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The patient-centred management of people with cognitive impairment admitted to acute health care facilities can be challenging. The TOP5 intervention utilises carers’ expert biographical and social knowledge of the patient to facilitate personalised care. The purpose of this paper is to explore whether involvement of carers in the TOP5 initiative could improve patient care and healthcare delivery.

A small-scale longitudinal study was undertaken in two wards of one acute teaching hospital. The wards admitted patients with cognitive impairment, aged 70 years and over, under geriatrician care. Data for patient falls, allocation of one-on-one nurses (“specials”), and length-of-stay (LOS) over 38 months, including baseline, pilot, and establishment phases, were analysed. Surveys of carers and nursing staff were undertaken.

There was a significant reduction in number of falls and number of patients allocated “specials” over the study period, but no statistically significant reduction in LOS. A downward trend in complaints related to communication issues was identified. All carers (n=43) completing the feedback survey were satisfied or very satisfied that staff supported their role as information provider. Most carers (90 per cent) felt that the initiative had a positive impact and 80 per cent felt that their loved one benefitted. Six months after implementation of the initiative, 80 per cent of nurses agreed or strongly agreed that it was now easier to relate to carers of patients with cognitive impairment. At nine-ten months, this increased to 100 per cent.

Actively engaging carers in management of people with cognitive impairment may improve the patient, staff, and carer journeys, and may improve outcomes for patient care and service delivery.

This paper aims to enable the application of Value Proposition Canvas and Business Model Canvas to evaluate an opportunity; understand the commonalities and differences between social and commercial enterprises; and recognize the challenges related to the paradox of the social mission and the financial/economic logic.

Neha Arora demonstrated exceptional capabilities of defying the social stigma associated with People with Disabilities (PwDs) to establish Planet Abled, a first in the world venture to provide accessible leisure excursions to PwDs. This entrepreneurial initiative enabling group and solo travel for PwDs as inclusive tourism has created the possibility of social sustainability by bringing change in the lives of PwDs and their family members by ignoring either the insensitive or overprotective societal attitudes and lack of infrastructure concerning travel for PwDs. Its potential growth qualifies for scaling-up, but it can also attract the existing big travel solution providers to enter this domain. Considering these facts, Neha faces multiple dilemmas: How can she sustain and scale up the early momentum created by her enterprise? How can she resolve the challenges related to the paradox of the social mission and the financial/ economic logic while scaling-up Planet Abled?

This case study is suitable for both undergraduate or graduate-level programs in the area of entrepreneurship.

Teaching Notes are available for educators only.

CSS 3: Entrepreneurship

This paper aims to study long-term savings accumulation in the UK. The authors use cross-sectional information from the extensive data set of the Family Resources Survey to compare long-term saving amongst different ethnic groups with the control group, the native population. The paper reflects on whether different groups are more likely to suffer poverty in retirement.

In this analysis, the authors apply the life-cycle framework to explain saving profiles. This theoretical model has been used extensively in the field of economics and can be applied to empirical studies to examine changes in income and saving patterns over the life-course. The framework contends that individuals make savings decisions to smooth consumption over different phases of their life-cycle.

The findings indicate that socio-economic factors are key elements in determining whether individuals plan for retirement if factors are controlled for the differences in saving behaviours between ethnic minorities and the control population decrease considerably. Asian women, with good education and social standing, display greater saving rates than the control group, while the socio-economic disadvantage suffered especially by Pakistani and Bangladeshi women is key to their inability to save long-term. High levels of poverty in retirement are more likely to be caused by the interaction of low levels of education, part-time work and long spells of unemployment than by ethnicity.

The important contribution to the debate on savings by ethnic minorities is the extension of the life-cycle model to specific sections of the population and to proffer new insights into their saving/dis-saving patterns and ultimately their welfare in retirement.

This case can facilitate students to develop a deeper understanding of the social mission-based business enterprises, startups, solopreneurship, one-man companies, women-led businesses, benefits and challenges associated with service innovation and design thinking, along with the competitive forces and funding problems in scaling up a social enterprise. It can be used for the BBA, MBA or Executive MBA programs for courses on entrepreneurship, social entrepreneurship, design thinking, business strategy and service innovation.

This case is suitable for both the undergraduate or graduate-level programs in the area of entrepreneurship, innovation and startup management.

