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Article
Publication date: 3 August 2011

Brigitte S. Cypress

This qualitative phenomenological study examined the experiences of patients, their family members, and the nurses in the intensive care unit during critical illness. Five…

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Abstract

This qualitative phenomenological study examined the experiences of patients, their family members, and the nurses in the intensive care unit during critical illness. Five participants from each category participated in two interviews over a period of five months. Content analysis of the interview transcripts revealed five integrating common themes, each reflecting concepts from the Roy Adaptation Model (RAM). The ICU experience among all participants is interdependence. Adaptation in the ICU integrated family as a unit, physical care/comfort, physiological care and psychosocial support, resulting in transformation.

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Qualitative Research Journal, vol. 11 no. 2
Type: Research Article
ISSN: 1443-9883

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Article
Publication date: 10 May 2021

Nyree J. Taylor, Reeva Lederman, Rachelle Bosua and Marcello La Rosa

Capture, consumption and use of person-centred information presents challenges for hospitals when operating within the scope of limited resources and the push for…

Abstract

Purpose

Capture, consumption and use of person-centred information presents challenges for hospitals when operating within the scope of limited resources and the push for organisational routines and efficiencies. This paper explores these challenges for patients with Acute Coronary Syndrome (ACS) and the examination of information that supports successful hospital discharge. It aims to determine how the likelihood of readmission may be prevented through the capturing of rich, person-specific information during in-patient care to improve the process for discharge to home.

Design/methodology/approach

The authors combine four research data collection and analysis techniques: one, an analysis of the patient record; two, semi-structured longitudinal interviews; three, an analysis of the patient's journey using process mining to provide analytics about the discharge process, and four, a focus group with nurses to validate and confirm our findings.

Findings

The authors’ contribution is to show that information systems which support discharge need to consider models focused on individual patient stressors. The authors find that current discharge information capture does not provide the required person-centred information to support a successful discharge. Data indicate that rich, detailed information about the person acquired through additional nursing assessments are required to complement data provided about the patient's journey in order to support the patients’ post-discharge recovery at home.

Originality/value

Prior research has focused on information collection constrained by pre-determined limitations and barriers of system design. This work has not considered the information provided by multiple sources during the whole patient journey as a mechanism to reshape the discharge process to become more person-centred. Using a novel combination of research techniques and theory, the authors have shown that patient information collected through multiple channels across the patient care journey may significantly extend the quality of patient care beyond hospital discharge. Although not assessed in this study, rich, person-centred discharge information may also decrease the likelihood of patient readmission.

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Information Technology & People, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0959-3845

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Article
Publication date: 12 September 2016

Rakel Eklund and Martin Salzmann-Erikson

The purpose of this literature review is to describe how eating disorders among adolescents affect family relationships and the family’s daily living conditions and to…

Abstract

Purpose

The purpose of this literature review is to describe how eating disorders among adolescents affect family relationships and the family’s daily living conditions and to describe the family’s experienced need for professional support.

Design/methodology/approach

An integrative literature review based on the method of Whittemore and Knafl. In all, 15 articles with both qualitative and quantitative approaches were reviewed.

Findings

The results are presented in two main themes: a disharmonic family and the need for input from healthcare professionals. The results are discussed using Callista Roy’s adaptation model and the adaptive modes: group identity mode, role function and interdependence.

Originality/value

This review paper will be of interest to clinical nurses and other professionals who encounter families to clarify how the relationships and roles change within the family. To the authors knowledge, no integrative review has paid attention to how the relational aspects of the family members, their social roles and role constructions within the family affect daily living.

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Mental Health Review Journal, vol. 21 no. 3
Type: Research Article
ISSN: 1361-9322

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Article
Publication date: 2 May 2019

Khahan Na-Nan

Employee work adjustment (EWA) represents the ability of individuals to adjust effectively to working conditions, supervisors, the environment and their peers. To deal…

Abstract

Purpose

Employee work adjustment (EWA) represents the ability of individuals to adjust effectively to working conditions, supervisors, the environment and their peers. To deal with work adjustment in different environments, companies need to both understand and continually assess their employees. The purpose of this paper is to develop an instrument to measure EWA for small- and medium-sized enterprises (SMEs) in Thailand.

