Implementing quality initiatives in healthcare organizations: drivers and challenges

2014 ◽  
Vol 27 (3) ◽  
pp. 166-181 ◽  
Author(s):  
Abdallah Abdallah
Keyword(s):  
Design Methodology ◽  
Healthcare Professionals ◽  
Healthcare Sector ◽  
Successful Implementation ◽  
Healthcare Organizations ◽  
Quality Initiatives ◽  
Internal Factors ◽  
Content Type ◽  
Practical Implications ◽  
Structured Questionnaire

Purpose – Various quality initiatives seem to have successful implementation in some healthcare organizations yet fail in others. This paper sets out to study the literature trying to understand drivers and challenges facing quality initiatives implementation in healthcare organizations then compare findings from literature with those of a structured questionnaire answered by 60 representatives from 18 hospitals. Finally it proposes a framework that mitigates challenges and utilizes drivers to ensure best implementation results. Design/methodology/approach – Literature regarding implementing various quality initiatives in the healthcare sector was reviewed. Representatives from several healthcare organizations were surveyed. Results from both approaches are compared to highlight the key challenges and drivers facing implementers. Findings – This research reveals that internal factors related to leadership and employees greatly affect quality initiative success or failure. Design and relevance play a major role in successful implementation. Practical implications – This research offers healthcare professionals greater success when implementing certain quality initiatives by taking success/failure factors into consideration. A general framework for successful implementation in the healthcare sector is provided. Originality/value – This article uncovers reasons behind success or failure in a comprehensive and practical way. It also explores how most popular quality initiatives are applied in hospitals.

Institutional repository: access and use by academic staff at Egerton University, Kenya

2017 ◽  
Vol 38 (4/5) ◽  
pp. 276-284 ◽  
Author(s):  
Felicitas Ciabere Ratanya
Keyword(s):  
Design Methodology ◽  
Qualitative Data ◽  
Academic Staff ◽  
Point Of View ◽  
Institutional Repository ◽  
Content Type ◽  
Expected Benefits ◽  
The University ◽  
Practical Implications ◽  
Structured Questionnaire

Purpose The purpose of this paper is to examine the access and use of the institutional repository (IR) among academic staff at Egerton University. Design/methodology/approach The paper provides a description of the building and development of the IR at the Egerton university and describes expected benefits of the repository to the University and relevant stakeholders. A survey was conducted among 84 academic staff with an aim of examining their levels of awareness on the existence of the IR at the Egerton University and assess their access and use. Through a structured questionnaire both quantitative and qualitative data were collected. Findings The study revealed that majority of the academic staff at the Egerton University are still not aware of the existence of the IR. Staff also faced challenges in accessing and using the content available. The paper provided suggestions on how best to enhance the access and utilization of the IRs among the academic staff. Practical implications From a practical point of view, the paper provides implications on the access and use of IRs by the academic staff. The paper points out some challenges faced by this group of users which other academic institutions may try to solve in their respective contexts. Originality/value Findings and discussions provided in the paper will pave way to solving the challenges faced in access and use of IR by the academic staff at the Egerton University.

scholarly journals Health literacy and libraries: a literature review

2016 ◽  
Vol 44 (2) ◽  
pp. 191-205 ◽  
Author(s):  
Jill Barr-Walker
Keyword(s):  
Health Literacy ◽  
Design Methodology ◽  
Healthcare Professionals ◽  
Underserved Populations ◽  
Literacy Programs ◽  
Public Healthcare ◽  
Content Type ◽  
Literature Reviews ◽  
History Of ◽  
Practical Implications

Purpose The purpose of this paper is to assess the involvement of libraries in health literacy programs and initiatives based on a review of the literature. Design/methodology/approach Four databases were searched for papers that described health literacy programs and initiatives within libraries. Findings Several themes of health literacy programs in libraries emerged: health literacy for older adults, underserved populations, the general public, healthcare professionals, and medical students, and patients. Collaborations between libraries and community organizations were frequently used. Practical implications Librarians may use this review to understand the history of health literacy efforts and libraries to inform future programming. This review will contextualize current research on health literacy and libraries. Originality/value Despite the currency and relevance of this topic, there are no literature reviews on health literacy and librarianship.

scholarly journals Measuring perceptions of Muslim consumers toward income tax rebate over zakat on income in Malaysia

