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Organizational culture is a determinant for quality improvement. This paper aims to assess organizational culture in a hospital setting, understand its relationship with perceptions about quality of care and identify areas for improvement.

The paper is based on a cross‐sectional survey in a large clinical department that used two validated questionnaires. The first contained 20 items addressing perceptions of cultural typology (64 respondents). The second one assessed staff views on quality improvement implementation (48 faculty) in three domains: leadership, information and analysis and human resource utilization (employee satisfaction).

All four cultural types received scoring, from a mean of 17.5 (group), 13.7 (developmental), 31.2 (rational) to 37.2 (hierarchical). The latter was the dominant cultural type. Group (participatory) and developmental (open) culture types had significant positive correlation with optimistic perceptions about leadership (r=0.48 and 0.55 respectively, p<0.00). Hierarchical (bureaucratic) culture was significantly negatively correlated with domains; leadership (r=−0.61, p<0.00), information and analysis (−0.50, p<0.00) and employee satisfaction (r=−0.55, p<0.00). Responses reveal a need for leadership to better utilize suggestions for improving quality of care, strengthening the process of information analysis and encouraging reward and recognition for employees.

It is likely that, by adopting a participatory and open culture, staff views about organizational leadership will improve and employee satisfaction will be enhanced. This finding has implications for quality care implementation in other hospital settings.

The paper bridges an important gap in the literature by addressing the relationship between culture and quality care perceptions in a Pakistani hospital. As such a new and informative perspective is added.

The purpose of this study is to introduce new tools to develop a more precise and focused bibliometric analysis on the field of digitalization in healthcare management. Furthermore, this study aims to provide an overview of the existing resources in healthcare management and education and other developing interdisciplinary fields.

This work uses bibliometric analysis to conduct a comprehensive review to map the use of the unified theory of acceptance and use of technology (UTAUT) and the unified theory of acceptance and use of technology 2 (UTAUT2) research models in healthcare academic studies. Bibliometric studies are considered an important tool to evaluate research studies and to gain a comprehensive view of the state of the art.

Although UTAUT dates to 2003, our bibliometric analysis reveals that only since 2016 has the model, together with UTAUT2 (2012), had relevant application in the literature. Nonetheless, studies have shown that UTAUT and UTAUT2 are particularly suitable for understanding the reasons that underlie the adoption and non-adoption choices of eHealth services. Further, this study highlights the lack of a multidisciplinary approach in the implementation of eHealth services. Equally significant is the fact that many studies have focused on the acceptance and the adoption of eHealth services by end users, whereas very few have focused on the level of acceptance of healthcare professionals.

To the best of the authors’ knowledge, this is the first study to conduct a bibliometric analysis of technology acceptance and adoption by using advanced tools that were conceived specifically for this purpose. In addition, the examination was not limited to a certain era and aimed to give a worldwide overview of eHealth service acceptance and adoption.

This study aims to explore the firm's specific, opacity and economy-specific variables to explain the variation in South Asian market returns and indicate that how the difference in adoption of accounting standards refers to the effect of the movement in stock returns.

Following the scope of the study, factor analysis, fixed effect, Driscoll and Kraay standard errors (DKSE) and Panel Corrected standard error (PCSE) models have been inducted to determine the influence of firm-specific, opacity and economy-specific variables on stock returns. The sample of study comprises 1,885 firms from five countries located in the South Asia region with the period 2005–2018. To ensure the reliability of data, firm-specific data have been collected from DataStream International, while an international country risk guide was used to compile the data for economy-specific variables.

This study concluded that firm-specific variables showed a consistent and significant association with stock return except for beta, accrual and momentum while earning aggressiveness was the only factor in opacity measure to capture the variation in stock return. The implementation of international accounting standards seemed to be significant and proves to be helpful to enhance the quality of accounting information.

The limitations of this study comprised the estimation error by avoiding the firm's observations with negative equity in case of earning opacity and majority (more than 50%) of the observation belongs to a single market as India out of final sample which leads to having biasedness in findings.

