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1 – 10 of over 2000Melanie Barlow, Bernadette Watson, Kate Morse, Elizabeth Jones and Fiona Maccallum
The response of the receiver to a voiced patient safety concern is frequently cited as a barrier to health professionals speaking up. The authors describe a novel Receiver Mindset…
Abstract
Purpose
The response of the receiver to a voiced patient safety concern is frequently cited as a barrier to health professionals speaking up. The authors describe a novel Receiver Mindset Framework (RMF) to help health professionals understand the importance of their response when spoken up to.
Design/methodology/approach
The framework draws on the broader receiver-focussed literature and integrates innovative findings from a series of empirical studies. These studies examined different receiver behaviour within vignettes, retrospective descriptions of real interactions and behaviour in a simulated interaction.
Findings
The authors' findings indicated that speaking up is an intergroup interaction where social identities, context and speaker stance intersect, directly influencing both perceptions of and responses to the message. The authors' studies demonstrated that when spoken up to, health professionals poorly manage their emotions and ineffectively clarify the speaker's concerns. Currently, targeted training for receivers is overwhelmingly absent from speaking-up programmes. The receiver mindset framework provides an evidence-based, healthcare specific, receiver-focussed framework to inform programmes.
Originality/value
Grounded in communication accommodation theory (CAT), the resulting framework shifts speaking up training from being only speaker skill focussed, to training that recognises speaking up as a mutual negotiation between the healthcare speaker and receiver. This framework provides healthcare professionals with a novel approach to use in response to speaking up that enhances their ability to listen, understand and engage in point-of-care negotiations to ensure the physical and psychological safety of patients and staff.
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The purpose of this paper is to deal with a linear multi-state sliding window coherent system which generalizes the consecutive k-out-of-r-from-n:F system in the multi-state case…
Abstract
Purpose
The purpose of this paper is to deal with a linear multi-state sliding window coherent system which generalizes the consecutive k-out-of-r-from-n:F system in the multi-state case. The system has n linearly ordered multi-state elements consisting of m parallel independent and identically distributed elements. Every element of the system can have two states: completely working or totally failed. The system fails if the sum of performance rate is lower than the given weight.
Design/methodology/approach
The authors proposed to compute the signature, MTTF and Barlow–Proschan index with the help of UGF technique of multi-state SWS which consists of m parallel i.i.d. components in each multi-state window.
Findings
In the present study, the authors have evaluated the signature reliability, expected lifetime, cost analysis and Barlow–Proschan index.
Originality/value
In this study, the authors have studied a linear multi-state sliding window system which consists of n ordered multi-state element, and each multi-state element also consists of m parallel windows. The focus of the present paper is to evaluate reliability metrices of the considered system with the help of signature from using the universal generating function.
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A.B.M. Zohrul Kabir and Ahmed S. Al‐Olayan
A new policy for joint optimization of age replacement and spareprovisioning has been proposed by incorporating a continuous review(s, S) type inventory policy, where s is the…
Abstract
A new policy for joint optimization of age replacement and spare provisioning has been proposed by incorporating a continuous review (s, S) type inventory policy, where s is the reorder level and S is the maximum stock level. Gives cost formulations for a single operating unit situation and outlines simulation procedure to determine optimal values of the decision variables by minimizing total cost of replacement and inventory. Studies the behaviour of this policy for a large number of case problems and highlights the effects of different cost elements, item failure characteristics and lead time characteristics. Also determines, for all case problems, optimal (s, S) policies to support Barlow‐Proschan age policy. Simulation results clearly indicate that the jointly optimal policy is more cost‐effective than Barlow‐Proschan policy.
