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Article
Publication date: 1 June 2001

Neuroleptic drug use in long‐term care: An inappropriate panacea?

Brad Hagen and Christopher Armstrong‐Esther

Despite the increasing evidence about the inappropriate use of medications by older people, there is very little published evidence about the control and monitoring of…

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Abstract

Despite the increasing evidence about the inappropriate use of medications by older people, there is very little published evidence about the control and monitoring of neuroleptic drugs used in nursing homes. As others have indicated, this is all the more worrying when set in the context of the paucity of research on nursing home care and the trend to replace registered nurses with untrained care assistants. In the United States, legislation in the form of the Nursing Home Reform Act (OBRA 1987) was introduced, in part, to regulate the prescribing and administration of neuroleptic (antipsychotic) drugs. No such legislation exists in Canada or the United Kingdom. In the case of the latter jurisdiction, the recent Royal Commission on Long‐Term Care for older people (The Stationery Office, 1999) has recommended a national care commission to monitor care, and set assessment and quality benchmarks. In Canada this debate has not even begun, and the purpose of this paper is not to ignite controversy, but to raise questions about the use of these drugs with nursing home residents. Voluntary guidelines and education of physicians, nurses and care attendants would be infinitely better than legislation. In the meantime, we need research to address the following questions: For what reasons should these drugs be given to older people? Are these drugs being used appropriately? Is the risk of side‐effects too great with these drugs? Are the numbers and type of staff employed in nursing homes adequate/qualified to detect and report side‐effects? How well do these drugs manage the behaviours they are given to control? Are they being used as chemical restraints or to make the older person compliant? Are the so‐called ‘atypical’ neuroleptic drugs any better? What we offer in this article is background information that might encourage others to not only review their practice but also to address these questions.

Details

Quality in Ageing and Older Adults, vol. 2 no. 2
Type: Research Article
DOI: https://doi.org/10.1108/14717794200100014
ISSN: 1471-7794

Keywords

  • Neuroleptics
  • Antipsychotic
  • Drug utilisation
  • Older people
  • Long‐term care

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Article
Publication date: 11 June 2018

Reconciling value-based objectives for security and identity management

Kane J. Smith, Gurpreet Dhillon and Karin Hedström

In this paper, using values of individuals in a Swedish health-care organization, electronic identity management objectives related to security are defined.

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Abstract

Purpose

In this paper, using values of individuals in a Swedish health-care organization, electronic identity management objectives related to security are defined.

Design/methodology/approach

By using value-focused thinking, eliciting values from interviews of three groups of health-care staff’s objective hierarchies for three stakeholder groups are identified and defined. Objective hierarchies allow comparison across multiple stakeholder groups such that strategic objectives for identity management can be compared and contrasted.

Findings

This qualitative investigation, which used value-focused thinking, revealed 94 subobjectives, grouped into 12 fundamental and 14 means objectives, which are essential for developing measures that address potential value conflicts in a health-care organization around electronic identity management. The objectives developed in this study are grounded socioorganizationally and provide a way forward in developing measures aimed to reducing potential conflicts at a policy level.

Originality/value

In a final synthesis, congruence (or lack thereof) in the electronic identity management approach for a Swedish health organization is suggested. This also creates a foundation to evaluate and weight different objectives for strategic decision management.

Details

Information & Computer Security, vol. 26 no. 2
Type: Research Article
DOI: https://doi.org/10.1108/ICS-08-2017-0059
ISSN: 2056-4961

Keywords

  • Health care
  • Identity management
  • Value-focused thinking

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Article
Publication date: 2 October 2019

Assessing blockchain potential for improving the cybersecurity of financial transactions

Kane J. Smith and Gurpreet Dhillon

Blockchain holds promise as a potential solution to the problem of cybersecurity in financial transactions. However, difficulty exists for both the industry and…

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Abstract

Purpose

Blockchain holds promise as a potential solution to the problem of cybersecurity in financial transactions. However, difficulty exists for both the industry and organizations in assessing this potential solution. Hence, it is important to understand how organizations in the financial sector can address these concerns by exploring blockchain implementation for financial transactions in the context of cybersecurity. To do this, the problem question is threefold: first, what objectives are important based on the strategic values of an organization for evaluating cybersecurity to improve the security of financial transactions? Second, how can they be used to ensure the cybersecurity of financial transactions in a financial organization? Third, how can these objectives be used to evaluate blockchain as a potential solution for enhancing the cybersecurity of organizations in the financial sector relative to existing cybersecurity methods? The paper aims to discuss this issue.

