Size does matter – span of control in hospitals

2017 ◽  
Vol 31 (2) ◽  
pp. 192-206 ◽  
Author(s):  
Christina Holm-Petersen ◽  
Sussanne Østergaard ◽  
Per Bo Noergaard Andersen
Keyword(s):  
Design Methodology ◽  
Hospital Staff ◽  
Leadership Capacity ◽  
Decision Makers ◽  
Span Of Control ◽  
Content Type ◽  
Frontline Leaders ◽  
Practical Implications

Purpose Centralization, mergers and cost reductions have generally led to increasing levels of span of control (SOC), and thus potentially to lower leadership capacity. The purpose of this paper is to explore how a large SOC impacts hospital staff and their leaders. Design/methodology/approach The study is based on a qualitative explorative case study of three large inpatient wards. Findings The study finds that the nursing staff and their frontline leaders experience challenges in regard to visibility and role of the leader, e.g., in creating overview, coordination, setting-up clear goals, following up and being in touch. However, large wards also provide flexibility and development possibilities. Practical implications The authors discuss the implications of these findings for decision makers in deciding future SOC and for future SOC research. Originality/value Only few studies have qualitatively explored the consequences of large SOC in hospitals.

How “The Three Rules” guide strategy and investment decisions at Deloitte Consulting LLP

2015 ◽  
Vol 43 (3) ◽  
pp. 7-14 ◽  
Author(s):  
Jim Moffatt
Keyword(s):  
Design Methodology ◽  
Large Scale ◽  
Investment Decisions ◽  
Decision Makers ◽  
Research Project ◽  
Content Type ◽  
First Case ◽  
Practical Implications ◽  
Thought Leadership

Purpose – This case example looks at how Deloitte Consulting applies the Three Rules synthesized by Michael Raynor and Mumtaz Ahmed based on their large-scale research project that identified patterns in the way exceptional companies think. Design/methodology/approach – The Three Rules concept is a key piece of Deloitte Consulting’s thought leadership program. So how are the three rules helping the organization perform? Now that research has shown how exceptional companies think, CEO Jim Moffatt could address the question, “Does Deloitte think like an exceptional company?” Findings – Deloitte has had success with an approach that promotes a bias towards non-price value over price and revenue over costs. Practical implications – It’s critical that all decision makers in an organization understand how decisions that are consistent with the three rules have contributed to past success as well as how they can apply the rules to difficult challenges they face today. Originality/value – This is the first case study written from a CEO’s perspective that looks at how the Three Rules approach of Michael Raynor and Mumtaz Ahmed can foster a firm’s growth and exceptional performance.

Boundary subjects and boundary objects in accounting fact construction and communication

2016 ◽  
Vol 13 (3) ◽  
pp. 303-329 ◽  
Author(s):  
Teemu Laine ◽  
Tuomas Korhonen ◽  
Petri Suomala ◽  
Asta Rantamaa
Keyword(s):  
Design Methodology ◽  
Information Needs ◽  
Boundary Objects ◽  
Shared Understanding ◽  
Content Type ◽  
Business Partners ◽  
Pragmatic Constructivism ◽  
Practical Implications

Purpose This paper aims to elaborate the concepts of boundary subjects and boundary objects in constructing and communicating relevant accounting facts for managing product development (PD). Boundary subjects as reflective actors benefit effective accounting enactment, by building a shared understanding about different actors’ roles and information needs, and by helping to respond to these needs with new boundary objects. Design/methodology/approach The paper uses a longitudinal interventionist case study of a machinery manufacturer. The focus of this case study was the production ramp-up phase at the end of a PD program. Different actors’ needs were first collected and elaborated by interventionist researchers (boundary subjects). Then accounting prototypes (boundary objects) provided new means of communication. Findings The findings show that dealing with boundaries is crucial in accounting development. The role of boundary subjects was fundamental in the process of choosing, constructing, elaborating and communicating accounting facts. During this process, accounting prototypes integrated new accounting facts, the boundary subjects mitigated the boundaries and the boundary objects focused and restricted communication about accounting facts. Research limitations/implications The paper tests the pragmatic constructivism approach by examining accounting enactment under uncertainty and ambiguity. The study refines pragmatic constructivism in terms of boundaries, boundary subjects as actors and boundary objects. Practical implications The intentional use of boundary subjects and objects as communication platform could push a more active inclusion of business controllers as active business partners. Originality/value The paper contributes to the literature on accounting development by highlighting the use of boundary subjects and boundary objects as fundamental mechanisms in constructing and communicating accounting facts.

