bluuebunny/crossref_metadata_2025_split huggingface dataset:
Emergency Medical Service Providers’ Perspectives towards Management of the Morbidly Obese
Authors: Cienki John J. 
Published: August 2016

AbstractObjectiveObesity is a growing epidemic in the United States with increasing burden to the health care system. Management and transport of the morbidly obese (MO) pose challenges for Emergency Medical Services (EMS) providers. Though equipment and resources are being directed to the transport of the obese, little research exists to guide these efforts. To address this, the author of this study sought to assess EMS providers’ perspectives on the challenges of caring for MO patients.MethodsAn anonymous, web-based survey was distributed to all active providers of prehospital transport of a large, urban, fire-based EMS system to evaluate the challenges of MO patients. The definition of MO was left up to the provider. This survey looked at various components of transport: lifting, transport time, airway management, establishing intravenous access, drug administration, as well as demographics, equipment, and education needs. The survey contained yes/no, rank-order, and Likert scale questions. Data were analyzed using descriptive statistics. The study was approved by the University of Miami (Miami, Florida USA) Institutional Review Board.ResultsOf survey participants, 71.9% felt the average weight of their patients had increased, and 100% reported to have transported a MO patient. Of calls made to EMS, 25% were only for assistance in the house and another 25% were for non-emergent transport to a health care facility; shortness of breath was the most common emergent complaint. Of specific challenges to properly care for MO patients, 94.4 % ranked lifting and/or moving the patient highest, followed by airway management, intravenous access, and measuring vital signs. A total of 43.8% of respondents felt that MO patients require at least six to eight EMS personnel to transport patients while 31.8% felt more than eight providers were necessary. Greater than 81.3% felt it would be beneficial to receive more training and 90.4% felt more equipment was needed. Of participants, 68.8 % felt that MO patients did not receive the same standard of care.ConclusionsSurveyed participants reported that patient’s weights are increasing with all having transported a MO patient. Despite the majority of transports being for non-emergent problems, providers felt more training would be beneficial, that equipment available does not meet needs, and that the MO pose challenges to appropriate patient care.CienkiJJ. Emergency Medical Service providers’ perspectives towards management of the morbidly obese. Prehosp Disaster Med. 2016;31(5):471–474.
Innovation in Graduate Education for Health Professionals in Humanitarian Emergencies
Authors: Evans Dabney P. , Anderson Mark , Shahpar Cyrus , del Rio Carlos , Curran James W. 
Published: August 2016

AbstractThe objective of this report was to show how the Center for Humanitarian Emergencies (the Center) at Emory University (Atlanta, Georgia USA) has trained graduate students to respond to complex humanitarian emergencies (CHEs) through innovative educational programs, with the goal of increasing the number of trained humanitarian workers. Natural disasters are on the rise with more than twice as many occurring from 2000-2009 as there were from 1980-1989. In 2012 alone, 144 million people were affected by a natural disaster or displaced by conflict worldwide. This has created an immense need for trained humanitarian workers to respond effectively to such disasters. The Center has developed a model for educational programming that targets learners along an educational continuum ranging from the undergraduate level through continuing professional education. These programs, based in the Rollins School of Public Health (RSPH) of Emory University, include: a competency-based graduate certificate program (the Certificate) in humanitarian emergencies; a fellowship program for mid-career professionals; and funded field practica. The competency-based Certificate program began in 2010 with a cohort of 14 students. Since then, 101 students have received the Certificate with 50 more due for completion in 2016 and 2017 combined. The fellowship program for mid-career professionals has hosted four fellows from conflict-affected or resource-poor countries, who have then gone on to assume leadership positions with humanitarian organizations. From 2009-2015, the field practicum program supported 34 students in international summer practicum experiences related to emergency response or preparedness. Students have participated in summer field experiences on every continent but Australia. Together the Certificate, funded field practicum opportunities, and the fellowship comprise current efforts in providing innovative education and training for graduate and post-graduate students of public health in humanitarian response. These modest efforts are just the beginning in terms of addressing the global shortage of skilled public health professionals that can coordinate humanitarian response. Evaluating existing programs will allow for refinement of current programs. Ultimately, these programs may influence the development of new programs and inform others interested in this area.EvansDP, AndersonM, ShahparC, del RioC, CurranJW. Innovation in graduate education for health professionals in humanitarian emergencies. Prehosp Disaster Med. 2016;31(5):532–538.
Evaluation of the user-friendliness and dosimetric accuracy of treatment planning systems for 3-dimensional conformal radiotherapy
Authors: Wu V. W. C. , Cheung K. Y. , Lee L. , Tung S. Y. , Leung J. , Mui A. W. L. , Law M. Y. Y. 
Published: August 2016

