scholarly journals Identifying and understanding the contextual factors that shaped mid-implementation outcomes during the COVID-19 pandemic in organizations implementing mental health recovery innovations into services

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Myra Piat ◽  
Megan Wainwright ◽  
Danielle Cherkas ◽  
Sébastien Leblanc ◽  
Eleni Sofouli ◽  
...  
Keyword(s):  
Contextual Factors ◽  
Action Planning ◽  
Negative Influence ◽  
Positive Influence ◽  
Key Factors ◽  
Implementation Climate ◽  
Team Members ◽  
Implementation Team ◽  
Implementation Outcomes ◽  
Outer Setting

Abstract Background Seven housing and health services organizations were guided through a process of translating Chapter Six of the Canadian Guidelines for Recovery-Oriented Practice into a recovery-oriented innovation and plan for its implementation. At the time of the COVID-19 outbreak and lockdown measures, six of the seven organizations had begun implementing their chosen innovation (peer workers, wellness recovery action planning facilitator training, staff training and a family support group). This mid-implementation study used the Consolidated Framework for Implementation Research (CFIR) to identify contextual factors that influenced organizations to continue or postpone implementation of recovery-oriented innovations in the early months of the COVID-19 pandemic. Methods Twenty-seven semi-structured 45-min interviews were conducted between May and June 2020 (21 implementation team members and six providers of the innovation (trainers, facilitators, peer workers). Interview guides and analysis were based on the CFIR. Content analysis combined deductive and inductive approaches. Summaries of coded data were given ratings based on strength and valence of the construct’s impact on implementation. Ratings were visualized by mid-implementation outcome and recovery innovation to identify constructs which appear to distinguish between sites with a more or less favorable mid-implementation outcomes. Results Four mid-implementation outcomes were observed at this snapshot in time (from most to least positive): continued implementation with adaptation (one site), postponement with adaptation and estimated relaunch date (four sites), indefinite postponement with no decision on relaunch date (one site), and no implementation of innovation yet (one site). Two constructs had either a negative influence (external policies and incentives—renamed COVID-19-related external policy for this study) or a positive influence (leadership engagement), regardless of implementation outcome. Four factors appeared to distinguish between more or less positive mid-implementation outcome: adaptability, implementation climate and relative priority, available resources, and formally appointed internal implementation leaders (renamed “engaging implementation teams during the COVID-19 pandemic” for this study). Conclusions The COVID-19 pandemic is an unprecedented outer setting factor. Studies that use the CFIR at the mid-implementation stage are rare, as are studies focusing on the outer setting. Through robust qualitative analysis, we identify the key factors that shaped the course of implementation of recovery innovations over this turbulent time.

scholarly journals Organisational context of hospitals that participated in a multi-site mentored medication reconciliation quality improvement project (MARQUIS2): a cross-sectional observational study

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e030834
Author(s):  
Deonni P Stolldorf ◽  
Jeffrey L Schnipper ◽  
Amanda S Mixon ◽  
Mary Dietrich ◽  
Sunil Kripalani
Keyword(s):  
Quality Improvement ◽  
Medication Reconciliation ◽  
Contextual Factors ◽  
Team Cohesion ◽  
Cross Sectional ◽  
Team Members ◽  
Implementation Team ◽  
Organisational Capacity ◽  
Leadership Support ◽  
Hospital Characteristics

ObjectivesMedication reconciliation (MedRec) is an important patient safety strategy and is widespread in US hospitals and globally. Nevertheless, high quality MedRec has been difficult to implement. As part of a larger study investigating MedRec interventions, we evaluated and compared organisational contextual factors and team cohesion by hospital characteristics and implementation team members’ profession to better understand the environmental context and its correlates during a multi-site quality improvement (QI) initiative.DesignWe conducted a cross-sectional observational study using a web survey (contextual factors) and a national hospital database (hospital characteristics).SettingHospitals participating in the second Multi-Centre Medication Reconciliation Quality Improvement Study (MARQUIS2).ParticipantsImplementation team members of 18 participating MARQUIS2 hospitals.OutcomesPrimary outcome: contextual factor ratings (ie, organisational capacity, leadership support, goal alignment, staff involvement, patient safety climate and team cohesion). Secondary outcome: differences in contextual factors by hospital characteristics.ResultsFifty-five team members from the 18 participating hospitals completed the survey. Ratings of contextual factors differed significantly by domain (p<0.001), with organisational capacity scoring the lowest (mean=4.0 out of 7.0) and perceived team cohesion and goal alignment scoring the highest (mean~6.0 out of 7.0). No statistically significant differences were observed in contextual factors by hospital characteristics (p>0.05). Respondents in the pharmacy profession gave lower ratings of leadership support than did those in the nursing or other professions group (p=0.01).ConclusionsHospital size, type and location did not drive differences in contextual factors, suggesting that tailoring MedRec QI implementation to hospital characteristics may not be necessary. Strong team cohesion suggests the use of interdisciplinary teams does not detract from cohesion when conducting mentored QI projects. Organisational leaders should particularly focus on supporting pharmacy services and addressing their concerns during MedRec QI initiatives. Future research should correlate contextual factors with implementation success to inform how best to prepare sites to implement complex QI interventions such as MedRec.

