Developing an evaluation framework for clinical redesign programs: lessons learnt

2016 ◽  
Vol 30 (6) ◽  
pp. 950-970 ◽  
Author(s):  
Premaratne Samaranayake ◽  
Ann Dadich ◽  
Anneke Fitzgerald ◽  
Kathryn Zeitz
Keyword(s):  
Balanced Scorecard ◽  
Mixed Methods Research ◽  
Best Practice ◽  
Process Management ◽  
Well Being ◽  
Evaluation Framework ◽  
Primary Data ◽  
Patient Journey ◽  
Content Type ◽  
Lessons Learnt

Purpose The purpose of this paper is to present lessons learnt through the development of an evaluation framework for a clinical redesign programme – the aim of which was to improve the patient journey through improved discharge practices within an Australian public hospital. Design/methodology/approach The development of the evaluation framework involved three stages – namely, the analysis of secondary data relating to the discharge planning pathway; the analysis of primary data including field-notes and interview transcripts on hospital processes; and the triangulation of these data sets to devise the framework. The evaluation framework ensured that resource use, process management, patient satisfaction, and staff well-being and productivity were each connected with measures, targets, and the aim of clinical redesign programme. Findings The application of business process management and a balanced scorecard enabled a different way of framing the evaluation, ensuring measurable outcomes were connected to inputs and outputs. Lessons learnt include: first, the importance of mixed-methods research to devise the framework and evaluate the redesigned processes; second, the need for appropriate tools and resources to adequately capture change across the different domains of the redesign programme; and third, the value of developing and applying an evaluative framework progressively. Research limitations/implications The evaluation framework is limited by its retrospective application to a clinical process redesign programme. Originality/value This research supports benchmarking with national and international practices in relation to best practice healthcare redesign processes. Additionally, it provides a theoretical contribution on evaluating health services improvement and redesign initiatives.

The impact of a refurbishment programme on older people living in sheltered housing

2021 ◽  
Vol 24 (2) ◽  
pp. 54-64
Author(s):  
Zeibeda (Zeb) Sattar ◽  
Stephanie Wilkie ◽  
Jonathan Ling
Keyword(s):  
Well Being ◽  
Realist Evaluation ◽  
Evaluation Framework ◽  
Sheltered Housing ◽  
Social Activities ◽  
Content Type ◽  
Social And Emotional ◽  
Communal Areas ◽  
Physical Changes ◽  
The Impact

Purpose This paper aims to explore residents' perceptions of a refurbishment programme to sheltered housing schemes and its impact on their well-being. Design/methodology/approach The methodology draws upon a realist evaluation framework. Four participatory appraisals (PAs) and 19 interviews with residents were conducted in the sheltered housing schemes. Ages of participants ranged from 50 to 99 years. Findings Two categories of residents were identified: healthy active older adults and older frail adults (or over 85+). Residents said their social and emotional well-being improved from the provision of indoor and outdoor communal areas. Older frail residents only accessed the new communal spaces when staff took them in their wheelchairs. The physical changes increased opportunities for social connections for residents. Conservatories and sensory gardens were most popular. Residents felt that structured activities in the new spaces and digital training would improve their social activities. Research limitations/implications The participatory methods spanned over an hour, and some residents felt too tired to complete the full session. Practical implications A practical limitation was that some sensory rooms were not fully completed at the time of the evaluation. Originality/value This paper adds the following: Perceptions of residents of a refurbishment programme in sheltered housing and the impact on their well-being. Perceptions of residents about social activities after a refurbishment programme. Perceptions of residents about the impact of physical changes to their sheltered housing schemes and impact on their internal accessibility to the improvements.

Can using a servant-leadership model of supervision mitigate against burnout and secondary trauma in the health and social care sector?

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Daryl Mahon
Keyword(s):  
Servant Leadership ◽  
Compassion Fatigue ◽  
Social Care ◽  
Secondary Trauma ◽  
Meta Analysis ◽  
Well Being ◽  
Primary Data ◽  
Content Type ◽  
Health And Social Care ◽  
Core Characteristics

