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Article
Publication date: 8 July 2019

Gertrude Sika Avortri and Juliet Nabyonga-Orem

Healthcare-associated infections (HAIs) constitute a major threat to patient safety and affect hundreds of millions of people worldwide. The World Health Organization in…

Abstract

Purpose

Healthcare-associated infections (HAIs) constitute a major threat to patient safety and affect hundreds of millions of people worldwide. The World Health Organization in 2016 published guidelines on the core components for infection prevention and control (IPC) programme. This was in response to a global call for focused action. The purpose of this paper is to examine and promote understanding of the tenets of the IPC guidelines and highlight their implications for implementation in low-income countries.

Design/methodology/approach

Drawing from personal experiences in leading the implementation of health programmes as well as a review of published and grey literature on IPC, authors discussed and proposed practical approaches to implement IPC priorities in low-income setting.

Findings

Availability of locally generated evidence is paramount to guide strengthening leadership and institutionalisation of IPC programmes. Preventing infections is everybody’s responsibility and should be viewed as such and accorded the required attention.

Originality/value

Drawing from recent experiences from disease outbreaks and given the heavy burden of HAIs especially in low-income settings, this paper highlights practical approaches to guide implementation of the major components of IPC.

Details

International Journal of Health Care Quality Assurance, vol. 32 no. 6
Type: Research Article
ISSN: 0952-6862

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Article
Publication date: 20 March 2017

Susan Brandis, John Rice and Stephanie Schleimer

Employee engagement (EE), supervisor support (SS) and interprofessional collaboration (IPC) are important contributors to patient safety climate (PSC). The purpose of this…

Abstract

Purpose

Employee engagement (EE), supervisor support (SS) and interprofessional collaboration (IPC) are important contributors to patient safety climate (PSC). The purpose of this paper is to propose and empirically test a model that suggests the presence of a three-way interaction effect between EE, IPC and SS in creating a stronger PSC.

Design/methodology/approach

Using validated tools to measure EE, SS, IPC and PSC data were collected from a questionnaire of 250 clinical and support staff in an Australian health service. Using a statistical package (SPSS) an exploratory factor analysis was conducted. Bivariate correlations between the derived variables were calculated and a hierarchical ordinary least squares analysis was used to examine the interaction between the variables.

Findings

This research finds that PSC emerges from synergies between EE, IPC and SS. Modelling demonstrates that the effect of IPC with PSC is the strongest when staff are highly engaged. While the authors expected SS to be an important predictor of PSC; EE has a stronger relationship to PSC.

Practical implications

These findings have important implications for the development of patient safety programmes that focus on developing excellent supervisors and enabling IPC.

Originality/value

The authors provide quantitative evidence relating to three of the often mentioned constructs in the typology of patient safety and how they work together to improve PSC. The authors believe this to be the first empirically based study that confirms the importance of IPC as a lead marker for improved patient safety.

Details

Journal of Health Organization and Management, vol. 31 no. 1
Type: Research Article
ISSN: 1477-7266

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Article
Publication date: 1 February 2016

Sangsung Park, Juhwan Kim, Hongchul Lee, Dongsik Jang and Sunghae Jun

An increasing amount of attention is being paid to three-dimensional (3D) printing technology. The technology itself is based on diverse technologies such as laser beams…

Abstract

Purpose

An increasing amount of attention is being paid to three-dimensional (3D) printing technology. The technology itself is based on diverse technologies such as laser beams and materials. Hence, 3D printing technology is a converging technology that produces 3D objects using a 3D printer. To become technologically competitive, many companies and nations are developing technologies for 3D printing. So to know its technological evolution is meaningful for developing 3D printing in the future. The paper aims to discuss these issues.

Design/methodology/approach

To get technological competitiveness of 3D printing, the authors should know the most important and essential technology for 3D printing. An understanding of the technological evolution of 3D printing is needed to forecast its future technologies and build the R & D planning needed for 3D printing. In this paper, the authors propose a methodology to analyze the technological evolution of 3D printing. The authors analyze entire patent documents related to 3D printing to construct a technological evolution model. The authors use the statistical methods such as time series regression, association analysis based on graph theory, and principal component analysis for patent analysis of 3D printing technology.

Findings

Using the proposed methodology, the authors show the technological analysis results of 3D printing and predict its future aspects. Though many and diverse technologies are developed and involved in 3D printing, the authors know only a few technologies take lead the technological evolution of 3D printing. In this paper, the authors find this evolution of technology management for 3D printing.

Practical implications

If not all, most people would agree that 3D printing technology is one of the leading technologies to improve the quality of life. So, many companies have developed a number of technologies if they were related to 3D printing. But, most of them have not been considered practical. These were not effective research and development for 3D printing technology. In the study, the authors serve a methodology to select the specific technologies for practical used of 3D printing.