Design/methodology/approach

The study was conducted in three stages to develop a measurement scale for EWA. First, 18 questions were developed as a questionnaire based on concepts and theories of EWA and validated using exploratory factor analysis (EFA) into four dimensions such as work, supervisor, environment and peer adjustments. Then, a survey was conducted for 360 new employees in SMEs. Finally, confirmatory factor analysis (CFA) and convergent validity were tested along the four adjustment dimensions.

Findings

This research extended and broadened the EWA concept to provide theoretical support for the adjustment of intelligence research. Four dimensions were developed to measure EWA including aspects of work, supervisor, environment and peer.

Research limitations/implications

The EWA model was examined using EFA and CFA only. Questionnaire results suggested that concrete constructs were stronger because of single-source, self-assessed data collection as the sample included only employees of SMEs in high-growth sectors of Thailand. EWA findings exhibited a good fit but results require further future refinement and validation using a larger sample size and sampling area.

Practical implications

The EWA questionnaire has practical use regarding management behaviour and can assist companies and practitioners to better understand the required adjustments for new employees at start-up. This knowledge will help managers to encourage and support newcomers to work better and deliver effective results. Managers and practitioners can develop and hone work adjustment practices for new recruits according to the four dimensions proposed here.

Originality/value

The validity of this EWA questionnaire will facilitate the future study on boundaries with EWA measurements spanning SMEs contexts. Empirical research results verified that EWA assessment offered new perspectives to explore vital individual work adjustments that are necessary for new recruits to succeed. This instrumental support will help researchers to effectively understand EWA and explore its potential in future studies.

Details

International Journal of Quality & Reliability Management, vol. 36 no. 8
Type: Research Article
ISSN: 0265-671X

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Book part
Publication date: 16 August 2014

Anne-Maria Holma

This study provides a comprehensive framework of adaptation in triadic business relationship settings in the service sector. The framework is based on the industrial…

Abstract

This study provides a comprehensive framework of adaptation in triadic business relationship settings in the service sector. The framework is based on the industrial network approach (see, e.g., Axelsson & Easton, 1992; Håkansson & Snehota, 1995a). The study describes how adaptations initiate, how they progress, and what the outcomes of these adaptations are. Furthermore, the framework takes into account how adaptations spread in triadic relationship settings. The empirical context is corporate travel management, which is a chain of activities where an industrial enterprise, and its preferred travel agency and service supplier partners combine their resources. The scientific philosophy, on which the knowledge creation is based, is realist ontology. Epistemologically, the study relies on constructionist processes and interpretation. Case studies with in-depth interviews are the main source of data.

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Deep Knowledge of B2B Relationships within and Across Borders
Type: Book
ISBN: 978-1-78190-858-7

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Article
Publication date: 13 August 2010

João Vieira da Cunha and Miguel Pina e Cunha

Some studies show that improvisation is a source of change, whereas others show that it is a source of stability. The purpose of this paper is to specify the factors which…

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Abstract

Purpose

Some studies show that improvisation is a source of change, whereas others show that it is a source of stability. The purpose of this paper is to specify the factors which set the boundary between improvised change and improvised stability.

Design/methodology/approach

The paper draws on two published studies and contrasts their findings to analyze the extent to which improvisation leads to organizational change or organizational stability.

Findings

The paper suggests that the most innovative instances of improvisation reproduce some features of everyday experience. The extent to which an improvisation is a source of stability or a source of change depends on the dynamics of variation, selection and retention therein.

Research limitations/implications

Future research needs to add empirical flesh to this theoretical skeleton to push research on organizational improvisation beyond the study of its causes and into further research on its consequences.

Originality/value

The paper deals with the paradox of making sense about two apparently opposing streams of research on improvisation.

Details

Management Research: Journal of the Iberoamerican Academy of Management, vol. 8 no. 2
Type: Research Article
ISSN: 1536-5433

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Article
Publication date: 17 August 2015

Dimitra Spyridi, Christos Vlachokostas, Alexandra V. Michailidou, Constantinos Sioutas and Nicolas Moussiopoulos

The purpose of this study is to put forward a methodological framework to provide a comparative assessment of available mitigation and adaptation strategies against…

Abstract

Purpose

The purpose of this study is to put forward a methodological framework to provide a comparative assessment of available mitigation and adaptation strategies against climate change. Mitigation options aim at minimizing CO2 and other greenhouse gas emissions, in an effort to reduce the rate of increase in global temperature. On the other hand, adaptation options relate to the ability of the natural or human systems to handle the impact of the climate change and to adjust to its effects, seeking to eliminate the adverse consequences and take advantage of any beneficial outcomes.

