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1 – 10 of over 5000Catherine C. Quatman-Yates, Mark V. Paterno, Mariann L. Strenk, Michelle A. Kiger, Tory H. Hogan, Brian Cunningham and Rebecca Reder
The importance of culture is often emphasized for continuous learning and quality improvement within health care organizations. Limited empirical evidence for cultivating a…
Abstract
The importance of culture is often emphasized for continuous learning and quality improvement within health care organizations. Limited empirical evidence for cultivating a culture that supports continuous learning and quality improvement in health care settings is currently available.
The purpose of this report is to characterize the evolution of a large division of physical therapists and occupational therapists in a pediatric hospital setting from 2005 to 2018 to identify key facilitators and barriers for cultivating a culture empowered to engage in continuous learning and improvement.
An ethnographic methodology was used including participant observation, document review, and stakeholder interviews to acquire a deep understanding and develop a theoretical model to depict insights gained from the investigation.
A variety of individual, social, and structural enablers and motivators emerged as key influences toward a culture empowered to support continuous learning and improvement. Features of the system that helped create sustainable, positive momentum (e.g., systems thinking, leaders with grit, and mindful design) and factors that hindered momentum (e.g., system uncertainty, staff turnover, slow barrier resolution, and competing priorities) were also identified.
Individual-level, social-level, and structural-level elements all influenced the culture that emerged over a 12-year period. Several cultural catalysts and deterrents emerged as factors that supported and hindered progress and sustainability of the emergent culture.
Cultivating a culture of continuous learning and improvement is possible. Purposeful consideration of the proposed model and identified factors from this report may yield important insights to advance understanding of how to cultivate a culture that facilitates continuous learning and improvement within a health care setting.
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Eser Yeşildağ, Ercan Özen and Ender Baykut
Introduction: Decision making is always based on several factors which may affect the possible outcomes, especially in financial markets. Instead of having many criteria which may…
Abstract
Introduction: Decision making is always based on several factors which may affect the possible outcomes, especially in financial markets. Instead of having many criteria which may be required for decision making, “Multiple Criteria Decision Making” (MCDM) models might be used as a tool to reduce all criteria into a single one.
Purpose: The aim of this study is to measure the financial performance of commercial banks listed on Borsa Istanbul (BIST) by the MCDM.
Method: To this end, data from 15 different financial ratios from 11 commercial banks were used between the periods of 2002 and 2018. Both TOPSIS and gray relational analysis (GRA) models were used, which are commonly used in the literature for detecting the financial performance of listed banks in BIST based on their consolidated financial statements.
Results: According to the TOPSIS method, while the best bank is QNB Finansbank, HALKB, a public bank, was determined as the best bank using the GRA method. There is no significant correlation between financial performance indicators and market returns obtained by either method, with exceptions. There is no generally significant correlation detected between financial ratios and market returns. Accordingly, it is concluded that the bank stock prices in the study are shaped by the influence of external factors and expectations. The study results include information that can be used for different purposes among bank managers, academics and financial investors.
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