scholarly journals Road Transport Safety in Northern Norway: How Buyers of Road Transport Services Can Contribute to a Road Transport with fewer Accidents and Near-misses

2021 ◽  
pp. 81-102
Author(s):  
Katrine Katrine ◽  
Keyword(s):  
New Technologies ◽  
Road Transport ◽  
Structured Interviews ◽  
Near Misses ◽  
Northern Norway ◽  
Good Communication ◽  
Point Of Entry ◽  
Transport Services ◽  
Transport Organization ◽  
Transport Safety

This paper contributes to filling a knowledge gap by presenting new research within the practical field of road transport. It takes the buyers of road transport services as its point of entry and seeks to answer the follow question: How can buyers of road transport services contribute to safe road transport in northern Norway? A qualitative approach was selected for this study, and semi-structured interviews were conducted with six different buyers of road transport services. By using a modified version of The Pentagon Model, different aspects were analyzed in order to identify organizational characteristics and qualities that will improve the possibility for buyers of road transport to contribute to a safer road transport in Northern Norway and thereby contribute to fewer accidents and near-misses. The following characteristics and qualities were identified: 1) the importance of developing a detailed formal contract with the provider of road transport; 2) being aware of the possibilities with new technologies; 3) understanding that the decision criteria for ordering transport can influence road transport safety; 4) seeing the importance of good communication with both the transport organization and the authorities; 5) recognizing that knowledge of and trust in a transport organization is important but could also affect judgement regarding revisions and controls. This study suggests that buyers of road transport services can contribute to a safer road transport in northern Norway by emphasizing these five characteristics and qualities.

scholarly journals Women’s experiences of the OASI Care Bundle; a package of care to reduce severe perineal trauma

2021 ◽  
Author(s):  
Posy Bidwell ◽  
Nick Sevdalis ◽  
Louise Silverton ◽  
James Harris ◽  
Ipek Gurol-Urganci ◽  
...  
Keyword(s):  
Severe Form ◽  
Perineal Trauma ◽  
Care Bundle ◽  
Structured Interviews ◽  
Good Communication ◽  
Women’S Experiences ◽  
Psychosocial Disorders ◽  
Anal Sphincter Injury ◽  
Women's Experiences ◽  
Manual Perineal Protection

Abstract Introduction and hypothesis Obstetric anal sphincter injury (OASI) is a severe form of perineal trauma that can occur during vaginal birth. Long-term morbidities include anal incontinence and psychosocial disorders. To reduce these injuries within England, Scotland and Wales, the OASI Care Bundle was introduced to 16 maternity units (January 2017–March 2018). The OASI Care Bundle comprises four elements: (1) antenatal information, (2) manual perineal protection, (3) medio-lateral episiotomy (when indicated) and 4) recognition and diagnosis of tears. As part of the project evaluation, a qualitative study was conducted to explore women’s experiences of the OASI Care Bundle. Methods Semi-structured interviews were conducted with women (n = 19) who received the OASI Care Bundle as part of their maternity care. This was to explore their experience of each element. A thematic analysis of the interview data was performed. Results Three themes were identified: (1) memories of touch, whereby women reported that a ‘hands-on’ approach to perineal protection was a positive experience; (2) midwife as a supportive guide, where women reported that good communication facilitated a calm birth and post-birth diagnosis; (3) education: women need more information about perineal trauma. Conclusion This study contributes to the literature through its exploration of women’s experiences of perineal protection techniques and diagnosis of perineal trauma. Interviewed women indicated that they did not experience any of the care bundle elements as an intrusion of their physical integrity. Additionally, an urgent need was identified for more information about perineal trauma in terms of risk, prevention and recovery.

scholarly journals What matters to patients? A mixed method study of the importance and consideration of oncology patient demands

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mathias WAELLI ◽  
Etienne Minvielle ◽  
Maria Ximena Acero ◽  
Khouloud Ba ◽  
Benoit Lalloué
Keyword(s):  
Cancer Patients ◽  
Mixed Method ◽  
New Technologies ◽  
Care Pathway ◽  
Scale Up ◽  
Healthcare Delivery ◽  
Delivery Systems ◽  
Breast Cancer Patients ◽  
Structured Interviews ◽  
Oncology Patient

