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Article
Publication date: 18 September 2017

Michelle Miller-Day, Janelle Applequist, Keri Zabokrtsky, Alexandra Dalton, Katherine Kellom, Robert Gabbay and Peter F. Cronholm

The Patient-Centered Medical Home (PCMH) has become a dominant model of primary care re-design. This transformation presents a challenge to many care delivery…

Abstract

Purpose

The Patient-Centered Medical Home (PCMH) has become a dominant model of primary care re-design. This transformation presents a challenge to many care delivery organizations. The purpose of this paper is to describe attributes shaping successful and unsuccessful practice transformation within four medical practice groups.

Design/methodology/approach

As part of a larger study of 25 practices transitioning into a PCMH, the current study focused on diabetes care and identified high- and low-improvement medical practices in terms of quantitative patient measures of glycosylated hemoglobin and qualitative assessments of practice performance. A subset of the top two high-improvement and bottom two low-improvement practices were identified as comparison groups. Semi-structured interviews were conducted with diverse personnel at these practices to investigate their experiences with practice transformation and data were analyzed using analytic induction.

Findings

Results show a variety of key attributes facilitating more successful PCMH transformation, such as empanelment, shared goals and regular meetings, and a clear understanding of PCMH transformation purposes, goals, and benefits, providing care/case management services, and facilitating patient reminders. Several barriers also exist to successful transformation, such as low levels of resources to handle financial expense, lack of understanding PCMH transformation purposes, goals, and benefits, inadequate training and management of technology, and low team cohesion.

Originality/value

Few studies qualitatively compare and contrast high and low performing practices to illuminate the experience of practice transformation. These findings highlight the experience of organizational members and their challenges in practice transformation while providing quality diabetes care.

Details

Journal of Health Organization and Management, vol. 31 no. 6
Type: Research Article
ISSN: 1477-7266

Keywords

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Article
Publication date: 1 August 2016

M. Claudia tom Dieck, Timothy Jung and Dai-In Han

Recent advancements in wearable computing offer opportunities for art galleries to provide a unique experience. However, to ensure successful implementation of this new…

Abstract

Purpose

Recent advancements in wearable computing offer opportunities for art galleries to provide a unique experience. However, to ensure successful implementation of this new technology in the visitor industry, it is essential to understand user requirements from a visitor’s point of view. Therefore, the aim of this paper is to investigate visitors’ requirements for the development of a wearable smart glasses augmented reality (AR) application in the museum and art gallery context.

Design/methodology/approach

Interviews with 28 art gallery visitors were conducted and an affinity diagram technique was used to analyze the interviews.

Findings

The findings reveal that wearable AR is in its infancy and that technical and design issues have to be overcome for a full adoption. It reveals that content requirement, functional requirement, comfort, experience and resistance are important when developing and implementing the wearable AR application in the museum and art gallery contexts.

Originality/value

Mapping user requirements in the wearable smart glasses AR context using an affinity diagram is a new approach and therefore contributes to the creation of knowledge in the tourism domain. Practically, the area of wearable technologies and AR within the tourism and visitor industry context is still relatively unexplored, and the present paper provides a first foundation for the implementation of wearable smart glasses AR applications in the museum and art gallery context.

Details

Journal of Hospitality and Tourism Technology, vol. 7 no. 3
Type: Research Article
ISSN: 1757-9880

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Article
Publication date: 1 August 2001

Philip C. Wright and Gary D. Geroy

Outlines how human competency engineering can be used as a change maangement or organizational development tool, based upon studies conducted in Canada, Hong Kong and…

Abstract

Outlines how human competency engineering can be used as a change maangement or organizational development tool, based upon studies conducted in Canada, Hong Kong and Indonesia. Suggests that a change model based on the practical application of social science and physical science concepts can be applied over several cultures.