Assessing the objectives of dry ports: main issues, challenges and opportunities in Brazil

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Thiago de Almeida Rodrigues ◽  
Caroline Maria de Miranda Mota ◽  
Udechukwu Ojiako ◽  
Fikri Dweiri
Keyword(s):  
Literature Review ◽  
Design Methodology ◽  
Decision Makers ◽  
Second Step ◽  
Exploratory Research ◽  
Content Type ◽  
Challenges And Opportunities ◽  
Dry Ports ◽  
Practical Implications

PurposeThe purpose is to identify the main characteristics of dry ports (DPs) in Brazil, discussing the role of this logistic player, challenges and opportunities. Furthermore, this study provides a structured framework to drive DP decision-makers, identifying and assessing a network of means–end objectives, which could be replicable to other contexts.Design/methodology/approachThis article approached initially a literature review and exploratory research to discuss the main characteristics of DPs in Brazil. The second step was to conduct a qualitative analysis following the value-focused thinking (VFT) approach in two case studies in Pernambuco state to assess the achievement of the main objectives.FindingsThis article identified that the main characteristics of DPs in Brazil are offering additional services with a cheaper storage cost, handling mainly import cargo and being connected to seaports through highways. Moreover, this study resulted in a framework to assess the objectives of DPs, which could be replicable in other contexts, improving the current operations of DPs.Practical implicationsThe framework to assess DPs' objectives bridged the gap between the literature and the practice working as a tool to drive decision-makers to improve the current performance of DPs in Brazil. Additionally, the main issues, challenges and opportunities discussed provide managers, policymakers and DPs operators with valuable insights into this theme.Originality/valueThis paper is the first study to present a framework to assess the objectives of DPs as a valuable tool to drive decision-makers to improve DPs operations. From this study, lessons could be learned and the process described could be replicable in other countries.

Street food, hawkers and the Michelin Guide in Singapore

2017 ◽  
Vol 119 (4) ◽  
pp. 790-802 ◽  
Author(s):  
Joan C. Henderson
Keyword(s):  
Research Agenda ◽  
Design Methodology ◽  
Primary Data ◽  
Local Conditions ◽  
Street Food ◽  
Content Type ◽  
Food Cultures ◽  
Practical Implications

Purpose The purpose of this paper is to examine aspects of the contemporary relevance of the Michelin Guide as efforts are made to extend its reach in Asia. The focus is on recent endeavours by the producers of the restaurant guide to represent local conditions by acknowledging the importance of street food and hawkers. Design/methodology/approach The methodology is that of a case study based on analysis of published material about the inaugural Singapore Michelin Guide and its consequences. Findings The Michelin Guide confronts challenges in retaining its authority and establishing itself in new Asian locations. The Singapore edition indicates attempts at responsiveness to distinctive circumstances through the recognition of street food and hawkers, but questions can be raised about the appropriateness of their inclusion and rating. Research limitations/implications Despite the absence of primary data, important topics about food and dining landscapes and modes of restaurant reviewing and grading are explored. A research agenda for the future is also proposed. Practical implications Attention is given to the impacts of the guide for individual enterprises, suggesting positive and negative outcomes of endorsement. Social implications Findings enhance understanding of the place of food and dining within societies and the influence of restaurant guides. Originality/value The paper offers an Asian perspective on and fresh insights into the role of local food cultures as well as the meanings and functions of the Michelin Guide.

