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The purpose of this paper is to examine the effects of discrimination in the workplace; and to draw general lessons, which might help to develop appropriate policies to reduce discrimination in the workplace setting.

A mixed‐methods approach was used in the research, which consisted of self‐administrated questionnaires (n = 115), in‐depth interviews (n = 10) and group consultations (n = 20).

The paper provides empirical evidence that workers continue to face subtle forms of discrimination despite the implementation of numerous Employment Acts, designed to protect employees from unequal treatment due to their gender or ethnic origin. Workers' perceptions of discrimination were found to be positively associated with increased stress, intentions to seek new employment positions, and decreased satisfaction, commitment and citizenship behaviours. More education and awareness, coupled with changing managers' and employees' attitudes, perceptions and behaviours in today's organizations, are important strategies in tackling discrimination and promoting a more diverse workforce.

This paper brings together a number of important themes, highlighting and synthesising the complex relationship between discrimination and its manifestations, and its impact on discriminated‐against individuals and groups in terms of access to, and progression within, the labour market. Research assistants from the target group were employed. This innovative research method not only enabled authors to get closer to the knowledge and experience of the target groups in relation to the barriers affecting these groups but also empowered them and enhanced the research.

Despite enormous progress in health globally, primary healthcare services in many developing countries are facing different challenges. Many studies have documented that decentralisation could be useful in supporting and developing health services closer to citizens. The purpose of this paper is to assess the effect of decentralisation on health services, and to draw general lessons which might help to develop appropriate strategies to improve health services in Nepal.

A mixed method was used, consisting of reviews of current literatures relevant to decentralisation and health performance, engaging with health service inputs‐outputs data between 2001 and 2007, and assessing the range of choices (management, finance and governance) available to local authorities using Bossert's “decision‐space approach”.

Decentralisation in many countries, including Nepal, suggests a new form of service delivery.

Review of the selected studies in triangulation with health services data has revealed that decentralisation in many cases has improved access to, utilisation of, and management of health services. The effects on other performance dimensions such as policy, equity, quality and service effectiveness are poorly investigated topics in the literature. The findings suggest that the successful implementation of decentralisation requires a broader context of institutional capacity building and resource management, and underlines the need for their consideration during implementation processes, and further investigation.

The English sector is characterised by an expanding and increasingly differentiated set of higher education providers (HEPs) and an ever-more diverse student body. As a consequence, HEPs are as differentiated in their widening participation (WP) approaches as they are in every other aspect of the business of HE, and this has led to tensions between why and how they should go about the business of WP. Are HEPs driven by the desire to enhance social justice or merely responding to regulatory pressure? This chapter discusses how changing market regulatory regimes have interreacted with, and often conflicted with, institutional missions as they try to respond to the dual policy imperatives discussed in earlier chapters: the economic, human capital expansionary dynamic and the desire to enhance social justice through access to the HE system.

This study aims to identify critical barriers to design thinking (DT) implementation in healthcare and to determine hierarchical relationships among the barriers.

Through an extensive literature review and healthcare experts' opinions, 13 barriers to DT implementation in healthcare were identified. Data were collected using survey questionnaires, and an interpretive structural modeling (ISM) -MICMAC analysis was employed to produce a hierarchical model of identified barriers.

Results reveal the absence of standalone barriers, highlighting “Lack of Organizational autonomy” and “Lack of innovation mindset” as crucial barriers at the bottom of the hierarchy. Overcoming these barriers requires a shift in organizational mindset, dedicated resources, interdisciplinary collaborations, and aligning DT with healthcare regulations.

The findings aid policymakers in recognizing interconnected barriers, enabling DT implementation through strategic mitigation. Healthcare leaders and stakeholders can use this insight to formulate effective strategies for addressing these barriers.

This research presents a distinct investigation of identifying the barriers to DT implementation in the healthcare sector in India. DT’s seamless implementation in hospitals encounters diverse barriers, hindering its full potential. This research contributes to the extant literature by providing the interrelationship between the barriers and a hierarchical model for a clear understanding of the levels of barriers.