Does Diversity in The Boardroom Add Value to a Firm?

2018 ◽  
Vol 18 (5) ◽  
Keyword(s):  
Firm Performance ◽  
Panel Data ◽  
Firm Size ◽  
Significant Influence ◽  
Negative Influence ◽  
Positive Influence ◽  
Future Research ◽  
Board Composition ◽  
Board Diversity

This study examines whether board diversity affects firm performance. We investigate this study using panel data of a sample of S&P 500 firms during a 12 year period. After controlling for industry, firm size, and other board composition variables, we find that all three board diversity variables of interest – gender, ethnicity, and age have a significant influence on firm performance. While ethnicity and age have a positive influence on firm performance, it was found that gender has a negative influence. Implications for future research are discussed.

scholarly journals Concerns or Desires Post-Pandemic: An Extended MGB Model for Understanding South Korean Residents’ Perceptions and Intentions to Travel to China

2021 ◽  
Vol 18 (5) ◽  
pp. 2542
Author(s):  
Guanghui Qiao ◽  
Xiao-li Zhao ◽  
Luqi Xin ◽  
Seokchool Kim
Keyword(s):  
Mass Media ◽  
Latent Variables ◽  
Structural Equation ◽  
Mainland China ◽  
Negative Influence ◽  
Positive Influence ◽  
Extended Model ◽  
South Korean ◽  
Structural Relationships ◽  
China Post

In this study, we examined South Korean residents’ travel-related behavioural intention for mainland China post-COVID-19 using an extended model of goal-directed behaviour. To do so, we integrated South Korean residents’ perceptions of country image (PCI), mass media, and concerns about travel into the framework of the original model of goal-directed behaviour (MGB). Structural equation modelling was used to identify the structural relationships among the latent variables. The results show that mass media had a positive influence on South Korean residents’ perception of China’s image, a negative influence on residents’ concerns, and a positive influence on residents’ behavioural intentions for travel overseas. Meanwhile, PCI had a positive influence on residents’ attitude towards travel overseas. The theoretical and practical implications of the study are discussed.

Do We Share the Same View? Validating the Shared Mental Models in Team Sports Questionnaire

2021 ◽  
Vol 128 (2) ◽  
pp. 831-850
Author(s):  
Charlotte Raue ◽  
Dennis Dreiskaemper ◽  
Bernd Strauss
Keyword(s):  
Mental Models ◽  
Team Sports ◽  
Positive Influence ◽  
Shared Mental Models ◽  
Model Fit ◽  
Sports Performance ◽  
Measurement Instruments ◽  
Team Members ◽  
Confirmatory Factor ◽  
Good Internal Consistency

Shared mental models (SMMs) can exert a positive influence on team sports performance because team members with SMMs share similar tasks and team-related knowledge. There is currently insufficient sports research on SMMs because the underlying theory has not been adapted adequately to the sports context, and different SMMs measurement instruments have been used in past studies. In the present study we aimed to externally validate and determine the construct validity of the “Shared Mental Models in Team Sports Questionnaire” (SMMTSQ). Moreover, we critically examined the theoretical foundation for this instrument. Participants were 476 active team athletes from various sports. While confirmatory factor analysis did not support the SMMTSQ’s hierarchical model, its 13 subfactors showed a good model fit in an explorative correlative approach, and the model showed good internal consistency and item–total correlations. Thus, the instrument’s subfactors can be applied individually, even while there are remaining questions as to whether other questionnaires of this kind are an appropriate means of measuring SMMs in sport.

scholarly journals How do breastfeeding workplace interventions work?: a realist review

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Kathrin Litwan ◽  
Victoria Tran ◽  
Kate Nyhan ◽  
Rafael Pérez-Escamilla
Keyword(s):  
Working Mothers ◽  
Maternity Leave ◽  
Contextual Factors ◽  
Realist Review ◽  
Supervisor Support ◽  
Positive Influence ◽  
Workplace Culture ◽  
Environment Change ◽  
Workplace Interventions ◽  
Underlying Mechanisms

