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Richard N. Callahan, Kevin M. Hubbard and Shawn D. Strong
To develop a decision framework for the planning and development of a flexible manufacturing system (FMS).
Abstract
Purpose
To develop a decision framework for the planning and development of a flexible manufacturing system (FMS).
Design/methodology/approach
A systematic weighted property index approach for FMS development decisions is developed to evaluate various design options. This methodology converts design property values of differing orders of magnitude into a unitless system where an overall evaluation of the options can be made.
Findings
Major design choices related to the implementation of an educational FMS are identified, and considerations affecting each choice are discussed. A methodology for the selection of the appropriate FMS is then developed and demonstrated.
Practical implications
Provides a useful framework for evaluating various options in FMS development and selecting an appropriate system for a given environment and situation.
Originality/value
Identifies the major design choices related to the implementation of an educational FMS, provides practical examples taken from the development of FMSs at Southwest Missouri State University and the University of Missouri‐Rolla, and presents a systematic methodology for FMS design decision making.
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Keywords
The United States’ population is rapidly aging. As older people require more expensive medical and nursing attention, health-care/nursing costs keep rising, to the extent that…
Abstract
Purpose
The United States’ population is rapidly aging. As older people require more expensive medical and nursing attention, health-care/nursing costs keep rising, to the extent that they are not sustainable. As a result, the USA is faced with an ethical dilemma. While egalitarian ethical principles and the provisions of the American Nurses Association (ANA) code of ethics require the provision of medical/nursing care to everyone regardless of age, severity of disease and productivity, utilitarians view that as impossible. Assuming that provisions ANA’s codes of ethics are the same as ethical principles, this paper aims to discuss the debate between those two sides in detail.
Design/methodology/approach
The paper, viewing the rise of health-care/nursing costs as the cause of the above ethical dilemma, discusses Daniel Callahan’s utilitarian argument that, given the ever-rising health/nursing costs as a percentage of GDP, the USA will be forced to ration health care/nursing on the basis of age. The ethical arguments opposing Callahan’s arguments will also be presented.
Findings
While the debate between those two viewpoints is bond to continue, some writers have tried to find a compromise, a solution by assuming that, through efficiency, health/nursing costs can be lowered, making Callahan’s age-based rationing unnecessary.
Originality/value
This paper is original as it, by including nursing costs as an inseparable component of health-care costs, makes the aforementioned debate applicable to nursing care.
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Robert McClure and Christine Murphy
The main intension of this paper is to challenge the dominance of emotional labour in professional nursing.
Abstract
Purpose
The main intension of this paper is to challenge the dominance of emotional labour in professional nursing.
Design/methodology/approach
The article begins by evaluating the central conceptual and definitional aspects of emotional labour, emotion work and emotional work. The purpose of this discussion is to argue against the false public and private dichotomy that has plagued emotional labour and emotion work. Second, it is proposed that the central and helpful defining aspects of emotional labour and emotion work are Marx's concepts of exchange‐value and use‐value. These defining attributes are used in conjunction with other re‐conceptualisations, which unite these terms in order to create more encompassing constructs that are useful for focusing on the waged and unwaged aspects of professional nurses' emotional work response behaviours. Finally, the use of emotional labour in professional nursing is contested on the grounds that the construct has limited theoretical and empirical utility for researching the complex nature of professional nurses' emotional work response behaviours.
Findings
It is recommended that a more robust encompassing concept needs to be developed, which accurately reflects the nature and complexity of professional nurses' waged and unwaged emotional work response behaviours, as they are important overlooked facets of behaviour that can be theoretically related to professional nurses' contextual performance.
Originality/value
The paper provides a better understanding of professional nurses' emotional work response behaviours, which benefit nursing research and practice by drawing on other areas of theory and research.
Details
Keywords
As a result of the aging of American society, health care costs have been and will continue to rise, to the extent that they are not sustainable. Obviously, this trend will…
Abstract
Purpose
As a result of the aging of American society, health care costs have been and will continue to rise, to the extent that they are not sustainable. Obviously, this trend will continue in spite of the 2010 health care reform. As a result of this uncontrollable problem, writers such as Daniel Callahan have proposed age‐based rationing of health care while utilizing the utilitarian notions of ethics and justice. However, other writers, utilizing more egalitarian notions of justice, have opposed this. This suggests an ethical dilemma, which has to be debated in the future. The author believes professors teaching health care related courses will be instrumental in this debate, explaining why she decided to seek the opinion of a sample of 18 professors regarding this issue. The purpose of this paper is to report on the results of this research.
Design/methodology/approach
Qualitative methodology, specially grounded theory, was used in this study that sought to explore the views of 18 full‐time professors who teach health care policy and administration in Northeast Pennsylvania about age‐based rationing of health care. Qualitative research is very useful uncovering the views of individuals as they relate to their experiences. In the study, professors were asked 14 questions by the author, four of these being demographic. The remaining ten questions, open ended ones, sought the opinions of these professors about their support or opposition to age‐based rationing.
Findings
The author's interviews of those 18 professors and the analysis of the responses, which revealed the complexity and multidimensional nature of the issue, led to the emergence of eight different themes.
Originality/value
The author used a qualitative method of research, interviewing 18 professors, to uncover personal views not previously published.
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The papers collected here were written for the second biennial Wirth conference on Austrian Economics. The Wirth Institute for Austrian and Central European Studies sponsored the…
Abstract
The papers collected here were written for the second biennial Wirth conference on Austrian Economics. The Wirth Institute for Austrian and Central European Studies sponsored the conference in cooperation with the University of Toronto in Mississauga. The conference was held from 17 to 18 October 2008 in Mississauga. The Wirth Institute has a natural home in Edmonton on the campus of the University of Alberta, which is a leading center for Central European Studies. The fact that the Institute has received support not only from government of Austria, but also from the governments of the Czech Republic, Hungary, Poland, Slovakia, and Slovenia reflects its historically minded recognition of the unique intellectual milieu of the Habsburg Empire. This intellectual milieu lasted beyond the breakup of the empire right through to the Anschluss in 1938. It is this milieu that shaped the Austrian school of economics and helped shape the context for the conference.