Leading change within health services

2014 ◽  
Vol 27 (2) ◽  
pp. 72-86 ◽  
Author(s):  
Stephen Jacobs ◽  
Paul Rouse ◽  
Matthew Parsons

Purpose – Much health service delivery occurs within a network structure, with co-operation and competition coexisting. Leading change for successful outcomes is a difficult task even outside of this multi-layered complex context, with reports that up to two-thirds of change processes are unsuccessfully implemented. This can have a major impact on stress, effectiveness and efficiency. This paper aims to address these issues. Design/methodology/approach – Theories supporting a generic implementation system for managers were explored so that people placed into situations in which they needed to lead and manage change could access a systematic approach that enabled clarification of the network's goal(s), valid communication among members of the network, and performance measurement using indicators the network agrees are meaningful. Findings – The implementation pathway developed provides a change process leaders and managers of change can use within networks. Practical implications – Health service funders and managers will be helped by this systematic implementation process. Originality/value – Health service funders and managers will be assisted by the systematic implementation process.

Kybernetes ◽  
2018 ◽  
Vol 47 (8) ◽  
pp. 1623-1641 ◽  
Author(s):  
Xuefeng Zhang ◽  
Jiafu Su

Purpose Task recommendation is an important way for workers and requesters to get better outcomes in shorter time in crowdsourcing. This paper aims to propose an approach based on 2-tuple fuzzy linguistic method to recommend tasks to the workers who would be capable of completing and accept them. Design/methodology/approach In this paper, worker’s capability-to-complete (CTC) and possibility-to-accept (PTA) for a task needs to be recommended are proposed, measured and aggregated to determine worker’s priority for task recommendation. Therein, the similarity between the recommended task and its similar tasks and worker’s performance on these similar tasks are computed and aggregated to determine worker’s CTC quantitatively. In addition, two factors of worker’s active degree and worker’s preferences to a task category are presented to reflect and determine worker’s PTA. In the process of measuring them, 2-tuple fuzzy linguistic method is used to represent, process and aggregate vague and imprecise information. Findings To demonstrate the implementation process and performance of the proposed approach, an illustrative example is conducted on Taskcn, a widely used Chinese online crowdsourcing market. The experimental results show that the proposed approach outperformed the self-selection approach, especially for complex or creative tasks. Moreover, comparing with task recommendation considering worker’s CTC solely, the proposed approach would be better in terms of workers’ response rate. Additionally, the use of linguistic terms and fuzzy linguistic method facilitates the expression of vague and subjective information and makes recommendation process more practical. Research limitations/implications In the study, the authors capture alternative workers, collect workers’ behaviors and compute workers’ CTC and PTA manually. However, as the number of tasks and alternative workers grow, the issue, i.e. how to conveniently collect workers’ behaviors and determine their CTC and PTA, becomes conspicuous and needs to be studied further. Practical implications The proposed approach provides an alternative way to perform tasks posted in crowdsourcing platforms. It can assist workers to contribute to right tasks, and requesters to get outcomes with high quality more efficiently. Originality/value This study proposes an approach to task recommendation in crowdsourcing that integrates workers’ CTC and PTA for the recommended tasks and can deal with vague and imprecise information.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Maria Papanikou ◽  
Utku Kale ◽  
András Nagy ◽  
Konstantinos Stamoulis

Purpose This study aims to identify variability in aviation operators in order to gain greater understanding of the changes in aviation professional groups. Research has commonly addressed human factors and automation in broad categories according to a group’s function (e.g., pilots, air traffic controllers [ATCOs], engineers). Accordingly, pilots and Air Traffic Controls (ATCOs) have been treated as homogeneous groups with a set of characteristics. Currently, critical themes of human performance in light of systems’ developments place the emphasis on quality training for improved situational awareness (SA), decision-making and cognitive load. Design/methodology/approach As key solutions centre on the increased understanding and preparedness of operators through quality training, the authors deploy an iterative mixed methodology to reveal generational changes of pilots and ATCOs. In total, 46 participants were included in the qualitative instrument and 70 in the quantitative one. Preceding their triangulation, the qualitative data were analysed using NVivo and the quantitative analysis was aided through descriptive statistics. Findings The results show that there is a generational gap between old and new generations of operators. Although positive views on advanced systems are being expressed, concerns about cognitive capabilities in the new systems, training and skills gaps, workload and role implications are presented. Practical implications The practical implications of this study extend to different profiles of operators that collaborate either directly or indirectly and that are critical to aviation safety. Specific implications are targeted on automation complacency, bias and managing information load, and training aspects where quality training can be aided by better understanding the occupational transitions under advanced systems. Originality/value In this paper, the authors aimed to understand the changing nature of the operators’ profession within the advanced technological context, and the perceptions and performance-shaping factors of pilots and ATCOs to define the generational changes.


