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Book part
Publication date: 7 February 2024

Maike Tietschert, Sophie Higgins, Alex Haynes, Raffaella Sadun and Sara J. Singer

Designing and developing safe systems has been a persistent challenge in health care, and in surgical settings in particular. In efforts to promote safety, safety culture, i.e.…

Abstract

Designing and developing safe systems has been a persistent challenge in health care, and in surgical settings in particular. In efforts to promote safety, safety culture, i.e., shared values regarding safety management, is considered a key driver of high-quality, safe healthcare delivery. However, changing organizational culture so that it emphasizes and promotes safety is often an elusive goal. The Safe Surgery Checklist is an innovative tool for improving safety culture and surgical care safety, but evidence about Safe Surgery Checklist effectiveness is mixed. We examined the relationship between changes in management practices and changes in perceived safety culture during implementation of safe surgery checklists. Using a pre-posttest design and survey methods, we evaluated Safe Surgery Checklist implementation in a national sample of 42 general acute care hospitals in a leading hospital network. We measured perceived management practices among managers (n = 99) using the World Management Survey. We measured perceived preoperative safety and safety culture among clinical operating room personnel (N = 2,380 (2016); N = 1,433 (2017)) using the Safe Surgical Practice Survey. We collected data in two consecutive years. Multivariable linear regression analysis demonstrated a significant relationship between changes in management practices and overall safety culture and perceived teamwork following Safe Surgery Checklist implementation.

Details

Research and Theory to Foster Change in the Face of Grand Health Care Challenges
Type: Book
ISBN: 978-1-83797-655-3

Keywords

Article
Publication date: 9 November 2023

Gustavo Candela, Nele Gabriëls, Sally Chambers, Milena Dobreva, Sarah Ames, Meghan Ferriter, Neil Fitzgerald, Victor Harbo, Katrine Hofmann, Olga Holownia, Alba Irollo, Mahendra Mahey, Eileen Manchester, Thuy-An Pham, Abigail Potter and Ellen Van Keer

The purpose of this study is to offer a checklist that can be used for both creating and evaluating digital collections, which are also sometimes referred to as data sets as part…

Abstract

Purpose

The purpose of this study is to offer a checklist that can be used for both creating and evaluating digital collections, which are also sometimes referred to as data sets as part of the collections as data movement, suitable for computational use.

Design/methodology/approach

The checklist was built by synthesising and analysing the results of relevant research literature, articles and studies and the issues and needs obtained in an observational study. The checklist was tested and applied both as a tool for assessing a selection of digital collections made available by galleries, libraries, archives and museums (GLAM) institutions as proof of concept and as a supporting tool for creating collections as data.

Findings

Over the past few years, there has been a growing interest in making available digital collections published by GLAM organisations for computational use. Based on previous work, the authors defined a methodology to build a checklist for the publication of Collections as data. The authors’ evaluation showed several examples of applications that can be useful to encourage other institutions to publish their digital collections for computational use.

Originality/value

While some work on making available digital collections suitable for computational use exists, giving particular attention to data quality, planning and experimentation, to the best of the authors’ knowledge, none of the work to date provides an easy-to-follow and robust checklist to publish collection data sets in GLAM institutions. This checklist intends to encourage small- and medium-sized institutions to adopt the collection as data principles in daily workflows following best practices and guidelines.

Details

Global Knowledge, Memory and Communication, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2514-9342

Keywords

Article
Publication date: 24 August 2023

Ya-Ning Chen

In this study, the distinctive functional features of linked data (LD) catalogues were investigated to contrast with existing online public access catalogues (OPACs) and discovery…

Abstract

Purpose

In this study, the distinctive functional features of linked data (LD) catalogues were investigated to contrast with existing online public access catalogues (OPACs) and discovery systems using a checklist approach. The checklist was derived from a literature review and is composed of 10 items as follows: self-descriptive and dynamic content for resource description, linkage to external LD sources and online services, aggregation of knowledge contexts into knowledge graphs (KGs), URI-based link discovery, representation and query of LD relationships, URI-based serendipitous discovery, keyword recommendation, faceted limitation and browsing, visualization and openness of data.

Design/methodology/approach

Ten functional features derived from the literature were checked against existing LD catalogues offered by libraries, archives and museums (LAMs). The LD catalogues were regarded as qualified subjects if they offered functional features that were distinct from current OPACs and discovery systems through URI-based enrichment and aggregation from various LD sources. In addition to individual organizations, LD union catalogues were also included. However, LD hubs, such as ISNI, OCLC WorldCat Entities, VIAF and Wikidata, were excluded. In total, six LD catalogues from LAMs were selected as subjects for examination.