2019 ◽  
Vol 11 (2) ◽  
pp. 368-383
Author(s):  
Abdullah- Al-Mamun ◽  
Ahasanul Haque ◽  
Muhammad Tahir Jan
Keyword(s):  
Design Methodology ◽  
Online Survey ◽  
Legal Consciousness ◽  
Policy Makers ◽  
Content Type ◽  
Leading Role ◽  
Practical Implications ◽  
People’S Perceptions ◽  
Structured Questionnaire ◽  
Significant Factors

Purpose The purpose of this study is to explore the variables that affect Muslim consumers’ perception towards tax rebate over zakat on income in Malaysia. Design/methodology/approach A close-ended structured questionnaire was developed and a total number of 236 valid responses were collected through online survey from the Muslims residing in Malaysia. Findings This study found that halal-haram aspect of Islamic Shariah, legal consciousness and religiosity of Muslim consumers are positive significant factors for growing perceptions towards tax rebate over zakat on income in Malaysia. Research limitations/implications This study will definitely play an important leading role for the policy-makers and academicians in understanding the perceptions of Muslim consumers. Practical implications This study can assist zakat and tax authorities in Malaysia for taking corrective actions to adapt or improve the current policy on the basis of its Muslim consumers’ perception. Social implications The findings of this study can reduce the gap of understanding among Muslims in the society by letting other people’s perceptions towards tax rebate through zakat system in Malaysia. Originality/value As there are not enough studies in this area, this study will definitely play an important leading role for the countries or policy-makers or concerned zakat or tax institutions all over the world in capitalizing the practices which is highly and positively perceived by the Muslim consumers in Malaysia.

Methodological lapses in plant and equipment valuation amongst Lagos valuers

2019 ◽  
Vol 37 (4) ◽  
pp. 529-546
Author(s):  
Austin Chike Otegbulu
Keyword(s):  
Content Analysis ◽  
Best Practices ◽  
Design Methodology ◽  
Content Type ◽  
Potential Sources ◽  
Valuation Process ◽  
Practical Implications ◽  
Structured Questionnaire

Purpose The purpose of this paper is to investigate the level of discrepancy in the valuation process adopted by valuers in the study area with a view to provide solution. Design/methodology/approach The study is based on both structured questionnaire and content analysis of valuation reports. In total, 185 (41 percent) structured questionnaires were randomly distributed to practicing estate surveying firms; out of 450 firms in Lagos, 173 were retrieved and used for analysis. However, the content analysis was based on 54 valuation reports on plants and equipment to investigate the extent of compliance to valuation process, standard and best practices among practitioners. Findings The findings from the study show that most of the practitioners lack the expertise to carry out plant and machinery (P&M) valuation, and there is evidence of poor application of methodology and lack of adherence to standards. Practical implications The findings from this study will reinforce the need for specialization and enforcement of standard in plant and equipment valuation practice, which will enthrone consistency, uniformity and reliability. Originality/value This study is the first to deal with methodology lapses in plant and equipment valuation in the study area. Ashaolu (2016) worked on the inter-disciplinary nature of plant and equipment valuation, whereas Otegbulu and Babawale (2011) worked on valuer’s perception or potential sources of inaccuracy in P&M valuation in Nigeria.

Healthcare sustainability and the role of intellectual capital

2017 ◽  
Vol 18 (3) ◽  
pp. 544-563 ◽  
Author(s):  
Caterina Cavicchi
Keyword(s):  
Social Capital ◽  
Focus Groups ◽  
Performance Measurement ◽  
Intellectual Capital ◽  
Healthcare Professionals ◽  
Theory Development ◽  
Healthcare Sector ◽  
Healthcare Organizations ◽  
Content Type

Purpose The purpose of this paper is to investigate the role of intellectual capital (IC) in promoting the sustainable development (SD) program of the Emilia-Romagna Health Service. The contributions of the following assets were investigated: leadership and competences, culture, performance measurement and incentives systems, social capital and technologies. Design/methodology/approach The case study was conducted following a hierarchical approach: perceptions of the regional directorate of public and social health, the general directors and healthcare professionals of the regional health system (the setting) were analyzed through interviews, focus groups and documentation in order to investigate: the emerging definition of SD within the setting; the role of IC, if any, in the achievement of the regional SD goals. Findings SD culture did not expand at the operative level because of the lack of involvement of healthcare professionals in a permanent dialogue for sustainability. Sustainability projects were not systematic which restricted the development of staff awareness of sustainability issues. Social capital enabled environmental projects and medical projects that increased patients’ involvement in disease management. Technology could help the shift toward sustainability, but it requires consideration of tangible and intangible costs for its successful adoption. SD performance measurement and incentives were in their infancy and cost accounting continues to dominate the healthcare sustainability debate. Research limitations/implications Despite the low number of healthcare professionals involved in the focus groups, the paper represents one of the first attempts to frame their perceptions on SD implementation in healthcare. Practical implications Regional institutions should consider new ways of enacting SD which should be more inclusive of healthcare professionals. The establishment of a permanent interdisciplinary dialogue on sustainability would develop human, social and structural capital for sustainability. Healthcare organizations should monitor the environmental and social effects of their operations to enact their primary mission: the promotion of health. Originality/value The paper contributes to theory development related to the role of IC for SD in the public sector context and, in particular, in the healthcare sector where evidence is currently limited.

scholarly journals Regionalization in elderly care: what makes up a healthcare region?

