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Treatment delays must be avoided, especially in oncology, to assure sustainable high-quality health care and increase the odds of survival. The purpose of this paper is to hypothesize that waiting times would decrease and patients and employees would benefit, when specific lean interventions are incorporated in an organizational improvement approach.

In 2013, 15 lean interventions were initiated to improve flow in a single radiotherapy institute. Process/waiting times, patient satisfaction, safety, employee satisfaction, and absenteeism were evaluated using a mixed methods methodology (2010-2014). Data from databases, surveys, and interviews were analyzed by time series analysis, χ², multi-level regression, and t-tests.

Median waiting/process times improved from 20.2 days in 2012 to 16.3 days in 2014 (p<0.001). The percentage of palliative patients for which waiting times had exceeded Dutch national norms (ten days) improved from 35 (six months in 2012: pre-intervention) to 16 percent (six months in 2013-2014: post-intervention; p<0.01), and the percentage exceeding national objectives (seven days) from 22 to 17 percent (p=0.44). For curative patients, exceeding of norms (28 days) improved from 17 (2012) to 8 percent (2013-2014: p=0.05), and for the objectives (21 days) from 18 to 10 percent (p<0.01). Reported safety incidents decreased 47 percent from 2009 to 2014, whereas safety culture, awareness, and intention to solve problems improved. Employee satisfaction improved slightly, and absenteeism decreased from 4.6 (2010) to 2.7 percent (2014; p<0.001).

Combining specific lean interventions with an organizational improvement approach improved waiting times, patient safety, employee satisfaction, and absenteeism on the short term. Continuing evaluation of effects should study the improvements sustainability.

This study aimed to identify the barriers and facilitators related to the implementation of radical innovations in secondary healthcare.

A systematic review was conducted and presented in accordance with a PRISMA flowchart. The databases PubMed and Web of Science were searched for original publications in English between the 1st of January 2010 and 6th of November 2020. The level of radicalness was determined based on five characteristics of radical innovations. The level of evidence was classified according to the level of evidence scale of the University of Oxford. The Consolidated Framework for Implementation Research was used as a framework to classify the barriers and facilitators.

Based on the inclusion and exclusion criteria, nine publications were included, concerning six technological, two organizational and one treatment innovation. The main barriers for radical innovation implementation in secondary healthcare were lack of human, material and financial resources, and lack of integration and organizational readiness. The main facilitators included a supportive culture, sufficient training, education and knowledge, and recognition of the expected added value.

To our knowledge, this is the first systematic review examining the barriers and facilitators of radical innovation implementation in secondary healthcare. To ease radical innovation implementation, alternative performance systems may be helpful, including the following prerequisites: (1) Money, (2) Added value, (3) Timely knowledge and integration, (4) Culture, and (5) Human resources (MATCH). This study highlights the need for more high-level evidence studies in this area.

I consider the following question: given my commitment to creating an inclusive classroom environment where students of all backgrounds and skill levels can feel comfortable taking emotional and intellectual risks, how do I responsibly teach a course on American Life Writing in which students both read and write narratives of trauma, many of which stem from gender-based violence? With the rise of the #MeToo movement, especially, many survivors of this kind of violence feel compelled to share their stories as a way to heal themselves and to create communities of care and support. In some cases, this kind of disclosure can be restorative. But it is also important to recognize that sharing one's narrative of trauma does not always serve as a path to healing and wholeness. There is also power in choosing to tell part of one's story, sharing one's story only with a certain audience, or not disclosing one's story at all. The works that I assign in the seminar highlight these different paths to healing and model for students the ways in which a confessional model is not the only model for dealing with trauma. In this chapter, I first describe how feminist pedagogy shapes my teaching. Then I outline my approach to teaching life writing, focusing on how I teach texts that highlight trauma and how I teach the personal narrative assignment. Finally, I reflect on how these pedagogical practices might inform our larger conversations about gendered oppression, trauma, and healing.

The purpose of this paper is to provide a selected bibliography of recent resources on library instruction and information literacy.

Introduces and annotates English-language periodical articles, monographs and other materials on library instruction and information literacy published in 2013.

Provides information about each source, discusses the characteristics of current scholarship and describes sources that contain unique scholarly contributions and quality reproductions.