Findings

First, LD catalogues provide similar KG information through URI combination, and KGs also facilitate information serendipity, including social-document, intellectual, conceptual, spatial and temporal contexts and networks of corporate bodies, persons and families (CPFs). Second, LD catalogues have transformed the “seek first and browse later” paradigm into a “seek or browse” paradigm by refreshing the browsing function of traditional card catalogues with preview and new options to facilitate LD identification and discovery. Third, LD catalogues have refined keyword recommendation with the addition of the following fields: person’s title, CPF relationships, entity type and LD source. Lastly, a virtual union LD catalogue is offered.

Research limitations/implications

The proposed checklist revealed the unique/improved functional features of LD catalogues, allowing further investigation and comparison. More cases from the fields of medicine, engineering science and so on will be required to make revisions to fine-tune the proposed checklist approach.

Originality/value

To the best of the author’s knowledge, this is the first study to propose a checklist of functional features for LD catalogues and examine what the results and features of LD catalogues have achieved and are supported by from ontologies across LAMs. The findings suggest that LD provides a viable alternative to catalogues. The proposed checklist and results pave the way for the future development of LD catalogues and next-generation catalogues and also provide a basis for the future study of LD catalogues from other fields to refine the proposed checklist.

Details

The Electronic Library , vol. 41 no. 5
Type: Research Article
ISSN: 0264-0473

Keywords

Article
Publication date: 14 August 2023

Manas Pokhrel, Dayaram Lamsal, Buddhike Sri Harsha Indrasena, Jill Aylott and Remig Wrazen

The purpose of this paper is to report on the implementation of the World Health Organization (WHO) trauma care checklist (TCC) (WHO, 2016) in an emergency department in a…

Abstract

Purpose

The purpose of this paper is to report on the implementation of the World Health Organization (WHO) trauma care checklist (TCC) (WHO, 2016) in an emergency department in a tertiary hospital in Nepal. This research was undertaken as part of a Hybrid International Emergency Medicine Fellowship programme (Subedi et al., 2020) across UK and Nepal, incorporating a two-year rotation through the UK National Health Service, via the Medical Training Initiative (MTI) (AoMRC, 2017). The WHO TCC can improve outcomes for trauma patients (Lashoher et al., 2016); however, significant barriers affect its implementation worldwide (Nolan et al., 2014; Wild et al., 2020). This article reports on the implementation, barriers and recommendations of WHO TCC implementation in the context of Nepal and argues for Transformational Leadership (TL) to support its implementation.

Design/methodology/approach

Explanatory mixed methods research (Creswell, 2014), comprising quasi-experimental research and a qualitative online survey, were selected methods for this research. A training module was designed and implemented for 10 doctors and 15 nurses from a total of 76 (33%) of clinicians to aid in the introduction of the WHO TCC in an emergency department in a hospital in Nepal. The quasi-experimental research involved a pre- and post-training survey aimed to assess participant’s knowledge of the WHO TCC before and after training and before the implementation of the WHO TCC in the emergency department. Post-training, 219 patients were reviewed after four weeks to identify if process measures had improved the quality of care to trauma patients. Subsequently six months later, a qualitative online survey was sent to all clinical staff in the department to identify barriers to implementation, with a response rate of 26 (n = 26) (34%) (20 doctors and 6 nurses). Descriptive statistics were used to evaluate quantitative data and the qualitative data were analysed using the five stepped approach of thematic analysis (Braun and Clarke, 2006).

Findings

The evaluation of the implementation of the WHO TCC showed an improvement in care for trauma patients in an emergency setting in a tertiary hospital in Nepal. There were improvements in the documentation in trauma management, showing the training had a direct impact on the quality of care of trauma patients. Notably, there was an improvement in cervical spine examination from 56.1% before training to 78.1%; chest examination 125 (57.07%) before training and 170 (77.62%) post-training; abdominal examination 121 (55.25%) before training and 169 (77.16%) post-training; gross motor examination 13 (5.93%) before training and 131 (59.82%) post-training; sensory examination 4 (1.82%) before training and 115 (52.51%) post-training; distal pulse examination 6 (2.73%) before training and 122 (55.7%) post-training. However, while the quality of documentation for trauma patients improved from the baseline of 56%, it only reached 78% when the percentage improvement target agreed for this research project was 90%. The 10 (n = 10) doctors and 15 (n = 15) nurses in the Emergency Department (ED) all improved their baseline knowledge from 72.2% to 87% (p = 0.00006), by 14.8% and 67% to 85%) (p = 0.006), respectively. Nurses started with lower scores (mean 67) in the baseline when compared to doctors, but they made significant gains in their learning post-training. The qualitative data reported barriers, such as the busyness of the department, with residents and medical officers, suggesting a shortened version of the checklist to support greater protocol compliance. Embedding this research within TL provided a steer for successful innovation and change, identifying action for sustaining change over time.