Design/methodology/approach

To accomplish this goal we utilize Keeney’s (1992) multi-objective decision analytics technique, termed value-focused thinking (VFT), to demonstrate how organizations can assess a blockchain solution’s value to maximize value-add within financial organization.

Findings

The presented model clearly demonstrates the viability of using Keeney’s (1992) VFT technique as a multi-criteria decision analysis tool for assessing blockchain technology. Further, a clear explanation of how this model can be extended and adapted for individual organizational use is provided.

Originality/value

This paper engages both the academic literature as well as an expert panel to develop an assessment model for blockchain technology related to financial transactions by providing a useful method for structuring the decision-making process of organizations around blockchain technology.

Details

Managerial Finance, vol. 46 no. 6
Type: Research Article
DOI: https://doi.org/10.1108/MF-06-2019-0314
ISSN: 0307-4358

Keywords

  • Cybersecurity
  • Blockchain
  • Decision analysis
  • Financial transactions
  • Value-focussed thinking

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Book part
Publication date: 13 August 2018

References

Robert L. Dipboye

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The Emerald Review of Industrial and Organizational Psychology
Type: Book
DOI: https://doi.org/10.1108/978-1-78743-785-220181022
ISBN: 978-1-78743-786-9

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Book part
Publication date: 8 October 2020

Demystifying CAQDAS: A Series of Dilemmas

Paula O'Kane

Computer-aided/assisted qualitative data analysis software (CAQDAS) supports qualitative and mixed methods researchers to organize, analyze, and explore data in a…

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Computer-aided/assisted qualitative data analysis software (CAQDAS) supports qualitative and mixed methods researchers to organize, analyze, and explore data in a meaningful, and efficient, way. Successfully utilizing CAQDAS software can be challenging, particularly for the novice researcher. To assist all researchers 21 CAQDAS dilemmas are articulated. These relate to choosing, using, and getting started with the software, as well as writing about CAQDAS use. These dilemmas suggest there is no right way to use CAQDAS programs, rather the specific research project, along with researcher experience and philosophy, should drive the extent to which any project utilizes the extensive CAQDAS capabilities, while also encouraging the researcher(s) to drive their ideas and exploration beyond what they initially thought possible.

Details

Advancing Methodological Thought and Practice
Type: Book
DOI: https://doi.org/10.1108/S1479-838720200000012020
ISBN: 978-1-80043-079-2

Keywords

  • CAQDAS
  • QDAS
  • Qualitative research
  • mixed methods
  • data analysis
  • coding

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Book part
Publication date: 26 September 2017

Meaning in Organizational Networks – from Social to Digital and Back

Christine Moser, Peter Groenewegen and Julie E. Ferguson

In this essay, we argue that understanding of meaning in relation to organizational networks warrants a more prominent place in organizational theorizing, because it…

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In this essay, we argue that understanding of meaning in relation to organizational networks warrants a more prominent place in organizational theorizing, because it fulfils a distinct role in the emergence and evolution of networks. Whereas prior studies have tended to address network structures or narrative structures, we suggest that organizational processes might be better understood when addressing the role of meaning and network structures simultaneously. We explain the implications of our argument in an online context, given the growing significance of digitally enabled networks on organizational sociality, and draw on examples in the context of organizational knowledge sharing to support our argument. We conclude by introducing a communication flow model to support the further development of research on organizational meaning networks.