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IT IS TO BE hoped that by the time these words are being read the dispute over the Electricians' Union and the TUC will have been solved; and, we hope, with satisfaction to both…
Ruth Tennant, Cristina Goens, Jane Barlow, Crispin Day and Sarah Stewart‐Brown
There is a growing policy imperative to promote positive mental health as well as prevent the development of mental health problems in children. This paper summarises the findings…
Abstract
There is a growing policy imperative to promote positive mental health as well as prevent the development of mental health problems in children. This paper summarises the findings of published systematic reviews evaluating such interventions. A search was undertaken of ten electronic databases using a combination of medical subject headings (MeSH) and free text searches. Systematic reviews covering mental health promotion or mental illness prevention interventions aimed at infants, children or young people up to age 19 were included. Reviews of drug and alcohol prevention programmes and programmes to prevent childhood abuse and neglect were excluded because these have been the subject of recent good quality reviews of reviews. A total of 27 systematic reviews were included. These targeted a range of risk and protective factors, and a range of populations (including parents and children). While many lacked methodological rigour, overall the evidence is strongly suggestive of the effectiveness of a range of interventions in promoting positive mental well‐being, and reducing key risk factors for mental illness in children. Based on this evidence, arguments are advanced for the preferential provision of early preventive programmes.
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WHAT ARE ANY company's most valuable assets? There are some who would say they are its goodwill; but there are plenty of experts who go from firm to firm and from one country to…
Abstract
WHAT ARE ANY company's most valuable assets? There are some who would say they are its goodwill; but there are plenty of experts who go from firm to firm and from one country to another (and themselves gain an enviable living while doing so) stating without admitting any doubt that to any establishment worth anything at all a workforce is its most valuable asset.
The nature of maintenance is complex and greatly influenced by relationship among various actors involved in execution of maintenance tasks. The relationship factor becomes more…
Abstract
The nature of maintenance is complex and greatly influenced by relationship among various actors involved in execution of maintenance tasks. The relationship factor becomes more critical when outsourcing maintenance tasks. The most important success factor is creating mutual “goodwill trust” between partners. Another important factor is the use of economic incentives for both parties. A formal partnering process, top management support and relevant outcome measures are also important for a partnership to be positive. Partnering is a potential “tool” to create success. Based on a review of the partnering literature and experiences from Swedish railway sector, a partnering framework for maintenance contracts has been developed. The partnering framework considers four main factors, namely requirements and potential for partnering, the partnering process, success elements and measures on partnering success.
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Danielle A. Tucker and Stefano Cirella
In the context of organizational change, identifying, and organizing the various roles of change agents remains a challenge for practitioners and scholars alike. This chapter…
Abstract
In the context of organizational change, identifying, and organizing the various roles of change agents remains a challenge for practitioners and scholars alike. This chapter examines how different agents can enable an effective change process. Empirical evidence from three hospitals illustrates the process of transformation and its underlying arrangements to identify agents and their roles. The findings underline the importance of designing a coherent system of agents, determining where they come from, their role during the process, and how this may change throughout the change process. Managerial choices in the cases are discussed, leading to implications for theory and practice.
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Sadiya Naaz, Mangey Ram and Akshay Kumar
The purpose of this paper is to evaluate the reliability and structure function of refrigeration complex system consisted of four components in complex manner.
Abstract
Purpose
The purpose of this paper is to evaluate the reliability and structure function of refrigeration complex system consisted of four components in complex manner.
Design/methodology/approach
Although, a variety of methodologies have been used to assess the refrigeration system's reliability function that has proven to be effective, the universal generating function approach is the basis of this research study, which is used in the calculation of a domestic refrigeration system with four separate components that are related in series and parallel with a corresponding sample to form a complex machine.
Findings
In this paper, signature reliability of the refrigeration system has been evaluated with the universal generating function technique. There are four components present in the proposed system in complex (series and parallel) manner. The tail signature, signature, Barlow–Proschan index, expected lifetime and expected cost of independent identically distributed are all computed.
Originality/value
This is the first study of domestic refrigeration system to examine the signature reliability with the help of universal generating function techniques with various measures. Refrigeration systems are an essential process in industries and home applications as they perform cooling or the maintain temperature at the desired value. A cycle of refrigeration consists of four main components such as, heat exchange, compression and expansion with a refrigerant flowing through the units within the cycle.
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