bluuebunny/crossref_metadata_2025_split huggingface dataset:
Fending knights or masked kings: toward a theoretical framework of interim CEO succession
Authors: Liang Xin , Liu Yanxin , Wu Sibin , Zhang Shujuan 
Published: May 2014

PurposeThere is no previous systematic and theoretical investigation of the interim CEO succession practice. This research attempts to fill the gap by studying this phenomenon and hence advance executive succession research/practice.Design/methodology/approachBased on agency theory, the authors propose a model and several propositions to predict what determines the origin of interim CEOs, the length of the interim tenure, and the career prospects for the interim CEO after the interim tenure.FindingsBoth firm performance and environmental uncertainty play an important role in the dynamic interim CEO succession process.Research limitations/implicationsThe paper provides the foundations for future empirical research on interim CEO succession.Practical implicationsBoard members at companies experiencing sudden CEO departures should choose a loyal non‐aggressive veteran to be the interim CEO so as to minimize disruption and to smooth the transition. They should use caution when choosing an internal candidate because if such a candidate is not chosen to be the permanent CEO later, a talent may be lost.Originality/valueThe research is the first to systematically examine the phenomenon of interim CEOs. The authors make a unique contribution to the literature on CEO succession.
A systems perspective on nursing productivity
Authors: North Nicola , Hughes Frances 
Published: May 2014

PurposeRecent New Zealand reports have identified the nursing workforce for its potential to make a significant contribution to increased productivity in health services. The purpose of this paper is to review critically the recent and current labour approaches to improve nursing productivity in New Zealand, in a context of international research and experience.Design/methodology/approachAn examination of government documents regarding productivity, and a review of New Zealand and international literature and research on nursing productivity and its measurement form the basis of the paper.FindingsIt is found that productivity improvement strategies are influenced by theories of labour economics and scientific management that conceptualise a nurse as a labour unit and a cost to the organisation. Nursing productivity rose significantly with the health reforms of the 1990s that reduced nursing input costs but impacts on patient safety and nurses were negative. Current approaches to increasing nursing productivity, including the “productive ward” and reconfiguration of nursing teams, also draw on manufacturing innovations. Emerging thinking considers productivity in the context of the work environment and changing professional roles, and proposes reconceptualising the nurse as an intellectual asset to knowledge‐intensive health organisations.Practical implicationsStrategies that take a systems approach to nursing productivity, that view nursing as a capital asset, that focus on the interface between nurse and working environment and measure patient and nurse outcomes are advocated.Originality/valueThe paper shows that reframing nursing productivity brings into focus management strategies to raise productivity while protecting nursing and patient outcomes.
Implementing organisation and management innovations in Swedish healthcare
Authors: Øvretveit John , Andreen‐Sachs Magna , Carlsson Jan , Gustafsson Helena , Hansson Johan , Keller Christina , Lofgren Susana , Mazzocato Pamela , Tolf Sara , Brommels Mats 
Published: May 2014

PurposeThe purpose of this paper is to compare the implementation of 12 different organisation and management innovations (OMIs) in Swedish healthcare, to discover the generic and specific factors important for successful healthcare improvement change in a public health system.Design/methodology/approachLongitudinal cross‐case comparison of 12 case studies was employed, where each case study used a common framework for collecting data about the process of change, the content of the change, the context, and the intermediate and final outcomes.FindingsClinical leaders played a more important part in the development of these successful service innovations than managers. Strategies for and patterns of change implementation were found to differ according to the type of innovation. Internal organisational context factors played a significant role in the development of nearly all, but external factors did not. “Developmental evolution” better described the change process than “implementation”.Research limitations/implicationsThe 12 cases were all of relatively successful change processes: some unsuccessful examples would have provided additional testing of the hypotheses about what would predict successful innovation which were used in the case comparison. The cross‐case comparative hypothesis testing method allows systematic comparison if the case data are collected using similar frameworks, but this approach to management research requires considerable resources and coordination.Practical implicationsManagement innovations that improve patient care can be carried out successfully by senior clinicians, under certain circumstances. A systematic approach is important both for developing and adapting an innovation to a changing situation. A significant amount of time was required for all involved, which could be reduced by “fast‐tracking” approval for some types of change.Originality/valueThis is the first empirical report comparing longitudinal and contextualised findings from a number of case studies of different organisational and management healthcare innovations. The findings made possible explanations for success factors and useful practical recommendations for conditions needed to nurture such innovation in public healthcare.
Managing in the context of healthcare's escalating technology and evolving culture
Authors: Bowden Dawn E. , Smits Stanley J. 
Published: May 2014

