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1 – 10 of over 1000This qualitative phenomenological study examined the experiences of patients, their family members, and the nurses in the intensive care unit during critical illness. Five…
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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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 organisational…
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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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 describe…
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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Salman Ghazwani, Patrick van Esch, Yuanyuan (Gina) Cui and Prachi Gala
This paper aims to investigate the impact of financial anxiety and convenience on the relation between cashier-less versus traditional checkouts and purchase intentions among…
Abstract
Purpose
This paper aims to investigate the impact of financial anxiety and convenience on the relation between cashier-less versus traditional checkouts and purchase intentions among Saudi Arabian consumers.
Design/methodology/approach
In an online experiment, 329 Saudi participants were randomly assigned to one of two checkout conditions (traditional vs. AI-enabled) in a between-subjects design and indicated their financial anxiety. Through moderation-of-process design, the authors examine and showcase that the effect of convenience leads to higher purchase intent for AI-enabled checkouts. Moreover, the authors examine financial anxiety as an underlying mechanism and show that for high-convenience consumers, this enacts higher purchase intent.
Findings
The effect of AI-enabled checkouts depends on consumers' convenience perception. High-convenience consumers prefer AI-enabled checkouts over traditional ones, whereas low-convenience consumers are indifferent. Based on the Roy adaptation model theoretical framework, this occurs because high-convenience consumers experience greater financial anxiety when using AI-enabled checkouts, which in turn leads to higher purchase intent.
Originality/value
To the authors’ knowledge, this is the first study to explore the reactions of Saudi Arabian consumers toward cashier-less stores versus traditional stores. Interestingly, their intent to purchase increases, due to the financial anxiety they experience while encountering AI-enabled transactions. Due to the limited research of retailers going cashier less, little is known about consumer reactions and how they may differ culturally.
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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…
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.
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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 set the…
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.
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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 climate…
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.
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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 in…
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.
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In the last four years, since Volume I of this Bibliography first appeared, there has been an explosion of literature in all the main functional areas of business. This wealth of…
Abstract
In the last four years, since Volume I of this Bibliography first appeared, there has been an explosion of literature in all the main functional areas of business. This wealth of material poses problems for the researcher in management studies — and, of course, for the librarian: uncovering what has been written in any one area is not an easy task. This volume aims to help the librarian and the researcher overcome some of the immediate problems of identification of material. It is an annotated bibliography of management, drawing on the wide variety of literature produced by MCB University Press. Over the last four years, MCB University Press has produced an extensive range of books and serial publications covering most of the established and many of the developing areas of management. This volume, in conjunction with Volume I, provides a guide to all the material published so far.
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Juan Ignacio Vazquez, Diego López de Ipiña and Iñigo Sedano
Despite several efforts during the last years, the web model and semantic web technologies have not yet been successfully applied to empower Ubiquitous Computing architectures in…
Abstract
Despite several efforts during the last years, the web model and semantic web technologies have not yet been successfully applied to empower Ubiquitous Computing architectures in order to create knowledge‐rich environments populated by interconnected smart devices. In this paper we point out some problems of these previous initiatives and introduce SoaM (Smart Objects Awareness and Adaptation Model), an architecture for designing and seamlessly deploying web‐powered context‐aware semantic gadgets. Implementation and evaluation details of SoaM are also provided in order to identify future research challenges.
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