This study helps the investors to consider the firms with smaller market capitalization and lower book to market ratio and avoid the momentum strategy under firm specific factors. Moreover, earning aggressiveness under opacity domain capture the variation in stock return and must be considered while investing funds.

The influence of adoption of international accounting standards along with firm and economy specific variable in South Asian Equity Markets return was the major contribution. Moreover, the inclusion of DKSE and PCSE models to examine the relevance of the financial and economic informational environment was also considered as a part of major contribution of this study.

The purpose of this paper is to analyze the current state of corruption in Pakistan and evaluate attempts by the government to combat its entrenched corruption culture.

The paper shows that Pakistan’s legacy of British colonial rule, its ethno-linguistic conflict and alternating civilian governments and military coups have weakened institutional capabilities, hindered capacity building and allowed systemic corruption to flourish there. Pakistan’s many anti-corruption efforts failed because they were used to attack political foes instead of strengthening institutional capabilities.

Pakistan has maintained its highly authoritarian form of governance inherited from the British in 1947. The ruling elite view the state as a milch cow for their personal enrichment and this attitude is also reflected in the performance of its bureaucracy. Existing rules of conduct and administration are not enforced as citizens encounter corruption in their dealings with officials. At the policy level, key decisions are often made to benefit the decision makers. The paper concludes that without political will no significant improvement in the state of corruption in Pakistan is likely to occur.

This paper will be useful for scholars, policy-makers and anti-corruption practitioners who are interested in corruption in Pakistan and whether the apparent institutionalization of parliamentary democracy has reduced corruption there.

In the present study, the thermal performance of engine radiator using conventional coolant and nanofluid is determined experimentally for the different flow rates. Further, the study implemented the Integrated Taguchi-GRA-PCA for optimising the heat transfer performance.

Nanofluids were prepared by taking ethylene glycol and water (25:75 by volume) with volume fraction of 0.01, 0.03 and 0.05% of TiO₂ nanopowder. Experimental Data were collected based on the design of experiments (DOE) L9 orthogonal array using Taguchi method. Statistical analysis via Grey relation analysis (GRA) and principal component analysis (PCA) were done to determine the role of experimental parameters on heat transfer coefficient and rate of heat transfer. Impact of three control factors, vol. % of TiO₂ concentration (φ), flow rate (LPH), and sonication time (min) on the performance characteristics on heat transfer coefficient and ratio of heat transfer rate is analysed to get the best combination of the parameters involved.

Analysis revealed the importance of parameters on heat transfer coefficient and can be sorted in terms of contributions from higher to lower degree. Finally, ANOVA test has been conducted to validate the effect of process parameters. The major controllable parameter is φ (concentration), contributing about 32.74%, then flow rate contributing 32.5% and finally sonication time showing small contribution of 18.57%.

A grey relational analysis integrated with principal component analyses (PCA) are implemented to get the optimum heat transfer coefficient and ratio of heat transfer rate. The novelty of the work is to adopt and implement the Integrated Taguchi-GRA-PCA first time for the purpose of thermal performance analysis of engine nano-coolant for radiator.

This paper aims to offer a wider examination of the research concerning entrepreneurship characteristics in the Middle East and North Africa (MENA) region via a review of recent studies relevant to this topic. Research publications concerning entrepreneurship within the MENA region evidence growing interest in this field of study, with the potential to boost and drive future economic development and growth. This focus within entrepreneurship research is because of the economic development in the region, which is becoming increasingly important for policymakers and businesses.

The author performed a systematic literature review to produce robust information about entrepreneurship in the MENA region, followed by a thematic analysis to identify key research themes within each category.

Despite the growth in entrepreneurship research in the MENA region, research on certain factors is lacking. An analysis of 271 studies published between 2009 and 2019 identifies 9 main research categories, within which 30 themes have attracted significant academic attention. Female entrepreneurship and gender, youth entrepreneurship and entrepreneurship behaviour and orientation are the three key categories influencing perspectives on entrepreneurship in the MENA region. This study highlights research gaps and provides recommendations to guide future research on the sustainable development of entrepreneurship in the MENA region.

This paper highlights trends in entrepreneurship research amongst scholars within the MENA region and suggests paths for future research efforts.