Details

Cross Cultural Management: An International Journal, vol. 8 no. 2
Type: Research Article
ISSN: 1352-7606

Keywords

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Book part
Publication date: 16 August 2021

Claude-Hélène Mayer and Rudolf M. Oosthuizen

This chapter contributes to building empirical evidence in the field of positive intercultural management (PIM) of new technological changes and diversity in transnational…

Abstract

This chapter contributes to building empirical evidence in the field of positive intercultural management (PIM) of new technological changes and diversity in transnational organizational settings. Findings from a study conducted at a transnational engineering company are presented, showing how managers manage technological innovation in the organization through PIM and leadership. A Four-Stage I4.0 Management Model is proposed.

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Article
Publication date: 12 June 2019

Stefanie Paluch and Sven Tuzovic

Commercial entities (e.g. health and life insurance, airlines and supermarkets) in different countries have recently begun to introduce wearable technology as part of the…

Abstract

Purpose

Commercial entities (e.g. health and life insurance, airlines and supermarkets) in different countries have recently begun to introduce wearable technology as part of the consumer journey and as a means of enhancing the business value chain. While a firm’s decision to adopt such new technologies as wearable devices is often based on financial factors such as return on investment, costs and impact on profits, consumers may hold a different attitude toward the value of using smart wearables and sharing their personal data as part of their business-client relationships. The purpose of this paper is to investigate consumer perceptions of and reactions to persuaded self-tracking (PST) – a practice in which businesses actively encourage consumers to monitor, collect and share personal biometric data through wearable technologies in exchange for personalized incentives and rewards.

Design/methodology/approach

Using a qualitative research approach and a purposeful sampling method, the authors conducted personal in-depth interviews with 24 consumers (both users and non-users of wearable devices). Interviews were recorded and transcribed, resulting in 600 pages of transcripts comprising more than 203,000 words. Data coding and analysis were facilitated by using NVivo.

Findings

Consumers’ assessment of PST is based on perceived value-in-use, privacy/security concerns and perceived fairness/justice, resulting in four types of reactions to adopt or use PST (embracing, considering, debating and avoiding). Specifically, the authors identified two individual determinants (intrinsic motivation and extrinsic motivation) and four firm-related determinants (design of wearable device, assurance, transparency and controllability) that influence consumer perceptions of PST.

Research limitations/implications

Results of this study have implications for both vendors of wearable devices and firms trying to leverage smart wearables in their value chains. Identifying consumers’ perceptions, as well as barriers and enablers of acceptance, will help firms to more effectively design and develop wearable device-based services, thus gaining consumer support for using fitness trackers. The primary limitation of the study is that using a thematic analysis method diminishes the generalizability of our findings.

Originality/value

This study addresses an under-researched area: the integration of wearable technologies in a firm’s value chain through the lens of the consumers. This study is one of the first, according to authors’ knowledge, to investigate consumer perceptions of PST.

Details

Journal of Services Marketing, vol. 33 no. 4
Type: Research Article
ISSN: 0887-6045

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Article
Publication date: 12 July 2021

Melanie Boyce

Self-harm can affect people of all ages, yet the high prevalence rate in adolescents and the potential risk factor of suicide in adults 60 years and above has meant…

Abstract

Purpose

Self-harm can affect people of all ages, yet the high prevalence rate in adolescents and the potential risk factor of suicide in adults 60 years and above has meant research has tended to focus within these areas. Therefore, the purpose of this exploratory study is to examine the experiences of self-harm in people from early adulthood to late middle age to gain greater insight and understanding in this underexplored area.

Design/methodology/approach

An online open-ended survey was used to collect the data from a UK user-led moderated online forum that supports people who self-harm.

Findings

Thematic data analysis indicates that feelings of shame and guilt were intensified, due to the double stigma participants face as adults that self-harm. Although most participants had seen a reduction in the frequency of their self-harm many experienced an increase in the severity of harm. In not fitting the assumed typical profile of someone that self-harm participants often struggled to gain formal support.