Abstract Background Women are representing an increasing share of the labor force, thus, raising the need to accommodate breastfeeding working mothers at the workplace. While there is an emerging body of evidence supporting the positive influence of workplace lactation programs on breastfeeding outcomes, there is a lack of literature on the mechanisms underlying those interventions. Aims of this realist review were three-fold: to uncover underlying mechanisms, determine who benefits the most from such interventions and important contextual factors influencing uptake. Methods Purposive bibliographic searches on Medline, Web of Science Core Collection, CINAHL, Global Health, LILACS, Global Index Medicus, Business Source Complete, Proquest Dissertations and Theses and Open Access Theses and Dissertations were conducted to identify relevant publications. Included publications (qualitative and quantitative) described interventions aiming to improve the breastfeeding behavior of working mothers, that were initiated by the employer, reported on breastfeeding outcomes and had a clearly defined workplace. Publications only focusing on maternity leave or that were not published in English, Spanish, Portuguese or German were excluded. A realist approach was followed to identify how workplace interventions work, who benefits the most and the important contextual factors. Results The bibliographic search yielded a total of 4985 possible publications of which 37 publications were included in the realist analysis. Effective workplace breastfeeding interventions activate three mechanisms: 1) awareness of the intervention, 2) changes in workplace culture, manager/supervisor support, co-worker support and physical environments, and 3) provision of time. Contextual factors such as the distance between the workplace and the infant and the type of workplace may influence the degree of activation of the underlying mechanisms for programs to positively impact breastfeeding outcomes. Conclusions In order to be effective, workplace breastfeeding interventions need to: raise awareness of the intervention(s) available among working mothers as well as their work environment, change the workplace culture, foster manager/supervisor support and co-workers support, provide enough time and adequate space and facilities for women to breastfeed or express breastmilk during the workday.

scholarly journals Filling the void of family leadership: institutional support to business model changes in the Italian Industry 4.0 experience

2021 ◽  
Author(s):  
Marco Cucculelli ◽  
Ivano Dileo ◽  
Marco Pini
Keyword(s):  
Business Model ◽  
Industry 4.0 ◽  
Manufacturing Industry ◽  
Business Models ◽  
Institutional Support ◽  
Negative Influence ◽  
Positive Influence ◽  
External Support ◽  
Family Management ◽  
Family Leadership

AbstractWe examine whether the probability of innovating a company’s business model towards the Industry 4.0 paradigm is affected by external institutional support and family leadership. Industry 4.0 is the information-intensive transformation of global manufacturing enabled by Internet technologies aimed at reinventing products and services from design and engineering to manufacturing. Using a sample of 3000 firms from a corporate survey on the manufacturing industry in Italy, our results showed that family leadership has a significant positive influence on the adoption of Industry 4.0 business models, but only in terms of family ownership. By contrast, family management has a negative influence on the probability of adopting a new business model. However, this negative influence is almost totally offset by the presence of the Triple Helix, i.e. the external support by public institutions and universities, which counterbalances the lower propensity of family managers to adopt Industry 4.0 business models. This supporting role only occurs when institutions and universities act together.

scholarly journals A qualitative framework-based evaluation of radiology clinical decision support initiatives: eliciting key factors to physician adoption in implementation

JAMIA Open ◽  
2019 ◽  
Vol 2 (1) ◽  
pp. 187-196 ◽  
Author(s):  
Laura Haak Marcial ◽  
Douglas S Johnston ◽  
Michael R Shapiro ◽  
Sara R Jacobs ◽  
Barry Blumenfeld ◽  
...  
Keyword(s):  
Decision Support ◽  
Clinical Decision Support ◽  
Contextual Factors ◽  
Qualitative Evaluation ◽  
Clinical Decision ◽  
Evaluation Framework ◽  
Key Factors ◽  
Clinical Context ◽  
Early Term ◽  
Near Term

Abstract Objectives To illustrate key contextual factors that may have effects on clinical decision support (CDS) adoption and, ultimately, success. Materials and Methods We conducted a qualitative evaluation of 2 similar radiology CDS innovations for near-term endpoints affecting adoption and present the findings using an evaluation framework. We identified key contextual factors between these 2 innovations and determined important adoption differences between them. Results Degree of electronic health record integration, approach to education and training, key drivers of adoption, and tailoring of the CDS to the clinical context were handled differently between the 2 innovations, contributing to variation in their relative degrees of adoption and use. Attention to these factors had impacts on both near and later-term measures of success (eg, patient outcomes). Discussion CDS adoption is a well-studied early-term measure of CDS success that directly impacts outcomes. Adoption requires attention throughout the design phases of an intervention especially to key factors directly affecting it, including how implementation across multiple sites and systems complicates adoption, which prior experience with CDS matters, and that practice guidelines invariably require tailoring to the clinical context. Conclusion With better planning for the capture of early-term measures of successful CDS implementation, especially adoption, critical adjustments may be made to ensure that the CDS is effectively implemented to be successful.