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jitse Jonne Schuurmans ◽  
Nienke van Pijkeren ◽  
Roland Bal ◽  
Iris Wallenburg
Keyword(s):  
Design Methodology ◽  
Elderly Population ◽  
Elderly Care ◽  
Ethnographic Research ◽  
Healthcare Organizations ◽  
Content Type ◽  
Research Challenges ◽  
Depth Interviews ◽  
Practical Implications ◽  
Oriented Research

PurposeThe purpose of this paper is to explore the formation and composition of “regions” as places of care, both empirically and conceptually.Design/methodology/approachThis paper draws on action-oriented research involving experiments aimed at designing, implementing and evaluating promising solutions to the entwined problems of a burgeoning elderly population and an increasing shortage of medical staff. It draws on ethnographic research conducted in 14 administrative areas in the Netherlands, a total of 273 in-depth interviews and over 1,000 h of observations.FindingsThis research challenges the understanding of a healthcare region as a clearly bounded topological area. It shows that organizations and professionals collaborate in a variety of different networks, some conterminous with the administrative region established by policymakers and others not. These networks are by nature unstable and dynamic. Attempts to form new regional collaborations with neighbouring organizations are complicated by existing healthcare governance and accountability structures that position organizations as competitors.Practical implicationsPolicymakers should take the pre-established partnerships of healthcare organizations into account before delineating the area in which regionalization is meant to take place. A better alignment of governance and accountability structures is also needed for regionalization to occur in healthcare.Originality/valueThis paper combines insights from valuation studies with sociogeographical literature and provides a framework for understanding the assembling and disassembling of “regions”.

Structure and analyze the football value chain in Brazil

2019 ◽  
Vol 20 (2) ◽  
pp. 258-275
Author(s):  
Rosiane Serrano ◽  
Daniel Pacheco Lacerda ◽  
Ricardo Augusto Cassel ◽  
Aline Dresch ◽  
Maria Isabel Wolf Motta Morandi
Keyword(s):  
Value Chain ◽  
Design Methodology ◽  
Raw Material ◽  
Added Value ◽  
Content Type ◽  
Linear Approach ◽  
Managerial Implications ◽  
Depth Interviews ◽  
Practical Implications ◽  
Structured Questionnaire

Purpose Football is deployed into various segments and consists of a complex value chain, with interrelationships and circularities. It is relevant in various segments and therefore it is important to understand the structure. Thus, the purpose of this paper is to present a model of a football value chain and the managerial implications inherent to this chain. Design/methodology/approach This research used a field study as its methodology, developing a semi-structured questionnaire containing open-ended questions about the representativeness of the football value chain. In-depth interviews with specialists in football were performed to collect data. Findings The results of the interviews indicated that the theoretical model is representative. Furthermore, through validation, the relevance and representativeness of the football value chain was shown, as well as its interrelationships with the other commodity and service segments. In addition, it was found that this segment is relevant and influential in the national and international market, and can be considered a factor of economic and social development. Research limitations/implications This paper provides a view of the actors who make up the football value chain, and also supplies a complementary view to the models of chains presented in the theoretical review, enabling the provision of evidence on the axis with greater added value as a new step. The limitation of this research involves the context approached, because as identified throughout the investigation, this context is complex and dynamic. In this way, the linear approach used to construct this chain led to a reduced view of reality and of present relationships. Practical implications The model shows the presence of the main actors and the structure for the transformation of raw material into a final product, and is useful to understand the existing relationships and the layers of added value. Social implications The evaluation of the conceptual model of football value chain confirms that this is a professionalized chain, which generates a significant number of direct and indirect jobs. Originality/value The authors propose a model of a football value chain which is complementary to the theoretical review developed, exposing a linkage of the players present in this chain and at what stage they are present, and supplies the managerial implications inherent to this.

