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1 – 10 of 27Mahmud Hassan, Howard P. Tuckman, Robert H. Patrick, David S. Kountz and Jennifer L. Kohn
Hospital‐acquired infection (HAI) poses important health and financial problems for society. Understanding the causes of infection in hospital care is strategically important for…
Abstract
Purpose
Hospital‐acquired infection (HAI) poses important health and financial problems for society. Understanding the causes of infection in hospital care is strategically important for hospital administration for formulating effective infection control programs. The purpose of this paper is to show that hospital length of stay (LOS) and the probability of developing an infection are interdependent.
Design/methodology/approach
A two‐equation model was specified for hospital LOS and the incidence of infection. Using the patient‐level data of hospital discharge in the State of New Jersey merged with other data, the parameters of the two equations were estimated using a simultaneous estimation method.
Findings
It was found that extending the LOS by one day increases the probability of catching an infection by 1.37 percent and the onset of infection increases average LOS by 9.32 days. The estimation indicates that HAI elongates LOS increasing the cost of a hospital stay.
Research limitations/implications
The findings imply that studies on cost of HAI that do not properly control for the simultaneity of these two variables, will result in a biased estimation of cost.
Originality/value
The study produces quantitative estimation of the extent of interdependency of hospital LOS and the probability of catching an infection.
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Cesar Suva and Katerina Palova
Settlement services in Canada have only recently started offering support and programming for emotional wellness issues faced by newcomers to Canada (immigrants who have been in…
Abstract
Settlement services in Canada have only recently started offering support and programming for emotional wellness issues faced by newcomers to Canada (immigrants who have been in Canada for less than 5 years). Funding for such services has steadily increased over the past 5 years, particularly in the wake of the COVID-19 pandemic. Greater investment in ensuring the emotional wellness of immigrants is spurring new settlement services and programming. These include a wide array of configurations and approaches across the different geographies of Canada. This is evidence that providing such services for newcomers is in the early stages of implementation, characterised by experimentation and precarity. Mental and emotional wellness programming is in contrast with more established services, such as those meant to provide language learning, where common assessment tools, measures of proficiency and progress are well established. With funding from the Immigration, Refugees and Citizenship Canada (IRCC), this chapter features data from a 2-year project that examined emotional wellness services for immigrants offered in four cities in western Canada between 2018 and 2020. The study used surveys and interviews with clients and focus groups with front-line staff to understand client needs and discern the issues and impact of emotional wellness programming. Findings include apparent limitations in staff capacity and expertise to provide help when needed, the inappropriateness of service models meant for other contexts and complex funding requirements resulting in issues of access and the overall precarity of such programming.
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The purpose of this paper is to reflect on the development and progression of the International Journal of Pharmaceutical and Healthcare Marketing and include comments on its…
Abstract
Purpose
The purpose of this paper is to reflect on the development and progression of the International Journal of Pharmaceutical and Healthcare Marketing and include comments on its future direction.
Design/methodology/approach
The paper takes the approach of an essay format.
Findings
The journal has published key papers in pharmaceutical and healthcare research and continues to develop an interdisciplinary character with contributions from scholarly and practice‐oriented sources.
Originality/value
The paper provides a contemporary appraisal of the status and positioning of the journal.
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This article reports on program based performance budgeting in Florida and examines the process by which it became a reality, the problems to be expected in implementation, and…
Abstract
This article reports on program based performance budgeting in Florida and examines the process by which it became a reality, the problems to be expected in implementation, and the history of earlier reform efforts. Florida has a long history of failed budgetary reforms. The question is whether that unfailing series of failures will be continued or overcome. The answer lies with future legislative leadership.
Caitlin E. McClurg, Jaimie L. Chen, Alexandra Petruzzelli and Amanda L. Thayer
This chapter reviews the challenges associated with measuring and studying cohesion over time and provides guidance for addressing these issues in future research.
Abstract
Purpose
This chapter reviews the challenges associated with measuring and studying cohesion over time and provides guidance for addressing these issues in future research.
