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1 – 10 of over 2000Helge H.O. Müller, Caroline Lücke, Matthias Englbrecht, Michael S. Wiesener, Teresa Siller, Kai Uwe Eckardt, Johannes Kornhuber and J. Manuel Maler
Kidney transplantation (KT) is the treatment of choice for end-stage chronic kidney disease (CKD) and is well known to improve the clinical outcome of patients. However, the…
Abstract
Purpose
Kidney transplantation (KT) is the treatment of choice for end-stage chronic kidney disease (CKD) and is well known to improve the clinical outcome of patients. However, the impact of KT on comorbid psychological symptoms, particularly depression and anxiety, is less clear, and recipients of living-donor (LD) organs may have a different psychological outcome from recipients of dead-donor (DD) organs.
Design/methodology/approach
In total, 152 patients were included and analyzed using a cross-sectional design. Of these patients, 25 were pre-KT, 13 were post-KT with a LD transplant and 114 were post-KT with a DD transplant. The patients were tested for a variety of psychometric outcomes using the Hospital Anxiety and Depression Scale, the 12-Item Short Form Health Survey (assessing physical and mental health-related quality of life), the Resilience Scale, the Coping Self-Questionnaire and the Social Support Questionnaire.
Findings
The mean age of the patients was 51.25 years and 40 per cent of the patients were female. As expected, the post-KT patients had significantly better scores on the physical component of the Short Form Health Survey than the pre-KT patients, and there were no significant differences between the two post-KT groups. There were no significant differences among the groups in any of the other psychometric outcome parameters tested, including anxiety, depression and the mental component of health-related quality of life.
Research limitations/implications
KT and the origin of the donor organ do not appear to have a significant impact on the psychological well-being of transplant patients with CKD. Although the diagnosis and early treatment of psychological symptoms, such as depression and anxiety, remain important for these patients, decisions regarding KT, including the mode of transplantation, should not be fundamentally influenced by concerns about psychological impairments at the population level.
Originality/value
CKD is a serious condition involving profound impairment of the physical and psychological well-being of patients. KT is considered the treatment of choice for most of these patients. KT has notable advantages over dialysis with regard to the long-term physical functioning of the renal and cardiovascular system and increases the life expectancy of patients. However, the data on the improvement of psychological impairments after KT are less conclusive.
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Andreas Wallo, Henrik Kock, Cathrine Reineholm and Per-Erik Ellström
The purpose of this paper is to explore managers’ learning-oriented leadership, and what conditions managers face when working with the promotion of employees’ learning.
Abstract
Purpose
The purpose of this paper is to explore managers’ learning-oriented leadership, and what conditions managers face when working with the promotion of employees’ learning.
Design/methodology/approach
Data was collected through semi-structured interviews with managers in three manufacturing firms. Verbatim expressions of the interview participants were analysed using stepwise analytical procedures.
Findings
The managers used many kinds of activities to promote learning. Most common were activities related to learning opportunities that arose during daily work. The identified activities ranged from being planned to occurring more spontaneously. Depending on the situation or the learning activity, the managers used different behaviours to promote learning. They supported, educated and confronted employees, and they acted as role models. Factors constraining the implementation of learning-oriented leadership included limited resources, and a lack of commitment from top management, employees or the managers themselves.
Research limitations/implications
Future research should study learning-oriented leadership from the employees’ perspective.
Practical implications
Managers’ notions about learning and development constitute an important condition for learning-oriented leadership. Therefore, managers need to be trained in how to promote their employees’ learning at work.
Originality/value
This study adds to the limited knowledge of how managers carry out a learning-oriented leadership in their daily work. The findings contribute knowledge regarding managerial practices of promoting employees’ workplace learning by identifying different activities and behaviours that managers could incorporate into their leadership.
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Andreas Wallo and Alan Coetzer
This study aims to explore how human resource (HR) practitioners conceive of their practice, reveal challenges they grapple with in daily work and generate a conceptual framework…
Abstract
Purpose
This study aims to explore how human resource (HR) practitioners conceive of their practice, reveal challenges they grapple with in daily work and generate a conceptual framework of HR praxis.
Design/methodology/approach
The paper is based on interviews with HR practitioners in Sweden and a review of articles that examine aspects of HR practitioners' work.
Findings
The HR practitioners' work is fragmented and reactive, filled with meetings and affords few opportunities to work undisturbed. Operational tasks are prioritised over strategic work, and their work sometimes involves tasks that are not HR's responsibility. The nature of HR practitioners' daily work mimics the work of their main “customer”, i.e. managers within the organisations.