Research limitations/implications

The study is a single-centre study that involved trauma patients in an emergency department in one hospital in Nepal. There is a lack of internationally recognised trauma training in Nepal and very few specialist trauma centres; hence, it was challenging to teach trauma to clinicians in a single 1-h session. High levels of transformation of health services are required in Nepal, but the sample for this research was small to test out and pilot the protocol to gain wider stakeholder buy in. The rapid turnover of doctors and nurses in the emergency department, creates an additional challenge but encouraging a multi-disciplinary approach through TL creates a greater chance of sustainability of the WHO TCC.

Practical implications

International protocols are required in Nepal to support the transformation of health care. This explanatory mixed methods research, which is part of an International Fellowship programme, provides evidence of direct improvements in the quality of patient care and demonstrates how TL can drive improvement in a low- to medium-income country.

Social implications

The Nepal/UK Hybrid International Emergency Medicine Fellowships have an opportunity to implement changes to the health system in Nepal through research, by bringing international level standards and protocols to the hospital to improve the quality of care provided to patients.

Originality/value

To the best of the authors’ knowledge, this research paper is one of the first studies of its kind to demonstrate direct patient level improvements as an outcome of the two-year MTI scheme.

Details

Leadership in Health Services, vol. 37 no. 1
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 27 November 2023

Abdulrahman Sati and Hashem Al-Tabtabai

Lack of trust and poor quality of construction deliverables have become a serious matter nowadays. This is due to the absence of a uniform and decentralized system for managing…

Abstract

Purpose

Lack of trust and poor quality of construction deliverables have become a serious matter nowadays. This is due to the absence of a uniform and decentralized system for managing quality information. In Kuwait’s industry, many incidents have been recorded as a lack of confidence in the authenticity and integrity of the documented data in the system. This paper aims to shed the light on a framework that would tackle this matter.

Design/methodology/approach

A designed framework using Blockchain technology (Hyperledger Fabric) has been used to create a transparent and decentralized environment between the parties. A digitalized informative checklist referred to as “Smart Construction Inspection Checklist (SCIC)” has been initiated to enhance the poor information recorded between the parties.

Findings

The framework has provided a transparent, immutable, traceable and decentralized environment in which all parties are involved in transactions. In addition, the integration of the SCIC in the blockchain environment provided an advantage in which all the necessary criteria of inspection will be stated, checked by the consultant and validated by the client to approve the transaction. A preliminary testing has been conducted to support the proposed framework.

Originality/value

This study fulfils the gap in the state of art for further studies to practically apply the framework that will enhance the quality of information management in Kuwait’s industry.

Details

Construction Innovation , vol. 24 no. 1
Type: Research Article
ISSN: 1471-4175

Keywords

Article
Publication date: 13 June 2023

Rebecca Jane Quew-Jones

Apprenticeships for higher education institutes (HEIs) at degree and postgraduate levels in the UK have been challenging to provide, requiring increasingly complex collaboration…

Abstract

Purpose

Apprenticeships for higher education institutes (HEIs) at degree and postgraduate levels in the UK have been challenging to provide, requiring increasingly complex collaboration and investment. This questions longer-term viability, creating a new perspective investigating evidence of value and impact for UK HEIs. This integrative literature review examines existing apprenticeship literature and showcases new knowledge for HEIs to update and inform future decision-making. Knowledge created offers a new framework, an “apprenticeship knowledge-based checklist model” and a perspective to explore further.

Design/methodology/approach

This integrative literature review examines apprenticeship provision viability for UK HEIs across several disciplines since commencement.

Findings

Analysis of selected studies across three research themes critiques potential apprenticeship practice for HEIs: stakeholder collaboration, widening participation and work-integrated learning. Results provided a new integrated perspective via governance levels: strategic, academic department, and teaching team.

Research limitations/implications

The research draws from multiple disciplines representing current literature in the HEI Apprenticeships field. However, the context in which programmes are delivered by HEIs and employers differs significantly, so factors continue to emerge.

Practical implications

Practical implications drawn from these findings aim to cultivate dialogue before embarking/withdrawing from HEI Apprenticeship programmes. It offers employers guidance expectations when partnering with university providers. For global apprenticeship provisions, it offers a checklist for re-valuating practice.

Originality/value

The research identified new knowledge implications from existing literature in a field experiencing rapid growth. It offers valuable contributions: a knowledge-based checklist model constructed for HEIs to evaluate existing and future viability provisions at each governance level. It is a catalyst for new practice approaches and an agenda for further research.