Originality/value

Diverse predictions for 3D printing technology have been introduced in many academic and industrial fields. Most of them were made by subjective approaches depended on the knowledge and experience of the experts concerning 3D printing technology. So, they could be fluctuated according to the congregated expert groups, and be unstable for efficient R & D planning. To solve this problem, the authors study on more objective approach to predict the future state of 3D printing by analyzing the patent data of the developed results so far achieved. The contribution of this research is to take a new departure for understanding 3D printing technology using objective and quantitative methods.

Details

Industrial Management & Data Systems, vol. 116 no. 1
Type: Research Article
ISSN: 0263-5577

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Article
Publication date: 12 August 2019

Meritxell Mondejar-Pont, Anna Ramon-Aribau and Xavier Gómez-Batiste

The purpose of this paper is to propose a unified definition of integrated palliative care (IPC), and to identify the elements that facilitate or hinder implementation of…

Abstract

Purpose

The purpose of this paper is to propose a unified definition of integrated palliative care (IPC), and to identify the elements that facilitate or hinder implementation of an integrated palliative care system (IPCS).

Design/methodology/approach

A scoping review of the conceptualization and essential elements of IPC was undertaken, based on a search of the PubMed, Scopus and ISI Web of Science databases. The search identified 79 unduplicated articles; 43 articles were selected for content analysis.

Findings

IPC is coordinated and collaborative across different health organizations, levels of care and types of providers. Eight key elements facilitate implementation of an IPCS: coordination, early patient identification, patient-centered services, care continuity, provider education and training, a standard implementation model and screening tool, shared information technology system, and supportive policies and funding. These elements were plotted as a “Circle of Integrated Palliative Care System Elements.”

Practical implications

This paper offers researchers an inclusive definition of IPC and describes the essential elements of its successful implementation.

Originality/value

This study provides evidence from researchers on five continents, offering insights from multiple countries and cultures on the topic of IPC. The findings of this thematic analysis could assist international researchers aiming to develop a standard evaluative model or assess the level of integration in a health care system’s delivery of palliative care.

Details

Journal of Integrated Care, vol. 27 no. 4
Type: Research Article
ISSN: 1476-9018

Keywords

Content available
Article
Publication date: 3 July 2017

Marlieke den Herder-van der Eerden, Benjamin Ewert, Farina Hodiamont, Michaela Hesse, Jeroen Hasselaar and Lukas Radbruch

Literature suggests that integrated palliative care (IPC) increases the quality of care for palliative patients at lower costs. However, knowledge on models encompassing…

Abstract

Purpose

Literature suggests that integrated palliative care (IPC) increases the quality of care for palliative patients at lower costs. However, knowledge on models encompassing all integration levels for successfully implementing IPC is scarce. The purpose of this paper is to describe the experiences of IPC leaders in seven European countries regarding core elements, facilitators and barriers of IPC implementation and provides recommendations for future policy and practice.

Design/methodology/approach

A qualitative interview study was conducted between December 2013 and May 2014. In total, 34 IPC leaders in primary and secondary palliative care or public health in Belgium, Germany, Hungary, Ireland, the Netherlands, Spain and the UK were interviewed. Transcripts were analysed using thematic data analysis.

Findings

IPC implementation efforts involved a multidisciplinary team approach and cross-sectional coordination. Informal professional relationships, basic medical education and general awareness were regarded as facilitators of IPC. Identified barriers included lack of knowledge about when to start palliative care, lack of collaboration and financial structures. Recommendations for improvement included access, patient-centeredness, coordination and cooperation, financing and ICT systems.

Originality/value

Although IPC is becoming more common, action has been uneven at different levels. IPC implementation largely remains provisional and informal due to the lack of standardised treatment pathways, legal frameworks and financial incentives to support multilevel integration. In order to make IPC more accessible, palliative care education as well as legal and financial support within national healthcare systems needs to be enhanced.

Details

Journal of Integrated Care, vol. 25 no. 3
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 21 June 2013

Sunghae Jun and Sang Sung Park

Apple is a representative company of technological innovation (TI) and management. It has launched new and innovative products since 1977, and many companies and business…

Abstract

Purpose

Apple is a representative company of technological innovation (TI) and management. It has launched new and innovative products since 1977, and many companies and business schools around the world have attempted to learn about the success story of Apple's innovation. However, most previous research works on Apple's innovation have been based on qualitative approaches such as experts' opinions. Such studies offer a subjective point of view. By contrast, in this paper the authors aim to study the TI and forecasting of Apple by analyzing its patent applications, which is an objective approach to examining the innovation of Apple from a technological perspective.

Design/methodology/approach

TI is an important issue concerning technology management for companies and governments. To examine Apple's TI, the authors analyze all applied patents and construct analytical models according to three approaches. First, they build statistical models using the time series regression and multiple linear regression methods to create a technology map. Second, they cluster all Apple's patents to find its vacant technology domain. Lastly, they use social network analysis to search for technologies central to Apple's future.

Findings

The authors' study shows the technological trends and relations between Apple's technologies. This research finds vacant technology areas and central technologies for Apple's TI.

