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The aim of this study is to understand how healthcare practitioners experience organisational boundaries and silos in day-to-day operations. Based on a multi-dimensional scale of organisational boundaries, the study examines how organisational demarcation lines enable and constrain daily work tasks in the healthcare sector. The study is based on a quantitative and qualitative analysis of survey responses from 895 healthcare practitioners in Denmark. The results indicate that tendencies toward organisational silos relate to systems and hierarchies (management-staff) rather than professions and departments. Moreover, the study identifies resource scarcity as an important undercurrent in the understanding of the respondents' perceptions of boundaries and silos. The study contributes to existing research by documenting the coordination and collaboration challenges linked to the multitude of demarcation lines in complex health organisations.
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http://dx.doi.org/10.1177/09514848231218617 | DOI Listing |
J Glob Health
September 2025
Association of Academic Global Surgery, Milwaukee, Wisconsin, USA.
Background: Collaborative research in global surgery has resulted in the rapid development of the field via knowledge creation and dissemination, research capacity building, and direct improvements in the delivery of clinical care. Yet the establishment and maintenance of trans-boundary collaborations carries significant risk to health systems, clinicians, patients, and researchers, particularly if such collaborations are not developed thoughtfully and with appropriate guardrails. In recent years, there has been significant growth in the literature on the pervasiveness and impact of neocolonialism on global health research.
View Article and Find Full Text PDFVariations in intrinsic neural timescales across the mammalian forebrain reflect the anatomical structure and functional specialization of brain areas and individual neurons. Yet, the organization of timescales beyond the forebrain remains unexplored. We analyzed intrinsic timescales of single neurons across the entire mouse brain.
View Article and Find Full Text PDFLancet Oncol
September 2025
Department of Radiation Oncology, State Key Laboratory of Oncology in South China, Guangdong Key Laboratory of Nasopharyngeal Carcinoma Diagnosis and Therapy, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China. Electronic address: majun2@
The Chinese Society for Therapeutic Radiology Oncology, the Chinese Anti-Cancer Association, the Chinese Society of Clinical Oncology, the Head and Neck Cancer International Group, the European Society for Radiotherapy and Oncology, and the American Society for Radiation Oncology collaboratively developed evidence-based guidelines and a comprehensive contouring atlas for neck target volume delineation in nasopharyngeal carcinoma. These guidelines address five key challenges in modern radiotherapy practice: margin design of clinical target volume; nodal target volume delineation after induction chemotherapy; delineation of equivocal nodes evident on imaging; low-risk clinical target volume delineation based on regional stepwise extension patterns; and modifications for anatomical boundaries of lymphatic areas. Developed through a rigorous systematic review and expert appraisal process by a panel of 50 international, multidisciplinary members from 17 countries and regions, these guidelines incorporate the latest advances in nasopharyngeal carcinoma diagnosis and treatment.
View Article and Find Full Text PDFIssues Ment Health Nurs
September 2025
Department of Health and Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Gävle.
Interprofessional communication is fundamental in healthcare, particularly where patient needs demand coordination and shared understanding. It fosters role clarity, care coordination, and team cohesion. However, unclear hierarchies, heavy workloads, and interpersonal conflicts can disrupt collaboration, affecting professional relationships and patient outcomes.
View Article and Find Full Text PDFAdv Sci (Weinh)
September 2025
Department of Theoretical Physics and Center for Biophysics, Saarland University, 66123, Saarbrücken, Germany.
Understanding interactions between chiral active particles- self-propelling and self-rotating entities- is crucial for uncovering how chiral active matter self-organizes into dynamic structures. Although fluctuation-induced forces in nonequilibrium active systems can drive structure formation, the role of chirality remains largely unexplored. Effective fluctuation-induced forces between intruders immersed in chiral active fluids are investigated and revealing that the impact of chirality depends sensitively on particle shape.
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