Practical implications
The HR practitioners were working mainly in the service of managers, which suggests that they have an internal focus. Consistent with current, prescriptive HR discourse, HR practitioners should adopt a multi-stakeholder perspective of human resource management (HRM) and a more external focus that is necessary to contribute to wider, organisational effectiveness. The findings could enrich what is taught in higher education by providing students with an account of the reality of HR practitioners' daily work.
Originality/value
The study provides a situated account of the daily work of HR practitioners, which is largely absent from the literature.
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Riccardo Stacchezzini, Francesca Rossignoli and Silvano Corbella
This article investigates the implementation of a compliance programme (CP) in terms of how practitioners conceive of and execute the responsibilities arising from this corporate…
Abstract
Purpose
This article investigates the implementation of a compliance programme (CP) in terms of how practitioners conceive of and execute the responsibilities arising from this corporate governance mechanism.
Design/methodology/approach
This study involves a practice lens approach forms the case study analysis and interpretation, involving both interviews and documentary materials collected from an Italian company with prolonged compliance experience. Schatzki's (2002, 2010) practice organisation framework guides the interpretation of CP as a practice organised by rules, practical and general understandings and teleoaffective structures.
Findings
CP practice evolves over time. A practical understanding of daily actions required to accomplish the CP and a general understanding of the responsibilities connected with the CP, such as the attitudes with which the CP is performed, are mutually constitutive and jointly favour this evolution. Dedicated artefacts – such as IT platforms, training seminars and compliance performance indicators – help spread both of these types of understanding. These artefacts also align practitioners' general understanding with the CP's teleoaffective structures imposed, including the CP's assigned objectives and the desired reactions to them.
Research limitations/implications
The findings have theoretical and practical implications by revealing the relevance of practitioners' understanding of corporate governance mechanisms in their implementation processes.
Originality/value
This study reveals the potential benefits of practice lens approaches in corporate governance studies. It responds to the call for qualitative studies that demonstrate corporate governance as implemented in daily activities.
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Just Bendix Justesen, Pernille Eskerod, Jeanette Reffstrup Christensen and Gisela Sjøgaard
The purpose of this paper is to address a missing link between top management and employees when it comes to understanding how to successfully implement and embed workplace health…
Abstract
Purpose
The purpose of this paper is to address a missing link between top management and employees when it comes to understanding how to successfully implement and embed workplace health promotion (WHP) as a strategy within organizations: the role of the middle managers.
Design/methodology/approach
A conceptual framework based on review of theory is applied within an empirical multi-case study that is part of a health intervention research project on increased physical activity among office workers. The study involves six Danish organizations.
Findings
Middle managers play a key role in successful implementation of WHP, but feel uncertain about their role, especially when it comes to engaging with their employees. Uncertainty about their role appears to make middle managers reluctant to take action on WHP and leave further action to top management instead.
Research limitations/implications
Limitations included the middle managers’ low attendance at the half-day seminar on strategic health (50 percent attendance), the fact that they were all office workers and they were all from Denmark.
Practical implications
Middle managers ask for more knowledge and skills if they are to work with WHP in daily business.
Social implications
Implementing and embedding WHP as a health strategy raises ethical issues of interfering with employees’ health, is seen as the employee’s personal responsibility.
Originality/value
This study adds to knowledge of the difficulties of implementing and embedding WHP activities in the workplace and suggests an explicit and detailed research design.
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Domingo de-Pedro-Jiménez, Esther Foncubierta-Sierra, Esther Domínguez-Romero, Juan Vega-Escaño, Marta Hernández Martín and Cristina Gavira Fernández
This paper aims to study the influence of leisure-time physical activity on depression crises and the difficulty in performing light household tasks.
Abstract
Purpose
This paper aims to study the influence of leisure-time physical activity on depression crises and the difficulty in performing light household tasks.
Design/methodology/approach
A population-based cross-sectional study was conducted using data from the 2020 European Health Survey in Spain. A total of 1,076 individuals diagnosed with depression were selected. ANOVA, chi-square, Fisher’s exact test and Mann–Whitney U test were applied, and a simple moderation analysis was conducted using the SPSS PROCESS 4.0 macro.
