Rules and resources: a structuration approach to understanding the coordination of childrens`s inpatient health care

Aim. This paper presents findings from a multi-method study exploring the process of care coordination in children's inpatient health care.

Background. Existing work on care coordination is typified by 'black-box' type studies that measure inputs to and outcomes of care coordination roles and practices, without addressing the process of coordination.

Method. Using questionnaires, interviews and observation to collect data in multiple sites in the United Kingdom and Denmark between 1999 and 2005, the study gathered the perceptions of staff and compared these with observed practice. Giddens' structuration theory was used to provide an analytical and explanatory framework.

Findings. Current care coordination practice is diverse and inconsistent. It involves a wide range of clinical and non-clinical staff, many of whom perceive a lack of clarity about who should perform specific coordination activities. Staff draw upon a wide range of different material and non-material resources in coordinating care, the use of which is governed by largely tacit and informal rules.

Conclusions. Care coordination can be usefully conceptualized as a 'structurated' process – one that is continually produced and reproduced by staff using rules and resources to 'instantiate' or bring about care coordination through action. Potentially negative implications of this are manifested in diversity and inconsistency in care coordination practice. However, positive aspects such as the opportunity this provides to tailor care to the needs of the individual patient can be realized.

'Skeleton budget', 'intranet', 'dole', and other strange Words: Bridging the cultural divide in a multicultural classroom

This paper examines the experiences of two academics who had been international students themselves and currently teaching in multicultural settings at tertiary level, with regards to the issues of the teacher using culture specific slang and idiom with otherwise keen and bright groups of students, in Australia. Using the research method of auto-ethnography, it examines and categorises the themes of issues most often faced by the staff members and students-such as the use of different vocabulary and keywords and the prior knowledge required of both the teacher and the students in reaching a shared understanding or inter-subjectivity. These will be discussed in terms of the various realities experienced by the students coming from a diversity of countries and cultures. The paper discusses how these challenges can be identified and addressed and how to prepare for future situations more effectively and in advance. They will be examined within the contexts of culturally responsive teaching, communication competence, the hidden curriculum, instructional scaffolding, understanding and being open to other cultures and acknowledgement of the richness and relevance of the multicultural students’ varied experiences and social realities, from the point of view of the academic discipline of communication studies.

All that is dark can become white: the rules of the game in Bend it Like Beckham

The “light” and uplifting film, Bend it Like Beckham (2002), is deconstructed to expose its passive ideologies that equate physical darkness with regressive cultural and social outlooks and practices. While Bend it Like Beckham constructs itself as a modern fairy tale of a girl achieving her dream of athletic opportunity and success (with a nice side-dish of romance), the film’s privileging of whiteness is both a cultural and a gendered norm that must be desired and achieved before that dream may come true.

The strength of strong ties : how women become supporters of Australian Rules Football

Two glaring omissions in the research on sports fans are on women fans and on how people become fans. In this paper we begin to address both of these issues by examining how women become fans of Australian rules football (AFL). From data generated in single-person and focus group interviews with women AFL supporters conducted in Victoria and NSW, we use their accounts to map-out four ways in which they became fans. We show that at the heart of each of these paths to fandom are the close ties that the women formed in their social networks – either as children through their kin, or later in life through others that entered their networks. Women become fans, we argue, because of the strong social ties that they have with people who are existing fans.