The information may be used by librarians and interested parties as a quick reference to literature on library instruction and information literacy.

By celebrating tourism destinations through cruise collections, luxury brands open to new influences. They may develop deeper connections with certain geographical areas, but may also challenge the quintessentially national dimension of luxury brand culture. The best example of synergies between a luxury fashion brand and tourism destinations are the Christian Dior cruise collections with Maria Grazia Chiuri at the helm. This chapter is to understand how cruise collections may enhance luxury fashion houses' brand culture through the connections they develop with tourism destinations. Further, the chapter assesses the extent to which destinations can benefit from the exposure provided by luxury fashion brands' cruise collections.

Robert J. Antonio is Professor of Sociology at the University of Kansas, Lawrence, Kansas, USA. His e-mail address is anto@falcon.cc.ukans.eduArmando Bartra is a Sociologist, Historian, and President of the Instituto Maya, in Mexico City, Mexico. The Instituto Maya has worked for the past 30 years with peasant and indigenous groups on leadership, capacity building, micro-credit, and related rural development projects. His e-mail address is circo@laneta.apc.orgMichael Mayerfeld Bell is Associate Professor of Rural Sociology at the University of Wisconsin-Madison, Madison, Wisconsin, USA, and Collaborating Associate Professor of Sociology at Iowa State University, Ames, Iowa, USA. His e-mail address is michaelbell@wisc.eduGisela Landázuri Benı&#x0301;tez teaches Rural Development at the Universidad Autónoma Metropolitana, Xochimilco, Mexico City, Mexico. Her e-mail address is giselalb@prodigy.net.mxAlessandro Bonanno is Professor of Sociology and Chair of Sociology at Sam Houston State University in Huntsville, Texas, USA. His e-mail address is soc_aab@shsu.eduLawrence Busch is University Distinguished Professor of Sociology at Michigan State University, East Lansing, Michigan, USA. He is also Director of the Institute for Food and Agricultural Standards, and a Past President of the Rural Sociological Society. His e-mail address is Lawrence.Busch@ssc.msu.eduJorge Calbucura is a Senior Researcher at the Department of Sociology at the University of Uppsala, Sweden. His e-mail address is Jorge.Calbucura@soc.uu.seMaria del Mar Delgado is Assistant Professor of Rural Development at the Department of Economics, Sociology, and Agriculture Policy, University of Cordoba, Cordoba, Spain. She is a member of the Rural Development Team at the University of Cordoba. Her e-mail address is mmdelgado@uco.esCornelia Butler Flora is Charles F. Curtiss Distinguished Professor of Agriculture and Professor of Sociology at Iowa State University, Ames, Iowa, USA. She is also Director of the North Central Regional Center for Rural Development and a Past President of the Rural Sociological Society. Her e-mail address is cflora@iastate.eduRosemary Elizabeth Gali is the coordinator of the Sociology Module of the Master’s Program in Development Management sponsored by the International Labour Organization (ILO) and the University of Torino, Italy. She has worked as a consultant for most of the major development agencies and was an adviser to the government of Mozambique during the 1990s. Her e-mail address is gallirose@hotmail.comFred T. Hendricks is Professor and Head of Department at the Department of Sociology, Rhodes University, Grahamstown, South Africa. He is also Managing Editor of the African Sociological Review. His e-mail address is f.hendricks@ru.ac.zaSusie Jacobs is Senior Lecturer at the Department of Sociology of Manchester Metropolitan University, Manchester, United Kingdom. She is co-director of the Institute of Global Studies there. Her e-mail address is s.jacobs@mmu.ac.ukThomas A. Lyson is Professor in the Department of Rural Sociology, Cornell University, Ithaca, New York, USA. He is also Director of Cornell’s Community, Food, and Agriculture Program, and a past editor of the journal Development Sociology. His e-mail address is tal2@cornell.eduLois Wright Morton is Assistant Professor of Sociology at Iowa State University, Ames, Iowa, USA. Her e-mail address is lwmorton@iastate.eduEduardo Ramos is Associate Professor at the Department of Economics, Sociology, and Agriculture Policy, University of Cordoba, Cordoba, Spain. He is also Head of the Co-operation for Development Chair. He is a member of the Rural Development Team at the University of Cordoba. His e-mail address is eduardo.ramos@uco.es