Fiat and Chrysler, negotiating for survival

2015 ◽  
Vol 31 (1) ◽  
pp. 27-29 ◽  
Author(s):  
Andrea Caputo
Keyword(s):  
Case Studies ◽  
Design Methodology ◽  
Reading Time ◽  
Turning Point ◽  
Content Type ◽  
Pertinent Information ◽  
Shareholder Perspective ◽  
Practical Implications

Purpose – This paper aims to review the latest management developments across the globe and pinpoint practical implications from cutting-edge research and case studies. Design/methodology/approach – This briefing is prepared by an independent writer who adds impartial comments and places the articles in context. Findings – This is a story on how a corporate negotiation can be the turning point for survival. This case study is unusual in the business arena, as it is based on the role of external parties for the success of a strategic negotiation between corporations. It shows how an agreement was fundamental from a management/operational perspective, but impossible from a shareholder perspective. Yet, only thanks to the intervention of external parties that a successful agreement lead to the survival of the corporation. Practical implications – This paper provides strategic insights and practical thinking that have influenced some of the world’s leading organizations. Originality/value – This briefing saves busy executives and researchers hours of reading time by selecting only the very best, most pertinent information and presenting it in a condensed and easy-to-digest format.

A spiritual perspective on Senge’s five disciplines: harmony and Alibaba

2020 ◽  
Vol 27 (6) ◽  
pp. 521-533
Author(s):  
Carry Mak ◽  
Robin Stanley Snell ◽  
Jacky Hong
Keyword(s):  
Learning Organization ◽  
Design Methodology ◽  
Shared Vision ◽  
Content Type ◽  
Personal Mastery ◽  
Five Disciplines ◽  
Senge's Five Disciplines ◽  
Practical Implications

Purpose The purpose of this paper is to investigate Peter Senge’s ideas from the perspective of the spiritual ideal of harmony/He (和). Design/methodology/approach Following a literature review of the conceptualization of Senge’s fifth discipline and harmony, an appreciative case study of Alibaba is adopted to demonstrate the role of harmony in guiding the transformative application of the five disciplines of the learning organization. Findings In developing as a learning organization, Alibaba is portrayed as having embraced three levels of harmony: person-within-oneself, person-to-others and person-to-nature harmony. The authors identify three equivalencies between Senge’s disciplines and the traditional Chinese ideal of harmony. First, personal mastery and metal models correspond to developing person-within-oneself harmony. Second, team learning and shared vision entail developing person-to-others harmony. Third, systems thinking aligns with person-to-nature harmony. Practical implications The case study demonstrates various approaches that can be used to foster the development of person-within-oneself, person-to-others and person-to-nature harmony within an aspiring learning organization. Originality/value This paper shows how core values of Confucianism, Taoism and Buddhism, distilled into the Chinese ideal of harmony, can encourage the cultivation of learning organizations.

Two routes of service modularization: advancing standardization and customization

2019 ◽  
Vol 33 (1) ◽  
pp. 73-87 ◽  
Author(s):  
Ida Gremyr ◽  
Aku Valtakoski ◽  
Lars Witell
Keyword(s):  
Empirical Evidence ◽  
Design Methodology ◽  
Longitudinal Case Study ◽  
Manufacturing Firm ◽  
Content Type ◽  
Service Module ◽  
Using Data ◽  
Practical Implications

Purpose This study aims to investigate service modularization in a manufacturing firm, identifies service modularization processes and examines how these processes change the service module characteristics. Design/methodology/approach The study is based on a longitudinal case study (2008-2017) of a manufacturing firm. The development of six service modules was analyzed using data from interviews with key informants, informal meetings and internal documentation. Findings This study suggests five service modularization processes, and that service module characteristics, such as standardization and interconnectedness, change in different ways depending on the service modularization processes used. It further identifies two service modularization routes that each combine the service modularization processes in unique ways with replication as a key process to improve both standardization and customization. Practical implications This study elaborates a framework for service modularization, which can serve as a guideline for developing service modules. It also highlights the differences between product and service modularization, suggesting that the role of service module characteristics such as standardization and customization is specific for services. Originality/value This longitudinal case study (2008-2017) provides empirical evidence on service modularization and extends existing knowledge on service modularization processes and how they influence service module characteristics.

scholarly journals Conflict as it happens

2018 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Virpi-Liisa Kykyri ◽  
Risto Puutio
Keyword(s):  
Design Methodology ◽  
Single Case ◽  
Nonverbal Behaviors ◽  
Organizational Research ◽  
Content Type ◽  
Micro Level ◽  
Interactional Patterns ◽  
Practical Implications