Findings
Women had higher percentages of some or much difficulty in performing domestic activities (p = 0.007). Differences were found between experiencing a crisis in the past 12 months versus not having one (p < 0.001): less physical activity was performed, perceived health was worse and difficulty in performing domestic activities increased. The moderation analysis confirmed the moderating effect of physical activity on the relationship between experiencing a crisis and having difficulty with domestic activities (p = 0.017).
Research limitations/implications
The usual limitation of descriptive cross-sectional studies, which cannot establish causal relationships, must be added to low sample sizes in some categories.
Practical implications
The analysis with gender differentiation, promoting gender-specific adapted practices, considering age and personal circumstances of the patient, appropriate exercise prescription, as well as its evaluation and follow-up, are areas where specialist nurses need to delve deeper to enhance the quality of care.
Originality/value
Leisure-time physical activity moderates the relationship between experiencing a crisis and having difficulty with light household tasks: those who engage in occasional physical activity have less difficulty compared to those who do not engage in it.
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Vincenzo Corvello, Monica De Carolis, Saverino Verteramo and Annika Steiber
This paper explores digital transformation's impact on the work of owners in entrepreneurial firms. The interplay between working practices and technology is analyzed, taking into…
Abstract
Purpose
This paper explores digital transformation's impact on the work of owners in entrepreneurial firms. The interplay between working practices and technology is analyzed, taking into account the organizations' specific contexts.
Design/methodology/approach
A multiple case study design was applied. Eight cases of entrepreneurial firms, defined as companies that bring new products and services to the market by creating and seizing opportunities, were selected, with the goal to maximize the diversity of cases. The sample includes both small- and medium-sized firms, as well as high- tech and low- tech companies in equal number. Interviews have been used to collect both quantitative and qualitative data, which was analyzed in a structured way.
Findings
The digital transformation of entrepreneurial work, that is the daily work of entrepreneurs, is an evolutionary, practice-based phenomenon, rather than the result of rational design. The use of different digital tools is interrelated and depends on the characteristics, and dynamics of the surrounding environment.
Practical implications
The findings of this study are relevant to entrepreneurs interested in understanding the dynamics of their working practice, to software development firms interested in entrepreneurs as customers and to institutions interested in the education of entrepreneurs.
Originality/value
To the best of the authors' knowledge this is the first study which considers the interplay between digital technology and the daily activities of entrepreneurs, considered as a whole. It provides insights on how these interconnected dimensions evolve, thus contributing to understanding the work of entrepreneurs, and as a consequence the dynamics of entrepreneurial firms in the context of digital transformation of organizations.
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Chris-Valentine OGAR Eneji, Nkanu Usang Onnoghen, Joseph Odama Acha and Juliana Bebuo Diwa
The purpose of this study is to examine the extent of climate change awareness among the rural farmers of Northern Cross River state, investigate the gender role analyzes of some…
Abstract
Purpose
The purpose of this study is to examine the extent of climate change awareness among the rural farmers of Northern Cross River state, investigate the gender role analyzes of some daily routine activities carried out by these rural farmers, ascertain the difference in workload burden of the impacts of climate change between men and women, identify the strategies adopted by these rural farmers to mitigate the effects of climate change in their agricultural activities and investigate the roles Environmental Education (EE) can play in helping the rural farmers to design and adopt sustainable adaptation and mitigation strategies to reduce or completely eradicate their vulnerability to climate change effects.
Design/methodology/approach
The research design adopted for this study is the cross-sectional survey method. Five research questions guided the study. Two sets of instruments were used for data collection, a sample of 1,258 respondents (0.1%) were selected for the study. The researchers personally administered the instruments and collected the same back, two instruments were not properly filled, so they were rejected.
Findings
The finding of the study revealed that rural farmers have some level of climate change awareness, which they got from radio, newspapers, awareness campaigns, flyers, billboards, among others. Six out of the nine strategies listed were adopted by the rural farmers to mitigate climate change effects among these rural farmers. There is a significant difference in gender workload burden between women and male in the area, the result is positively skewed toward women, implying that the burden of workload for women increased over those of men. The result also shows that EE can influence their attitude toward climate change through awareness creation, knowledge provisions and also encourage members participation in climate change effect mitigation, prevention and adaptation.
Research limitations/implications
With this result, EE can be used as a tool for the creation of knowledge, awareness, attitude and encourage the participation of these rural farmers toward mitigating and prevention climate change effects among these rural farmers. It was recommended among others that deliberate policies should be designed to make EE help create the needed awareness on climate change, beginning from the causes, effects and mitigation strategies among rural farmers in their community.
