Case studies in medical futility

Technology has provided means to sustain life and provide care regardless of whether the treatment is appropriate and compassionate given the condition of the patient. This study presents two case histories, compiled from historical patient charts, staff notes and observations, that illustrate the variety of ethical issues involved and the role culture plays in the decision making process related to possible futile medical treatment. Ethical and cultural issues related to the cases are discussed and processes are presented that can help hospitals to avoid, or decrease the level of, medically futile care, and improve the cultural appropriateness of medical care and relationships with patients.     

Managing the locals: employee relations in South Asian restaurants

This paper examines the management of employee relations in South Asian firms in the UK independent restaurant sector. Key working practices pertaining to the employment relationship are examined in a particular socio-economic and spatial context. Acknowledging such contexts facilitates an appreciation of how ethnicity and employment relations interact, rather than abstracting culture from the material context in which it operates. Consistent with this analytic focus, a mixed embeddedness perspective (Kloosterman et al. 1999) is adopted which recognizes the importance of both economic and social aspects of ethnic minority entrepreneurship. A qualitative methodology, drawing upon 23 case histories (involving both employer and employee perspectives) is deployed. The indications from this research suggest that the employment relationship is an outcome of the fluid interaction of social, economic and geographical contexts. This renders problematic both culturalist and purely economic approaches to ethnic minority entrepreneurship. Future research should carefully consider how the employment relationship is influenced by its embeddedness within specific communities.     

'Fun and surveillance': the paradox of high commitment management in call centres

Much of the research into telephone call centres has focused on the coercive employment systems which are adopted in these organizations. This appears to contrast with the high levels of customer service and satisfaction which are often required for them to be successful. Our research, which is based on two case studies of call centres studied in depth, challenges this 'satanic mills' image. We explore the ways in which both companies sought to balance the pressures in the product and labour markets and employee needs to develop strategies which combined elements of commitment and control. They developed sophisticated human resource practices, which resembled the high commitment management approach, while, at the same time, maintaining a highly controlled and measured work environment. Consequently, there was a greater alignment between their HR practices and control systems, the needs of employees and the high quality of interactions with customers expected. This suggests that high commitment practices are not automatically associated with extensive employee discretion, as has been argued in the manufacturing sector. HR practices of this kind can be used to offset some of the worst features of call centre working. These findings illustrate the variety of HR practices in call centres and suggest some possible reasons for this diversity.     

Britain’s Industrial Evolution: The Structuring Role of Economic Theory

We trace the coevolution of industrial organization and the ideas and policies that have influenced Britain’s industrial development from Alfred Marshall’s pioneering work on the English industrial districts to the present. Then, we examine four contemporary districts — in footwear, motorsport, sparkling wine, and cyber security — that are internationally competitive, despite decades of ill-informed policy choices, if not neglect. We also investigate the case of British elite sport as a high-performance industrial cluster with potentially transferrable institutional arrangements, particularly with regard to the nature and role of the strategic lead body and the state, as well as relationships within the system. We conclude that Marshall’s methodological and theoretical approach to understanding industrial organization — and his belief that industrial districts would coexist with other forms of industrial organization (rather than be superseded by them) — helps to explain the dynamism of contemporary British industrial districts, with important implications for Britain’s industrial revitalization.     

Management Research and the New Logics of Discovery and Engagement

This paper develops an argument that leads to a vision of management research as a form of design science. Such an approach to research requires an inversion of the relationship between rigour and relevance. Giving primacy to the pursuit of rigour, as tends to be the current norm, de-emphasizes the importance of relevance and leads to research that interests very few beyond the community of management scholars. We argue that we should re-imagine relevance as a necessary condition for rigour and that this will lead to new forms of engagement with theory and practice that have the potential to create a new science of management.     

Sustainable Development and the Consumer: Exploring the Role of Carbon Labelling in Retail Supply Chains

This empirical article contributes to the sustainable development debate by examining consumer responses to carbon labels within a real world context. Given the limitations of methodologies that use self‐reported or intended measures of purchasing behaviour, we use the loyalty card data of the largest supermarket retailer in the UK to measure the impact of carbon labels on sales by different consumer segments. The data show that the trial of carbon labels on supermarket own brand products has had no discernible impact on shifting demand to lower carbon products. In order to explore possible reasons for lack of impact, nine focus groups were held using purposive sampling by retailer consumer segments to allow an exploration of awareness, understanding and use of carbon labels. The findings from the focus groups identified possible reasons for this lack of impact: lack of awareness and understanding of carbon labelling; constraining or facilitating social and cultural influences; and the heterogeneous nature of consumers. As a result, a number of implications for stakeholders are discussed. Copyright © 2013 John Wiley & Sons, Ltd and ERP Environment.