scholarly journals Employee participation and organizational efficiency & effectiveness in Ntional Orthopedic Hospital, Lagos Sate

2020 ◽  
Vol 3 (2) ◽  
pp. 208-221
Author(s):  
Temitayo Onifade ◽  
◽  
Oluwatoyin Afolabi ◽  

Abstract The study examined the impact of employee participation on the efficiency and effectiveness in National Orthopedic Hospital, Lagos State. Demographic data from National Orthopedic Hospital, Lagos State were analyzed using simple percentages and frequency counts. Three hypotheses postulated for the study were statistically tested using the Multiple Linear Regression. Research results show that that employee consultation and Joint decision making have positive and significant influences on effectiveness and efficiency of National Orthopedic Hospital in Lagos State, while employee delegation was found to have a negative and significant effect influence on effectiveness and efficiency of National Orthopedic Hospital, Lagos State. To improve organizational efficiency and effectiveness National Orthopedic Hospital, Lagos State, we recommend that management of the public hospital state should adopt a participatory approach in decision making to encourage employees' affirmative commitment to organizational goals and objectives, which will breed a harmonious working environment devoid of bitterness and hostility. Keywords: Effectiveness, Efficiency, Employee Participation, Hospital, Organisation.

2021 ◽  
Vol 8 (1) ◽  
pp. e000987
Author(s):  
Nicola J Roberts ◽  
Carol A Kelly ◽  
Kate A Lippiett ◽  
Emma Ray ◽  
Lindsay Welch

BackgroundNurses have been at the forefront of the pandemic response, involved in extensive coordination of services, screening, vaccination and front-line work in respiratory, emergency and intensive care environments. The nature of this work is often intense and stress-provoking with an inevitable psychological impact on nurses and all healthcare workers. This study focused on nurses working in respiratory areas with the aim of identifying and characterising the self-reported issues that exacerbated or alleviated their concerns during the first wave of the COVID-19 pandemic.MethodsAn online survey was developed consisting of 90 questions using a mixture of open-ended and closed questions. Participant demographic data were also collected (age, gender, ethnicity, number of years qualified, details of long-term health conditions, geographical location, nursing background/role and home life). The online survey was disseminated via social media and professional respiratory societies (British Thoracic Society, Primary Care Respiratory Society, Association of Respiratory Nurse Specialists) over a 3-week period in May 2020 and the survey closed on 1 June 2020.ResultsThe study highlights the experiences of nurses caring for respiratory patients during the first wave of the pandemic in early 2020. Concerns were expressed over the working environment, the supply and availability of adequate protective personal equipment, the quality of care individuals were able to deliver, and the impact on mental health to nurses and their families. A high number provided free-text comments around their worries and concerns about the impact on their household; these included bringing the virus home, the effect on family members worrying about them, mental health and the impact of changing working patterns, and managing with children. Although both formal and informal support were available, there were inconsistencies in provision, highlighting the importance of nursing leadership and management in ensuring equity of access to services.ConclusionsSupport for staff is essential both throughout the pandemic and afterwards, and it is important that preparation of individuals regarding building resilience is recognised. It is also clear that psychological support and services for nurses and the wider healthcare team need to be available and quickly convened in the event of similar major incidents, either global or local.


2008 ◽  
Vol 5 ◽  
pp. 69-83
Author(s):  
D. I. Akintayo

This study investigated the impact of labour turnover on organizational effectiveness in selected industries in Lagos State, Nigeria. This was with the view to determining the appropriate management strategies through which the problem of labour turnover could be reduced to the nearest minimum in work organizations in Nigeria. The survey research method was adopted for the study. A total of 640 respondents were selected for the study using proportionate stratified sampling technique. The major instruments used for the study were questionnaire and interview schedule. The reliability coefficient of 0.84 was obtained for the research instrument. The four hypotheses generated for the study were tested using chi-square and linear regression analysis statistical methods at 0.05 alpha levels. The findings of the study reveals that there was a significant relationship between labour turnover and organizational effectiveness. Also, a significant relationship was found dissatisfaction and labour turnover. There was a main effect of interaction of occupational variables and labour turnover on organizational effectiveness. Finally, a positive significant relationship was found among career mobility, labour turnover and organizational effectiveness. Based on the findings of the study, it is recommended that the working environment of the workers need to be improved upon in order to reduce the alarming rate of labour turnover that impact organizational effectiveness. Also, career development and promotion opportunities have become a rare phenomenon in most of the organisations, individuals who feel their contributions go unrewarded often feel undervalued which can lead to dissatisfaction and virtually an increase of unwarranted turnover. p>