Design/methodology/approach

The methodology focuses on specific parameters, leading to the most efficient package of alternatives for the area of Greece. The selection of the “optimal” ranking of alternatives in a defined strategy is a sophisticated procedure, and a multi-criteria decision-making process was established. A questionnaire was designed and used as input to the overall framework, based on specific decision criteria. Climate change experts gave their feedback via a face-to-face interview. ELECTRE III multi-criteria decision analysis was adopted for the comparative evaluation, as it fits best to complex environmental problems. An “optimal” sequence of mitigation and adaptation strategies was provided for Greece.

Findings

The use of renewable energy sources, increase of energy efficiency and improved forest management – tree planting and rational water management – are among the most promising options to strategically plan climate change mitigation and adaptation for Greece.

Originality/value

The presented study provides an insight into alternative mitigation and adaptation strategies against climate change. The use of the multi-criteria analysis is an innovative approach to outline the optimal bundle of strategies. The methodology focuses on specific parameters, leading to the most efficient package of measures for the area of Greece. Such an approach is implemented for the first time in Greece, at least up to the authors’ knowledge, and provides a basis for strategic governance and policy modeling for the area under consideration.

Details

International Journal of Climate Change Strategies and Management, vol. 7 no. 3
Type: Research Article
ISSN: 1756-8692

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Book part
Publication date: 30 July 2018

Abstract

Details

Marketing Management in Turkey
Type: Book
ISBN: 978-1-78714-558-0

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Book part
Publication date: 19 June 2012

Marc J. Epstein

Purpose – As corporations and capital markets become more global, it is increasingly important to understand the differences in corporate governance practices.Approach …

Abstract

Purpose – As corporations and capital markets become more global, it is increasingly important to understand the differences in corporate governance practices.

Approach – This chapter provides a framework for the implementation of corporate governance that can be used globally for study and adaptation. It also describes three corporate governance systems (Anglo-American, Communitarian, and Emerging Markets) and provides an analysis and comparison of how the framework for corporate governance is applied differently, and how success should be evaluated differently, in these three systems. Lastly, it considers the possibility of convergence toward a global system of corporate governance.

Practical implications – There is significant heterogeneity in corporate governance worldwide but there are universal aspects, such as roles, responsibilities, inputs, and processes, which result in effective corporate governance. Understanding the similarities and differences enables researchers and managers to work with multiple systems in different countries where corporations and stakeholders have varying objectives, structures, and internal and external determinants.

Value of chapter – This chapter presents a comparison of the three systems that is critical for further study of global practices. Additionally, the internal and external determinants that impact the varying corporate governance systems are analyzed to more carefully consider the performance measures that account for differences in objectives, motivations, and performance.

Details

Performance Measurement and Management Control: Global Issues
Type: Book
ISBN: 978-1-78052-910-3

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Article
Publication date: 4 November 2013

Md. Abdur Rashid Sarker, Khorshed Alam and Jeff Gow

This paper aims to examine rice farmers' selection of adaptation strategies to cope with and offset the effects of climate change and the determinants of those selections…

Abstract

Purpose

This paper aims to examine rice farmers' selection of adaptation strategies to cope with and offset the effects of climate change and the determinants of those selections in Rajshahi, a severely drought-prone district of Bangladesh.

Design/methodology/approach

Farm-level micro data were obtained from 550 rice growers in the 2010-2011 farming season. A multinomial logit (MNL) model was utilised to assess the determinants of adaptation strategies practised by farmers in response to climate change.

Findings

Results from the MNL model indicate that gender, age, education of household heads, household assets, annual farm income, farm size, tenure status, farmer-to-farmer extension, access to credit, access to subsidy, and access to electricity, all affect farmers' selection of adaptation strategies for climate change.

Originality/value

This is the first study of its kind to analyse the determinants of adaptation strategies for climate change by farmers in drought-prone areas of Bangladesh. This study provides direction for policy makers in order to strengthen the adaptation strategies of farmers and guide policies accordingly. These strategies have the potential to minimise the adverse effects of climate change.

Details

International Journal of Climate Change Strategies and Management, vol. 5 no. 4
Type: Research Article
ISSN: 1756-8692

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