bluuebunny/crossref_metadata_2025_split huggingface dataset:
Quality measures for skos
Authors: Albertoni Riccardo , De Martino Monica , Podestà Paola 
Published: August 2018

Purpose
The purpose of this paper is to focus on the quality of the connections (linkset) among thesauri published as Linked Data on the Web. It extends the cross-walking measures with two new measures able to evaluate the enrichment brought by the information reached through the linkset (lexical enrichment, browsing space enrichment). It fosters the adoption of cross-walking linkset quality measures besides the well-known and deployed cardinality-based measures (linkset cardinality and linkset coverage).

Design/methodology/approach
The paper applies the linkset measures to the Linked Thesaurus fRamework for Environment (LusTRE). LusTRE is selected as testbed as it is encoded using a Simple Knowledge Organisation System (SKOS) published as Linked Data, and it explicitly exploits the cross-walking measures on its validated linksets.

Findings
The application on LusTRE offers an insight of the complementarities among the considered linkset measures. In particular, it shows that the cross-walking measures deepen the cardinality-based measures analysing quality facets that were not previously considered. The actual value of LusTRE’s linksets regarding the improvement of multilingualism and concept spaces is assessed.

Research limitations/implications
The paper considers skos:exactMatch linksets, which belong to a rather specific but a quite common kind of linkset. The cross-walking measures explicitly assume correctness and completeness of linksets. Third party approaches and tools can help to meet the above assumptions.

Originality/value
This paper fulfils an identified need to study the quality of linksets. Several approaches formalise and evaluate Linked Data quality focusing on data set quality but disregarding the other essential component: the connection among data.
Inpatient flow management: a systematic review
Authors: Winasti Windi , Elkhuizen Sylvia , Berrevoets Leo , van Merode Godefridus , Berden Hubert 
Published: August 2018

PurposeIn hospitals, several patient flows compete for access to shared resources. Failure to manage these flows result in one or more disruptions within a hospital system. To ensure continuous care delivery, solving flow problems must not be limited to one unit, but should be extended to other departments – a prerequisite for solving flow problems in the entire hospital. Since most current studies focus solely on overcrowding in emergency units, additional insights are needed on system-wide patient flow management. The purpose of this paper is to look at the information available in system-wide patient flow management studies, which were also systematically evaluated to demonstrate which interventions improve inpatient flow.Design/methodology/approachThe authors searched PubMed and Web of Science (Core Collection) literature databases and collected full-text articles using two selection and classification stages. Stage 1 was used to screen articles relating to patient flow management for inpatient settings with typical characteristics. Stage 2 was used to classify the articles selected in Stage 1 according to the interventions and their impact on patient flow within a hospital system.FindingsIn Stage 1, 107 studies were selected. Although a growing trend was observed, there were fewer studies on patient flow management in inpatient than studies in emergency settings. In Stage 2, 61 intervention studies were classified. The authors found that most interventions were about creating and adding supply resources. Since many hospital managers these days cannot easily add capacity owing to cost and resource constraints, using existing capacity efficiently is important – unfortunately not addressed in many studies. Furthermore, arrival variability was the factor most frequently mentioned as affecting flow. Of all interventions addressed in this review, the most prominent for advancing patient access to inpatient units was employing a specialized individual or team to maintain patient flow and bed placement across hospital units.Originality/valueThis study provides the first patient flow management systematic overview within an inpatient setting context.
Quality improvement measures: effects on rectal cancer tissue biopsy process
Authors: Akhtar Mansoor , Boshnaq Mohamed , Nagendram Sathyan 
Published: August 2018

Purpose
Delay in histologically confirming rectal cancer may lead to late treatment as histological confirmation is required prior to chemo-radiotherapy or surgical intervention. Multidisciplinary colorectal meetings indicate that there are patients who require multiple tissue biopsy episodes prior to histologically confirming rectal cancer. The purpose of this paper is to examine a quality improvement (QI) measure’s impact on tissue biopsy process diagnostic yield.

Design/methodology/approach
The authors performed the study in two phases (pre- and post-QI), between February 2012 and April 2014 in a district general hospital. The QI measures were derived from process mapping a rectal cancer diagnostic pathway. The primary outcome was to assess the tissue biopsy process diagnostic yield. The secondary outcome included total breaches for a 62-day target in the pre- and post-QI study phases.