2019 ◽  
Vol 11 (2) ◽  
pp. 511 ◽  
Author(s):  
Omer Farooq ◽  
Mariam Farooq ◽  
Emmanuelle Reynaud

Although previous studies have explored the role of legal framework, industry norms, innovation, and the use of clean technologies to achieve sustainability, they have paid little attention to the role of employees in increasing a firm’s sustainability performance. This article develops a model based on social identity theory and proposes that employees whose organizational identification is rooted in the sustainability of the firm can influence the sustainability strategy of the firm through the participation process. Data were obtained from 421 employees of large fast-moving consumer goods manufacturers. The findings demonstrate that employee participation has a strong positive effect on all the components of sustainability (environmental and societal). Moreover, the findings show that the impact of employee participation on the components of sustainability is moderated by organizational identification in such a way that if employees have a strong sense of identification with their organization, their participation in decision making has a greater impact on the sustainability of their organization.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sonya Osborne ◽  
Helen Cleak ◽  
Nicole White ◽  
Xing Lee ◽  
Anthony Deacon ◽  
...  

Abstract Background Medical Assessment Units (MAUs) have become a popular model of acute medical care to improve patient flow through timely clinical assessment and patient management. The purpose of this study was to determine the effectiveness of a consensus-derived set of clinical criteria for patient streaming from the Emergency Department (ED) to a 15-bed MAU within the highly capacity-constrained environment of a large quaternary hospital in Queensland, Australia. Methods Clinically coded data routinely submitted for inter-hospital benchmarking purposes was used to identify the cohort of medical admission patients presenting to the ED in February 2016 (summer) and June 2016 (winter). A retrospective review of patient medical records for this cohort was then conducted to extract MAU admission data, de-identified patient demographic data, and clinical criteria. The primary outcome was the proportion of admissions that adhered to the MAU admission criteria. Results Of the total of 540 included patients, 386 (71 %) patients were deemed to meet the MAU eligibility admission criteria. Among patients with MAU indications, 66 % were correctly transferred (95 % CI: 61 to 71) to the MAU; this estimated sensitivity was statistically significant when compared with random allocation (p-value < 0.001). Transfer outcomes for patients with contraindications were subject to higher uncertainty, with a high proportion of these patients incorrectly transferred to the MAU (73 % transferred; 95 % CI: 50 to 89 %; p-value = 0.052). Conclusions Based on clinical criteria, approximately two-thirds of patients were appropriately transferred to the MAU; however, a larger proportion of patients were inappropriately transferred to the MAU. While clinical criteria and judgement are generally established as the process in making decisions to transfer patients to a limited-capacity MAU, our findings suggest that other contextual factors such as bed availability, time of day, and staffing mix, including discipline profile of decision-making staff during ordinary hours and after hours, may influence decisions in directing patient flow. Further research is needed to better understand the interplay of other determinants of clinician decision making behaviour to inform strategies for improving more efficient use of MAUs, and the impact this has on clinical outcomes, length of stay, and patient flow measures in MAUs.


2019 ◽  
Vol 9 (3) ◽  
pp. 387
Author(s):  
Indah Yuliana ◽  
Kholilah Kholilah

The purposes of this research are to determine the effect of executive board gender diversity on firm value. Gender diversity shows that companies do not discriminate while evaluating employee performance. This diversity affects the fair competition conducted by employees to show the best performance so they can occupy the highest positions in the company. Gender diversity has the impact of a difference in the level of optimism, confidence, and risk preferences. The feminine nature of women influences the quality of investment decision making, which has an impact on increasing company value. The signalling theory is used to describe the stakeholders perceived on investment decision making by female CEOs. Research using PLS in LQ45 registered companies in Indonesian Stock Exchange for the years 2014-2017. The results showed that investment decisions affect the value of the firm. Besides, the composition of the female CEO can moderate the relationship between investment decisions and firm value. The results of the research have implications for the support of increasing gender diversity in companies because the patriarchal culture adopted in Indonesia causes male domination in decision making both in the family, community or the working environment.


Author(s):  
I Gusti Made Karmawan

This study describes how to implement an ERP system at PT Semen Gresik and compares the positive and negative effects of the implementation in the distribution process improvement. The benefits that can be obtained from this paper is obtaining information of how to implement an ERP system and the positive and negative effects of ERP implementation at PT Semen Gresik in the distribution process improvement. This study was done through documentation review to obtain the description of distribution process in the inventory material planning at PT Semen Gresik. The study resulted in a comparison between the positive and negative aspects as an effect from ERP implementation process at PT Semen Gresik in distribution process improvement. The ERP implementation process at PT Semen Gresik does not only provide more efficiency and effectiveness of distribution system, but also consequences of the impact from the effectiveness and efficiency obtained.