Purpose This paper aims to set out a model of servant leadership that can be infused within a supervisory setting to mitigate employee burnout and negative stressful experiences in the health and social care sector. Design/methodology/approach A brief targeted review of the literature was undertaken to assess the prevalence of burnout in the health and social care sectors. The supervision literature was also explored. The outcomes associated with servant leadership were also distilled, focusing on employee well-being. Findings Research suggests that burnout and related concepts such as secondary trauma and compassion fatigue impact these professions disproportionately. At the same time, servant leadership is suggested to mitigate some of these factors. The author presents a conceptual model of servant leadership supervision consisting of an ideographic model of servant leadership, Servant Leadership Scale-28 (SLS-28), using the most recent meta-analysis defining this construct, and previously validated measures in the extant literature to inform its design. A Servant Leadership Supervision Scale (SLSS) is also presented aligning its use to several of the core characteristics of servant leadership practice. Research limitations/implications In doing so, the author proposes that this approach will help reduce burnout of health and social care sector employees. Limitations are considered in light of the conceptual paper and no primary data. Practical implications A model of servant leadership supervision that can be infused into health and social care supervision. Originality/value This is the first model of servant leadership supervision articulated for the health and social care sector.

scholarly journals An exploratory study of financial well-being among Malaysian households

2020 ◽  
Vol 27 (3) ◽  
pp. 285-302
Author(s):  
Nurul Shahnaz Mahdzan ◽  
Rozaimah Zainudin ◽  
Mohd Edil Abd Sukor ◽  
Fauzi Zainir ◽  
Wan Marhaini Wan Ahmad
Keyword(s):  
Low Income ◽  
Age Groups ◽  
Well Being ◽  
Demographic Characteristics ◽  
High Income ◽  
Primary Data ◽  
Residential Areas ◽  
Future Time ◽  
Content Type ◽  
Time Perspectives

PurposeThe purpose of this paper is to empirically explore the financial well-being (FWB) of Malaysian households and to construct a subjective FWB index with present and future time perspectives.Design/methodology/approachData were collected from 1,867 respondents across five major regions in Malaysia. Adapting the InCharge Financial Distress/Financial Well-being (IFDFW) Scale by Prawitz et al. (2006) and the method of computing an index by Devlin (2009), this study develops an FWB index using subjective measures that include future time perspectives (retirement). The index was employed to measure the FWB across low-, middle- and high-income groups and socio-demographic characteristics.FindingsThis study finds evidence that Malaysians' FWB is at an average level (46.8). Middle-income households' FWB (46.1) flanks between the financial well-being index (FWBI) levels of the low-income (37.4) and high-income households (58.7). Across age groups, education levels and employment sectors, the FWB of Malaysians significantly varies, although not across different ethnics, religions, zones and residential areas. Overall, the results suggest that the detrimental effects of FWB are perceived by all Malaysian households nationwide regardless of their religion, ethnicity and residential areas.Practical implicationsThe results of this study complement the other well-being indices used by policymakers and may serve as a useful input for government and policymakers for them to formulate appropriate strategies to promote higher FWB of Malaysian households based on their socio-demographic characteristics.Originality/valueThis study used primary data and developed a subjective FWB index that leverages on people's perceptions of their own financial well-being while including present and future time perspectives. The main contribution of this paper is to construct an index that is easily interpretable and that complements the existing FWB indices, and to identify the segments of society that have low vis-à-vis high FWB.

Performance of Islamic microcredit in perspective of Maqasid Al-Shariah

Humanomics ◽  
2015 ◽  
Vol 31 (4) ◽  
pp. 374-384 ◽  
Author(s):  
Md. Mahmudul Alam ◽  
Salwana Hassan ◽  
Jamaliah Said
Keyword(s):  
Questionnaire Survey ◽  
Design Methodology ◽  
Well Being ◽  
Peninsular Malaysia ◽  
Primary Data ◽  
Conventional System ◽  
Content Type ◽  
Enhancing Effect ◽  
Assessment Approach

Purpose – This study aims to examine the role of Islamic microcredit programs based on the achievement of Maqasid Al-Shariah. Past studies have evaluated the role of microcredit programs using the conventional assessment approach. However, the conventional system of socioeconomic role assessment cannot evaluate the performance of Islamic microcredit in terms of achieving the objectives of Shariah for the Islamic microcredit model. Design/methodology/approach – This paper uses primary data that were collected through a questionnaire survey distributed among 393 microcredit borrowers from Amanah Ikhtiar Malaysia (AIM). The survey was conducted from July 2013 to December 2013 in the State of Sabah and in Peninsular Malaysia. This research also analyzes the socioeconomic roles and the achievement of microcredit and microenterprise from the perspective of the five principles of Al-daruriyyat from Maqasid Al-Shariah. Findings – Results indicate that the microcredit program of AIM has a positive and enhancing effect on the livelihood of clients. This effect is reflected in the assessment of their well-being, especially in the context of Maqasid Al-Shariah. Originality/value – This study examines the role of Islamic microcredit based on the achievement of Maqasid Al-Shariah.

