bluuebunny/crossref_metadata_2025_split huggingface dataset:
Fostering a healthcare sector quality and safety culture
Authors: Santa Ricardo , Borrero Silvio , Ferrer Mario , Gherissi Daniela 
Published: August 2018

Purpose
Quality issues, increasing patient expectations and unsatisfactory media reports are driving patient safety concerns. Developing a quality and safety culture (QSC) is, therefore, crucial for patient and staff welfare, and should be a priority for service providers and policy makers. The purpose of this paper is to identify the most important QSC drivers, and thus propose appropriate operational actions for Saudi Arabian hospital managers and for managers in healthcare institutions worldwide.

Design/methodology/approach
Quantitative data from 417 questionnaires were analyzed using structural equation modeling. Respondents were selected from various hospitals and managerial positions at a national level.

Findings
Findings suggest that error feedback (FAE) and communication quality (QC) have a strong role fostering or enhancing QSC. Findings also show that fearing potential punitive responses to mistakes made on the job, hospital staff are reluctant to report errors.

Practical implications
To achieve a healthcare QSC, managers need to implement preemptive or corrective actions aimed at ensuring prompt and relevant feedback about errors, ensure clear and open communication and focus on continuously improving systems and processes rather than on failures related to individual performance.

Originality/value
This paper adds value to national healthcare, as Saudi study results are probably generalizable to other healthcare systems throughout the world.
Audit and feedback in mental healthcare: staff experiences
Authors: Pedersen Monica Stolt , Landheim Anne , Møller Merete , Lien Lars 
Published: August 2018

Purpose
Audit and feedback (A&F) often underlie implementation projects, described as a circular process; i.e. an A&F cycle. They are widely used, but effect varies with no apparent explanation. We need to understand how A&F work in real-life situations. The purpose of this paper, therefore, is to describe and explore mental healthcare full A&F cycle experiences.

Design/methodology/approach
This is a naturalistic qualitative study that uses four focus groups and qualitative content analysis.

Findings
Staff accepted the initial A&F stages, perceiving it to enhance awareness and reassure them about good practice. They were willing to participate in the full cycle and implement changes, but experienced poor follow-up and prioritization, not giving them a chance to own to the process. An important finding is the need for an A&F cycle facilitator.

Practical implications
Research teams cannot be expected to be involved in implementing clinical care. Guidelines will keep being produced to improve service quality and will be expected to be practiced. This study gives insights into planning and tailoring A&F cycles.

Originality/value
Tools to ease implementation are not enough, and the key seems to lie with facilitating a process using A&F. This study underscores leadership, designated responsibility and facilitation throughout a full audit cycle.
Reducing pharmacy patient waiting time
Authors: Alam Shoaib , Osama Muhammad , Iqbal Faheem , Sawar Irfan 
Published: August 2018

PurposePharmacy services start right from prescribing medicines and continue as the medication’s effect is monitored. Hospital and community pharmacy staff promote rational prescribing and medicine use. Consequentially, pharmacy is a complex and busy field. Often there are peak workload hours when patients must wait, which is associated with patient dissatisfaction that may negatively affect patient experience and the organisation’s reputation. The purpose of this paper is to enlist techniques, methods and technological advancements that have been successfully employed to reduce patient waiting time.Design/methodology/approachA database search was conducted in 2017 to locate articles addressing methods and technologies that reduce pharmacy waiting time. The literature revealed various techniques and technologies like queuing theory, tele-pharmacy, evidence-based pharmacy design, automated pharmacy systems (robotics), system modelling and simulation and the Six Sigma method for identifying potential problems associated with increased wait time.FindingsThe authors conclude that various techniques and methods, including automated queuing technology, tele-pharmacy, automated pharmacy devices/machines for quick and accurate filling and dispensing, computer simulation modelling, evidence-based pharmacy infrastructure for smooth workflow and Six Sigma can maintain customer satisfaction, reduce waiting time, attract new customers, decrease workload and improve the organisation’s reputation.Practical implicationsThe authors conclude that various techniques and methods, including automated queuing technology, tele-pharmacy, automated pharmacy devices/machines for quick and accurate filling and dispensing, computer simulation modelling, evidence-based pharmacy infrastructure for smooth workflow and Six Sigma methodology can maintain customer satisfaction, reduce waiting time, attract new customers, decrease workload and improve the organisation’s reputation.Originality/valueThe authors carried out a literature search and identified the techniques that have been successfully implemented to reduce pharmacy patient waiting time and methods that can identify potential process behind medication dispensation delays.
Accreditation in one teaching hospital: a phenomenology study among Iranian nurses
Authors: Saadati Mohammad , Bahadori Mohammadkarim , Teymourzadeh Ehsan , Ravangard Ramin , Alimohammadzadeh Khalil , Mojtaba Hosseini Seyed 
Published: August 2018

Purpose
Accreditation helps to ensure safe and high-quality services in hospitals. Different occupational groups have various hospital accreditation experiences. The purpose of this paper is to investigate nurses’ accreditation experience and its effects on Iranian teaching hospital service quality.

