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Open Access
Book part
Publication date: 6 May 2019

Maria Brenner, Miriam O’Shea, Anne Clancy, Stine Lundstroem Kamionka, Philip Larkin, Sapfo Lignou, Daniela Luzi, Elena Montañana Olaso, Manna Alma, Fabrizio Pecoraro, Rose Satherley, Oscar Tamburis, Keishia Taylor, Austin Warters, Ingrid Wolfe, Jay Berry, Colman Noctor and Carol Hilliard

Improvements in neonatal and paediatric care mean that many children with complex care needs (CCNs) now survive into adulthood. This cohort of children places great…

Abstract

Improvements in neonatal and paediatric care mean that many children with complex care needs (CCNs) now survive into adulthood. This cohort of children places great challenges on health and social care delivery in the community: they require dynamic and responsive health and social care over a long period of time; they require organisational and delivery coordination functions; and health issues such as minor illnesses, normally presented to primary care, must be addressed in the context of the complex health issues. Their clinical presentation may challenge local care management. The project explored the interface between primary care and specialised health services and found that it is not easily navigated by children with CCNs and their families across the European Union and the European Economic Area countries. We described the referral-discharge interface, the management of a child with CCNs at the acute–community interface, social care, nursing preparedness for practice and the experiences of the child and family in all Models of Child Health Appraised countries. We investigated data integration and the presence of validated standards of care, including governance and co-creation of care. A separate enquiry was conducted into how care is accessed for children with enduring mental health disorders. This included the level of parental involvement and the presence of multidisciplinary teams in their care. For all children with CCNs, we found wide variation in access to, and governance of, care. Effective communication between the child, family and health services remains challenging, often with fragmentation of care delivery across the health and social care sector and limited service availability.

Details

Issues and Opportunities in Primary Health Care for Children in Europe
Type: Book
ISBN: 978-1-78973-354-9

Keywords

Open Access
Book part
Publication date: 6 May 2019

Mitch Blair, Heather Gage, Ekelechi MacPepple, Pierre-André Michaud, Carol Hilliard, Anne Clancy, Eleanor Hollywood, Maria Brenner, Amina Al-Yassin and Catharina Nitsche

Given that the workforce constitutes a principal resource of primary care, appraisal of models of care requires thorough investigation of the health workforce in all…

Abstract

Given that the workforce constitutes a principal resource of primary care, appraisal of models of care requires thorough investigation of the health workforce in all Models of Child Health Appraised (MOCHA) countries. This chapter explores this in terms of workforce composition, remuneration, qualifications and training in relation to the needs of children and young people. We have focused on two principal disciplines of primary care; medicine and nursing, with a specific focus on training and skills to care for children in primary care, particularly those with complex care needs, adolescents and vulnerable groups. We found significant disparities in workforce provision and remuneration, in training curricula and in resultant skills of physicians and nurses in European Union and European Economic Area Countries. A lack of overarching standards and recognition of some of the specific needs of children reflected in training of physicians and nurses may lead to suboptimal care for children. There are, of course, many other professions that also contribute to primary care services for children, some of which are discussed in Chapter 15, but we have not had resources to study these to the same detail.

Details

Issues and Opportunities in Primary Health Care for Children in Europe
Type: Book
ISBN: 978-1-78973-354-9

Keywords

Open Access
Book part
Publication date: 6 May 2019

Abstract

Details

Issues and Opportunities in Primary Health Care for Children in Europe
Type: Book
ISBN: 978-1-78973-354-9

Open Access
Book part
Publication date: 6 May 2019

Abstract

Details

Issues and Opportunities in Primary Health Care for Children in Europe
Type: Book
ISBN: 978-1-78973-354-9

Abstract

Details

Modelling Our Future: Population Ageing, Health and Aged Care
Type: Book
ISBN: 978-1-84950-808-7

Article
Publication date: 1 April 2006

Aaron L. Brenner and Anna Maria Mihalega

The purpose of this study is to report the results of a project incorporating metadata analysis for the creation of curated guides to a digital library of historic…

Abstract

Purpose

The purpose of this study is to report the results of a project incorporating metadata analysis for the creation of curated guides to a digital library of historic photographic images.

Design/methodology/approach

The general format and scope of the curated guides was determined by members of the project team. Automated processing was developed to analyze subject terms in metadata of digital images submitted to the digital library collection. The results of the metadata processing were used to narrow the themes of the curated guides, and to help create canned searches that would expose representative collection content. The curated guides were created and made available to users of the digital image collection.

