Foreword to the Symposium

This paper investigates a number of aspects of Piero Sraffa's early philosophical thinking by placing him within the historical materialist tradition of reasoning about the relation of ideas to the historical process. It first distinguishes Alfred Marshall's views about the historical development of ideas by addressing Marshall's responses to the criticisms of William Cunningham of the English Historical School. Marshall's concept of economics as a universal engine of discovery was rejected by Sraffa in his early writings. Sraffa's critique of Marshall is then argued to lead to two early philosophical commitments on Sraffa's part: that deductivist modes of explanation are inappropriate in economics and that economics aims to explain the underlying structures of causal interaction that had been the concern of the classical political economists. The paper closes with brief remarks on how Sraffa's later philosophical thinking might be approached.     

Clinical Governance, Performance Appraisal and Interactional and Procedural Fairness at a New Zealand Public Hospital

This paper explores the conduct of performance appraisals of nurses in a New Zealand hospital, and how fairness is perceived in such appraisals. In the health sector, performance appraisals of medical staff play a key role in implementing clinical governance, which, in turn, is critical to containing health care costs and ensuring quality patient care. Effective appraisals depend on employees perceiving their own appraisals to be fair both in terms of procedure and interaction with their respective appraiser. We examine qualitative data from interviews and focus groups, involving 22 nurses in a single department, to determine whether perceived injustices impact on the effective implementation of the appraisal system. Our results suggest that particular issues had been causing some sense of injustice, and most of these were procedural. Potential solutions focus on greater formalisation of the performance appraisal process, and more training for appraisers and appraisees.