Design/methodology/approach
This was a qualitative study involving a phenomenological approach to studying nurses’ hospital accreditation experience and understanding the effects on Iranian teaching hospital service quality. Data were collected using two focus groups in which nurses were selected using purposive sampling. Transcripts were analyzed using content analysis.

Findings
Nurses’ experiences showed that hospital administrators and nurses had greater role in implementing accreditation than other occupational groups. Accreditation improved patient-centeredness, patient safety, logistics and managerial processes and decision making. However, a weak incentive system, extra documentation and work stress were negative experiences.

Practical implications
Nurse experience, as the most important care team member, reveals accreditation’s strengths and weaknesses and its effects on service quality.

Originality/value
The author used a phenomenology approach to measure accreditation effects on service quality – a valuable tool for understanding a phenomenon among those that experience hospital accreditation processes.
My heart has no hurt: the health of young immigrants
Authors: Bergstrom-Wuolo Maya , Dahlström Josefin , Hertting Krister , Kostenius Catrine 
Published: August 2018

Purpose
The purpose of this paper is to explore health from the perspective of young immigrants in Sweden.

Design/methodology/approach
A total of 25 newly arrived young immigrants attending Swedish language classes in northern Sweden participated by drawing and writing open letters. They continued the open-ended sentence “Now I’ll draw and describe a day when I was feeling good, that was […].”

Findings
The phenomenological analysis resulted in three themes: longing to be in control for a better life, searching for power in the good and the bad, and striving for a sense of belonging in the new society. The findings illuminate young immigrants’ perspectives of a health-promoting everyday life consisting of agency, reflection and a sense of community. The findings also highlight the young immigrants’ experiences when health-promoting aspects are lacking, characterized by disillusionment, anxiety and loneliness. The findings are discussed with health promotion, health literacy and young immigrants in mind.

Practical implications
According to young immigrants, meeting basic needs such as food, sleep and housing is health promoting but easily taken for granted. Being able to have a say in matters concerning everyday life, social inclusion and finding power in memories – positive and negative – can promote health in young immigrants.

Originality/value
The young immigrants were able to communicate via drawings and words to overcome language barriers.
The integration of immigrant nurses at the workplace in Malta: a case study
Authors: Buttigieg Sandra C. , Agius Kevin , Pace Adriana , Cassar Maria 
Published: August 2018

PurposeThe purpose of this paper is to identify the extent to which immigrant nurses have integrated within the Maltese healthcare system.Design/methodology/approachThis research consisted of a qualitative case study approach which was conducted within Malta’s four public entities in the secondary care sector. In this case study, data were collected through 34 semi-structured interviews with ten nursing managers, 12 Maltese nurses and 12 immigrant nurses. The data were analysed using content analysis. Data were collected between June 2015 and July 2015.FindingsFour themes emerged from the data. These were: human resources management, language barrier, cultural differences and discrimination. The recruitment of nurses to Malta from other countries translated into several positive and favourable outcomes, such as the sharing of knowledge. However, a number of negative and unfavourable outcomes are also indicated in the data including language barrier and discrimination.Research limitations/implicationsThis paper presents a discussion of the issues experienced within a healthcare system in relation to the mobility of nurses. Increasingly, the nursing workforce across the globe comprises of professionals from various nationality, origin, training, culture and professional ethos. The findings are presented in an effort to inform policy makers, management and administrative structures regarding the issues pertaining to the prevalent growing reality of mobility in nurse populations.Originality/valueThis research study provides a unique contribution to the literature regarding the phenomenon of nurse mobility because it embraces the integration of nurses as a two-way process. Since data was collected from immigrant nurses as well as from local nurses and nursing managers, this study hopes to offer a different point of view from previous studies which largely focused on the views of immigrant nurses only.
Impact of condition monitoring on reciprocating compressor efficiency
Authors: Townsend Jim , Badar M. Affan 
Published: August 2018

Purpose
Reciprocating compressors offer an efficient method of compressing almost any gas composition in a wide range of pressures and have numerous applications. Condition monitoring of critical rotating machinery is widely accepted by operators of centrifugal compressors. However, condition monitoring of reciprocating machinery has not received the same degree of acceptance. An earlier study (Townsend et al., 2016) was conducted on temperature monitoring. The purpose of this paper is to examine the impact of continuous pressure monitoring on electric-driven compressors.