Details

Higher Education, Skills and Work-Based Learning, vol. 13 no. 6
Type: Research Article
ISSN: 2042-3896

Keywords

Content available
Book part
Publication date: 19 October 2023

Crispin Manners

Abstract

Details

How to Sell Value – Demystified
Type: Book
ISBN: 978-1-83797-122-0

Abstract

Details

How to Sell Value – Demystified
Type: Book
ISBN: 978-1-83797-122-0

Article
Publication date: 7 September 2023

Şerife Uğuz Arsu and Esra Sipahi Döngül

This study aims to identify articles examining human-robot interaction and the effects of robotic systems on employment.

Abstract

Purpose

This study aims to identify articles examining human-robot interaction and the effects of robotic systems on employment.

Design/methodology/approach

In this research, electronic searches were performed for articles published between 2000 and 2022 in Emerald, Springer, PubMed, Science Direct, Wiley and Google Scholar. In the searches of robotic systems with keywords such as “motivation, job satisfaction, job loss, performance, job giving,” 5 quantitative and 5 qualitative studies were included in the systematic review. The selected research was conducted using the Johanna Briggs Analytical Cross-Sectional Studies Checklist from the Joanna Briggs Institute (JBI) critical evaluation lists and the JBI Critical Appraisal Checklist for Qualitative Research, depending on their type. The included studies are mostly on employee-robot collaboration.

Findings

Although the majority of the articles examined in this study are included in keywords or titles, it is determined that there is a gap in descriptive quantitative studies in the literature on the effects of employee-robot collaboration, robotic systems and robotic systems on variables such as motivation, job satisfaction, job loss, performance and employment, although they do not mention a framework that directly investigates human-robot interaction and the effects of robotic systems on employment.

Research limitations/implications

There are several limitations in this study. One of them is that, although the databases are comprehensively scanned, only studies published in English between 2000 and 2022 are included in the systematic review. Another limitation is the heterogeneity between studies.

Practical implications

As a result of the authors’ findings, the practical effects of the research are reflected as follows: It serves as a guide for future studies to fill the gap in the field, especially for academics and researchers working in the field of social sciences on robotic systems and intelligent automations. In addition to the qualitative studies on this subject, there is a need for the use of robotic systems in the field of human resources and management and quantitative studies with more sample sizes, especially at the corporate (firms) and individual (employees) level. Considering that the number of studies on this subject is very insufficient, this research is important in terms of shedding light on future studies.

Originality/value

The authors believe that the impact of robotic systems on employment is one of the few conceptual articles that systematically examines 6 dimensions (job satisfaction, performance, job loss, employment, motivation, employment).

Details

Journal of Organizational Change Management, vol. 36 no. 7
Type: Research Article
ISSN: 0953-4814

Keywords

Article
Publication date: 31 July 2023

Peter Ghattas, Teerooven Soobaroyen, Shahzad Uddin and Oliver Marnet

This paper analyses the establishment and evolution of a public oversight body (POB) – the Egyptian Audit Oversight Unit (AOU) – and its implications for local auditing firms and…

Abstract

Purpose

This paper analyses the establishment and evolution of a public oversight body (POB) – the Egyptian Audit Oversight Unit (AOU) – and its implications for local auditing firms and practices.

Design/methodology/approach

Primary data were gathered from 34 semi-structured interviews (including follow-up ones) between 2014 and 2020. Secondary data was obtained through publicly available documents and internal memos. Drawing on Debord's (1967) Society of the Spectacle, the insights focus on the POB's conception, materialisation and evolution in a context characterised by weak regulatory structures.

Findings

Through a series of acts, the findings reveal how the AOU first accepted the image of “international best practice” oversight (the “metaphorical”), followed by the construction of the local structure and décor replicating a United States (US) style POB archetype (the “transformational”) by primarily relying on visible processes/procedures. Yet, these mechanisms emphasised the spectacular nature of oversight, with little improvement for practice and limiting itself to “cracking down” on smaller local firms. A final stage (the “performative”) reveals how the AOU seeks to expand its activities beyond its original mandate without challenging the image-driven nature of its oversight.

Originality/value

The paper offers two key contributions. First, it reveals how actors, through a combination of symbolic and tangible measures, create a new performative reality of public oversight. Second, it advocates Debord's “spectacle” to complement other theoretical lenses, with a view to illuminating the materialisation stages that bridge the gap between proclaimed oversight policies and actual practices (including conscious and unconscious omissions) within a given political economy context.

Details

Accounting, Auditing & Accountability Journal, vol. 37 no. 3
Type: Research Article
ISSN: 0951-3574

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