Research limitations/implications

This was a small-scale online survey; hence, it is not possible to generalise the findings to all adults who self-harm.

Practical implications

The findings from this research provide evidence that greater recognition needs to be given to the reality that self-harm can affect people of all ages. As a result, access to support needs to be widened as a means of supporting those who do not fit the typical profile of someone who self-harms.

Originality/value

This exploratory online study provides insights around the tensions and challenges facing adults that self-harm, which remains an under-researched and largely ignored area.

Details

Mental Health Review Journal, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1361-9322

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Article
Publication date: 3 April 2018

John C. Garrison

This study aims to investigate how undergraduate students are influenced by instructors and peers in the ways that they use and think about Wikipedia for academic work. It…

Abstract

Purpose

This study aims to investigate how undergraduate students are influenced by instructors and peers in the ways that they use and think about Wikipedia for academic work. It examines the positive (encouraging the use of Wikipedia) and negative (discouraging the use of Wikipedia) influences of others and how these affect student behavior and attitudes.

Design/methodology/approach

Sixteen undergraduates participated in two meetings each with the principal investigator, each meeting consisting of a structured interview and a brief survey. Recorded interviews were analyzed by the investigator for patterns to compare participants’ responses.

Findings

Participants were more frequently and strongly influenced by instructors than by peers about Wikipedia, and this influence was for the most part perceived to be negative. However, the ways in which student behaviors and attitudes changed in response to this influence varied. Three categories or “influence types” emerged in the ways influence was manifested: receptive, independent and conflicted.

Practical implications

The findings of this study will aid instructors of undergraduate students by describing the likely reactions of those students to various ways of talking about Wikipedia. This information can help inform methods for teaching different kinds of students about the website.

Originality/value

Previous studies have shown how students use Wikipedia, as well as the attitudes of faculty toward Wikipedia. This study serves to bridge the gap between these areas, providing insight into how faculty and classmates’ attitudes influence student use of Wikipedia.

Details

The Electronic Library, vol. 36 no. 2
Type: Research Article
ISSN: 0264-0473

Keywords

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Article
Publication date: 7 October 2014

Geraint Holliman and Jennifer Rowley

This paper aims to draw attention to the emerging phenomenon of business to business (B2B) digital content marketing, offers a range of insights and reflections on good…

Abstract

Purpose

This paper aims to draw attention to the emerging phenomenon of business to business (B2B) digital content marketing, offers a range of insights and reflections on good practice and contributes to theoretical understanding of the role of digital content in marketing. B2B digital content marketing is an inbound marketing technique and hence offers a solution to the declining effectiveness of traditional interruptive marketing techniques.

Design/methodology/approach

Semi-structured interviews were conducted with 15 key informants involved in B2B content marketing in the USA, UK and France, in five industry sectors.

Findings

B2B digital content marketing is an inbound marketing technique, effected through web page, social media and value-add content, and is perceived to be a useful tool for achieving and sustaining trusted brand status. Creating content that is valuable to B2B audiences requires brands to take a “publishing” approach, which involves developing an understanding of the audience’s information needs, and their purchase consideration cycle. Valuable content is described as being useful, relevant, compelling and timely. Content marketing requires a cultural change from “selling” to “helping”, which in turn requires different marketing objectives, tactics, metrics and skills to those associated with more traditional marketing approaches. The article concludes with a theoretical discussion on the role of digital content in marketing, thereby contextualising the findings from this study within a broader exploration of the role of digital content in marketing and relational exchanges.

Originality/value

As the first research study to explore the use of digital content marketing in B2B contexts, this research positions digital content marketing with regard to prior theory, and provides both an agenda for further research, and suggestions for practice.