Purpose: The purpose of this study is to compare the performance of three 3-dimensional radiotherapy treatment planning systems (TPS) in terms of user-friendliness and dosimetric accuracy.Methods: A scale type questionnaire, which contained 129 items under 13 aspects of the TPS, was used to collect opinions from users from three different institutions with regards to the user-friendliness. The assessment of dosimetric accuracy was carried out by comparing the measured dose values with those calculated by the TPS under 18 different irradiating and phantom set-up conditions.Results: Eleven respondents completed the questionnaires for each TPS. Our study indicated that the Varian CadPlan was outstanding in the plotting and network transfer of treatment plans to other workstations, the CMS Focus performed better in the construction of treatment aids, and the ADAC Pinnacle in the outlining, modification of field parameters, control of graphics and normalization of dose. In terms of dosimetric accuracy, the measured and the calculated data for the 3 TPSs showed fairly good agreement. Except for the field with median block, in which the Focus presented with the best result, the differences in other irradiating conditions were not obvious with the percentage dose deviations within ±3%.Conclusion: In conclusion, for the 3 TPSs evaluated, each had its own strengths and weaknesses, and no TPS was superior in all test conditions.
Use of QA forms to register procedural errors in a radiotherapy department in an attempt to improve the overall process: a pilot study
Authors: Verstraete J. , Huyskens D. P. 
Published: August 2016

Background and purpose: Due to the increased complexity of the radiotherapy process in recent years, many QA procedures have been introduced to improve the quality of the treatment preparation and the treatment delivery. Most of these procedures give no direct information on the efficiency of the overall process in the radiotherapy department. It is quite evident that the frequency of errors will affect the efficiency of the process (for instance manpower to solve the detected problems), but also affect more generally the patients' experience.Material and methods: To make some objective assessment of the erroneous entries in the process of radiotherapy, a pilot study was initiated to report all problems during a period of 2 months on a dedicated QA form. By registration of these errors, the QA group could trace the main sources of the decrease in efficiency and increased waiting time for patients.Results and conclusions: For 46% of the patients during the two months at least one QA forms was filled in. With these QA forms 198 erroneous entries including 33 erroneous treatments were reported. Regarding the origin of the problems, the majority (60%) were generated in the planning process, while 56% of the errors were detected at the treatment unit before or during delivery of the first fraction. In total 461 actions were undertaken to recover all the reported errors. This generated time delay for 145 patients. Extrapolating these results to a year, a 0.7 full time equivalent person is spent to recover these errors, while the total patient population waits for about 140 hours. Corrective actions have been undertaken to optimise the overall process.
Achieving waiting time targets: at what cost?
Authors: Bridge P. , Jenkinson D. 
Published: August 2016

Staffing and equipment levels in the UK are impacting heavily on waiting times for radiotherapy. This paper presents the results of financial and organisational interventions on the radiotherapy waiting list at the Derbyshire Royal Infirmary. Efficacy of these interventions was assessed using audits before and after their application. The interventions included working extended days and weekends, employment of agency staff and “out-of-hours” machine servicing and maintenance. A Waiting List and Data Quality radiotherapist was appointed to streamline the radiotherapy referral system. A waiting list database application was developed to book patients in the correct order of priority and within target waiting times. The resulting increase in radiotherapy workload was achieved over a 3-month period at an approximate cost of £30,000, albeit with several implications. Staff felt that the pace of work was unsustainable, although sickness rates did not increase. After the interventions were removed, and waiting times increased, staff morale dropped. Extended working hours impacted on the reliability of the machines, causing more unscheduled interruptions than normal. This indicated the need for additional maintenance or servicing sessions.This paper shows that full compliance with RCR guidelines for waiting times is achievable, given sufficient financial and organisational assistance.
Reactions to HRM: An Employee Perspective from South Africa and New Zealand
Authors: Browning Vicky , Edgar Fiona 
Published: August 2016