Findings
There was no significant difference in demographics or referral mode in both study phases. There were 81 patients in the pre-QI phase compared to 38 in the post-QI phase, 68 per cent and 74 per cent were referred via the two-week wait urgent pathway, respectively. Diagnostic tissue biopsy process yield improved from 58.1 to 77.6 per cent after implementing the QI measure (p=0.02). The 62-day target breach was reduced from 14.8 to 3.5 per cent (p=0.42).

Practical implications
Simple QI measures can achieve significant improvements in rectal cancer diagnostic tissue biopsy process yields. A multidisciplinary approach, involving process mapping and cause and effect modelling, proved useful tools.

Originality/value
A process mapping exercise and QI measures resulted in significant improvements in diagnostic yield, reducing the episodes per patient before histological diagnosis was confirmed.
Accreditation effects on health service quality: nurse viewpoints
Authors: Bahadori Mohammadkarim , Teymourzadeh Ehsan , Ravangard Ramin , Saadati Mohammad 
Published: August 2018

Purpose
The purpose of this paper is to determine accreditation effects on Iranian military hospital health service quality through nurses’ viewpoints.

Design/methodology/approach
The paper is a cross-sectional questionnaire-based study. Sampling drew from a hospital nurse census (n=160). Descriptive statistics were used to analyze participant demographics and nurses’ views. Linear regression analysis determined the independent variables’ overall effect on the accreditation quality results dimension (dependent variable).

Findings
From the nurses’ viewpoints, accreditation effects on services quality mean score was 3.60±0.61. Linear regression analysis showed that leadership and quality management were identified as the most important accreditation quality predictors. The R2 value (0.698) showed that nearly 70 percent of the dependent variable changes were affected by the independent variables.

Practical implications
This study gives hospital managers a deeper insight into accreditation and its effects on military hospital service quality. Military hospitals benefit from military organization such as hierarchy and command chain, so managers should employ these characteristics to adopt appropriate policies to promote human resource management as a competitive advantage. Furthermore, results will guide public and private hospital managers on how to manage organizational variables that benefit from accreditation.

Originality/value
Accreditation was introduced as a hospital quality improvement program. However, implementing accreditation programs should be cost-effective. Hospital managers and employees should feel that accreditation can improve service quality. Nurses had positive viewpoints about accreditation and its effects on military hospital service quality.
Porcelain for All – a nursing home study
Authors: Hansen Kai Victor , Frøiland Christina Tølbøl , Testad Ingelin 
Published: August 2018

Purpose
The Porcelain for All project was an initiative by Figgjo AS, a porcelain factory in Norway, which needed more research on different coloured porcelains. The paper aims to discuss this issue.

Design/methodology/approach
The study aimed to gain new knowledge about how different décor and dinner plate colours can positively influence dementia sufferer food intake and appetite. The intervention period lasted three weeks. Four days were randomly picked during that period. Each plate was photographed before and after the resident had eaten, researchers conducted observations during mealtimes. Two CurroCus® group interviews were used to collect additional empirical data. In total, 12 dementia sufferers (five females) between 65 and 85 years were observed during dinnertime.

Findings
Plates with a white well, yellow lip and red rim seemed to be preferred regarding food intake. Three main categories were noted from the observations and group interviews: mealtime dignity, porcelain design and appetite.

Research limitations/implications
Future research could incorporate well-being in people with dementia regarding food weight, testing different meal room environments, user involvement, food presentation and should include more nursing homes and residents.

Practical implications
This study only encompasses a small sample (12 residents), all diagnosed with dementia.

Social implications
Outcomes may help to prevent undernutrition among elderly people.

Originality/value
Combined coloured porcelain, food intake and residents with dementia is scarcely investigated.
Enhancing employee communication behaviors for sensemaking and sensegiving in crisis situations
Authors: Kim Young 
Published: August 2018

Purpose
The purpose of this paper is to explore the organizational effectiveness of internal crisis communication within the strategic management approach, whether it enhanced voluntary and positive employee communication behaviors (ECBs) for sensemaking and sensegiving. By doing so, this study provides meaningful insight into: new crisis communication theory development that takes a strategic management approach, emphasizing employees’ valuable assets from an organization, and effective crisis communication practice that reduces misalignment with employees and that enhances voluntary and positive ECBs for the organization during a crisis.

Design/methodology/approach
This study conducted a nationwide survey in the USA among full-time employees (n=544). After dimensionality check through confirmatory factor analysis, this study tested hypothesis and research question by conducting ordinary least squares multiple regression analyses using STATA 13.

Findings
This study found that strategic internal communication factors, including two-way symmetrical communication and transparent communication, were positive and strong antecedents of ECBs for sensemaking and sensegiving in crisis situations, when controlling for other effects. The post hoc analysis confirmed theses positive and strong associations across different industry areas.