Findings

Processing and analyzing metadata can be a useful tool in the creation of digital library collection guides. However, the usefulness of this method is highly dependent upon consistency and accuracy of the source metadata records.

Practical implications

Creators of digital library collections are shown a method of using existing resources to create collection guides. The value of metadata demonstrated by this application may affect considerations of the cost of metadata creation.

Originality/value

This activity discussed in this paper addresses an established need among digital library practitioners – the need to provide users with guided access to the content of their collections. The method discussed for creating curated guides is repeatable, and could be improved in further applications.

Details

OCLC Systems & Services: International digital library perspectives, vol. 22 no. 2
Type: Research Article
ISSN: 1065-075X

Keywords

Article
Publication date: 25 February 2020

Sara Rodriguez Gomez, María Victoria Lopez Perez, Raquel Garde Sánchez and Lázaro Rodríguez Ariza

Society in general demands ethical behaviour in the business world. The research aim of the paper is to analyse whether higher education institutions of business…

Abstract

Purpose

Society in general demands ethical behaviour in the business world. The research aim of the paper is to analyse whether higher education institutions of business contribute to ethical decision-making in students through a specific training approach based on practical methodologies that take into account students' personal characteristics, which may affect ethical decision-making. The acquisition of knowledge should be more effective when it is based on personal characteristics.

Design/methodology/approach

Case method, discussion and self-learning methodology were used, and at the end of the term, the students were evaluated and asked to complete a 48 closed-question questionnaire. A linear regression model is performed to analyse to what extent the results are associated to the variables proposed.

Findings

The results show that knowledge is an explanatory variable, but personal characteristics such as gender or empathy reinforce the learning. Gender difference affects the ethical decisions made and empathy, showing that training based on emotions is effective. Besides, the results show that students integrate family influence in their training process.

Research limitations/implications

In this paper, the authors have selected empathy, gender and instruction. They have taken into account the incidence of age and family education. In addition, other contextual factors can have an incidence on training and the model could be improved.

Practical implications

The results show that it is necessary to take into account the students' personal characteristics and select an appropriate training methodology to teach ethics and obtain success.

Social implications

The students graduating from these courses will be future managers and entrepreneurs and will make decisions in which ethical questions must be taken into account, hence the need for training in this respect.

Originality/value

The teaching of business ethics in business faculties is not an easy subject. It is necessary to select the approach of ethic and an effective methodology to achieve the learning objective. This learning methodology must take into account students' characteristics to be effective. The business students are future managers and entrepreneurs who will make decisions in which ethical questions must be considered, hence the need for training in this respect.

Details

Education + Training, vol. 63 no. 3
Type: Research Article
ISSN: 0040-0912

Keywords

Content available
Article
Publication date: 1 March 2006

Maria Minniti

Recent studies have shown that the contribution of small firms to employment and GDP is increasing. A large amount of work has also established the significance of social…

Abstract

Recent studies have shown that the contribution of small firms to employment and GDP is increasing. A large amount of work has also established the significance of social and economic variables for entrepreneurial decisions. Very little is known, however, about how government policies and programs influence entrepreneurial activity, and whether these effects are consistent across countries. Using original data from a representative sample of 10,000 individuals and from more than 300 open-ended interviews in 10 countries, this article provides some suggestive evidence that government intervention aimed at enhancing the underlying environment of entrepreneurial decisions may be more effective than intervention designed to provide safety nets.

Details

New England Journal of Entrepreneurship, vol. 9 no. 1
Type: Research Article
ISSN: 2574-8904

Article
Publication date: 8 April 2021

Jorge Armando López-Lemus, María Teresa De la Garza Carranza, Quetzalli Atlatenco Ibarra and José Guadalupe López-Lemus

The objective of this research is to know the degree of influence that strategic planning (SP) exerts on the tangible and intangible results of business microenterprises…

Abstract

Purpose

The objective of this research is to know the degree of influence that strategic planning (SP) exerts on the tangible and intangible results of business microenterprises in the state of Guanajuato, Mexico.

Design/methodology/approach

The methodological design was quantitative, explanatory, observational and cross-sectional, where a sample of 407 young leaders of microenterprises from the state of Guanajuato, Mexico, was obtained. To evaluate hypotheses, a structural equation model (SEM) was developed. Regarding the goodness and adjustment indices of the SEM, they were absolutely acceptable.

