11 research outputs found

    "It's just a clash of cultures":emotional talk within medical students' narratives of professionalism dilemmas

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    Recent investigations into the UK National Health Service revealed doctors’ failures to act with compassion and professionalism towards patients. The British media asked questions about what happens to students during their learning that influences such behaviour as doctors. We listened to 200 medical students’ narratives of professionalism dilemmas during workplace learning (n = 833) to understand the range of dilemmas experienced and emotional reactions to them. 32 group and 22 individual interviews were held across three medical schools (England, Wales, Australia). Data were analysed thematically (Framework Analysis), for negative emotional content (Linguistic Inquiry and Word Count) and a narrative analysis of one exemplar narrative was also conducted. While a wider range of professionalism dilemmas than previously identified were found, most were classified to five main sub-themes. Within these sub-themes, clinical students’ narratives contained more negative emotion words than pre-clinical students’ narratives (p = 0.046, r = −0.36). Narratives of ‘patient safety and dignity breaches by students’ contained fewer anger words (p = 0.003, r = −0.51), ‘patient safety and dignity breaches by healthcare professionals’ contained more anger words (p = 0.042, r = −0.37), ‘identity’ narratives contained fewer anxiety words (p = 0.034, r = 0.38), and ‘abuse’ narratives contained more sadness words (p = 0.013, r = −0.47). The narrative analysis revealed a complex interplay between identities, attribution of blame, narrated emotions and emotional residue. Analysing emotional talk within narratives suggests that medical students sometimes struggle with contradictory formal and informal learning experiences around professionalism arising from a cultural clash. We provide educational recommendations to facilitate students’ coping with their emotional reactions to professionalism dilemmas and to facilitate cultural change

    Financial Independence as an Alternative to Work

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    Paid work, in some form, is traditionally viewed as being a necessity, both to support one’s livelihood and to save for retirement; however, people's increasing disillusionment with employment has led some individuals to search for alternative ways to live. The twenty-one Australians in this exploratory, qualitative study were all seeking, or had achieved, financial independence. This is a lifestyle alternative that provides economic freedom from work, without necessitating a reduction in preferred living standards. To the best of our knowledge, this is the first social research into the lived experiences, beliefs and meanings surrounding financial independence, and offers significant and critical insights into the usual expectations that surround paid work; in particular, routine expectations that continuing paid work until one’s senior years is, and should be, an economic necessity

    Breaking Silos: A Field Experiment on Relational Conflict Management in Cross-Functional Teams

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    In this paper we investigate how effective conflict management in conflict asymmetry situations impacts the quality of cross-functional management teams' performance. During a 5-day business simulation, we explore the consequences of the relational conflicts and conflict asymmetry experienced by team members. We use two different measures of conflict asymmetry: the traditional group conflict asymmetry measurement of Jehn (Adm Sci Q 40: 256-282, 1995) and a social networks method. We find that when some team members evoke more conflict than others, this affects the evolution of team dynamics (and ultimately the performance of the team) even more than high levels of conflict altogether; however, group emotional awareness can mitigate this negative effect and improve the team performance through the appropriate use of conflict management strategies. Since group emotional awareness can be fostered and trained within teams, this is of practical value to improve the performance of cross-functional management teams
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