Dr Anita Sharma was a solopreneur who started a car driving school in Amritsar, Punjab, deploying specially designed, retrofitted cars to train People with Disabilities (PwDs). She demonstrated exceptional prowess in defying the social taboos and popular stigmas associated with PwDs by establishing “Drive On My Own” (DOMO) as an innovative project, a first-of-its-kind car-driving training school in India to provide an accessible car-drive learning experience to PwDs. She ignored the extreme sensitivity displayed in the social behavior of people around her, who were either were too sensitive for the PwDs by treating them as Person with Special Abilities (PwSAs) or were completely insensitive toward them or their problems thinking that their disabilities are their misfortunes. This continuum of insensitive to overprotective societal attitudes and lack of infrastructure concerning travel for PwSAs made this service innovation possible by design thinking. This entrepreneurial initiative enabled solo as well as group travel and tours possible for PwDs, by bringing in new inclusive modes of communication and solutions for self-mobility. It has also paved a path for social inclusiveness and livelihood sustainability by bringing positive change in the lives of PwDs and their family members. Moreover, a new design implementation is in her plans, as she wants to redesign these cars further to be accessible for people using wheelchairs too. The potential growth of this solopreneur’s social enterprise calls for scaling up the business, but it may also attract competition as the existing big tech-travel automobile companies may enter this domain soon with their driver-less or self-drive cars. Considering all these factors, Dr Anita Sharma faced multiple dilemmas: Can she formalize her project? What can be the type of business she can proceed with? How can she sustain and scale up her women-led project, better qualifying as a PwD-led social enterprise? How can she resolve the challenges related to the design implementation, funding the project and facing competition while scaling up DOMO as her social and service innovation?

Thus, this case study enables the application of concepts and theories of business enterprise, business funding, service innovation and design thinking. It also helps recognize and understand the challenges related to social entrepreneurship.

CSS: 3 Entrepreneurship.

Market development.

This case is intended to be used in strategic management, operations management for both undergraduate and graduate courses. It can also be used for value innovation and market development.

This case focuses on market development by Patanjali, a fast-growing organization crossing US$1bn of sales in five years of time span and declaring a target of doubling this figure in the financial year 2016-2017 (to reach US$1,500m). The prime focus of Patanjali is the health food segment based on herbal and Ayurveda science through the use of organically grown agricultural produce by integrating the associated value chains while radically benefitting all the stakeholders in a two-way process as suppliers as well as buyers/consumers. The fundamental context of the case is associated with the value chain development in terms of value addition on the basis of the organizational and leadership values in all the elements of the value chain of Patanjali products starting from suppliers to customers. The case emphasizes the role of the Patanjali Food & Herbal park in the value chain. Patanjali Food & Herbal Park is constantly striving for nation building more than profit accumulation. They have created a sustainable business benefiting all the stakeholders. The backbone of the Patanjali Food & Herbal Park lies in robust backward linkage and forward linkage. The context of the case presents an account of how the values based integration of the value chain is a strategic advantage and safeguards an organization from business environment threats.

The context of the case presents an account of how values based integration of the value chain is a strategic advantage and safeguard an organization from business environment threats. The case has a deep-rooted theoretical association with models like Porter’s Five Forces model on the one hand and also exemplifies how an organization can use blue ocean strategy through value-based value innovation. The context of the Black Swan perspective also emerges in the narration.

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CSS 11: Strategy.

The competition is increasing every moment for the organizations and hence organizations are putting their best possible efforts to compete. This chapter is designed with the objective to explore various HR practices that can contribute in achieving the total quality management (TQM) in business. The basis for the study is taken from the aspects of competition that are cost reduction, differentiation and innovation. The extensive literature review from Scopus, J-gate, EBSCO and Springer databases are studied to integrate various aspects of TQM and HR practices that inculcate the competitive advantage for organizations. The framework may be developed for the reference to introduce and implement HR practices and manage TQM in the organization. The study may also help the professionals in designing the relevant HR practices for more value to the organizations. The linkage between various factors of the study may be helpful for the academicians and corporate organizations.

In developing countries like India, changing economic and social condition necessitated working of women irrespective of their religion, class or social status. But at the same time, it raised number of related issues like managing for family adjustment, working environment, etc. The purpose of this paper is to study gender issues like gender stereotype, gender discrimination and sexual harassment in the context of Indian environment.

A structured questionnaire was developed to collect primary data from 500 firms in India. The data collected through questionnaire was coded and tabulated keeping in context with the objective of the study and was analysed by calculating frequencies, factor analysis and one way analysis of variance.

Results elucidate seven job-related factors (infrastructure, HR functions, organisational climate, legal pursuit, empowerment, training and development and ethical concerns) and two individual factors (interpersonal and mindset) that are considered essential for women employees in Indian organisations. Analysis indicates that though age and level of management has no significant effect on these factors but male and female respondents differ significantly on their opinion regarding these issues.

The respondents in present study have been taken mainly from service sector, manufacturing sector and education sector, thus the study looks at only organised sector. The research work suffers from the usual limitations of survey research method.

With women becoming an integral part of the workforce, managers must examine their reliance on stereotypical views concerning women. Gender is a socio-cultural phenomenon and organisations are a key aspect of a given culture. Organisational analysis needs to take into account the relationship between gender, gender stereotypes and organisational life.

The paper studies gender issues of gender stereotype, gender discrimination and sexual harassment on a pan India basis covering various sectors and contribute to the subject from Indian perspective.

Drawing on the taxonomy of patient empowerment and a sense of community (SoC), the purpose of this paper is to analyze the factors that impact the intention of the individual to continue using online social health support community for their chronic disease management.

A survey design was used to collect the data from multiple online social health support groups related to chronic disease management. The survey yielded a total of 246 usable responses.