Purpose – To integrate agency and stakeholder theories with the Jacobs Value Distinction (JVD) thus presenting a micro and macro reconsideration of the JVD for a finer grained perception of the values underpinning corporate and global governance initiatives.Design/methodology/approach – By extrapolating the JVD – commercial and guardian – this chapter examines the roots of moral malaise in the modern global firm. Examples and a theoretical rationale are given for identifying why and how ethical – moral problems continue to occur.Findings – A metaphorical maelstrom is discernible in the global business environment and more turmoil, especially in balancing business values, is emerging for the managers of today’s corporations. Application of the JVD predicts that under certain conditions the hybrid nature of the firm causes managers and shareholders to engage in morally risky behaviour. In further exploring the value basis of the 10 principles of the United Nations (UN) Global Compact, it is found that similar values conflict, which intensifies the need for international business managers to beware the moral risks.Research implications – This viewpoint draws upon sound theoretical analysis and future studies should collate case analysis and practitioner interview data to further consolidate the findings. The viewpoint gives managers a useful tool for identifying conflicts of values underlying decisions and forms the basis for continuous improvement in the context of operational and strategic actions in international business.Originality/value of chapter – The integration of the JVD with agency and stakeholder theories is new and critique of the 10 principles of the UN Global Compact via the JVD has not happened previously.

A primary impetus of the modern hospice movement was the disparity, during the later 20th century, between the care provided to persons with illnesses considered “curable” and the treatment – or lack of it – accorded the incurably or terminally ill. In its transformation from a reform-oriented, interdisciplinary response to the needs of the dying to an integrated component of the American healthcare system, hospice care's original mission, target population, and modality of service delivery were all significantly altered in ways that generated new disparities in access to “death with dignity.” This chapter attempts to trace the political, economic, and institutional dimensions of this transformation as reflected in the experiences of one Northeastern hospice during a 6-month period in 2001. Using an analytic approach known as institutional ethnography (IE), the authors focus on the work of the Hospice's Interdisciplinary Group (IDG) to uncover the linkages between local problems in the delivery of hospice care and extra-local sites of power and constraint at the mezzo- and macrolevels of the American healthcare system. The significance of these linkages for patients, frontline workers, and other stakeholders are interpreted from several perspectives. Implications for change are discussed.

This paper aims to investigate whether individuals’ planning horizon influences their decision to save privately for their retirement.

Focussing on Spain, this empirical research uses the fifth wave of the Survey of Health, Ageing and Retirement in Europe (SHARE)[1]. Logit models are estimated considering variables related to demographic characteristics, economic situation, education and cognitive abilities and psychological and social factors.

The results confirm that the planning horizon significantly influences the decision to save for retirement. Long-term planners are more likely to save for retirement than short-term planners.

Although previous literature has identified the planning horizon as a relevant variable in the decision to save for retirement, few empirical studies have evaluated their impact. This paper shows that it is important to develop habits of financial planning in societies, especially in societies with a prominent orientation towards the present.

The purpose of this paper is to delve into three themes about democratic enterprises.

(1) The first theme is the question of capital structure where labor-managed firms (LMFs) are often pictured as having “horizon problem.” Yet this is only a minor technical problem which is solved by the system of internal capital accounts as in the Mondragon cooperatives.

(2) The second theme concerns the attempt to implement participative management and the related ideas of active learning in educational theory in the workplace. The point is that the democratic firm is the natural setting to implement these ideas, not the conventional firm where the staff have the legal role of “employees” rented by the company.

(3) The third theme is the old canard the cooperatives are incompatible with entrepreneurship. My rethinking of the issue was inspired by the analysis of the late Jane Jacobs who emphasized that the primary means of growing economic “biomass” is through economic offspring (e.g., spin-offs) – in analogy with the biological principle of plentitude. Yet the conventional form of ownership operates as a fetter on this process since the ownership and management wants to expand its empire and maintain “ownership” of any potential offspring. But that constraint against spin-offs is absent in democratic firms, and the Mondragon complex has indeed illustrated how to catalyze this process of growth through offspring.

A public policy to encourage all companies to grow by affiliated and perhaps democratic spin-offs would create more jobs (through filling extra niches) and more stability (through the agility of separate companies).