Improving patient safety in two French hospitals: why teamwork training is not enough

2020 ◽  
Vol 34 (6) ◽  
pp. 639-653
Author(s):  
Odessa Petit dit Dariel ◽  
Paula Cristofalo
Keyword(s):  
Patient Safety ◽  
Design Methodology ◽  
Healthcare Professionals ◽  
Long Term Results ◽  
Organizational Changes ◽  
Healthcare Organizations ◽  
Content Type ◽  
National Team ◽  
Hospital Units

PurposeThe persistent challenges that healthcare organizations face as they strive to keep patients safe attests to a need for continued attention. To contribute to better understanding the issues currently defying patient safety initiatives, this paper reports on a study examining the aftermath of implementing a national team training program in two hospital units in France.Design/methodology/approachData were drawn from a longitudinal qualitative study analyzing the implementation of a French patient safety program aimed at improving teamwork in hospitals. Data collection took place over a four-year period (2015–2019) in two urban hospitals in France and included multiple interviews with 31 participants and 150 h of observations.FindingsDespite explicit efforts to improve inter-professional teamwork, three main obstacles interfered with healthcare professionals' attempts at safeguarding patients: perspectival variations in what constituted “patient safety”, a paradoxical injunction to do more with less and conflicting organizational priorities.Originality/valueThis paper exposes patient safety as misleadingly consensual and identifies a lack of alignment between stakeholders in the complex system that is a hospital. This ultimately interferes with patient safety objectives and highlights that even well-equipped, frontline actors cannot achieve long-term results without more systemic organizational changes.

Total rewards to enhance employees’ intention to stay: does perception of justice play any role?

2019 ◽  
Vol 7 (3) ◽  
pp. 262-280 ◽  
Author(s):  
Alka Rai ◽  
Piyali Ghosh ◽  
Tanusree Dutta
Keyword(s):  
Organizational Justice ◽  
Design Methodology ◽  
Uttar Pradesh ◽  
Moderated Mediation ◽  
Intention To Stay ◽  
Content Type ◽  
Private Banks ◽  
Total Rewards ◽  
Practical Implications ◽  
Structured Questionnaire

Purpose The purpose of this paper is to explore how total rewards might influence intention to stay among employees of private sector banks in India. A moderated-mediation mechanism is hypothesized, in which a system of total rewards leads to intention to stay via engagement and organizational justice (OJ) moderates the linkage of total rewards with engagement. Design/methodology/approach Perception of employees about the constructs considered has been assessed by a survey, using a structured questionnaire. Employees of private banks located in the State of Uttar Pradesh were the population for this study. A total of 17 branches of 7 private banks were covered, and the number of valid responses was 761. Hypotheses testing has been done with SPSS PROCESS command. Findings Hypotheses proposing mediation (engagement as mediator between total rewards and intention to stay), moderation (OJ as moderator between total rewards and engagement) and moderated mediation have found support. Practical implications Results obtained direct us to infer that in addition to the amount or value of any reward, aspects of OJ, such as equity and fairness in allocation of such reward and transparency in the procedure followed, are likely to influence the effectiveness of total rewards practices in engaging employees and motivating them to stay with their present employer. Originality/value This study adds to total rewards literature by highlighting how a total rewards system can lead to engagement, and consequently to employees’ intention to stay. Results establish OJ as an important attribute to any total rewards package to make the latter more valuable and effective.

Does organisational culture determine performance differentials in the hospitality industry? Evidence from the hotel industry

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Samira Seidu ◽  
Abigail Opoku Mensah ◽  
Kassimu Issau ◽  
Aborampah Amoah-Mensah
Keyword(s):  
Design Methodology ◽  
Hospitality Industry ◽  
Hotel Industry ◽  
Organisational Culture ◽  
Significant Relation ◽  
Content Type ◽  
Key Stakeholders ◽  
Excellence Theory ◽  
Practical Implications ◽  
Structured Questionnaire

PurposeThe purpose of the study is to examine performance differentials in the hospitality industry through organisational culture.Design/methodology/approachThe study adopted the positivism philosophy, thus relying on the quantitative approach. A structured questionnaire was deployed to gather data from 162 sampled respondents.FindingsThe study finds that mission, involvement and consistency as dimensions of organisational culture have a significant positive relationship with performance of the hotels. However, adaptability as an organisational culture dimension has no statistically significant relation with performance.Practical implicationsThrough this study, key stakeholders in the hospitality industry will understand that deploying organisational culture in businesses is important in enhancing performance of businesses.Originality/valueThe study is underpinned by the organisational excellence theory, and its main contribution to the literature is by proposing that when firms deploy excellent cultural attributes, their performance will improve.

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