ABSTRACTThe aim of this paper is to provide a representation of the employee viewpoint on emerging issues related to HRM practices associated with the ‘new employment relationship’. Data obtained from employees across two studies in two very different countries – South Africa and New Zealand has been used to represent the employee perspective. Interestingly, a number of shared perceptions about these HRM practices are found to exist between employees from South Africa and New Zealand, suggesting the problems employees currently experience with the HR practices in the workplace that aim to promote this new relationship could be more widely shared.The areas of shared concern highlighted by employees were mainly related to the implementation of HRM practices. For example, insufficient line management commitment, unfairness and inconsistency in the application of HR policies were all issues that were commonly raised, as was poor communication. Employees attributed these problems to the inadequate skills of those responsible for the implementation of HRM, and tended to be of the view that they could effectively be resolved through the HR department playing a more central role in the implementation of HRM in an organisation, training of line managers to carry out their HR responsibilities more effectively and increased consultation with employees.Employees participating in these studies appeared to demonstrate a surprisingly high level of awareness and cognisance in identifying problems with HR practice and more significantly how these problems might be rectified. This would support the importance of accessing the employee perspective in both the implementation and research into HRM in practice. Based on the issues highlighted by the employees, increased co operation between line management, the HR department and employees is suggested to facilitate the effective design and implementation of HRM practice in this era of new employment relations.
Hunting the Snark or Leading with Purpose? Managing the Enterprise University
Authors: Poole David , Robertson Bob 
Published: August 2016

ABSTRACTIn Lewis Carroll's classic poem, ‘The Hunting of the Snark’, there is little understanding about what a ‘Snark’ actually might be. There is similar disagreement about the ways in which contemporary universities should be led and managed, and few writers move beyond broad generalisations for action. This is particularly truc for writers analysing higher education from the perspectives of sociological analyses (eg. Meek & Wood 1997) political economy, and institutional theory perspectivcs (eg. Marginson & Considine 2000). Building on recent research by Poole (2000, 2001a), the paper charts current understandings of university governance and leadership, identifies research gaps, and begins to explore how apparently dichotomous managerial choices may be reconciled by university leaders confronting the complexities of managing the enterprise university.To seek it with thimbles, to seek it with careTo pursue it with forks and hopeTo threaten its life with a railway-shareTo charm it with smiles and soap!For the Snark's a peculiar creature that won'tBe caught in a commonplace way.Do all that you know, and try all that you don't:Not a chance must be wasted today!(Carroll 1973)
Proposed Model for Investigating Relationships between Vision Components and Business Unit Performance
Authors: Kantabutra Sooksan , Avery Gayle C. 
Published: August 2016

ABSTRACTLeaders are widely exhorted to employ visions, yet surprisingly little research has been conducted on what constitutes an “effective” vision. A research model is proposed for investigating relationships between vision components, and business unit performance as measured by employee and customer satisfaction. The model, expressed both graphically and as three propositions, proposes that vision attributes of brevity, clarity, abstractness, challenge, future orientation, stability, and desirability, plus vision content relating to employee and customer satisfaction, can directly affect performance. However, the model also predicts indirect effects on performance mediated by six realization factors and two intervening variables.
Student Learning through Case Research and Writing
Authors: Elkin Graham 
Published: August 2016

ABSTRACTThe case method of teaching and learning is prominent in management education. We know little about the processes involved in writing and learning through cases. One element that may help the beginning of a theoretical understanding of these processes comes from an experiment with students entering organisations and writing cases for use with other management students. Students not only gain more knowledge related to management and organisations than in using prepared cases, but they also gain substantial additional process skills that are far more generalisable and to do with life-long learning – than those developed using traditional case learning.
Is the Interaction of International Diversification and Economic Performance a Linear Relationship?
Authors: Mangos Nicholas C. , OBrien Peter W , Damania Richard 
Published: August 2016

AbstractThe current study analyses the effect of an international diversification strategy measured by multi-nationality and country scope, and tests its relationship with economic performance in the context of Australian corporate activity. Evidence from previous US studies on the relationship between international diversification strategy and economic performance was inconclusive, which suggests that research should go further with empirical analysis than testing for a linear relationship and should test for curvilinear relationships resulting from transactions costs analysis. Guided by that evidence a Chow test was used in the current study to establish a cut-off point that divided the sample of Australian firms into two subgroups (low-to-moderate and high level international diversification) to determine whether a non-linear relationship existed between economic performance and international diversification. This approach followed a similar technique used by Hitt, Hosskisson and Kim, (1997) and was used in this study as a method for determining two subgroups. The sample was selected from the population of large firms in Australia over a three-year period covering 1993-1995. The results suggest there is a statistically significant non-linear relationship between economic performance and multi-nationality. The results suggest that Australian corporations may be sensitive to the effect of transaction and managerial processing costs on the relationship between multi-nationality and economic performance resulting in a non-linear relationship.
The Case of the Bougainville Mine: Success and Failure in the Management of a Multinational Corporation
Authors: Tonks Graeme R , Dowling Peter J 
Published: August 2016