Abstract Background A patient-centred approach is increasingly the mandate for healthcare delivery, especially with the growing emergence of chronic conditions. A relevant but often overlooked obstacle to delivering person-centred care is the identification and consideration of all demands based on individual experience, not only disease-based requirements. Mindful of this approach, there is a need to explore how patient demands are expressed and considered in healthcare delivery systems. This study aims to: (i) understand how different types of demands expressed by patients are taken into account in the current delivery systems operated by Health Care Organisations (HCOs); (ii) explore the often overlooked content of specific non-clinical demands (i.e. demands related to interactions between disease treatments and everyday life). Method We adopted a mixed method in two cancer centres, representing exemplary cases of organisational transformation: (i) circulation of a questionnaire to assess the importance that breast cancer patients attach to every clinical (C) and non-clinical (NC) demand identified in an exploratory inquiry, and the extent to which each demand has been taken into account based on individual experiences; (ii) a qualitative analysis based on semi-structured interviews exploring the content of specific NC demands. Results Further to the way in which the questionnaires were answered (573 answers/680 questionnaires printed) and the semi-structured interviews (36) with cancer patients, results show that NC demands are deemed by patients to be almost as important as C demands (C = 6.53/7 VS. NC = 6.13), but are perceived to be considered to a lesser extent in terms of pathway management (NC = 4.02 VS C = 5.65), with a significant variation depending on the type of non-clinical demands expressed. Five types of NC demands can be identified: demands relating to daily life, alternative medicine, structure of the treatment pathway, administrative and logistic assistance and demands relating to new technologies. Conclusions This study shows that HCOs should be able to consider non-clinical demands in addition to those referring to clinical needs. These demands require revision of the healthcare professionals’ mandate and transition from a supply-orientated system towards a demand-driven approach throughout the care pathway. Other sectors have developed hospitality management, mass customisation and personalisation to scale up approaches that could serve as inspiring examples.

scholarly journals Older Adults’ Motivations for Participating in a “Tune-Up” of Their Driving Skills: A Multi-Stakeholder Analysis

2020 ◽  
pp. 073346482098241
Author(s):  
Ruheena Sangrar ◽  
Kyung Joon Mun ◽  
Lauren E. Griffith ◽  
Lori Letts ◽  
Brenda Vrkljan
Keyword(s):  
Older Adults ◽  
Stakeholder Analysis ◽  
Later Life ◽  
Community Dwelling ◽  
Older Drivers ◽  
Willingness To Participate ◽  
Structured Interviews ◽  
Driver Training ◽  
Near Misses ◽  
Driving Experience

Driver training has the potential to keep older adults safe behind-the-wheel for longer, yet there is limited evidence describing factors that influence their willingness to participate in training. Focus groups with community-dwelling older drivers ( n = 23; 70–90 years) and semi-structured interviews with driving instructors ( n = 6) and occupational therapists ( n = 5) were conducted to identify these factors. Qualitative descriptive analyses highlighted how self-awareness of behind-the-wheel abilities in later life can influence an older adult’s motivation to participate in driver training, as well as their willingness to discuss their behaviors. Collision-involvement and near-misses prompted participants to reflect on their driving abilities and their openness to feedback. Participants’ preferences for learning contexts that use a strengths-based approach and validate the driving experience of older drivers, while providing feedback on behind-the-wheel performance, were raised. Older driver training initiatives that consider the needs of the aging population in their design can promote road safety and community mobility.

The different shades of innovation emergence in smart service systems: the case of Italian cluster for aerospace technology

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Orlando Troisi ◽  
Anna Visvizi ◽  
Mara Grimaldi
Keyword(s):  
New Technologies ◽  
Service Systems ◽  
Constructivist Grounded Theory ◽  
Structured Interviews ◽  
Social Rules ◽  
Content Type ◽  
Novel Technologies ◽  
Aerospace Technology ◽  
Smart Service ◽  
Relational Strategies

Purpose The purpose of this paper is to explore the emergence of innovation in smart service systems to conceptualize how actor’s relationships through technology-enabled interactions can give birth to novel technologies, processes, strategies and value. The objectives of the study are: to detect the different enablers that activate innovation in smart service systems; and to explore how these can lead dynamically to the emergence of different innovation patterns. Design/methodology/approach The empirical research adopts an approach based on constructivist grounded theory, performed through observation and semi-structured interviews to investigate the development of innovation in the Italian CTNA (Italian acronym of National Cluster for Aerospace Technology). Findings The identification and re-elaboration of the novelties that emerged from the analysis of the Cluster allow the elaboration of a diagram that classifies five different shades of innovation, introduced through some related theoretical propositions: technological; process; business model and data-driven; social and eco-sustainable; and practice-based. Originality/value The paper embraces a synthesis view that detects the enabling structural and systems dimensions for innovation (the “what”) and the way in which these can be combined to create new technologies, resources, values and social rules (the “how” dimension). The classification of five different kinds of innovation can contribute to enrich extant research on value co-creation and innovation and can shed light on how given technologies and relational strategies can produce varied innovation outcomes according to the diverse stakeholders engaged.

scholarly journals Strategies to link rural areas to European and national transport networks

2018 ◽  
Vol 196 ◽  
pp. 04020
Author(s):  
Dana Sitányiová ◽  
Soňa Masarovičová ◽  
Daniele Berselli ◽  
Antonio Nicolini
Keyword(s):  
Rural Communities ◽  
Public Transport ◽  
Rural Areas ◽  
Road Transport ◽  
Transport Networks ◽  
Important Indicator ◽  
Limited Budget ◽  
Transport Services ◽  
Car Traffic ◽  
Peripheral Areas

