currents were made using a CFC (carbon fiber composites) horizontal stabilizer from the A320 as a test bed. The work was done to investigate the efficacy of various protection schemes to reduce the magnitudes of the induced voltages and validate a computer program INDCAL. Results indicate that a good understanding of the various induced voltage mechanisms including the long wave effect due to current redistribution was obtained

Knowledge management research within the built environment: Research methodological perspectives

As built environment is of major importance to all societies and economies, it is essential that the discipline advances as rapidly and rigorously as possible. Only by use of appropriate methodologies and methods of research, the body of knowledge for construction can be established and advanced with confidence. Research is always executed in context and it is vital to give careful consideration to the research methodology at the outset of the research. This paper discusses available research philosophies and methodologies, while highlighting the main facets of the arguments on their relative characteristics. Issues that need to be considered when selecting the most appropriate approach and research methods when undertaking research in built environment context are outlined. In highlighting above, the paper explains and justifies the selected research strategy for a performance oriented knowledge management research in built environment context. Social constructionism stance in terms of epistemological undertakings and idealistic approach under the ontological assumptions with value laden purposes are suggested together with the deployment of multiple exploratory case studies approach and triangulation techniques

Recognising the importance of "Tacit" skills of the construction worker in a knowledge environment

Construction knowledge workers and their tacit knowledge skills in particular are still considered to be relatively unexplored. Hence, proper understanding and management of this resource is of immense importance for better performance of the industry as a whole. The paper stresses the value of the knowledge worker and their tacit knowledge skills in construction and highlights the importance of skills, training and development of construction workers. Selecting right human resource policies and ensuring knowledge supportive culture are highlighted as two dimensions in construction knowledge worker development. This paper argues that this provides a valid basis to embrace the concept of knowledge worker and the importance of tacit knowledge skills at all levels within construction organisations

Managing the construction worker in a knowledge environment

Valuable human and knowledge resources will be wasted unless organisations make better use of these prime resources. Construction knowledge workers and their tacit knowledge in particular is still considered to be relatively unexplored and proper understanding and management of this resource is of immense importance for better organisational performance. The paper stresses the importance of knowledge worker and tacit knowledge in construction and examines the contribution towards the company performance. Two dimensions in construction knowledge worker management are highlighted. This provides a valid basis to embrace the concept of knowledge worker and a knowledge culture at all levels within construction organisations

Managing construction workers and their tacit knowledge in a knowledge environment: A conceptual framework

Within the construction industry, it is increasingly being acknowledged that knowledge management can bring about the much needed innovation and improved performance the industry requires. Nevertheless, sufficient attention is still to be received for the concept of the knowledge worker and their tacit knowledge within construction industry. Yet, proper understanding and management of this resource is of immense importance for the achievement of better organisational performance. Hence, this paper aims to devise a theoretical framework for managing construction knowledge worker and their tacit knowledge based on review and synthesis of literature. Paper stresses the importance of construction knowledge worker and tacit knowledge through review of literature and highlights prevailing gap due to lack of attention and recognition given to the tacit knowledge in the construction industry. Based on identified gap research aim, objectives and hypotheses are devised. As the specific research methodology, the social constructionism stance in terms of epistemological undertakings and idealistic approach under the ontological assumptions with value laden purposes are suggested. Further, it recommends the deployment of multiple exploratory case studies approach with triangulation techniques