PurposeAlthough emotions are relevant for conflicted interactions, the role of emotions in organizational conflicts has remained understudied. The purpose of this paper is to contribute to this by looking at the role of nonverbal affective elements in conversations.Design/methodology/approachBringing together organizational “becoming” and embodiment approaches, the study focused on a conflict which emerged during a multi-actor consulting conversation. The episode in question was analyzed via a detailed, micro-level discursive method which focused specifically on the participants’ use of prosodic and nonverbal behaviors.FindingsChanges in prosody were found to have an important role in how the conflict between a consultant and an employee client emerged and was handled. Nonverbal and prosodic means had a central role in creating legitimate space for the employees’ feelings: they helped to validate the feelings and thus led the interlocutors to act in a more constructive manner in their handling of the conflicted situation.Research limitations/implicationsFindings are based on a single case study. Multi-modal analysis proved effective in capturing the relevant interactions in a comprehensive manner.Practical implicationsConversational “traps” may be observed by becoming alert to interactional patterns involving repeated chains of actions. A nonverbal response, validating the interlocutor as someone who is entitled to her/his feelings, can be sufficient in providing emotional help in consultancy.Social implicationsNonverbal elements of interactions are important in handling delicate issues in conflicts.Originality/valueTo the authors’ knowledge, no previous organizational research has provided a detailed description of a conflicted interaction “as it happened” between clients and a consultant.

The role of the lead firm in exploratory projects

2019 ◽  
Vol 13 (2) ◽  
pp. 312-339
Author(s):  
Fangwei Zhu ◽  
Mengtong Jiang ◽  
Miao Yu
Keyword(s):  
Design Methodology ◽  
Process Model ◽  
Abductive Reasoning ◽  
Content Type ◽  
Multiple Case ◽  
Lead Firm ◽  
Exploratory Innovation ◽  
Practical Implications

Purpose The challenge of unforeseen uncertainties in exploratory projects requires the lead firm in a project alliance to effectively manage exploratory co-innovation. The purpose of this paper is to investigate the types of capabilities a lead firm required in exploratory projects and how these capabilities enable the exploratory innovation of the project alliance. Design/methodology/approach A multiple-case study was done to provide empirical evidence for the rationale of the capabilities of the lead firm. The provided analysis used abductive reasoning of two typical exploratory projects in China. Findings This paper identifies two types of capabilities: innovation-related capabilities and network-related capabilities. Furthermore, a process model of the capabilities of the lead firm is developed that enables exploratory co-innovation in a project alliance. The capabilities of the lead firm input varied at four different stages. Practical implications Innovation-related capabilities and network-related capabilities could form the foundation for the lead firm in an exploratory project alliance. This will enable an exploratory co-innovation and collaboratively overcome the barriers of exploratory projects. Originality/value Although exploratory project attracts extensive attention for its unique characteristics and universal value, there is limited amount of research on the context of joint exploratory projects. This study starts from the role of lead firm in an exploratory project alliance, contributes toward the comprehension of the link between the lead firm’s capabilities and the process of exploratory co-innovation. The findings will be of value in supporting the management of exploratory innovation in a project alliance.

scholarly journals Raising the bar

2015 ◽  
Vol 23 (5) ◽  
pp. 8-11 ◽  
Author(s):  
Daniel Ozarow ◽  
Trevor Gibson ◽  
Arun Batra ◽  
Sam Mercer
Keyword(s):  
Design Methodology ◽  
Business Case ◽  
Interesting Case ◽  
Successful Implementation ◽  
Anglo Saxon ◽  
Content Type ◽  
Sexual Orientations ◽  
Practical Implications

Purpose – Argues that merely complying with legislation is not sufficient to accomplish genuine diversity and that, rather than assuming its benefits will naturally be derived and accepted, diversity must be approached strategically and its advantages communicated effectively to stakeholders to ensure desired outcomes. Design/methodology/approach – Considers the business case for diversity, presents a case study of barristers and examines the role of the national equality standard. Findings – Advances the view that multi-layered approaches to diversity are essential for its successful implementation. Practical implications – Highlights the strong business case for diversity in the workforce, as well as possible social repercussions from failing to ensure that workforces are diverse. Social implications – Underlines how young people in European and Anglo-Saxon countries are increasingly demanding to work with colleagues from varied ethnicities, nationalities and sexual orientations who are similar to the peers they socialize with. Diverse workforces have thus become central to talent attraction. Originality/value – Presents an interesting case study of barristers and diversity.

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