Navigating and understanding organisational complexity in health services: The value of POSH-VRE
Navigating and understanding organisational complexity in health services: The value of POSH-VRE
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DOI：
10.1017/jmo.2019.82
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发表时间：
2020-05-01
影响因子：
3.3
通讯作者：
Hodgins, Michael
中科院分区：
文献类型：
--
作者：
Dadich, Ann;Collier, Aileen;Hodgins, Michael
这篇方法论文章介绍了医疗保健和视频反射民族志 (POSH-VRE) 领域积极的组织奖学金，作为一种方法来克服访问和参与组织进行研究的挑战。我们展示了 POSH-VRE 如何打开空间来导航和更好地理解组织复杂性并建设能力。组织复杂性表示系统中相互关联的组件。 POSH-VRE 在复杂的组织（例如医疗服务）中可能会有所帮助，因为它专注于积极的医疗保健实践和经验。我们通过一项关于出色的基于社区的姑息治疗的研究来举例说明这一点。通过现场笔记和视频记录，我们揭示了积极认可或庆祝的价值；摄像机；和礼貌，使我们适应不同的环境。 POSH-VRE 具有学术、方法和组织价值。它使研究人员能够应对组织的复杂性并与非学术专家共同构建研究结果。此外，它还可以鼓励非学术专家通过学习自己的能力来改进实践，以应对组织的复杂性。
This methodological article introduces positive organisational scholarship in healthcare and video reflexive ethnography (POSH-VRE) as a methodology to cut through the challenges of accessing and engaging organisations for research. We demonstrate how POSH-VRE can open space to navigate and better understand organisational complexity and build capacity. Organisational complexity denotes the interrelated components of a system. POSH-VRE can be helpful within complex organisations, such as health services, because it focuses on positive healthcare practices and experiences. We exemplify this with reference to a study on brilliant community-based palliative care. Using fieldnotes and video-recordings, we reveal the value of positive recognition - or celebration; video-cameras; and courtesy, whereby we adapted to different contexts. POSH-VRE can be of scholarly, methodological, and organisational value. It enables researchers to navigate organisational complexity and co-construct findings with nonacademic experts. Furthermore, it can encourage nonacademic experts to improve practice by learning from their own capacities to navigate organisational complexity.