A review of the importance of business process management in achieving sustainable competitive advantage

2014 ◽  
Vol 26 (5) ◽  
pp. 522-531 ◽  
Author(s):  
Devika Nadarajah ◽  
Sharifah Latifah Syed Abdul Kadir
Keyword(s):  
Competitive Advantage ◽  
Business Process ◽  
Business Process Management ◽  
Best Practice ◽  
Process Management ◽  
Theory Building ◽  
Dynamic Capability ◽  
Sustainable Competitive Advantage ◽  
Total Quality ◽  
Content Type

Purpose – In today's height of competition, business process management (BPM) is regarded as best practice management principle that can assist companies in sustaining competitive advantage. The purpose of this paper is to strengthen theory building of BPM in fostering sustainable competitive advantage based on dynamic capability theory. Design/methodology/approach – BPM owes its existence to total quality management (TQM) and business process reengineering and has gained importance as an enabler to coordinate the intricacies of the organisations. Past researches on BPM have been largely conceptual using case studies with scarce evidence for theory building. Findings – Based on the review of literature, the study of BPM can be studied based on dynamic capability theory. Originality/value – The outcome of this paper would add value to theory building for BPM.

Identification and testing of barriers to sustainable manufacturing in the automobile industry: a focus on Indian MSMEs

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Naveen Virmani ◽  
Sasadhar Bera ◽  
Rohit Kumar
Keyword(s):  
Factor Analysis ◽  
Automobile Industry ◽  
Best Practice ◽  
Small And Medium Enterprises ◽  
Sustainable Manufacturing ◽  
Primary Data ◽  
Content Type ◽  
Policy Interventions ◽  
Government Rules ◽  
Medium Enterprises

PurposeThe purpose of the study is two-fold. First, to find out the different barriers that prevent the implementation of sustainable manufacturing practices in the case of Micro, Small and Medium Enterprises (MSMEs). Second, quantifying the relative intensity of these barriers to understand the importance and dependence power of the observed variables.Design/methodology/approachPrimary data were collected via structured questionnaires from 150 Indian MSMEs working in the automobile industry. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) was performed. Finally, barriers are ranked using graph theory and matrix approach (GTMA), considering the inheritance and interaction among the observed variables.FindingsThere are a total of 22 barriers to “sustainable manufacturing”. EFA and CFA models confirmed four different categories of barriers. In order of importance, they are ranked as – production and operations related; organization related; collaboration related; and government rules and regulations.Practical implicationsThe findings show that there are multiple barriers to sustainable manufacturing. The barriers are categorized into four major categories, and their ranking provides an opportunity for prioritization from both policy and managerial perspectives. The barriers can be overcome through both policy interventions as well as through best practice sharing, benchmarking and organizational-wide initiatives.Originality/valueThe study is among the first studies that provide valuables insights on what are the 22 different barriers to sustainable manufacturing and its relevance to the MSMEs working in the automobile industry. The study would provide further opportunities for similar studies in different sectors.

scholarly journals Blended learning: how to flip the classroom at HEIs in Bangladesh?

2019 ◽  
Vol 13 (2) ◽  
pp. 228-242 ◽  
Author(s):  
Faieza Chowdhury
Keyword(s):  
Blended Learning ◽  
Flipped Classroom ◽  
Secondary Data ◽  
Well Being ◽  
Primary Data ◽  
Successful Implementation ◽  
Learning Program ◽  
Content Type ◽  
Learning Programs

Purpose E-learning is a very popular concept in the education sector today, and one of the best ways to implement this is through blended learning. However, the implementation of blended learning program at Higher Education Institutions (HEIs) is quite new in Bangladesh. The purpose of this paper is to explore the concept of blended learning, how to construct a blended learning program, the benefits of blended learning and some prerequisites to implement blended learning program successfully at HEIs in Bangladesh. Design/methodology/approach Nature of the study is explanatory, descriptive as well as evaluative. Primary data were collected through face-to-face interviews using structured questionnaire having both open- and close-ended questions including personal observations. Secondary data comprise relevant documents available from government agencies, archives, and library and research organizations. Findings By utilizing the blended learning tools, HEIs in Bangladesh can achieve radical improvements in education quality as well as in the accessibility and cost-effectiveness of learning programs. Moreover, any innovative educational reform will be successful only when it is fully accepted and adopted by all the key stakeholders: students, parents, teachers, academic administrators, researchers and policy makers. Practical implications Several practical solutions have been presented in this paper: how to create a blended learning program, how to overcome the obstacles for successful implementation of blended learning and how to create a flipped classroom with the aid of technology. Social implications A country’s soul and economic well-being depends to a large extent on the quality of their citizen’s education. Implementing innovative teaching programs within the education system will enhance the quality of education at HEIs in Bangladesh, creating more efficient labor force hence benefiting the overall society. Originality/value Originality in terms of exposing the hurdles that needs to be addressed for successful implementation of blended learning programs at HEIs in Bangladesh and providing an easy guideline to educators on how to create flipped classrooms.