Facilities ◽  
2019 ◽  
Vol 37 (11/12) ◽  
pp. 825-838 ◽  
Author(s):  
Roger Andre Søraa ◽  
Håkon Fyhn ◽  
Jøran Solli

PurposeThis paper aims to investigate the role of a particular energy calculator in enhancing the energy efficiency of existing homes by asking how this calculator was developed and how it is domesticated by craftspeople working as energy consultants.Design/methodology/approachThe study is based on qualitative interviews with users and producers of the energy calculator (n= 22), as well as participation in energy consultation training.FindingsThe paper finds that, in the energy calculator, there is a striking lack of connection between the domestication and script because of lack of energy consultants’ involvement in the design and implementation process.Practical implicationsThe enrolment of energy consultants as energy calculator users earlier in and throughout the design process could be valuable in making the transition to an energy-efficient and environmentally friendly building sector.Social implicationsThe paper argues for recognition of the role of energy consultants, especially craftspeople, as participants in the design process for tools of governance. This is a call to acknowledge the value of particular skills and experiences possessed by craftspeople doing home consultation.Originality/valueBy understanding the intricate developer–user synchronicity in tools developed for upgrading the building sector, energy mitigation can be made more effective.


Kybernetes ◽  
2015 ◽  
Vol 44 (1) ◽  
pp. 89-106 ◽  
Author(s):  
Jon-Arild Johannessen ◽  
Hugo Skaalsvik

Purpose – One problem that many organisations face today in the global economy is that too few ideas are turned into innovations. The purpose of this paper is to show how innovations in organisations may be obtained by means of creative energy fields. Design/methodology/approach – The design employed in the research represents a holistic, change oriented approach to innovation, and the methodology is conceptual where an analytical model is used. Findings – The paper provides arguments that organisations need to develop creative energy fields in order to enhance their innovative capacity and performance. In the paper the construct creative energy field is conceptualised as “a spot in an organisation where a Group of creative individuals collaborate and work together in order to bring to surface new ideas which may fuel innovation processes and Development in organisations”. The paper shows that creative energy fields are influenced by five distinct components; those of making a clear purpose, planning after the results have become apparant, an organisation’s rule breakers, drawing a map that changes the landscape, and igniting the flame of innovation. Furthermore, the findings encompass three conditions which need to be present in an organisation in order to make creative energy fields work. Research limitations/implications – The carried out focuses on the individual organisation which aims to enhance innovation performance. Practical implications – In relation to practical implications, the paper shows, in particular, how an organisation may move into areas of innovation by means of a Lego system of organising. Originality/value – To the authors’ knowledge, the creation and use of a novel construct, that of creative energy fields, represents newness and originality in innovation research at the level of the individual enterprise. Furthermore, the paper contributes to the extant management knowledge of innovation by showing how a Lego system of organising may foster innovation at the enterprise level.


2018 ◽  
Vol 22 (2) ◽  
pp. 165-182 ◽  
Author(s):  
Carlos F. Gomes ◽  
Mohammad Najjar ◽  
Mahmoud M. Yasin

PurposeAs service organizations move toward the open system strategic customer orientation, they need to ensure consistency among competitive methods, performance measures and strategies utilized. This paper aims to examine the relationships among these important facets of today’s service organizations. The study at hand examines the relationship among competitive methods, implicit strategy and performance measures used by Portuguese service organizations.Design/methodology/approachThis research uses a survey-based methodology. Factor analysis, cluster analysis and regression analysis procedures are used to analyze the collected data from Portuguese service organizations.FindingsBased on the results of this study, it appears that some of the studied service organizations are steadily moving toward the open system mode of strategy, competitive methods and performance measurement. However, the majority of the service organizations examined appeared to be in a state of strategic confusion, as they appear to lack the consistency among competitive methods, performance measures and desired strategic orientations.Research limitations/implicationsThe sample used in this study is specific in nature, as it includes only Portuguese service organizations. Therefore, the results of this study should be interpreted with caution. Future research in other cultural service settings is recommended. Such research should emphasize the exploration of theoretical frameworks, which tend to practically integrate competitive methods, performance measures and strategic orientation.Practical implicationsThis study has direct practical implications for service managers, as they attempt to integrate their organizational systems. As such, the research in this study paves the way toward the practical integration and consistency among competitive methods, performance measures and strategic orientations needed to enhance the customer orientation. In this context, such integration and consistency are essential to enhance the strategic competitiveness of today’s service organizations operating in a dynamic marketplace.Originality/valueThis research combines bodies of knowledge dealing with competitive methods, performance measures and their impact on strategic orientations. The conceptual framework offered in this research attempts to facilitate the understanding for consistent practice pertaining to the competitiveness of the open system service organization in a dynamic environment. Such consistency is essential to the competitiveness of the organization in a dynamic environment.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jashanpreet Singh ◽  
Jatinder Pal Singh