Findings

The results obtained through Pearson’s correlation show that there is a positive and significant relationship between SP and the tangible and intangible results of microenterprises. In addition, through the results obtained with the SEM model, it is statistically demonstrated that SP positively and significantly influences the tangible and intangible results of microenterprises in the state of Guanajuato, Mexico.

Research limitations/implications

In this research, only SP was valued as a variable that intervenes in the process of achieving tangible and intangible results to achieve the business objectives of entrepreneurial microenterprises in the state of Guanajuato. It is essential to point out that other variables that intervene in the process must be considered to generate tangible and intangible results. It is recommended to carry out further research under these variables to identify strategies for improving entrepreneurial microenterprises for their growth, sustainability and rapid positioning in a highly competitive market.

Practical implications

SP represents one of the tools to achieve the success of microenterprises through tangible and intangible results. However, microenterprises show a need to involve the use and application of SP to define clear indicators that contribute to obtaining satisfactory tangible and intangible results.

Originality/value

The findings are relevant and of great value, because there is currently not enough research that focuses on the variables analyzed, in this sense, SP and the tangible and intangible results of young entrepreneurial leaders of microenterprises in the Mexican context. The limitations of this study lie in the low participation and interest of young microenterprise entrepreneurs in the state of Guanajuato, Mexico.

Propósito

El objetivo de esta investigación es conocer el grado de influencia que ejerce la planificación estratégica sobre los resultados tangibles e intangibles de las microempresas empresariales en el estado de Guanajuato, México.

Diseño y Metodología

El diseño metodológico fue cuantitativo, explicativo, observacional y transversal, donde se obtuvo una muestra de 407 jóvenes líderes de microempresas del estado de Guanajuato, México. Para evaluar hipótesis, se desarrolló un modelo de ecuación estructural (SEM). En cuanto a los índices de bondad y ajuste del SEM resultaron absolutamente aceptables.

Resultados

Los resultados obtenidos mediante la correlación de Pearson muestran que existe una relación positiva y significativa entre la planificación estratégica y los resultados tangibles e intangibles de las microempresas. Además, a través de los resultados obtenidos a través del modelo SEM, se demuestra estadísticamente que la planificación estratégica influye positiva y significativamente en los resultados tangibles e intangibles de las microempresas del estado. de Guanajuato, México.

Implicaciones Prácticas

La planeación estratégica representa una de las herramientas para lograr el éxito de las microempresas a través de los resultados tangibles e intangibles. Sin embargo, las microempresas muestran necesidad en el involucramiento del uso y aplicación de la planeación estratégica para la definición de indicadores claros que contribuyan a obtener resultados tangibles e intangibles satisfactorios. En base a lo anterior, resulta ser motivante para los académicos, empresarios y legisladores para motivar el uso de la planificación estratégica en las microempresas debido a las bondades que atrae en garantizar el éxito de la microempresa como lo ha sugerido el Instituto del fracaso, así como también el Desarrollo de la Competitividad Empresarial. Asimismo, la planeación estratégica identifica y analiza los factores relevantes que pueden servir como apoyo a las microempresas así como a los diferentes modelos de emprendimiento que se desarrollan a través de la literatura, ofreciendo una alternativa en el enfoque de su estudio, mismos que se van ajustando a las nuevas tendencias que van surgiendo desde ámbitos nacionales como internacionales, y en particular, en el estado de Guanajuato (México) que representa uno de los estados importantes debido a su actividad económica en los sectores de agroindustria, manufactura (especialmente automotriz) y de servicios del país.

Originalidad/Valor

Los hallazgos son relevantes y de gran valor, pues actualmente no existe suficiente investigación que se enfoque en las variables analizadas, en este sentido, la planificación estratégica y los resultados tangibles e intangibles de jóvenes líderes emprendedores de microempresas en el contexto mexicano. Las limitaciones de este estudio radican en la baja participación e interés de los jóvenes emprendedores de microempresas del estado de Guanajuato. México

Resumo

Objetivo

o objetivo desta pesquisa é conhecer o grau de influência que o planejamento estratégico exerce sobre os resultados tangíveis e intangíveis das microempresas empresariais do estado de Guanajuato, México.

Desenho e Metodologia

O desenho metodológico foi quantitativo, explicativo, observacional e transversal, onde foi obtida uma amostra de 407 jovens líderes de microempresas do estado de Guanajuato, México. Para avaliar as hipóteses, foi desenvolvido um modelo de equações estruturais (SEM). Com relação aos índices de bondade e ajuste do SEM, eles foram absolutamente aceitáveis.