scholarly journals What do we know about maternal and perinatal mortality and morbidity audits in sub-Saharan Africa? A scoping literature review

2019 ◽  
Vol 12 (3) ◽  
pp. 192-207 ◽  
Author(s):  
Adelaide Lusambili ◽  
Joyline Jepkosgei ◽  
Jacinta Nzinga ◽  
Mike English
Keyword(s):  
Literature Review ◽  
Best Practice ◽  
Well Being ◽  
Sub Saharan Africa ◽  
Content Type ◽  
Mortality And Morbidity ◽  
Aggregated Data ◽  
Organizational Barriers ◽  
Scoping Literature Review ◽  
Sub Saharan

PurposeThe purpose of this paper is to provide a situational overview of the facility-based maternal and perinatal morbidity and mortality audits (MPMMAs) in SSA, their current efficacy at reducing mortality and morbidity rates related to childbirth.Design/methodology/approachThis is a scoping literature review based on the synthesis of secondary literature.FindingsNot all countries in SSA conduct MPMMAs. Countries where MPMMAs are conducted have not instituted standard practice, MPMMAs are not done on a national scale, and there is no clear best practice for MPMMAs. In addition, auditing process of pediatrics and maternal deaths is flawed by human and organizational barriers. Thus, the aggregated data collected from MPMMAs are not adequate enough to identify and correct systemic flaws in SSA childbirth-related health care.Research limitations/implicationsThere are a few published literature on the topic in sub-Saharan Africa.Practical implicationsThis review exposes serious gaps in literature and practice. It provides a platform upon which practitioners and policy makers must begin to discuss ways of embedding mortality audits in SSA in their health systems as well as health strategies.Social implicationsThe findings of this paper can inform policy in sub-Saharan Africa that could lead toward better outcomes in health and well-being.Originality/valueThe paper is original.

Materialism in the United Arab Emirates

2019 ◽  
Vol 15 (3) ◽  
pp. 507-533 ◽  
Author(s):  
Damien Arthur ◽  
Claire Eloise Sherman ◽  
Noora Saeed Al Hameli ◽  
Salama Yousef Al Marzooqi
Keyword(s):  
United Arab Emirates ◽  
Financial Distress ◽  
Financial Regulation ◽  
Emerging Market ◽  
Rapid Development ◽  
Well Being ◽  
Primary Data ◽  
Consumer Society ◽  
Content Type ◽  
Material Values

Purpose The purpose of this paper is to examine the antecedents, cultivation, behaviours and consequences of materialism in the United Arab Emirates (UAE). Given the UAE’s dramatic transformation into a developed and commercialised nation, such an investigation is highly warranted. Design/methodology/approach In this study, four focus groups and 25 in-depth interviews with UAE nationals were conducted. A conceptual model theorising the antecedents, cultivation, behaviours and consequences of materialism in the UAE emerged from a grounded theory analysis of the primary data and existing literature. Findings Rapid development, commercialisation and a substantial increase in new wealth have led to the development and socialisation of material values. Conspicuous and status consumption is creating an increasingly judgmental consumer society that is further cultivating material values in an ongoing cycle. Traditional Emirati values are also being expressed through materialistic displays. The consequences of materialism for the Emirati population include both positive and negative impacts on well-being, an increase in financial distress, delayed marriage and family conflict. Practical implications The model guides policy makers beyond constraining consumption via advertising and financial regulation towards breaking the cycles that cultivate harmful materialistic tendencies. The use of a more socio-cultural approach is recommended, which includes building self-esteem, resilience to judgements, use of cultural influencers, re-direction efforts and campaigns raising awareness and recognition of materialism as a social problem. Originality/value This is the first study to develop a comprehensive model of the antecedents, cultivation, behaviours and consequences of materialism in an emerging market.

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