Originality/value
This study suggests that voluntary and valuable ECBs can be enhanced by listening and responding to employee concerns and interests; encouraging employee participation in crisis communication; and organizational accountability through words, actions and decisions during the crisis. As a theoretical implication, the results of this study indicate the need for crisis communication theories that emphasize employees as valuable assets to an organization.
Examining the utility of the Stages of Change model for working with offenders with learning disabilities
Authors: Panting Holly , Swift Charlotte , Goodman Wendy , Davis Cara 
Published: August 2018

PurposeThe purpose of this paper is to investigate whether the Stages of Change (SOC) model can be applied to working with offenders with learning disabilities (LD), and furthermore, to determine if it might be efficacious for this approach to be incorporated into a wider service model for this population.Design/methodology/approachThis paper reports on the results of a consultation to a specialist forensic LD service in the South West of England. A two-pronged approach was taken to consult to the service in relation to the research questions. First, a comprehensive literature review was undertaken, and second, other forensic LD teams and experts in the field were consulted.FindingsThere is a dearth of research that has examined the application of the SOC model to working with offenders with LD, and as such, firm conclusions cannot be drawn as to its efficacy in this population. The evidence base for the SOC model in itself is lacking, and has been widely critiqued. However, there are currently no other evidence-based models for understanding motivation to change in offenders with LD.Research limitations/implicationsThere is a clear clinical need for more robust theory and research around motivation to change, which can then be applied to clinical work with offenders with LD.Originality/valueThere has been a historical narrative in offender rehabilitation that “nothing works” (Burrowes and Needs, 2009). As such, it is more important than ever for the evidence base to enhance the understanding of motivation to change in offending populations.
Three perspectives on evidence-based management: rank, fit, variety
Authors: Martelli Peter F. , Hayirli Tuna Cem 
Published: August 2018

Purpose
The debate on evidence-based management (EBMgt) has reached an impasse. The persistence of meaningful critiques highlights challenges embedded in the current frameworks. The field needs to consider new conceptual paths that appreciate these critiques, but move beyond them. The paper aims to discuss this issue.

Design/methodology/approach
This paper unpacks the concept of finding the “best available evidence,” which remains a central notion across definitions of EBMgt. For each element, it considers relevant theory and offers recommendations, concluding with a discussion of “bestness” as interpreted across three key dynamics – rank, fit, and variety.

Findings
The paper reinforces that EBMgt is a social technology, and draws on cybernetic theory to argue that the “best” evidence is produced not by rank or fit, but by variety. Through variety, EBMgt more readily captures the contextual, political, and relational aspects embedded in management decision making.

Research limitations/implications
While systematic reviews and empirical barriers remain important, more rigorous research evidence and larger catalogues of contingency factors are themselves insufficient to solve underlying sociopolitical concerns. Likewise, current critiques could benefit from theoretical bridges that not only reinforce learning and sensemaking in real organizations, but also build on the spirit of the project and progress made towards better managerial decision making.

Originality/value
The distinctive contribution of this paper is to offer a new lens on EBMgt drawing from cybernetic theory and science and technology studies. By proposing the theoretical frame of variety, it offers potential to resolve the impasse between those for and against EBMgt.
From “blue sky” to real world research
Authors: Ryan Irene 
Published: August 2018

Purpose
The purpose of this paper is to share reflective insights on three key questions of concern to critical diversity scholars: what influences play a part in framing a research project and the research questions, what determines the chosen methodology and what knowledge contributions do we want our research to make?

Design/methodology/approach
The paper, drawing on organisational ethnography, incorporates key fieldwork experiences to provide reflective insights on an innovative research project design conducted in multiple organisation sites.

Findings
The paper highlights the author’s learning from the conceptualisation of an innovative research project to the actual “doing” of what was proposed. It reflects on the unforeseen dilemmas that required continual adaptations be made because of the shifting demands of the research settings.

Practical implications
The paper is important as it provides the sharing of ideas into the influences that shaped a major piece of externally funded research and highlights a range of practical considerations if planning a critical diversity research project where negotiating access to organisations is required.