Details

Structure, Content and Meaning of Organizational Networks
Type: Book
DOI: https://doi.org/10.1108/S0733-558X20170000053008
ISBN: 978-1-78714-433-0

Keywords

  • Organizational networks
  • meaning networks
  • social ties
  • online networks
  • knowledge sharing
  • communication flows

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Book part
Publication date: 8 September 2017

Stress Arousal and Burnout as Mediators of Role Stress in Public Accounting

Kenneth J. Smith, David J. Emerson and George S. Everly

This paper examines the influence of stress arousal and burnout as mediators of the negative relations between role stressors and job outcomes (satisfaction, performance…

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This paper examines the influence of stress arousal and burnout as mediators of the negative relations between role stressors and job outcomes (satisfaction, performance, and turnover intentions) among a sample of AICPA members working in public accounting. It extends prior research which examined these linkages (Chong & Monroe, 2015; Fogarty, Singh, Rhoads, & Moore, 2000; Smith, Davy, & Everly, 2007) by evaluating a model that simultaneously incorporates stress arousal and the three fundamental dimensions of burnout, i.e., emotional exhaustion, depersonalization, and reduced personal accomplishment. This paper also utilizes a recently validated stress arousal measure designed to capture the worry and rumination aspects of arousal posited to be responsible for a number of negative personal outcomes.

The results indicate that role stressors, mediated by stress arousal and the individual burnout dimensions, have a negative influence on job outcomes. In line with predictions regarding the temporal ordering of stress arousal and burnout in the model, each of the job stressors had a significant positive influence on accountants’ stress arousal, and the influence of the individual role stressors on each burnout dimension was either partially or fully mediated via their relations with stress arousal. In turn, the influence of stress arousal on each of the job outcomes was either partially or fully mediated through its relations with emotional exhaustion.

Details

Advances in Accounting Behavioral Research
Type: Book
DOI: https://doi.org/10.1108/S1475-148820170000020004
ISBN: 978-1-78714-527-6

Keywords

  • Role stressors
  • stress mediators
  • job outcomes
  • burnout
  • stress arousal
  • turnover intentions

Content available
Book part
Publication date: 19 December 2017

References

Karin Klenke

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Women in Leadership 2nd Edition
Type: Book
DOI: https://doi.org/10.1108/978-1-78743-063-120172014
ISBN: 978-1-78743-064-8

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Book part
Publication date: 30 June 2016

Social Media use in HRM

Donald H. Kluemper, Arjun Mitra and Siting Wang

Over the past decade, the rapid evolution of social media has impacted the field of human resource management in numerous ways. In response, scholars and practitioners…

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Abstract

Over the past decade, the rapid evolution of social media has impacted the field of human resource management in numerous ways. In response, scholars and practitioners have sought to begin an investigation of the myriad of ways that social media impacts organizations. To date, research evidence on a range of HR-related topics are just beginning to emerge, but are scattered across a range of diverse literatures. The principal aim of this chapter is to review the current literature on the study of social media in HRM and to integrate these disparate emerging literatures. During our review, we discuss the existent research, describe the theoretical foundations of such work, and summarize key research findings and themes into a coherent social media framework relevant to HRM. Finally, we offer recommendations for future work that can enhance knowledge of social media’s impact in organizations.

Details

Research in Personnel and Human Resources Management
Type: Book
DOI: https://doi.org/10.1108/S0742-730120160000034011
ISBN: 978-1-78635-263-7

Keywords

  • Social media
  • social networking web sites
  • human resource management

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Book part
Publication date: 8 October 2020

Introduction: Is It all a Game? Rankings, Journal Lists, and the Contemporary Role of Book Chapters

T. Russell Crook, Jane Lê and Anne Smith

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Details

Advancing Methodological Thought and Practice
Type: Book
DOI: https://doi.org/10.1108/S1479-838720200000012012
ISBN: 978-1-80043-079-2

Keywords

  • Journal rankings
  • business journals
  • book chapters
  • FT 50
  • introduction
  • business school rankings

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