Factors influencing the implementation of self-management solutions in healthcare: an interview study with NHS managers

2020 ◽  
Vol 26 (3) ◽  
pp. 61-70
Author(s):  
Jasmine Harvey ◽  
John Powell

Background/aims Research focusing on the perspectives of healthcare managers, who are often key in devising strategies for the implementation of self-management solutions, is limited. This study aimed to investigate the barriers to the implementation of technology-based self-management solutions in an NHS organisation and how this affects project delivery. Methods Semi-structured interviews were held with 15 NHS employees in various managerial roles from one organisation. As initial findings suggested that managers were not fully aware of how to approach the different stages of project delivery, a second analysis was conducted to explore their approaches and insights at various stages of a self-management project. Findings Participants were highly knowledgeable about key decision-making processes in the initial phases of a project, but clearly struggled during the organisation and implementation phases. Conclusions To support the successful implementation of projects, managers should focus more on unpacking the later stages of project delivery and addressing the contextual factors that influence them.

2020 ◽  
Vol 18 (6) ◽  
pp. 1449-1468 ◽  
Author(s):  
Jordan Mark Correia ◽  
Monty Sutrisna ◽  
Atiq U. Zaman

Purpose Off-site manufacturing (OSM) application in vertically higher and spatially larger projects within Western Australian (WA) commercial sector has demonstrated the potential of benefitting from such a construction technique, but introducing a new methodology to a traditional sector such as commercial sector is not always straightforward. The acceptance of the new methodology, level of awareness of the stakeholders involved and the readiness of the supply chain to deliver, for instance, may influence the success of its implementation. Given the infancy of such methodology in the WA construction industry, this research project aims to analyse factors influencing the implementation of OSM construction method in WA. Design/methodology/approach Following a thorough literature review, an existing research agenda in OSM was used to inform the direction of this research, i.e. focussing on external macro aspects of the decision making to implement OSM. Three projects in WA were studied, and the data collection was facilitated through archival study and semi-structured interviews with construction practitioners who were the stakeholders of the three projects. Data analysis was conducted through content analysis to draw the findings and conclusion of this research. Findings The analysis of the studied cases revealed relevant economic/financial, technological and regulatory factors, as well as social factors influencing the implementation of OSM, particularly in WA commercial projects. These findings were then used to develop an overall understanding of the external macro factors influencing decision making in implementing OSM that forms a formal research agenda aimed at enabling successful implementation of OSM in WA construction industry, particularly in its commercial sector. Originality/value The research findings presented in this paper identified factors that significantly influence the implementation of such alternative technology in a traditional sector. These factors were then structured to form the subsequent research agenda to continuously pursue the implementation of OSM in the sector. While the research agenda takes into account the unique characteristics of the WA construction industry, it contributes to the global and the Australian national research agenda, and the research methodology reported in this paper can be used to develop similar research agenda elsewhere.


2017 ◽  
Vol 12 (7) ◽  
pp. 129
Author(s):  
Mona Mohamed Abd Elghany ◽  
Reem Aly Elharakany

The quality of education is influenced by the managerialization of the universities, which refers to the introduction of substantial changes in the decision-making processes of the academic institutions, and the application of renewed information systems along with new managerial methodologies to restructure the organisational strategic relationships with stakeholders. This paper proposes a questionnaire to assess the importance of facilities in universities according to their financial budget consumed value. Semi Structured Interviews were conducted with the heads of logistic and financial departments in Egyptian universities, twenty public universities and twenty-three private universities, in order to identify criteria for the most significant university's facilities and appealing infrastructure that contributes to the quality of education.