The primary findings from this study indicate that the informational support – not the nurturant support such as emotional, network, and esteem support – are the major types of support people are seeking from an online social health support community. This research also found that patient empowerment and SoC would positively impact their intention to continue using the online health community.

This study utilized a survey design method may limit precision and realism. Also, there is the self-selection bias as the respondents self-selected themselves to take the survey.

The findings can help the community managers or webmasters to design strategies for the promotion and diffusion of online social health group among patient of chronic disease. Those strategies should focus on patient’s empowerment through action facilitating and social support and through creating a SoC.

An innovative research model integrates patient empowerment and a SoC to study patient’s chronic disease management through online social health groups to fill the existing research gap.

This study targeted hospitality family business owners as essential pillars of the tourism industry. How they perceive aspects of the crisis and what they derive organizational resilience from, including the role of their human resources, are explored. Internal and external factors of resilience are analyzed alongside different levels of resilience action.

The World Health Organization announced coronavirus disease 2019 (COVID-19) as a pandemic on March 11, 2020. In Tirol, the hospitality industry has particularly been affected as tourism businesses find themselves in the challenging times of returning to normal business, corresponding to the fourth phase in Faulkner’s (2001) Tourism Disaster Management Framework. The authors used a qualitative exploratory approach, using semi-structured interviews.

In taking on a holistic explorative approach, the authors determined several methods used by entrepreneurs in dealing with a pandemic crisis to increase business resilience at a specific stage. Internal and external resilience factors have been detected among three levels of resilience action (personal, regional and governmental). The most surprising result of the semi-structured in-depth interviews was the entrepreneurs’ rather positive outlook.

Generally, this study creates an in-depth understanding of the tourism businesses in their dealing with a global crisis, using family business owners as an exemplary stakeholder group. The authors bridge a gap in the literature by applying a holistic explorative approach in the early stage of a never seen worldwide crisis and by addressing organizational resilience. Three levels of resilience action give new insight into how the beginning of a pandemic crisis is handled and perceived by hospitality family business entrepreneurs.

本研究的重点是作为区域旅游业骨干的酒店业家庭企业业主。探讨了他们如何应对危机, 以及他们如何看待自己的组织复原力, 包括其人力资源的作用。该研究进一步确定了企业业主的具体角色, 即在处理危机时的不同性格和个人处事方法。

世界卫生组织（WHO）于2020年3月11日宣布了COVID-19的大流行。在蒂罗尔州, 酒店业尤其受到政府措施和旅行禁令的影响。在本研究中, 旅游企业发现自己正处于恢复正常业务的挑战期, 相当于Faulkner（2001）的旅游灾难管理框架中的第四阶段。本研究采用半结构化访谈的定性探索方法来研究问题并得出结论。

在采取全面的探索性方法时, 我们发现企业家在特定阶段有几种处理大流行病危机的方法, 以提高企业的复原力。半结构化深度访谈得到最令人惊讶的结果是企业家们相当乐观的心态。

总的来说, 这项研究以家庭企业业主为示范性的利益相关者群体, 取得了对旅游业处理诸如Covid-19大流行病等危机的更好理解。由于小型家庭企业对旅游和酒店业的重要性, 本研究以Faulkner(2001) 的旅游灾难管理框架为指导工具, 为旅游背景下的危机管理提供了新的视角。

Este estudio se centra en los propietarios de empresas familiares de hostelería que funcionan como la columna vertebral de la industria turística regional. Se explora cómo afrontan la crisis y cómo perciben su propia resiliencia organizativa, incluido el papel de sus recursos humanos.

La Organización Mundial de la Salud (OMS) anunció una pandemia de COVID-19 el 11 de marzo de 2020. En el Tirol, la industria hotelera se ha visto particularmente afectada por medidas gubernamentales y prohibiciones de viaje. En el presente estudio, las empresas turísticas se encuentran en tiempos difíciles para volver a sus actividades normales, correspondientes a la cuarta fase del Tourism Disaster Management Framework de Faulkner (2001). Se utilizó un enfoque exploratorio cualitativo mediante entrevistas semiestructuradas para responder a la pregunta de investigación y sacar conclusiones.

Al adoptar un enfoque exploratorio holístico, encontramos varias formas en las que los empresarios se enfrentan a una crisis pandémica para aumentar la resiliencia empresarial en una etapa específica. El resultado más sorprendente de las entrevistas en profundidad semiestructuradas fue el estado de ánimo bastante optimista entre los emprendedores.

En general, el estudio crea una mejor comprensión de cómo la industria del turismo está lidiando con una crisis como la pandemia Covid-19, utilizando a los propietarios de empresas familiares como un grupo de partes interesadas ejemplar. Cubrimos una brecha en la literatura aplicando un enfoque exploratorio holístico y abordando la resiliencia organizacional abiertamente, lo que lleva a tres perspectivas que van desde el gobierno, la región y el individuo (percepciones de los propietarios de empresas familiares) en el contexto del Marco de gestión de desastres turísticos de Faulkner (2001).