Iranian nurses’ perspective of barriers to sexual counseling for patients with myocardial infarction

Background Sexual counseling is an essential part of cardiac rehabilitation. This study aimed to investigate Iranian nurses’ perceptions of barriers to sexual counseling for patients with myocardial infarction. Methods This cross-sectional study included 169 nurses who worked in CCUs, Post CCUs, and cardiac surgery wards of teaching hospitals in southeastern Iran. The barriers to providing sexual counseling inventory was used to assess sexual counseling barriers for patients with myocardial infarction. SPSS 19 was used to analyze the data. The significance level was 0.05. This study lasted from November 2019 to March 2020. Results The results showed that the highest mean scores for patient-related barriers were related to the patient’s religion and belief (2.83 ± 0.52) and embarrassment (2.82 ± 0.52 %). The highest scores for nurse-related barriers were related to nurse’s discomfort in discussing sexual issues (2.67 ± 0.62), a lack of experience in sexual counseling (2.62 ± 0.65), and sexual hesitation in advising patients (2.57 ± 0.7). The highest mean scores for organizational barriers were a lack of managerial attention and support for counseling (2.67 ± 0.66) and a lack of proper supervision system (2.62 ± 0.72). Conclusions Religion/beliefs, embarrassment and a lack of managerial attention and support for counseling were the most important barriers in the organizational, nursing and patient domains. Since sexuality is a significant issue in most cultures and religions, particularly in Islamic countries, health care professionals should work to change the attitudes of patients towards sexuality through sexual health education and counseling to meet patients’ needs and improve their sexual health.

Antecedents to firm performance during re-internationalization

There is a paucity of research on re-internationalization, where firms re-enter international operations after complete withdrawal from previous international operations. The extant literature is largely silent on what drives firm performance during re-internationalization. We conducted an empirical investigation of re-internationalized enterprises from India to identify key antecedents to firm performance during the re-internationalization phase. Data analysis using partial least squares structural equation modeling (PLS-SEM) indicates that initial internationalization experiences, presence of dynamic capabilities, and organizational commitment to internationalization positively contribute to re-internationalization performance. The findings have implications for firm strategies, organization systems, managerial attention to knowledge management, policies supporting subventions, and for future research into de-internationalization and re-internationalization. JEL Classification: F23

Managerial Style and Attention

Is firm behavior mainly driven by its environment or rather by the characteristics of its managers? We develop a cognitive theory of manager fixed effects, where the allocation of managerial attention determines firm behavior. We show that in complex environments, the endogenous allocation of attention exacerbates manager fixed effects. Small differences in managerial expertise then may result in dramatically different firm behavior, as managers devote scarce attention in a way that amplifies initial differences. In contrast, in less complex environments, the endogenous allocation of attention mitigates manager fixed effects. Firm owners prefer “managers with style” only in complex environments. (JEL D21, D23, G34, M10, M31, M54)

Managerial Attention and Export Performance: A Comparison between mMNEs and Pure SME Exporters

Drawing on the attention-based view and literature on small- and medium-sized enterprises’ (SMEs) internationalization, we explore the value of international attention (i.e., managerial time and effort devoted to understanding the international marketplace) for SME export performance. We further argue that SMEs are heterogeneous in terms of situated contexts and organizational structures, and for that matter, differ in performance gains achieved through their managers’ international attention. A distinction is therefore made between pure exporters and so-called “micromultinationals (mMNEs)” that engage in more committed international activities besides exporting. Based on a survey of Dutch SMEs, our findings indicate a positive association between managers’ international attention and firms’ export performance. This relationship is stronger for mMNEs than for pure SME exporters, pointing to the implication that managers’ international attention should be commensurate with firm specifics in order to add values.

From Product to Process: The Rhetoric of Sustainability and Evolving Management Practice

Business adopted a terminology of sustainability to defend, then justify, and finally explain practices that acknowledged resource limitations as inherent in the business environment. Tracing the rhetoric across a half century of business use demonstrates an expansion of the concept of sustainability to encompass managerial attention to finite human, capital, and political resources. A rhetoric of sustainability seemed to promise a revolution in management practice, and practitioners have indeed adopted principles of complex systems. The sustainability terminology retains its narrower focus on environmentally responsible corporate activities, however, and management communication pedagogy has not yet recognized the emerging discourse of adaptive communication practices.

Industry 4.0 and Supply Chain Management

The association of Industry 4.0 and supply chain management assures tremendous growth and developmental opportunities towards manufacturing organizations. The two aspects (Industry 4.0 and supply chain management) are one of the most opted choices for research among academicians and researchers. The study in question accommodates 884 papers from past 10 years, which contributes towards Industry 4.0, supply chain management, cyber-physical systems, digitization, Internet of Things, and Big Data predictive analytics. The statistical tools include BibExcel and Gephi for bibliometric and network analysis. The results are presented in the form of top contributing authors, keywords, and citations. The article also shares a conceptual model based on the review of studies. The findings will help managers or officials to understand the importance of Industry 4.0 and its association with supply chain management. The formed clusters and their associations are providing new areas that require managerial attention. The article ends while discussing the current and future scope of research.