Design/methodology/approach
This research analyzes the impact of continuous pressure monitoring on a fleet of 14 compressors transporting CO2 for enhanced oil recovery. The reliability and efficiency data on 14 reciprocating compressors over a three-year period were analyzed for failures detectable by the condition monitoring technology. The engineering economic analysis is presented to determine the impact this technology will have on the productivity of the compressors.

Findings
The study considers utilizing condition monitoring technology to analyze the pressure of the swept volume of the compressor cylinders. The results of the study indicate that continuous pressure monitoring technology has a strong impact on the productivity of the compressor fleet. The internal rate of return not only exceeds the operators hurdle rate, but the payback period is also dramatic. Pressure monitoring was found to be economically better than temperature monitoring.

Originality/value
The study reveals the economic benefits of implementing condition monitoring in the form of continuous pressure monitoring on reciprocating compressors.
Development of framework for just-in-time implementation in maintenance
Authors: Phogat Sandeep , Gupta Anil Kumar 
Published: August 2018

Purpose
The purpose of this paper is to propose an interpretive structural modeling (ISM) model which highlights the relationships between the identified just-in-time (JIT) elements useful for the implementation of JIT in maintenance and understand mutual influences of these identified JIT elements on JIT implementation in maintenance. Further, this paper seeks to identify dependence power and driving power of identified JIT elements using an ISM and Matrice d’Impacts Croisés Multiplication Appliquée á un Classement (MICMAC) analysis.

Design/methodology/approach
The methodology used in the paper is ISM with a view to evolving mutual relationships among JIT elements. The identified JIT elements have been further classified, based on their dependence power and driving power using MICMAC analysis.

Findings
This paper has developed the relationships among 16 identified JIT elements using the ISM methodology. Further, this paper analyses the driving power and dependence power of identified JIT elements with the help of MICMAC analysis. The incorporated approach is developed here, as the ISM provides only binary correlation among identified JIT elements. The MICMAC analysis is adopted here as it is useful in specific examination related to driving and the dependence power of identified JIT elements. The ISM developed model and MICMAC analysis finding are validated with the help of industrial experts.

Research limitations/implications
The weightage and validation for the ISM and MICMAC analysis are obtained throughout the opinion of academics and industry experts. Further hypothesis may be conducted to examine the validity of the planned model, and structural model may also be validated statistically with the help of structural equation modeling.

Practical implications
The ISM model development and MICMAC analysis of identified JIT elements provide academics and maintenance managers a macro picture of the profits gained by the organizations by the implementation of JIT in maintenance of an organization.

Originality/value
The results will be useful for maintenance managers to understand the process of implementation of JIT in maintenance and to gain benefits after the implementation of JIT in maintenance of an organization.
A decision model for warranted second-hand products considering upgrade level, past age, preventive maintenance and sales volume
Authors: Darghouth Mohamed N. , Chelbi Anis 
Published: August 2018

Purpose
The purpose of this paper is to present a decision model for second-hand products to determine the optimal upgrade level, warranty period and preventive maintenance (PM) effort level which maximize the total expected profit generated by the dealer considering any given past age of the product and the effect of the sales volume.

Design/methodology/approach
A mathematical model is developed to derive the optimal triplet: upgrade level, warranty period and PM effort level, which maximize the total expected profit generated by the dealer for any second-hand product with a given past age. Numerical experimentations have been conducted to investigate the effectiveness of the proposed model and to explore the interactions among the model variables.

Findings
Numerical experimentations including a sensitivity analysis have been conducted on the model key parameters. The obtained results show that performing PM actions during the warranty period helps the dealers to provide extended warranty for older second-hand products without spending a significant effort on upgrade actions and therefore increase the volume of sales. Also, the interaction between the PM level and the profit margin threshold is demonstrated. Finally, the effect of the sales volume function parameters (the price and warranty elasticity parameters) on the optimal solution is characterized.

Research limitations/implications
Given the complexity of the profit function to be maximized involving a considerable number of decision variables with different nature, the authors limited the study to the case where the past age of the second-hand product is known.

Practical implications
The proposed model aims to provide second-hand product dealers with a modeling framework that enables them to have a realistic estimation of the generated profit by integrating the marketing and engineering key parameters of the second-hand product.