PurposeAs healthcare has become more scientifically based and far more sophisticated in terms of technology, it has become more fragmented in terms of care‐giving, and less personal. The purpose of this paper is to discuss the challenging task of leading and managing in the gap between the existing and emerging cultures of healthcare.Design/methodology/approachThis paper considers the literature on culture, how it exists at many levels and in multiple forms, and the impacts it has on the US healthcare system. Further, the paper explores foundations of the current healthcare culture and attempts to forecast features of the emerging culture, incorporating examples of advances in scientific knowledge and technology.FindingsSystem change will continue to be problematic until leaders and change agents find ways to operate effectively in the gap between the existing cultural tenets and those emerging as the result of scientific and technological advancements.Originality/valuePunctuated equilibrium theory serves as a main tenet for describing how changes will continue to push the USA towards a cultural tipping point. This paper contends that leaders and managers can succeed only by understanding and respecting both cultures and calls for improved theory development and research to help find creative ways to advance the new culture without trampling the old.
Social values and health priority setting in Germany
Authors: Kieslich Katharina 
Published: May 2014

PurposeThe purpose of this paper is to provide an overview of health priority setting structures in Germany. It reflects on how and which social values may influence decision making, and in particular investigates the role of the Institute for Quality and Efficiency in Health Care (IQWiG) in integrating evidence‐based decision making into the German system.Design/methodology/approachThe paper applies Clark and Weale's framework of analysis for Social Values and Health Priority Setting to the German context. Placing German health care decision making into Clark and Weale's framework allows for an analysis of the role and content of social values in different dimensions of decision making.FindingsGermany has witnessed significant changes in its health care decision‐making procedures in recent decades. The establishment of the Institute of Quality and Efficiency in Health Care (IQWiG) represents an effort to introduce health technology assessment (HTA) as a formal element of decision making in health care. In doing so, Germany has made unique methodological and structural choices that reflect the social values and institutional traditions that underpin its self‐governing statutory health insurance (SHI) system. The empirical evidence suggests that the principle of solidarity is upheld as a core value in health priority setting in Germany.Originality/valueThe German case of health priority setting highlights some of the challenges involved when introducing centralised HTA structures to a self‐governing SHI system. As such, this paper contributes to an understanding of the different forms that HTA can take, what social values they embody and how they can affect health priority setting in different ways.
An outcomes study of eTherapy for dual diagnosis using Breaking Free Online
Authors: Elison Sarah , Ward Jonathan , Davies Glyn , Lidbetter Nicky , Hulme Daniel , Dagley Mike 
Published: May 2014

Purpose
– In recent years there has been a proliferation of computer-based psychotherapeutic interventions for common mental health difficulties. Building on this, a small number of such interventions have now been developed to address substance dependence, one of which is Breaking Free Online (BFO). A new “eTherapy” self-help service, which was set up by the UK mental health charity Self-Help Services, has provided access to BFO to service users presenting with comorbid mental health and substance misuse difficulties. The purpose of this paper is to evaluate a range of clinical outcomes in the first cohort of service users accessing this dual diagnosis service.

Design/methodology/approach
– A number of standardised psychometric assessments were conducted with service users at baseline and post-treatment at discharge from the service. Outcome data were available for 47 service users out of an original cohort of 74.

Findings
– Statistically significant improvements were found in terms of measures of social functioning, depression, anxiety, alcohol and drug use and social anxiety. Clinically relevant gains were also identified, with fewer service users reaching threshold scores for depression and anxiety at post-treatment compared to baseline. Effect sizes also indicated that the identified improvements across the psychometric measures were robust and significant.

Research limitations/implications
– These findings provide further support for the clinical effectiveness of BFO, and also provide evidence that an eTherapy self-help service may be appropriate for some individuals presenting with dual diagnosis. Further research is underway with larger and alternative clinical populations to examine the effectiveness of BFO and also this novel eTherapy self-help approach.

Originality/value
– This paper has provided initial data to support effectiveness of a novel eTherapy service for dual diagnosis.
Developing indicators to improve educational governance in hospitals
Authors: Sadegh Tabrizi Jafar , Saadati Mohammad , Sadeghi-Bazargani Homayoun , Ebadi Ali , E.J. Golzari Samad 
Published: May 2014

Purpose
– Clinical governance should be based on cultural elements that value lifelong learning, skill development and research. The purpose of this paper is to introduce a set of indicators to improve educational governance in hospitals.

Design/methodology/approach
– Key indicators were identified from the international and national literatures. Later, the indicators were rated and prioritized by a multidisciplinary panel of medical professionals using two rounds of Delphi technique. Subsequently at two consensus meetings, the panel evaluated the indicators.

Findings
– A set of 51 draft indicators were identified. The expert panel members rated 28 indicators as high priority indicators for measuring educational performance of the hospitals.

Practical implications
– This set of indicators can be used to measure the educational performance of the hospitals in identifying the gaps and take steps to resolve them.

