Exploring transformative engagement of managers, clinical staff and patients

Policy directives and the new NHS constitution require managers and leaders to adopt strategies that motivate and encourage teams to work collaboratively with staff and patients. These innovative ways of working are seen as a means of improving the quality and coordination of patient care, thus impacting on the patients’ experience. Despite this focus, the evidence of what constitutes and therefore what can deliver effective collaboration between managers, staff and patients is sparse. This study identifies a conceptual model of effective management strategies and behaviours that will assist in achieving partnership and collaborative working. This research is based in the real world which is complex and uncertain. The study uses an explorative framework and gains insight from a number of different perspectives. The methodological approach is a qualitative case study. Data was collected from an NHS Trust based in Wales and a District Health Board in New Zealand. Data was collected through document analysis and semi-structured interviews. The findings support a move from a managerialist approach (where managers are target driven, transactional and administer activity) to a more reflexive, egalitarian, transformational approach that can be adapted to cope with complex environments and function successfully in the zone of chaos (where problems are ill defined and messy). The ability of a middle manager to interpret context and operate a balanced approach would appear to be key to navigating a constantly changing and negotiated environment. This study supports adoption of a servant leadership model and proposes guidance for middle managers undertaking change. The guidance proposed is a move away from the dominant doctrine of managerialism and describes the principles for working collaboratively with front-line staff in the NHS and the New Zealand health system

Quantum-Noise Power Spectrum of Fields with Discrete Classical Components

We present an algorithmic approach to calculate the quantum-noise spectral density of photocurrents generated by optical fields with arbitrary discrete classical spectrum in coherent or squeezed states. The measurement scheme may include an arbitrary number of demodulations of the photocurrent. Thereby, our method is applicable to the general heterodyne detection scheme which is implemented in many experiments. For some of these experiments, e.g. in laser-interferometric gravitational-wave detectors, a reliable prediction of the quantum noise of fields in coherent and squeezed states plays a decisive role in the design phase and detector characterization. Still, our investigation is limited in two ways. First, we only consider coherent and squeezed states of the field and second, we demand that the photocurrent depends linearly on the field's vacuum amplitudes which means that at least one of the classical components is comparatively strong.Comment: 8 pages, 2 figure

Hybrid upper surface blown flap propulsive-lift concept for the quiet short-haul research aircraft

The hybrid upper surface blowing concept consists of wing-mounted turbofan engines with a major portion of the fan exhaust directed over the wing upper surface to provide high levels of propulsive lift, but with a portion of the fan airflow directed over selected portions of the airframe to provide boundary layer control. NASA-sponsored preliminary design studies identified the hybrid upper surface blowing concept as the best propulsive lift concept to be applied to the Quiet Short-Haul Research Aircraft (QSRA) that is planned as a flight facility to conduct flight research at low noise levels high approach lift coefficients, and steep approaches. Data from NASA in-house and NASA-sponsored small and large-scale wind tunnel tests of various configurations using this concept are presented

Teleportation using coupled oscillator states

We analyse the fidelity of teleportation protocols, as a function of resource entanglement, for three kinds of two mode oscillator states: states with fixed total photon number, number states entangled at a beam splitter, and the two-mode squeezed vacuum state. We define corresponding teleportation protocols for each case including phase noise to model degraded entanglement of each resource.Comment: 21 pages REVTeX, manuscript format, 7 figures postscript, many changes to pape

New Zealand regions, 1986-2001: Industries and occupations

This paper provides an analysis which examines the differences in the industrial and occupational structure of New Zealand regions. Using data compiled by Statistics New Zealand from Goods and Services Tax (GST) registrations supplied by the Inland Revenue Department, it also looks at business size trends. The analysis in this paper points to a distinct change in the characteristics of the New Zealand labour force, a shift to a “More Highly Skilled Tertiary” sector. This paper shows that these changes did not occur uniformly across New Zealand regions. Instead, skills typical of the “new economy” or the “knowledge society” are concentrated in Auckland and Wellington, and to a lesser degree Canterbury. This trend has seen regional patterns of work diverge more and more

New Zealand regions, 1986-2001: Population geography

This paper is primarily concerned with the spatial aspects of population, namely with: (i) patterns of settlement (urban, rural) and attendant population size variations by region, (ii) changes over time between rural and urban areas at a Regional Council level, (iii) and between regions in New Zealand. It is important to look at this because many trends in human capital, social equity, families and health that are seen at a regional level may be gaps between more urbanised and more isolated areas. There are, in fact, significant differences in levels of urbanisation between regions and these have major implications for policy

An overview of the quiet short-haul research aircraft program

An overview of the Quiet Short Haul Research Aircraft (QSRA) Program is presented, with special emphasis on its propulsion and acoustic aspects. A description of the NASA technical participation in the program including wind tunnel testing, engine ground tests, and advanced aircraft simulation is given. The aircraft and its systems are described and, measured performance, where available, is compared to program goals. Preliminary data indicate that additional research and development are needed in some areas of which acoustics is an example. Some of these additional research areas and potential experiments using the QSRA to develop the technology are discussed. The concept of the QSRA as a national flight research facility is explained

Quiet propulsive lift for commuter airlines

The performance of STOL or RTOL aircraft and NASA's research program to provide options for future design and certification of quiet propulsive-life transports is described

New Zealand regions, 1986-2001: Household and families, and their dwellings

Household structures and patterns of home ownership can have important implications for the wellbeing of populations. This paper explores regional differences in Household Structure and Home ownership for the period 1986 to 2001. Over this period there have been some major changes in the distribution of different household structures with a move away from the Two-parent household to other household types, such as Couple Only and Single-person households. Over the same period rates of home ownership have dropped. This paper shows that the patterns and trends for household structures and dwelling tenure vary significantly between regions. This reflects both overall national trends and inequalities between regions