Purpose This study aims to deal with development and performance analysis of high-velocity oxy-fuel (HVOF) thermally sprayed Mo2C-based WC-CoCr (tungsten carbine cobalt chrome) (Co-10% and Cr-4%) cermet coating deposited on the pump impeller steel 316 L. Design/methodology/approach In this work, a study was carried out by modifying the conventional WC-CoCr powder with a small addition of molybdenum carbide (Mo2C). Reinforcement was done by 1–4 wt.% addition of Mo2C feedstocks in WC-CoCr powder by using a jar ball mill process. The design of experiment was implemented for optimization of the percentage of Mo2C feedstock. L16 (4 × 4) orthogonal array was used to design the experiments for erosion output for the input parameters namely velocity, particle size, concentration and Mo2C proportion. Findings Results show that the Mo2C-based WC-CoCr coating provides better microhardness as compared to conventional WC-CoCr coating. The present study also reveals that the deposition of conventional WC-CoCr coating has improved the wear resistance of SS 316 L by 9.98%. However, the slurry erosion performance of conventional WC-CoCr coating was improved as 69.6% by the addition of 3% Mo2C. Practical implications WC-CoCr coatings are universally used for protecting the equipment and machinery from abrasion, erosion and corrosion. So, the 3% Mo2C-based WC-CoCr can be useful in power plants and various industries like mining, chemical, automobile, cementing and food processing industries. Originality/value A new HVOF coating has been developed by the addition of Mo2C feedstock in WC-CoCr powder (Co 10% and Cr 4%) and the percentage of Mo2C feedstock was optimized to improve the tribological behavior of WC-CoCr coating.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Yangyan Shi ◽  
Tiru Arthanari ◽  
V.G. Venkatesh ◽  
Samsul Islam ◽  
Venkatesh Mani

Purpose This study aims to provide a comprehensive understanding of the supply chain (SC) operations of importing used vehicles into New Zealand and how such SCs affect business practices and performance. Design/methodology/approach The study uses an exploratory qualitative semi-structured interview approach to interview the different stakeholders involved in the global used vehicle SC. Findings The research identifies the overall network structure of the used import vehicle SC from Japan to New Zealand and characterises key aspects of its operations and network connections. This paper finds that Japanese buying agents have integrated increasing numbers of services to provide a trouble-free trading platform, which has created a direct-import model for used vehicle companies in New Zealand. Practical implications The findings and recommendations are useful in designing and managing the used vehicle SC for all stakeholders and effective real-time management of uncertain factors. Originality/value The paper primarily analyses SC operations by researching the cooperation and coordination between SC components and networks, based on providing the flow of used vehicles from Japan to New Zealand. It constitutes a pioneering practice-perspective research paper in this domain.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lars Haffke

Purpose Money Laundering Reporting Officers (MLROs) carry out day-to-day anti-money laundering (AML) tasks while directors ultimately remain responsible for AML compliance. Therefore, directors’ expectations of what their MLROs do should ideally coincide with what their actual tasks to minimise liability risk. This paper aims to test for gaps between MLROs and their directors in terms of knowledge, expectations and performance of AML tasks. Likewise, it is researched whether MLROs and directors communicate well with regard to MLROs’ tasks. Design/methodology/approach This paper first develops a model for analysing the dyadic relationship between MLROs and their directors, based on the audit expectation-performance gap. Second, a paired electronic survey of MLROs and directors of German companies was conducted in autumn 2020, testing for participants’ knowledge, expectations and performance of possible AML tasks (n = 136 pairs). Findings While there is no knowledge or performance gap among MLROs and directors, expectations among them are partially unreasonable and their communication needs to be improved. Additionally, this study suggests that MLROs of German non-financial businesses are less knowledgeable, perform AML duties more poorly, and communicate less effectively with their directors. Practical implications Training of MLROs and communication with their directors need to be improved. Especially in the non-financial sector, action is urgently required. Originality/value This paper reports the results of the first paired survey of MLROs and their directors, offering unique insights into their relationship and the status of private AML efforts.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Philipp Richter

PurposeThe purpose of this paper is to explore the configurations of shared service center (SSC) characteristics, their performance implications and the dynamics of SSC configurations during their implementation.Design/methodology/approachThis study uses the capability-based view and configurational approach to suggest a model that explains performance outcomes of shared service configurations. Survey data are analyzed with a cluster analysis to examine shared service configurations in distinct stages of implementation. Moreover, a lifecycle framework of shared service configurations is conceptualized.FindingsThis study considers shared service configurations as operational capabilities to run corporate support activities. The purpose is to examine the configurations of those capabilities, their performance implications and their dynamics during the shared service implementation.Practical implicationsThe findings help senior executives to effectively implement and transform shared services when deciding to renew corporates' support activities.Originality/valueThis study is one of the first that conceptually and empirically explores shared service configurations, performance and configurational dynamics.


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