Originality/value
By reflecting on some important learning and insights into the crafting of an innovative research project and the challenges of enacting what was proposed, the paper is of value to post-doctoral and early career scholars and/or researchers interested in some insights into operationalising an organisational ethnographic methodology.
Diversity Networks: Networking for Equality?
Authors: Dennissen Marjolein , Benschop Yvonne , van den Brink Marieke 
Published: August 2018

AbstractIn recent years, the use of diversity networks as diversity management instruments in organizations has increased tremendously. Diversity networks support the needs of employees with different social identities, such as women, ethnic minorities, LGBTs, disabled and young people. The aim of this study is to come to a better understanding of how diversity networks contribute to equality by examining how diversity network leaders discursively construct the value of their networks against the backdrop of discourses on diversity and equality. We conducted a multiple case study of five different diversity networks in a financial service organization in the Netherlands. Our results show that network leaders tend to construct the value of their networks primarily in terms of individual career development and community building, to prevent their members’ isolation. However, they are much less articulate about removing the barriers to inclusion in the organization as a core value of their networks. We conclude that the value of diversity networks is limited when these networks only address the individual and group levels of equality and leave systemic inequalities at the organizational level unchallenged.
Severe group A streptococcal infections in mothers and their newborns in London and the South East, 2010–2016: assessment of risk and audit of public health management
Authors: Leonard A , Wright A , Saavedra‐Campos M , Lamagni T , Cordery R , Nicholls M , Domoney C , Sriskandan S , Balasegaram S 
Published: August 2018

ObjectiveWe describe cases of invasive group A Streptococcus (iGAS) in mothers or neonates and assess management according to national guidelines, which recommend administering antibiotics to both mother and neonate if either develops iGAS infection within 28 days of birth and investigation of clusters in maternity units.DesignCross‐sectional retrospective study.Setting and populationNotified confirmed iGAS cases in either mothers or neonates with onset within 28 days of birth in London and the South East of England between 2010 and 2016MethodReview of public health records of notified cases.Main outcome measuresIncidence and onset time of iGAS in postpartum mothers and babies, proportion given prophylaxis, maternity unit clusters within 6 months.ResultsWe identified 134 maternal and 21 neonatal confirmed iGAS infections. The incidence (in 100 000 person years) of iGAS in women within 28 days postpartum was 109 (95% CI 90–127) compared with 1.3 in other females aged 15–44. For neonates the incidence was 1.5 (95% CI 9–23). The median onset time was 2 days postpartum [interquartile range (IQR) 0–5 days] for mothers and 12 days (IQR 7–15 days) for neonates. All eligible mothers and most (109, 89%) eligible neonates received chemoprophylaxis. Of 20 clusters (59 cases of GAS and iGAS) in maternity units, two clusters involved possible transmission. However, in 6 of 15 clusters, GAS isolates were not saved for comparison even after relevant guidance was issued.ConclusionsiGAS infection remains a potential postpartum risk. Prophylaxis among neonates and storage of isolates from maternity cases can be improved.Tweetable abstractAre public health guidelines being followed in the management of mothers and their newborns to reduce the risk of iGAS infection?
Trends in practice and safety measures of epidural analgesia: Report of a national survey
Authors: Bos Elke M. E. , Schut Maartje E. , de Quelerij Marcel , Kalkman Cor J. , Hollmann Markus W. , Lirk Philipp 
Published: August 2018

BackgroundThe clinical use of epidural analgesia has changed over past decades. Minimally invasive surgery and emergence of alternative analgesic techniques have led to an overall decline in its use. In addition, there is increasing awareness of the patient‐specific risks for complications such as spinal haematoma and abscess. Local guidelines for management of severe neurological complications during or after epidural analgesia, ie, “epidural alert systems”, have been introduced in hospitals to coordinate and potentially streamline early diagnosis and treatment. How widely such protocols have been implemented in daily practice is unknown.MethodsWe conducted a survey to analyse trends in practice, key indications, safety measures, safety reporting, and management of complications of epidural analgesia in the Netherlands. Data were gathered using a web‐based questionnaire and analysed using descriptive statistics.ResultsQuestionnaires from 85 of all 94 Dutch hospitals performing epidural analgesia were collected and analysed, a 90% response rate. Fifty‐five percent reported a trend towards decreased use of perioperative epidural analgesia, while 68% reported increasing use of epidural analgesia for labour. Reported key indications for epidural analgesia were thoracotomy, upper abdominal laparotomy, and abdominal cancer debulking. An epidural alert system for neurological complications of epidural analgesia was available in 45% of hospitals.ConclusionsThis national audit concerning use and safety of epidural analgesia demonstrates that a minority of Dutch hospitals have procedures to manage suspected neurological complications of epidural analgesia, whereas in the remaining hospitals responsibilities and timelines for management of epidural emergencies are determined on an ad hoc basis.