1987 ◽  
Vol 18 (3) ◽  
pp. 163-167
Author(s):  
C. Viedge ◽  
P. A. Taffinder

Considerable organizational resources are expended annually on training, yet little empirical research is undertaken to investigate the problem of transfer of training to the workplace. Video films are an integral part of many training courses and it is critical to evaluate the efficacy of such films in developing the intended skills. Within the operant behaviouristic perspective, an ABAB reversal experiment was conducted during four business game periods of a training course. The experimental objective was to assess the impact of the principles presented in a training film on the decision-making behaviour of six managers from an engineering research/production facility. A cue-board summarizing the decision-making principles presented in the film was unobtrusively introduced during the two 'B' phases of the experiment. Frequencies of the target behaviour were recorded by two independent raters across all consecutive 'A' and 'B' experimental phases. No functional relationship was found between the use of the decision-making principles and the introduction of the cue-board. In other words, despite the use of a cue-board to prompt decision-making behaviour, no transfer of training from the video-film to the analogue working environment of the business game was observed. Some implications of these results for employing video films in training are discussed.


2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0017
Author(s):  
Daniel C. Farber ◽  
Brandon Eilberg ◽  
Aliaksei Basatski

Category: Patient Care Introduction/Purpose: Initial impressions between physician and patient typically occur through the medium of attire and potentially gender and can significantly impact the comfort and trust of patients in the clinical setting. The influence that foot and ankle orthopaedic physicians have on their patient’s footwear choices is of particular importance because it potentially affects clinical outcomes. Unlike other specialties where physician appearance or gender serves as a basis for mere initial perception, the nature of foot & ankle orthopedics allows for direct influence on a component of their care. The purpose of this study was to examine whether orthopedic physicians may serve as role models for healthy behavior and to elucidate the influence of patient perception on their orthopedic-related decision making. Methods: In this prospective, cross-sectional study, individuals =18 years of age that had the ability to make their own footwear decisions were invited to participate. Study subjects completed a 22-question survey following their office visit with one of four foot and ankle surgeons (2 female, 2 male). Quantitative assessment included: demographic data, the level of perception and attention given to their physician’s shoe choices, and various factors that affect decision making process when purchasing orthopedic-related footwear. Chi-square analysis was used to evaluate the categorical variables. Results: A total of 250 patients completed the study, with a normal distribution of ages between 18-81. 62% (n=154) had seen their physician multiple times and the remaining were new patients. Female patients preferred using recommendations from same- sex surgeons (41%) much more than males (6%). However, given the option of combining male/female opinions, 45% of females chose that option whereas 72% of males preferred combing male/female physician opinions when deciding on footwear. A sizable minority of patients noticed the type of shoe their physician was wearing that day, 32% (n=81). 52% (n=130) agreed that a surgeon’s own shoe choices should reflect the desirable attributes of a shoe. Patients ranked the shoe feel (51%) and their doctor’s recommendations (28%) as the top factors when deciding shoe-wear. Conclusion: Our study indicates that a significant portion of patients are mindful about and do consider their physician’s gender as well as physical appearance including shoe choices. While this influence was greater for females, patient footwear choices are affected across most demographics. The impact of patients’ awareness on medical action indicates that perception of care may hold significant value. Identifying the factors that influence orthopaedic decision-making can aid in accurately targeting patient education, enhancing physician-patient interactions, and improving clinical outcomes.


2018 ◽  
pp. 387-412
Author(s):  
Maria Giovanna Tassinari

The present paper illustrates some structures and processes established in order to make the Centre for Independent Language Learning, a self-access language centre (SALC) at the Freie Universität Berlin, an autonomous and autonomy fostering learning and working environment. Since the SALC staff is mainly composed of student assistants, one of the aims of the SALC manager is to foster the student assistants’ autonomy and their reflection on practice by giving them spaces for decision-making and personal initiative, supporting them in keeping track of their work, asking critical questions, planning, implementing and evaluating their projects and thus helping them to develop as professionals while actively contributing to a reflective practice at the SALC. As a part of the reflection on practice process, a survey among the student assistants was conducted, to gather data about the student assistants’ perspective on their experience at the SALC, their perception of autonomy, their overall evaluation of their work as well as comments and suggestions for further development of the SALC. While reflecting on ways to manage the SALC at the Freie Universität Berlin, the present paper intends also to contribute to the more general discussion on how to evaluate the impact of self-access language centres.


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