2014 ◽  
pp. 601-623
Author(s):  
Aslı Goksoy ◽  
Ozalp Vayvay ◽  
Beliz Ozsoy Yılmaz ◽  
Ahmet Yılmaz

The pace of change in information and communication technology has accelerated rapidly in the past decade, providing various opportunities for companies to improve their efficiency and competitiveness and also collaborate with their business partners. In the digitally connected 21st century business environment, collaboration among organizations requires electronic communications within and across fields to facilitate superior outcomes. The proper use of technology enables businesses to be more efficient. E-collaboration has been a great tool to improve business and a strategic weapon to change the traditional business relationships. E-collaboration aims to facilitate coordination of decision-making processes, and it is no longer a source of competitive advantage, but instead a competitive necessity. Tightly linking information technology with strategy formulation is one of growing importance in organizations. This chapter aims to explore the role and benefits of technology in decision-making processes by presenting a successful implementation of electronic collaboration in a leading global supplier of electronics and electrical materials and provide useful information to managers and practitioners.


2017 ◽  
Vol 38 (6) ◽  
pp. 1121-1147 ◽  
Author(s):  
LISA TRIGG ◽  
STEPHANIE KUMPUNEN ◽  
JACQUETTA HOLDER ◽  
HANS MAARSE ◽  
MERITXELL SOLÉ JUVÉS ◽  
...  

ABSTRACTThis study compared how older people use quality information to choose residential care providers in England, the Netherlands and Spain (Catalonia). The availability of information varies between each country, from detailed inspection and survey information in the Netherlands, through to a lack of publicly available information in Catalonia. We used semi-structured interviews and group workshops with older people, families and professionals to compare experiences of the decision-making process and quality information, and also to explore what quality information might be used in the future. We found that most aspects of the decision-making experience and preferences for future indicators were similar across the three countries. The use of quality information was minimal across all three, even in England and the Netherlands where information was widely available. Differences arose mainly from factors with the supply of care. Older people were most interested in the subjective experiences of other residents and relatives, rather than ‘hard’ objective indicators of aspects such as clinical care. We find that the amount of publicly available quality information does not in itself influence the decisions or the decision-making processes of older people and their carers. To improve the quality of decisions, more effort needs to be taken to increase awareness and to communicate quality in more accessible ways, including significant support from professionals and better design of quality information.


2014 ◽  
Vol 5 (3) ◽  
pp. 41-57 ◽  
Author(s):  
Ahad Zare Ravasan ◽  
Sogol Rabiee Savoji

Nowadays, many organizations take Business Intelligence (BI) systems to improve their decision-making processes. Although many organizations have adopted BI systems, not all of these implementations have been successful. This paper seeks to identify critical success factors (CSFs) that impact on successful implementation of BI systems in organizations. So, at first, through literature review, 26 CSFs were identified. Following that, a questionnaire was developed and then filled out by domain experts who had at least three years of experience in BI implementation projects in Iran. Robust Exploratory Factor Analysis (EFA) was run for data analysis, which finally classified 26 CSFs into four distinct groups termed as “organizational”, “human”, “project management”, and “technical”. The results of this study provide a very useful reference for scholars and managers to identify the relevant issues of BI projects in Iran.


Author(s):  
Mohammad Daradkeh

With the huge proliferation of Big Data, combined with the increasing demand for analytics-driven decision-making, the data analytics and visualization (DAV) ecosystem is increasingly becoming a trending practice that many enterprises are adopting to gain actionable insights from corporate data for effective decision-making. Although DAV platforms have tremendous benefits, extant research has paid insufficient attention to the investigation of the critical success factors (CSFs) underpinning their successful implementation in enterprises. In order to bridge this knowledge gap, this study presents an integrative framework synthesizing a set of CSFs for implementing DAV platforms in enterprises. A qualitative research methodology, comprising semi-structured interviews with IT and business analysts, was conducted to collect and analyze the interview data. Analysis of results revealed that the CSFs of DAV implementation exist in various dimensions composed of organizational, technological, process, and people perspectives. This study provides several theoretical and practical implications.


