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1 – 6 of 6Monica Moscatelli, Alessandro Raffa and Arzu Ulusoy Shipstone
This study aims to demonstrate how women's involvement in urban planning and design in Gulf cities improves urban space's inclusivity and strengthens identity through cultural…
Abstract
Purpose
This study aims to demonstrate how women's involvement in urban planning and design in Gulf cities improves urban space's inclusivity and strengthens identity through cultural heritage revitalisation. It also promotes the participation of women in architecture and city-making by showcasing how shaping urban spaces offers local communities opportunities for social interaction and a more inclusive environment.
Design/methodology/approach
The paper critically compares two case studies in the Gulf region—one in the United Arab Emirates and the other in Bahrain—according to four inclusion criteria: context connection, cultural sensitivity, community engagement and choices of amenities. These inclusion criteria are also applied to an experimental project by women architects' students in Saudi Arabia to inspire the future female architects of the Gulf region. From urban to architectural scales, the project offers a glance into the heritage design by women architects.
Findings
In light of this critical analysis, this study highlights the sensitivity to issues related to the revitalisation of urban areas by women architects. The case studies identified show the role of the female architect in making architecture and linking cultural heritage with contemporary themes. These projects stitch the past with the present and link cultural identity with aspects related to sustainable architecture. Therefore, valorising women's architectural experience is necessary to contribute to sustainable urban development in the Gulf region and beyond.
Originality/value
The present study addresses the importance of the role of women architects in the Gulf region. The research promotes the full and equal participation of women in the architecture and construction of the city to recognise their achievements by increasing their involvement in the work in a more integrated and balanced way.
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Purchasing management has been recently focused by public organisations aiming to maximise its contribution to operations. Such an aspect has been emphasised by the impacts of on…
Abstract
Purchasing management has been recently focused by public organisations aiming to maximise its contribution to operations. Such an aspect has been emphasised by the impacts of on going commercialisation process in the network public service sector. This paper provides evidence of changes in purchasing management behaviour in public firms in the water supply sector. In particular, in Italy the firms, after a first phase of increasing attention to purchasing management and suppliers selection, slowly has come back to a clerical approach, maintaining an “arms-length” relationship with suppliers. A model for describing the oscillation of purchasing management within the firms is presented and an explanation of such an oscillation is suggested in terms of flow of power between technical management and political managers.
Angelo Corallo, Mariangela Lazoi, Alessandro Margherita and Massimo Scalvenzi
The purpose of this paper is to describe the case of a leading Italian aerospace company which developed an integrated system aimed to optimize the management of engineering…
Abstract
Purpose
The purpose of this paper is to describe the case of a leading Italian aerospace company which developed an integrated system aimed to optimize the management of engineering competencies within the Chief Technical Office function.
Design/methodology/approach
The paper was based on a set of interviews to company referents and a one‐year period of researcher's observation at the company site to analyze competence management processes and the application on the field of the methodology and the tool. The approach adopted is to present a real practice following a pragmatic and illustrative approach.
Findings
The integrated system provides an objective method to support critical evaluations related to the management of competencies and actors. The benefits achieved derive from a more effective and efficient monitoring of competencies available to perform given activities, and from the analysis of gaps, actor allocation, and job‐rotation issues.
Research limitations/implications
The application of the method and the tool is still quite “dependent” from the skills of their developers. Besides, the activities and competencies of those units which support new product development processes should be also integrated in the system.
Practical implications
The case described can be a useful benchmark for organizations working in complex industries in the effort of improving the performance of engineering activities through an enhanced management of knowledge about people potential and expertise.
Originality/value
The value of the paper may stay in a twofold process/project and people management perspective in the monitoring, development, and scouting of technical competencies.
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Giovanni Improta, Carlo Ricciardi, Anna Borrelli, Alessia D’alessandro, Ciro Verdoliva and Mario Cesarelli
The best treatment for femur fractures is the surgical one within 48 h from the admission to the hospital. These fractures have serious consequences, both in terms of morbidity…
Abstract
Purpose
The best treatment for femur fractures is the surgical one within 48 h from the admission to the hospital. These fractures have serious consequences, both in terms of morbidity and socio-economic impact. In the hospital A.O.R.N. Cardarelli of Naples in Italy, the mean pre-operative length of hospital stay (LOS) was nine days and just 4 per cent of patients was operated within the suggested time. Therefore, a diagnostic-therapeutic-assistance path (DTAP) was implemented to improve the process.