Practical implications

Using statistical and machine learning methods, the authors analyze all Apple's patents in order to predict the firm's future technologies. This research contributes to examining the TI of Apple. Therefore, the results of the patent analysis can highlight the technological opportunities for Apple's TI.

Originality/value

Traditional TI models have been based on qualitative methods. Previous investigations of Apple's TI have also relied on traditional analytical approaches. In this paper, however, the authors develop a quantitative and objective approach for examining Apple's TI.

Content available
Article
Publication date: 1 June 1999

Abstract

Details

Circuit World, vol. 25 no. 2
Type: Research Article
ISSN: 0305-6120

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Article
Publication date: 6 November 2017

Bridget Rice, Kathy Knox, John Rice, Nigel Martin, Peter Fieger and Anneke Fitzgerald

Employee loyalty is generally a very positive trait. However, when loyal employees are confronted with dysfunctionality in the workplace the impact on their well-being can…

Abstract

Purpose

Employee loyalty is generally a very positive trait. However, when loyal employees are confronted with dysfunctionality in the workplace the impact on their well-being can be significant. The purpose of this paper is to assess the interaction of employee loyalty and employee experience of inter-professional dysfunction in a hospital setting to predict employee job tension.

Design/methodology/approach

The paper is based on the analysis of a cross-sectional attitudinal survey of employees within a hospital setting in Australia. The authors use OLS regression and an SPSS macro (by Hayes, 2013) to assess the regions of significance of the interaction effects.

Findings

The authors find, as anticipated, significant direct effects for employee loyalty and inter-professional dysfunction on employee job stress. The authors further find significant interaction effects that suggest that highly loyal employees who experience inter-professional dysfunction also experience disproportionately high levels of job tension.

Research limitations/implications

The main research implication of this research relates to the confirmation of the presence of an interaction effect between loyalty and inter-professional dysfunction in predicting employee job stress. Further, the zone of significance analysis (following Johnson and Neyman) suggests that this effect is evident at even low levels of inter-professional dysfunction.

Practical implications

Organisations should appreciate employee loyalty but should also be aware that loyal employees are more vulnerable to the negative consequences of organisational dysfunction than are employees with limited organisational loyalty.

Social implications

The paper confirms the importance of managing organisational cooperation between groups in organisations as a precursor to positive employee outcomes.

Originality/value

This is the first paper to investigate this interaction and to apply Johnson-Neyman analysis to confirm the regions of significance for the interaction effects noted.

Details

Personnel Review, vol. 46 no. 8
Type: Research Article
ISSN: 0048-3486

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Article
Publication date: 1 March 1993

Another benefit to D‐350 users and supporters is now available: D‐350Cevaluation software. Developed for use in evaluating certification programme applications, this…

Abstract

Another benefit to D‐350 users and supporters is now available: D‐350Cevaluation software. Developed for use in evaluating certification programme applications, this software is now being offered to D‐350 users worldwide.

Details

Circuit World, vol. 19 no. 4
Type: Research Article
ISSN: 0305-6120

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Article
Publication date: 14 September 2012

Jack K. Ito and Céleste M. Brotheridge

This article seeks to apply the challenge–hindrance conceptualization of demands to a model that relates stressors to emotional exhaustion and job satisfaction…

Abstract

Purpose

This article seeks to apply the challenge–hindrance conceptualization of demands to a model that relates stressors to emotional exhaustion and job satisfaction. Supervisory support, a resource, is posited as a precursor to demands, and work–family conflict (WFC) and interpersonal conflict (IPC) at work are expected to mediate the demand–strain and job satisfaction relationships.

Design/methodology/approach

This cross‐sectional self‐report survey included a sample of 600 government employees in Canada.

Findings

In addition to directly influencing job satisfaction, supervisory support reduces strain and increases motivation by decreasing hindrances and interpersonal conflict. Also, although, challenge and hindrance demands are both positively associated with strain, task complexity is positively associated with job satisfaction, whereas role ambiguity and interpersonal conflict are negatively associated with job satisfaction. Furthermore, work–family conflict and interpersonal conflict fully mediate the effects of supervisory support, role conflict, and task complexity on strain, and they reduce the effects of ambiguity on strain. Thus, these factors have limited effects on strain by themselves; rather, they act on strain through emotional demands.

Research limitations/implications

Some challenges have a strong connection with resources, yet also induce strain. Future models should incorporate the challenge‐hindrance approach to classifying demands and should examine challenge demands that motivate people to engage in stressful activities. Also, although work‐family conflict and interpersonal conflict at work concern different spheres, future research should incorporate both spheres and employ emotional demands as mediating variables.

Practical implications

Given that some challenges can be motivating yet stressful, the consequences of interventions can be difficult to forecast. Results point to the importance of carefully designing interventions and the role of WFC and IPC as potential levers in managing strain arising from complex jobs and other types of challenges.

Originality/value

This paper considers a unique model of demands, resources, and outcome variables that contributes to the knowledge about how to address stress.

Details

Career Development International, vol. 17 no. 5
Type: Research Article
ISSN: 1362-0436

Keywords

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