Author(s):  
Yunus Gokmen ◽  
Ufuk Turen ◽  
Haluk Erdem ◽  
İsmail Tokmak

ABSTRACT Objectives: National interpersonal distance preference is considered a cultural characteristic. Interpersonal distance is critical for the spread dynamics of coronavirus disease 2019 (COVID-19). COVID-19’s spread trend shows various characteristics in different countries. We believe that 1 of the factors influencing this variation could be national interpersonal distance preference. Methods: We used regression analysis based on data of national interpersonal distance preferences (social, personal, and intimate) presented by Sorokowska et al. and COVID-19 rate of spread data for 40 different countries that were calculated using Our World in Data’s data. Results: National interpersonal distance preferences, with its 3 dimensions, significantly influence the rate of spread of COVID-19 in countries. Conclusion: Understanding the relation between national interpersonal distance preference and spread of COVID-19 might be very useful information in decision-making processes of individuals, societies, and governments to develop culturally well-suited counter-pandemic policies, strategies, and procedures during the COVID-19 pandemic or any epidemic or pandemic threats in the future, instead of standard fit-to-all strategies.


2018 ◽  
Vol 32 (8) ◽  
pp. 1133-1144 ◽  
Author(s):  
Verity Longley ◽  
Sarah Peters ◽  
Caroline Swarbrick ◽  
Audrey Bowen

Objective: To identify factors influencing clinicians decision-making about ongoing stroke rehabilitation for people with pre-existing dementia/cognitive impairment and the impact on clinical practice. Design: Qualitative semi-structured interviews with stroke specialist healthcare professionals analysed using thematic analysis. Setting: Acute stroke unit, inpatient stroke rehabilitation units, and community stroke services. Participants: Twenty three professionals from six multidisciplinary stroke teams involved in decision-making about stroke patients’ rehabilitation potential and clinical pathways. Results: Factors influencing decision-making about ongoing rehabilitation were (1) gaining understanding of the individual patient, (2) clinician’s knowledge of dementia/cognitive impairment, (3) predicting rehabilitation potential, (4) organizational constraints, and (5) clinician’s perceptions of their role within the team. Decision-making led to two outcomes, either accommodating the pre-existing dementia/cognitive impairment within delivery of rehabilitation or ending rehabilitation for that patient to allocate limited resources where they were perceived more likely to be effective. Participants felt that patients with pre-existing dementia/cognitive impairment had difficulty demonstrating the required rehabilitation potential within the short timescales available in the current model of service delivery. Participants identified a need for training to improve their knowledge and confidence for decision-making and delivery of rehabilitation for this growing population. Conclusion: Clinicians’ decision-making about ongoing rehabilitation for patients with prestroke dementia/cognitive impairments is influenced by gaps in their knowledge and by service constraints. Increased training and more flexible, patient-centred services would enable clinicians to better accommodate these patients in rehabilitation.


2021 ◽  
Author(s):  
◽  
Cynthia Ecclestone

<p>This study looks critically at the practices of participatory development by a local NGO in East Nusa Tenggara, Indonesia. In doing so, the Life Skills Training programme is chosen as a case study of potentially participatory development. By exploring people’s experiences, perceptions, and feelings about their participation, the study examines the power dynamics in the programme. To gather data, the study used semi-structured interviews and observations. Interviews were conducted with 14 research participants, who were purposively selected from different backgrounds.   The study finds that the approaches of the programme point to lower-level forms of participation, with local people having both minimal involvement and little role in decision-making. Despite the use of the rhetoric of participation, doubts about the quality of participation are raised particularly in relation to gender, age, and religious differences. By scrutinising the ways in which issues of power manifest in the programme, the study demonstrates that issues of power and power relations in participatory development are quite complex. Using the frameworks of power analysis, I argue that issues related to inequalities of power are manifested in the NGO’s domination of decision-making processes, and that these issues were also contributed to by a patriarchal culture and filial piety. More importantly, I argue that people’s participation in the programme is less likely lead to meaningful outcomes if the issues of power imbalances are not addressed.  The study provides useful insights into ways to improve the practices of participatory development. An increased understanding of various forms of power and their implications will be useful for development practitioners to exercise their power to make a difference. Moreover, efforts to reduce power imbalances in participatory development will be inadequate without critically examining and attending to power and its dynamics. Without a deeper understanding of power, development programmes that make claims about participation may be less effective in achieving transformative goals for the intended beneficiaries.</p>


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