Design/methodology/approach
This paper analyzes two groups of patients (534 and 562, respectively) before and after the introduction of DTAP, through six sigma (SS) based on define, measure, analyze, improve and control cycle. Age, gender, American Society of Anaesthesiologists (ASA) score, cardiovascular diseases, diabetes and allergies were used as independent subgrouping variables. The t-tests and chi-square were performed to compare the groups, tools of SS were used.
Findings
The analyses were conducted considering overall patients and some subgroups. The overall reduction in LOS was about 54 per cent, patients without cardiovascular diseases and with a low ASA score had the highest reduction, more than 60 per cent. All the p-values proved a high statistically significant difference between the two groups.
Research limitations/implications
The influence of the Italian health-care system is a minor limitation while, unfortunately, the lack of a follow-up did not allow quantifying the real gain in health of patients. A lean thinking analysis would suit this context.
Practical implications
There are practical advantages for both hospital and patients: the hospital will have an increase in admissions and more beds available, while patients will benefit of a faster intervention and a shorter wait.
Originality/value
This is the first analysis through SS of DTAP showing its positive influences in terms of both socio-economic impact and patients’ outcome. Policy leaders could use this study as an example to evaluate the introduction of the same clinical pathway in other health facilities.
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Giovanni Improta, Giovanni Balato, Carlo Ricciardi, Mario Alessandro Russo, Ida Santalucia, Maria Triassi and Mario Cesarelli
Since healthcare spending accounts for approximately 6.6 per cent of the gross domestic product, reducing waste in health facilities is necessary to generate significant cost…
Abstract
Purpose
Since healthcare spending accounts for approximately 6.6 per cent of the gross domestic product, reducing waste in health facilities is necessary to generate significant cost savings. After previous work concerning the application of Lean Six Sigma (LSS) to hip surgery, the purpose of this paper is to use LSS as the correct methodology to analyse a clinical pathway. Fast track surgery was introduced to the Complex Operative Unit of Orthopaedic and Traumatology of the University Hospital “Federico II” to improve quality and further reduce costs associated with prosthetic hip replacement surgery.
Design/methodology/approach
The DMAIC (Define, measure, analyse, improve, control) roadmap was used as the typical problem-solving approach of the LSS methodology. A rigorous process of defining, measuring, analysing, improving and controlling business problems can be used to reach fixed goals. The paper was written following the Standards for Quality Improvement Reporting Excellence (SQUIRES Guidelines).
Findings
In this work, the authors found that multiple variables could influence the length of hospital stay (LOS) for inpatient treatment, thereby increasing patient management costs due to longer periods of hospitalisation. Therefore, LSS analysis of the implemented corrective actions demonstrated the efficacy and efficiency of the novel protocol. The average LOS was reduced from 10.66 to 7.8 days (−26.8 per cent).
Originality/value
The introduction of fast track surgery was validated through a rigorous LSS analysis, which demonstrated that the new protocol benefitted both patients and the hospital.
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Kouliga Koala and Joshua Steinfeld
The purpose of this paper is to examine the level of theory building in public procurement by reviewing and classifying manuscripts published in the Journal of Public Procurement …
Abstract
Purpose
The purpose of this paper is to examine the level of theory building in public procurement by reviewing and classifying manuscripts published in the Journal of Public Procurement (JoPP) from 2001 to 2016.
Design/methodology/approach
The articles are divided into four important periods: discovery, agenda setting, embracing and expansion and consolidation. The articles are classified according to a hierarchical level of theory building composed of six levels: rapporteurs, reporters, testers, qualifiers, builders and expanders.
Findings
Key findings indicate that public procurement, in light of JoPP publications from 2001 to 2016, is at the tester level. There is also increase in the classification of articles with high level of theoretical contribution over time.
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