Resultados

Os resultados obtidos por meio da correlação de Pearson mostram que existe uma relação positiva e significativa entre o planejamento estratégico e os resultados tangíveis e intangíveis das microempresas. Além disso, pelos resultados obtidos por meio do modelo SEM, é estatisticamente demonstrado que o planejamento estratégico influencia positiva e significativamente os resultados tangíveis e intangíveis das microempresas no estado. de Guanajuato, México.

Implicações práticas

O planejamento estratégico representa uma das ferramentas para alcançar o sucesso das microempresas por meio de resultados tangíveis e intangíveis. No entanto, as microempresas mostram a necessidade de envolver o uso e a aplicação do planejamento estratégico para definir indicadores claros que contribuam para a obtenção de resultados tangíveis e intangíveis satisfatórios. Com base no exposto, acaba sendo motivador para acadêmicos, empresários e legisladores motivar a utilização do planejamento estratégico nas microempresas pelos benefícios que atrai para garantir o sucesso da microempresa sugeridos pelo Instituto do Fracasso, também bem como o Desenvolvimento da Competitividade Empresarial. Da mesma forma, o planejamento estratégico identifica e analisa os fatores relevantes que podem servir de suporte às microempresas, bem como os diferentes modelos de empreendedorismo que se desenvolvem na literatura, oferecendo uma alternativa no foco de seu estudo, que são ajustando-se às novas tendências que estão surgindo nas esferas nacional e internacional, e em particular, no estado de Guanajuato (México) que representa um dos estados importantes pela sua atividade econômica no agronegócio, manufatura (especialmente automotiva) serviços do país.

Originalidade/Valor

Os achados são relevantes e de grande valor, uma vez que atualmente não há pesquisas suficientes que enfoquem as variáveisanalisadas, neste sentido, o planejamento estratégico e os resultados tangíveis e intangíveis de jovens líderes empreendedores de microempresas no contexto mexicano . As limitações deste estudo residem na baixa participação e interesse dos jovens empreendedores da microempresa no estado de Guanajuato. México

Article
Publication date: 19 November 2018

José Carlos Tiomatsu Oyadomari, Paulo Sérgio Lima Pereira Afonso, Ronaldo Gomes Dultra-de-Lima, Octavio Ribeiro Ribeiro Mendonça Neto and Maria Carolina Gazso Righetti

The purpose of this paper is to investigate how the use of flexible budgets may influence different institutional logics (organizational inertia and flexibility).

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Abstract

Purpose

The purpose of this paper is to investigate how the use of flexible budgets may influence different institutional logics (organizational inertia and flexibility).

Design/methodology/approach

A qualitative research based on a single case study in a multinational subsidiary company was carried out. The data were mainly collected using the dialog technique through open-ended and semi-structured interviews and complemented with direct observation in informal and formal meetings and the analysis of internal documents. Content analysis was used for the analysis of the findings.

Findings

The use of flexible budgets, which isolates the negative variations due to the decrease in sales volume, may contribute to organizational inertia. However, this can be counterbalanced if the managers try to minimize the decline in performance through initiatives that promote organizational flexibility. In this case study, it was found that the alignment between the production director and the controller, who frequently work under different institutional logics, was important to stimulate organizational flexibility particularly in continuous improvement projects.

Research limitations/implications

The findings of this paper are based on only one in-depth case study. Hence, the results cannot be generalized, but a theoretical contribution can be made. Furthermore, the findings are constrained by the constructs used and the specific managerial and theoretical perspectives that have supported the analysis.

Practical implications

These results can be useful particularly for companies that are dealing with the abrupt drop in the sales volume and use the flexible budget as a performance assessment technique. These firms must pay attention because this combination can stimulate organizational inertia. To counteract this problem, it is necessary that controllers and the managers work by understanding the initiatives that promote organizational flexibility, mainly by Kaizen projects, which can minimize performance decline.

Social implications

The main contribution may be how to deal with the different managers’ behaviors, given the decrease in sales volume, and it can help an organization survives in times of economic recession and fierce competition environments.

Originality/value

This paper contributes to both practical and academic dimensions. Indeed, despite being widely used, flexible budgeting is not a widely researched topic.

Details

International Journal of Productivity and Performance Management, vol. 67 no. 9
Type: Research Article
ISSN: 1741-0401

Keywords

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