Yes / Effective and efficient healthcare not only depends on good interpersonal communication but also on the ability of organisations to communicate successfully and professionally. Yet organisations can become entrenched in rules, regulations and expected behaviours that stifle creative responses to work situations. Deep-seated bureaucracy can alienate the personal, and is made even more challenging if the organisation has multi-sites. This chapter will examine the many varied structures of organisation, and how communication flow within organisations can limit or expand inclusion of staff members within its boundaries. This chapter offers several barriers to good organisational communication and suggests ways these hurdles can be overcome. The ethics of healthcare practice is discussed in relation to the effect on the individual and the organisation, highlighting how both parties could respond to avoid conflict, clash and threats to professionalism. Above all, this chapter emphasises how open and honest personcentred communication in an organisation can lead to healthy outcomes for staff and patients alike.

Asian American adolescents, such as Chinese and Korean American adolescents, often language broker for their immigrant parents. This study examines how language brokering influences parent-child relationships and adolescents' psychological adjustment in Asian-American families. Using a two-wave sample of Chinese (n = 237; average age = 14.65, SD = .68) and Korean (n = 262; average age = 14.72, SD = .69) American adolescents, this study examined a culturally relevant conditional mechanism through which language brokering may contribute to lower levels of internalizing/externalizing problems. Results suggested that language brokering for the mother was associated with perceived maternal sacrifice, which was in turn associated with respect for the mother, which was eventually associated with lower levels of externalizing problems (but not internalizing problems) in the adolescents. Moreover, the indirect effect was conditional on the level of mother-child open communication. With a lower level of open communication, the indirect effect of language brokering on externalizing problems became stronger. Results indicate that interventions designed to reduce Asian American adolescent language brokers' externalizing problems can target their perception of parental sacrifice and their respect for parents, and that this approach may be especially effective for adolescents experiencing a low level of parent-child open communication. At the same time, for these families with low levels of parent-child open communication, encouraging more open communication may be an additional way to intervene. / text

<p>The change in the present global world puts pressure on companies to develop new strategies for gaining competitive advantage. The new fast technology leads companies to try to outshine one another to reach further into the world of innovation. Sharing knowledge online demands brave and huge changes from managers and employees. The use of new tools for faster more open communication requires a change of mindset from the involved parties. Our aim was to determine if the internal open communication was the solution to a more open knowledge sharing work climate. The Purpose of our study is to investigate if knowledge sharing indirectly foster a more learning and innovative organization. Which leads us to one of our main questions: can a wikis- tool for internal communication be an enabler for a more open and knowledge sharing working climate? In this thesis we are focusing on the new communication tool for a better internal collaboration which has the ability to facilitate the work for employees if it is implemented in a positive manner. All our research was performed in Ramböll a global company that gave us useful access and information for our thesis. We performed our study by using qualitative research such as interviews, dialogue and observations<em>.</em> The result from our study showed us how the open communication and knowledge sharing can strengthen the core communication to foster a more learning and innovative company. Open communication as enabler of the power of innovation in global companies.</p>

The change in the present global world puts pressure on companies to develop new strategies for gaining competitive advantage. The new fast technology leads companies to try to outshine one another to reach further into the world of innovation. Sharing knowledge online demands brave and huge changes from managers and employees. The use of new tools for faster more open communication requires a change of mindset from the involved parties. Our aim was to determine if the internal open communication was the solution to a more open knowledge sharing work climate. The Purpose of our study is to investigate if knowledge sharing indirectly foster a more learning and innovative organization. Which leads us to one of our main questions: can a wikis- tool for internal communication be an enabler for a more open and knowledge sharing working climate? In this thesis we are focusing on the new communication tool for a better internal collaboration which has the ability to facilitate the work for employees if it is implemented in a positive manner. All our research was performed in Ramböll a global company that gave us useful access and information for our thesis. We performed our study by using qualitative research such as interviews, dialogue and observations. The result from our study showed us how the open communication and knowledge sharing can strengthen the core communication to foster a more learning and innovative company. Open communication as enabler of the power of innovation in global companies.

Even though safety culture in health care has been on the agenda for more than a decade, the implementations have been difficult. The aim of this study was to out of the sensemaking perspective, examine the process behind implementing safety culture. The present study tested a hypothetical model where open communication, clear information and leader safety attitude predict reporting incidents (part of safety culture) which in turn mediate to safety performance. Survey data was obtained from 104 employees at a Swedish hospital which has tried to implement safety culture recently. To test the model, structural equation modeling was used. Results showed a strong model fit and all factors predicted reporting incidents. Reporting incidents predicted safety performance and mediated between the predictors and safety performance. Thus, in line with theoretical background all three predictors seem to be important in the implementation process of safety culture.