Practical implications
Already, most Environmental Educators have been trained, the government should design and formulate practical policies to use them as extension agent on climate change effort to go to these rural communities and create the needed awareness, knowledge, skills and attitude to help them combat climate change effects including trees and cover crops planting and also re-introducing the use of irrigation agriculture in these farming communities.
Social implications
With the creation of awareness, social groups and individuals can also make a social investment from these activities and also improve their social capitals, thereby reducing social burdens and improving their living conditions within the rural settings.
Originality/value
This research is an original research paper from the effort. the purpose is to assess the extent of climate change awareness level and how the effects of climate change increase or reduces the burden of gender workload among rural farmers and the strategies which can be used by these rural farmers to prevent, mitigate and adapt to climate change effects and the roles EE can play. This study has an original value in the sense that in the course of the study, the study hardly saw articles on these specific variables in whole research, hence the resolve to assess these variables.
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Jeanette Kirk, Ove Andersen and Janne Petersen
Older patients are at high risk of hospital readmission, which has led to an increasing number of screening and intervention programs. Knowledge on implementing screening tools…
Abstract
Purpose
Older patients are at high risk of hospital readmission, which has led to an increasing number of screening and intervention programs. Knowledge on implementing screening tools for preventing readmissions in emergency department (ED), where the primary focus is often the present-day flow of patients, is scant. The purpose of this paper is to explore whether a new screening tool for predicting readmissions and functional decline in medical patients>65 years of age could be implemented and its influence on cross-continuum collaborations between the primary and secondary sectors.
Design/methodology/approach
The study took place in an ED in Denmark, in collaboration with the surrounding municipalities. An evaluation workshop with nurses and leaders from the ED and the surrounding municipalities took place with the aim of investigating the organizational changes that occurred in daily practice after the implementation of the screening tool. The workshop was designed and analyzed using cultural historical activity theory (CHAT).
Findings
The results showed that it was possible to develop collaboration between the two sectors during the test period. However, the screening tool created different transformations for the municipality employees and in the ED. The contradictions indicated that the screening tool did not mediate a general and sustained transformation in the cross-continuum collaboration.
Research limitations/implications
Screening tools are not objective, neutral or “acontexual” artifacts and must always be adapted to the local context and sectors. CHAT offers a perspective to understand the collective object when working with organizational transformations and implementation.
Practical implications
The study have shown that screening tools are not objective, neutral or “acontexual” artifacts and must always be adapted to the local context. This is called adaption process. This adaption requires time and resources that should be taken into consideration from the beginning of introduction of new screens.
Originality/value
This paper contributes with knowledge about CHAT which offers a way to understand the leading collective object when working with organizational transformations and implementation. CHAT focuses not only on the structural changes but also on the cultural aspects of organizational changes, which is important if we want to reach a sustained change and implement the new screening tool in different sectors.
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Carl Kronlid and Enrico Baraldi
This paper aims to focus on time-constrained interactions involving industry and public actors, mainly universities, conducting research. This kind of interaction has become…
Abstract
Purpose
This paper aims to focus on time-constrained interactions involving industry and public actors, mainly universities, conducting research. This kind of interaction has become increasingly important to develop new pharmaceuticals, especially antibiotics. The proposed theoretical frame relies on industrial marketing and purchasing’s interactive perspective on inter-organizational relationships and especially the activities, resource, actors model, combined with key concepts on temporary organizing and project management. This study identifies the temporality and time constraints imposed by this project on public–private interactions, specific coordination tools used to create such temporality and time constraints and their consequences, including positive and negative effects for the interacting parties.
Design/methodology/approach
The study builds on a single in-depth qualitative case study of a major antibiotics R&D collaboration project called ENABLE.
Findings
For negative consequences, this model includes the need for constantly rebuilding trust due to fast turnover of actors, difficulties in combining resources as efficiently as possible, resource constraints, bottlenecks and neglect of some activities, such as publishing, which are normally pivotal for universities. Despite these problematic consequences of temporality, resources are rapidly made available and new competencies learned quickly. Another positive effect is the possibility to achieve complex adaptations of resources and activities even in short time frames. Importantly, projects can act as a springboard for the parties to continue collaboration and in the long term develop a continuous business relationship.
Originality/value
Based on the findings the authors develop a model of time-constrained inter-organizational interaction between public and private organizations.
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