ABSTRACTAlthough inquiry into the impact of contextual factors on the governance of multinational enterprises (MNEs) has increased, primary attention has centred on MNEs from developed countries, which operate in other industrialised economies. There has been relatively little research into organisations from developed nations involved in less developed countries (LDCs). As this dearth of inquiry is particularly evident in South Pacific economies, this paper examines the management of Bougainville Copper Limited (BCL), an Australian mining company that operated in Papua New Guinea (PNG) until it was violently expelled by local communities in 1990. While this study supports research claiming that MNE performance depends upon the alignment of firms' internal and external environments, it demonstrates that alignment becomes increasingly difficult as characteristics in the host setting deviate from those in the home country. More importantly, it reveals that MNEs cannot survive under extremely divergent home—host conditions despite management efforts to control environmental variables. It also establishes that MNEs should focus contextual congruency on the host society, not the host country as widely suggested in the literature.
Management Training and Development: A New Zealand Study
Authors: Selvarajah Christopher , Lau Tammy Sung- Wai , Taormina Robert J 
Published: August 2016

AbstractStudies have shown that management training and development (MTD) can be a strategic weapon in improving performance and in building and sustaining competitive advantage. However, recent studies suggest that MTD is under-valued and under-used as a strategic tool by New Zealand firms as, despite a managerial skill shortage, New Zealand firms have not invested heavily in MTD. The present paper discusses a study of employer-based MTD in New Zealand that investigated managerial attitudes towards, and propensity to engage in, MTD. The study found several indicators that predict four MTD related variables (the MTD index, the percent of payroll spent on MTD, the increase in training expenditure and expected future increases in the MTD budget). The results suggest organisations that engage in MTD improve organisational effectiveness and implement their business strategy better and that MTD was seen as an important tool in gaining a competitive advantage.
Systemic Barriers to Managing Change: Is Autopoiesis an Appropriate Metaphor?
Authors: Whiteley Alma M. 
Published: August 2016

AbstractThe paper reports on a study into the usefulness of autopoiesis as a metaphor for reflective thinking about organisations contemplating change. Autopoietic systems display qualities of evolutionary invariance, self organisation to perpetuate the system's status quo, self referential activities and attempts to organise aspects of the environment to suit the system's needs. Systemic characteristics include a desire to return to equilibrium and to be resistant to evolutionary change. Autopoiesis can be used as a metaphor for gaining insights and seeing with fresh eyes some of the perhaps hidden, institutionalised concepts that inform contemporary management strategies. The need for a metaphorical image emerges from the difficulty in reflecting on organisational activities while using historically derived language and symbols. The autopoiesis metaphor was integrated into an exploratory research project with human resource managers as respondents. Tentative findings were that this is a useful metaphor for use in organisational diagnosis. Given this, a more comprehensive study would seem to be worthwhile.
Environmental Strategies and the International Hotel Industry
Authors: Obrien Peter W. , Parker Lee D. 
Published: August 2016

AbstractBusiness enterprises worldwide have recognised that linking green objectives to profit goals can be a source of competitive advantage. This paper outlines the forces inducing corporations to adopt proactive stances to environmental strategic postures and the arguments for and against such postures. It presents an expanded concept of efficiency management and a related menu of environmental strategies that corporations can adopt. Empirical evidence of the environmental strategies that are being used and their outcomes is drawn from leading international hotel corporations and from smaller enterprises in this industry and the implications are discussed.
If Management is ‘Common Sense’, Why is Sense in Management so Uncommon?
Authors: Lamond David 
Published: August 2016

AbstractOne of the more regular observations of management students and managers is that it (management) is all ‘common sense.’ We are left to ponder then, ‘if management is common sense, why is sense in management so uncommon?’ This question is prompted by observations of managers and their decisions and actions over a number of years and reflections about various models of management. It is also a question appropriately asked in light of ‘globalisation,’ which is currently fashionable. Can ‘sense’ in management ever be ‘common,’ or do we need to revise our understanding of what is a ‘sound, practical perception or understanding’ according to the contexts within which the perceptions take place?
The Dynamics of Diversity and Change in Management Education: Fragment from a Case
Authors: Newton John F. 
Published: August 2016

AbstractThe present paper takes an ‘unintentional’ look at the issue of diversity as it presents itself in a study of management education. The inquiry is unintentional in that the author had not conceptualised diversity as an artefact of the research, yet found himself struggling to work with his own experience of difference as he engaged with the subject of the research. The concept of diversity came to be thought of in terms of ‘requisite variety’ and its challenge to management education is conceptualised as a search for a ‘holding environment.’ These ideas are grounded in the case material of a part time, postgraduate student of business administration who works as a financial manager in an Australian corporation, is female and is ethnically a Malaysian Chinese.