Details

Journal of Research in Interactive Marketing, vol. 8 no. 4
Type: Research Article
ISSN: 2040-7122

Keywords

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Article
Publication date: 2 February 2021

Matt Tonkin and Martin Joseph Weeks

The purpose of this paper is to understand (i) how crime linkage is currently performed with residential burglaries in New Zealand, (ii) the factors that promote/hinder…

Abstract

Purpose

The purpose of this paper is to understand (i) how crime linkage is currently performed with residential burglaries in New Zealand, (ii) the factors that promote/hinder accurate crime linkage and (iii)whether computerised decision-support tools might assist crime linkage practice.

Design/methodology/approach

A total of 39 New Zealand Police staff completed a questionnaire/interview/focus group relating to the process, challenges, products and uses of crime linkage with residential burglary in New Zealand. These data (alongside four redacted crime linkage reports) were subjected to thematic analysis.

Findings

The data clearly indicated wide variation in crime linkage process, methods and products (Theme 1). Furthermore, a number of factors were identified that impacted on crime linkage practice (Theme 2).

Research limitations/implications

Future research should develop computerised crime linkage decision-support tools and evaluate their ability to enhance crime linkage practice. Also, researchers should explore the use of crime linkage in court proceedings.

Practical implications

To overcome the barriers identified in the current study, greater training in and understanding of crime linkage is needed. Moreover, efforts to enhance the quality of crime data recorded by the police will only serve to enhance crime linkage practice.

Social implications

By enhancing crime linkage practice, opportunities to reduce crime, protect the public and deliver justice for victims will be maximised.

Originality/value

The practice of crime linkage is under-researched, which makes it difficult to determine if/how existing empirical research can be used to support ongoing police investigations. The current project fills that gap by providing a national overview of crime linkage practice in New Zealand, a country where crime linkage is regularly conducted by the police, but no published linkage research exists.

Details

Journal of Criminological Research, Policy and Practice, vol. 7 no. 1
Type: Research Article
ISSN: 2056-3841

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Article
Publication date: 6 October 2020

Natalia D'Souza and Shane Scahill

This study explores nurses' views as to whether they see community pharmacists as “entrepreneurial” and what this might mean for working together in primary care…

Abstract

Purpose

This study explores nurses' views as to whether they see community pharmacists as “entrepreneurial” and what this might mean for working together in primary care. Pharmacists are expected to fully integrate with their colleagues – particularly nurses – under the New Zealand health policy. Yet, there is scarce literature that examines multidisciplinary teamwork and integration through an entrepreneurial identity lens. This is particularly important since around the world, including New Zealand, community pharmacies are small businesses.

Design/methodology/approach

This was an exploratory qualitative study. A total of 18 semi-structured interviews were conducted with nurses from primary care, nursing professional bodies and academics from nursing schools. Interviews were audio recorded and transcribed verbatim. Coding was undertaken through general inductive thematic analysis.

Findings

In total three key themes emerged through analysis: the entrepreneurial profile of the community pharmacist, the lack of entrepreneurship across the profession, and the role identity and value that community pharmacists hold, as viewed by nurses. There appeared to be pockets of entrepreneurship in community pharmacy; nurses did not express a blanket label of entrepreneurship across the whole sector. Nurses also discussed several forms of entrepreneurship including commercial-oriented, clinical and social entrepreneurship. The social entrepreneurship identity of community pharmacists sat most comfortably with nurse participants. Overall, nurses appeared to value community pharmacists but felt that they did not fully understand the roles that this profession took on.

Research limitations/implications

This paper contributes to the academic literature by identifying three domains of entrepreneurship relevant to community pharmacy as well as multi-level barriers that will need to be jointly tackled by professional bodies and policy-makers. Improving nurses' and other healthcare professionals' knowledge of community pharmacists' role and expertise is also likely to facilitate better inter-professional integration.

Originality/value

There is scarce literature that attempts to understand how entrepreneurial identity plays out in health organisation and management. This study adds to the knowledge base of factors influencing integration in healthcare.

Details

Journal of Health Organization and Management, vol. 34 no. 8
Type: Research Article
ISSN: 1477-7266

Keywords

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