Methodology/approach
We reviewed the team cohesion and team development literatures, including definitions and conceptualizations of cohesion as well as the seminal team development taxonomies. We then integrated these literatures to identify the challenges and potential solutions for studying team cohesion as a dynamic construct.
Findings
We identified five key challenges – theoretical and practical in nature – that researchers and organizations often face in capturing and studying team cohesion emergence: problems with self-report measures; measuring multiple dimensions of cohesion at appropriate times; failure to combine multilevel and temporal frameworks; and tracking of team and organizational events. In response, we provide actions that researchers can take in addressing these challenges: using indirect/unobtrusive measures; using social network analysis; studying “swift cohesion”; adopting an event system theory framework; and applying agent-based modeling.
Research implications
This comprehensive chapter provides recommendations for studying team cohesion as a dynamic, emergent process rather than as a static state. We discuss the challenges pertaining to study design and measurement when capturing team cohesion emergence, and provide theoretical and practical ideas to guide researchers in overcoming these issues in future research.
Practical implications
This chapter suggests tools and data collection techniques that organizations and practitioners can use for measuring and improving team cohesion, such as using unobtrusive measures and timing measurement according to team and organizational events.
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Deanna M. Kennedy and M. Travis Maynard
On the path to accomplishing task work, teams may face disruptive events like budget issues, equipment failures, and membership change that trigger adaptation. While recently…
Abstract
Purpose
On the path to accomplishing task work, teams may face disruptive events like budget issues, equipment failures, and membership change that trigger adaptation. While recently researchers have clarified the team adaptation nomological network, our objective is to extend theory by providing a roadmap about various ways in which temporal considerations may complicate the impact of adaptation triggers on team adaptation and in turn adaptive outcomes.
Methodology/approach
We present three adaptation temporal considerations (i.e., timing, duration, and frequency) that may change the way team adaptation unfolds in response to a given adaptation trigger. We further explore and offer propositions about how the impact of adaptation timing, adaptation duration, and adaptation frequency differ by the type of adaptation trigger (i.e., task-based or team-based) experienced by the team.
Research implications
By examining adaptation to task-based or team-based triggers from a temporal perspective researchers may better explain why the timing of when the team adapts across its lifecycle (adaptation timing), how long the team takes to adapt (adaptation duration), and the recurrent need to adapt (adaptation frequency) is more or less likely to lead to positive adaptive performance outcomes.
Practical implications
Organizations may benefit from setting up teams for success by helping members understand that there are inherent differences in the adaptation triggers they face including temporal expectations. Organizations may see value in providing initial and on-going support to teams so they are better able to adapt when needed and mitigate negative effects due to adaptation timing, adaptation duration, and adaption frequency.
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Kleio Akrivou, Richard. E. Boyatzis and Poppy L. McLeod
The purpose of this paper is to provide a theoretical framework for understanding and formulating team intentional change.
Abstract
Purpose
The purpose of this paper is to provide a theoretical framework for understanding and formulating team intentional change.
Design/methodology/approach
Based on a critical review of existing theories of group development, gaps in the literature regarding how teams can and should develop, especially when the change is intentional and has a desired direction, are examined. A set of propositions is offered to address these aspects of group development that have been neglected by the literature.
Findings
A systematic and critical discussion of the core literature on group development showed: the complex and discontinuous nature of change in groups was neglected, because the group was not treated as a complex system; the literature has not dealt with group development processes when the change process is intentional (it has been descriptive of what occurs), nor has it examined which are key drivers of group change; existing literature on group development have predominantly seen negative emotion as catalytic to group development, and they have ignored the role of positive emotion. Therefore, drawing on positive psychology, complexity theory, small group research literatures, and Boyatzis' intentional change theory, a prescriptive theoretical framework for explaining intentional group change and development is offered and discussed.
Originality/value
A prescriptive model or theoretical framework with a set of hypotheses are proposed that explain intentional, and positive group development processes.
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