Transport capacity is very important indicator of country’s economic power reflecting its economic development. All means of transport must be efficient and able to transport goods and people as cheaply and quickly as possible. This requires constant upgrading of transport networks often with limited budget. This is a problem especially in rural areas, where population density is very low and there are difficulties in providing transport links between cities and rural communities. It is very expensive to upgrade transport network and also to ensure public transport services there. Individual car transport can diminish the problem, but some groups (the young, old or poor) will always require public transport service, moreover increasing car traffic put pressure especially on existing road transport. Public transport linking isolated rural regions to transport hubs towards the European and national transport networks play a crucial role in that regard. Paper presents some outputs of RUMOBIL project focusing on pilot actions testing a number of innovative applications during a period 2017-2018 how sparsely populated peripheral areas can be better linked to a primary, secondary or tertiary transport node by public transport.

scholarly journals The Barriers and Facilitators to the Adoption of New Technologies in Public Healthcare Sector: A Qualitative Investigation

2016 ◽  
Vol 12 (1) ◽  
pp. 159 ◽  
Author(s):  
Waleed KH Mohamed AL-Hadban ◽  
Shafiz Affendi Mohd Yusof ◽  
Kamarul Faizal Hashim
Keyword(s):  
Information Systems ◽  
New Technologies ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
Structured Interviews ◽  
Healthcare Information ◽  
Healthcare Information Systems ◽  
Healthcare Information System ◽  
Public Healthcare Sector ◽  
Healthcare Practice

The use of new technologies and information systems within healthcare practice provides several advantages and functionalities for healthcare institutions. However, the use of these advanced technologies is not an easy task and the literature has documented several cases of resistance to adopting such technologies by the healthcare staff. Furthermore, governmental reports stated that Iraq healthcare sector is enduring challenges in this regard. For this reason, the current study explored the opinions of healthcare professionals using semi-structured interviews to highlight the important factors and issues that influence the use and adoption of new technologies within Iraq public healthcare sector. To our best knowledge, this empirical study is the first to employ a qualitative approach to address the issue of healthcare information system adoption in Iraq healthcare domain. Twenty six themes have emerged in the findings of this qualitative study which can be helpful for healthcare seniors in order to overcome the present challenges related to the adoption of healthcare information systems and to improve the healthcare practice in general.

scholarly journals PROSPECTS FOR EXPORT DEVELOPMENT OF TRANSPORT AND LOGISTICS SERVICES OF RUSSIA

2020 ◽  
pp. 83-87
Author(s):  
D. I. Tkachenko
Keyword(s):  
Transport System ◽  
New Technologies ◽  
Infrastructure Development ◽  
Small Companies ◽  
Transport Services ◽  
Logistics Services ◽  
Silk Road Economic Belt ◽  
Technological Level ◽  
Implementation Of Innovations ◽  
Domestic Companies

Export of transport and logistics services has been analysed and ways of its development based on factors that affect the growth of exports have been proposed. The main problems that hinder the development of both services exports and the transport system as a whole, which are reduced to a lag in the technical and technological level and low competitiveness of domestic companies, have been outlined. The expediency of innovative way of developing the transport system through the formation of transport and logistics clusters, infrastructure development and the introduction of new technologies has been substantiated. Taking into account the large volume of world cargo transport by sea, the development of seaports is of great importance. The need is noted for state support not only for large enterprises, but also for small companies specializing in the development and implementation of innovations in transport services. The issue of increasing the volume of transport services through the development of the Northern sea route and the implementation of the Silk Road Economic Belt project has been considered.

scholarly journals The Quality of the Decision-Making Process in Road Transport

2019 ◽  
Vol 1 (1) ◽  
pp. 85-92
Author(s):  
Robert Sałek
Keyword(s):  
Decision Making ◽  
Transport Process ◽  
Road Transport ◽  
Quality Of Services ◽  
Decision Making Process ◽  
Factors Affecting ◽  
Management Level ◽  
Transport Services ◽  
Preparatory Stage

Abstract The issue of quality is a very important aspect of the operation of transport companies. In relation to the area of their activity it primarily focuses on the quality of services provided, which can be verified e.g. on the basis of timeliness of deliveries or accepted complaints. This allows for examining the quality after providing the service in order to take future pro-quality actions. However, is it possible to affect the quality of services provided before their provision? The transport process itself is preceded with a range of actions taken within the framework of detailed planning and organization, which can significantly influence the quality of services. The decisions made at the management level are conditioned by many factors determining the course of future events, however, this is not always enough to make the process run uninterruptedly. Therefore, it is important to structure basic actions at the initial stage so as to allow the smooth conduct of the decision-making process for the specific task in order to subsequently focus on the detailed analysis of the actions planned. In the paper, the author attempts to characterize the fundamental factors affecting the decisions taken during the planning and organization of the transport process. The objective of the conducted research is to verify initial decisions and their significance for the improvement in the quality of transport services provided. There was conducted the algorithmization of actions and interpretation of their importance for the quality of decisions taken at the preparatory stage and during transport.

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