Originality/value
Most of the existing literature dealing with the reliability improvement of second-hand products does not take into account the fact that a realistic estimation of the total profit generated by the dealer requires the consideration of the sales volume. The latter is closely related to the marketing parameters characterized by the warranty period length and the second-hand product selling price. The proposed model introduces the effect of the total sales volume on the total expected profit. The authors also introduce the concept of discrete upgrade levels for a better control of the restoration degree. The authors study the impact of warranty and price elasticity parameters on the optimal solution and the resultant interaction with the customer purchase decision and consequently the sales volume.
Putting the contradictions back into leadership development
Authors: Vince Russ , Pedler Mike 
Published: August 2018

Purpose
The purpose of this paper is to outline an alternative view of leadership development that acknowledges the likelihood of unintended and contradictory outcomes in leadership work. Helping leaders to engage with contradictions is as important as developing their positive capabilities. A focus on the contradictions of leadership can help to address the emotional and political limitations that development programmes unwittingly impose on learning.

Design/methodology/approach
The paper discusses how leadership development currently falls short in helping people to lead in complex organizational environments. This argument is illustrated by examples taken from MBA teaching programme in a School of Management together with an analysis of contradictions in the National Health Service Healthcare Leadership Model. The final section gives four examples of how to put the contradictions back into leadership development.

Findings
The paper does not seek to present empirical findings. The illustrations support an argument for changes in practice. Examples are provided of a different approach to leadership development.

Originality/value
The paper critiques approaches to leadership development on the grounds of its relentless positivity regarding leadership behaviour and that focusses primarily on the development of individuals. Attention is called to the contradictions inherent in leadership work which extend to the leadership development process itself. Once acknowledged, these contradictions offer important leadership learning opportunities for both individuals and organizations.
Global non-fossil fuel consumption: driving factors, disparities, and trends
Authors: Chen Jiandong , Wu Yinyin , Xu Chong , Song Malin , Liu Xin 
Published: August 2018

Purpose
Non-fossil fuels are receiving increasing attention within the context of addressing global climate challenges. Based on a review of non-fossil fuel consumption in major countries worldwide from 1985 to 2015, the purpose of this paper is to analyze trends for global non-fossil fuel consumption, share of fuel consumption and inequality.

Design/methodology/approach
The similarities were obtained between the logarithmic mean divisia index and the mean-rate-of-change index decomposition analysis methods, and a method was proposed for complete decomposition of the incremental Gini coefficient.

Findings
Empirical analysis showed that: global non-fossil fuel consumption accounts for a small share of the total energy consumption, but presents an increasing trend; the level of global non-fossil fuel consumption inequality is high but has gradually declined, which is mainly attributed to the concentration effect; inequality in global non-fossil fuel consumption is mainly due to the difference between nuclear power and hydropower consumption, but the contributions of nuclear power and hydropower to per capita non-fossil fuel consumption are declining; and population has the greatest influence on global non-fossil fuel consumption during the sampling period.

Originality/value
The main contribution of this study is its analysis of global non-fossil fuel consumption trends, disparities and driving factors. In addition, a general formula for complete index decomposition is proposed and the incremental Gini coefficient is wholly decomposed.
Fashioning clothing with and for mature women: a small-scale sustainable design business model
Authors: Townsend Katherine , Kent Anthony , Sadkowska Ania 
Published: August 2018

PurposeAn ageing population in the developed world has become a significant topic in the contemporary research agenda. The purpose of this paper is to report on the development of a new small-scale business model based on facilitating in-depth understanding and responding to mature female consumers’ needs and expectations towards fashionable clothing.Design/methodology/approachTwo complementary approaches are used: interpretative phenomenological analysis allows the researchers to employ the life-course perspective and to develop in-depth understanding of individuals’ present experiences in relation to their past. Action research offers the possibility to develop participatory, co-design processes based on collective creativity and mutual knowledge exchange between the stakeholders.FindingsThe research finds a strong interest in fashionable clothing by women, irrespective of their age. The action-based co-design process involving collaborative encounters with mature consumers creates a dynamic capability for alternative fashion design methodologies. This approach can contribute to a small-scale fashion business model for the mature women’s fashion market.Practical implicationsThe women in the study stress the need for a more inclusive design process and expressed a willingness to buy from a brand/retailer who would offer them such a collaborative opportunity. There are practical implications for how a more flexible sizing approach to the design of fashion for older women could be implemented.Originality/valueThis research makes a contribution to practice-based design solutions for mature women and a new inclusive business model based on emotional durability. The innovative methodological approach contributes to the field of ethical and sustainable fashion design.