An experimental study of the influence of riblets on transition

1996 ◽  
Vol 315 ◽  
pp. 31-49 ◽  
Author(s):  
G. R. Grek ◽  
V. V. Kozlov ◽  
S. V. Titarenko
Keyword(s):  
Experimental Study ◽  
Three Dimensional ◽  
Negative Influence ◽  
Positive Influence ◽  
Linear Stage ◽  
Turbulent Transition ◽  
Transition Structures ◽  
Stage Transition ◽  
Tollmien Schlichting ◽  
Laminar Turbulent Transition

An experimental study of the effect of riblets on three-dimensional nonlinear structures, the so-called Λ-vortices on laminar-turbulent transition showed that riblets delay the transformation of the Λ-vortices into turbulent spots and shift the point of transition downstream. This result is opposite to the negative influence of such ribbed surfaces on two-dimensional linear Tollmien-Schlichting waves (the linear stage of transition). Thus, the ribbed surface influences laminar-turbulent transition structures differently: a negative influence on the linear-stage transition structures and a positive influence on the nonlinear-stage transition structures. It is demonstrated that transition control by means of riblets requires special attention to be paid to the choice of their location, taking into account the stage of transition.

scholarly journals Lagged Ensembles, Forecast Configuration, and Seasonal Predictions

2013 ◽  
Vol 141 (10) ◽  
pp. 3477-3497 ◽  
Author(s):  
Mingyue Chen ◽  
Wanqiu Wang ◽  
Arun Kumar
Keyword(s):  
Lead Time ◽  
Geographical Location ◽  
Seasonal Prediction ◽  
Skill Score ◽  
Negative Influence ◽  
Positive Influence ◽  
Prediction Skill ◽  
Ensemble Size ◽  
Seasonal Forecasts ◽  
Ensemble Forecasts

Abstract An analysis of lagged ensemble seasonal forecasts from the National Centers for Environmental Prediction (NCEP) Climate Forecast System, version 2 (CFSv2), is presented. The focus of the analysis is on the construction of lagged ensemble forecasts with increasing lead time (thus allowing use of larger ensemble sizes) and its influence on seasonal prediction skill. Predictions of seasonal means of sea surface temperature (SST), 200-hPa height (z200), precipitation, and 2-m air temperature (T2m) over land are analyzed. Measures of prediction skill include deterministic (anomaly correlation and mean square error) and probabilistic [rank probability skill score (RPSS)]. The results show that for a fixed lead time, and as one would expect, the skill of seasonal forecast improves as the ensemble size increases, while for a fixed ensemble size the forecast skill decreases as the lead time becomes longer. However, when a forecast is based on a lagged ensemble, there exists an optimal lagged ensemble time (OLET) when positive influence of increasing ensemble size and negative influence due to an increasing lead time result in a maximum in seasonal prediction skill. The OLET is shown to depend on the geographical location and variable. For precipitation and T2m, OLET is relatively longer and skill gain is larger than that for SST and tropical z200. OLET is also dependent on the skill measure with RPSS having the longest OLET. Results of this analysis will be useful in providing guidelines on the design and understanding relative merits for different configuration of seasonal prediction systems.

Performance risk factors in SME strategic planning

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Keyword(s):  
Strategic Planning ◽  
Financial Performance ◽  
Emerging Market ◽  
Negative Influence ◽  
Positive Influence ◽  
Content Type ◽  
Political Ties ◽  
Pertinent Information ◽  
Internal Stakeholders ◽  
Business Ties

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 their own impartial comments and places the articles in context. Findings This research paper concentrates on the links between SME financial performance, business ties, and political ties. Business ties were revealed to be the fundamental microfoundations of formal strategic planning (FSP), by significantly boosting firms' financial performance. However, political ties were revealed to be something to avoid, in emerging market like Turkey, due to their distracting negative influence of firm performance. SMEs can overcome some of the disadvantages of their size by involving positive influence external parties in strategic work, to support internal stakeholders. Originality/value The briefing saves busy executives, strategists 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.

Sign in / Sign up

Export Citation Format

Share Document