Originality/value
– Education and training is the basic component of clinical governance. Hospital staff education and training is a fundamental step towards organizational and individual development. To improve the educational performance at hospital level it is necessary to reliably measure such performance. This can be done through developing and using relevant indicators. There are limited systematic studies, especially in middle and low income countries, to introduce appropriate indicators. This study has investigated developing a set of indicators to measure and improve the educational performance in hospitals.
Nurse led discharge: improving efficiency, safely
Authors: Bowen Alex , Kumar Rohit , Howard John , E. Camilleri Andrew 
Published: May 2014

Purpose
– The purpose of this paper is to demonstrate that nurse led discharge (NLD) could improve the efficiency of simple discharges from a short stay surgical ward without compromising patient safety.

Design/methodology/approach
– A protocol for NLD was designed and implemented. Introduction of the protocol was audited and re-audited prospectively.

Findings
– Introduction of the nurse led discharge protocol significantly reduced the rate of delayed discharge (p>0.001). The protocol successfully identified all patients for whom a NLD would be inappropriate and no patients discharged by the nursing team were re-admitted.

Research limitations/implications
– No formal measure of staff and patient satisfaction with the new protocol was performed.

Practical implications
– The nursing team are now able to more effectively manage patient flow through the short stay surgical ward. Mismatch between demand for beds and capacity has reduced.

Social implications
– Patient experience has been improved by the release of time to care for our nurses and the elimination of unnecessary delay in discharge.

Originality/value
– Formal protocol driven NLD can be a safe way of improving efficiency in patient flow. This pattern of discharge could be applied in many hospital systems.
Law as a tool to promote healthcare safety
Authors: Ramanathan Tara 
Published: May 2014

Purpose
– The purpose of this paper is to inform healthcare providers and healthcare facility leadership about the statutory, administrative, criminal, and tort law implications related to preventable harms from unsafe injection practices.

Design/methodology/approach
– Review of legal theory and precedents.

Findings
– The law can address disputes over unsafe injection practices in a variety of ways. Administrative agencies may hold a provider or facility responsible for preventable harms according to specific statutory and regulatory provisions governing licensure. State courts can compensate victims of certain actions or inactions based on tort law, where a breach of a legal duty caused damages. Prosecutors and the public can turn to criminal law to punish defendants and deter future actions that result in disability or death.

Research limitations/implications
– The state law findings in this review are limited to legal provisions and court cases that are available on searchable databases. Due to the nature of this topic, many cases are settled out of court, and those records are sealed from the public and not available for review.

Practical implications
– Preventable harm continues to occur from unsafe injection practices. These practices pose a significant risk of disease or even death for patients and could result in legal repercussions for healthcare providers and facility leadership.

Originality/value
– This article reviews emerging law and potential legal implications for health care and public health related to unsafe medical practices related to needle, syringe, and vial use.
Numerical study on the dynamics and mass transfer characteristics of a radial offset jet
Authors: Li Zhiwei , Huai Wenxin , Yang Zhonghua , Qian Zhongdong , Zeng Yuhong 
Published: May 2014

Purpose
– A radial offset jet has the flow characteristics of a radial jet and an offset jet, which are encountered in many engineering applications. The purpose of this paper is to study the dynamics and mass transfer characteristics of the radial offset jet with an offset ratio 6, 8 and 12.

Design/methodology/approach
– Three turbulence models, namely the SST k-? model, detached eddy simulation model, and improved delayed detached eddy simulation (IDDES), were applied to the radial offset jet with an offset ratio eight and their results were compared with experimental results. The contrasting results, such as the distributions of mean and turbulent velocity and pressure, show that the IDDES model was the best model in simulating the radial offset jet. The results of the IDDES were analyzed, including the Reynolds stress, turbulent kinetic energy, triple-velocity correlations, vertical structure and the tracer concentration distribution.

Findings
– In the axisymmetric plane, Reynolds stresses increase to reach a maximum at the location where the jet central line starts to be bent rapidly, and then decrease with increasing distance in the radial direction. The shear layer vortices, which arise from the Kelvin-Helmholtz instability near the jet exit, become larger scale results in the entrainment and vortex pairing, and breakdown when the jet approaches the wall. Near the wall, the vortex swirling direction is different at both front and back of attachment point. In the wall-jet region, the concentration distributions present self-similarity while it keeps constant below the jet in the recirculation region.

Research limitations/implications
– The radial offset jet with other offset ratio and exit angle is not considered in this paper and should be investigated.

Originality/value
– The results obtained in this paper will provide guidance for studying similar flow and a better understanding of the radial offset jet.
Social entrepreneurship and services for marginalized groups
Authors: Kidd Sean , McKenzie Kwame 
Published: May 2014

Purpose– The purpose of this paper is to examine the usefulness of the social entrepreneurship (SE) framework in highlighting effective models of service development and practice in mental health equity.Design/methodology/approach– Using a rigorous SE search process and a multiple case study design, core themes underlying the effectiveness of five services in Toronto, Canada for transgender, Aboriginal, immigrant, refugee, and homeless populations were determined.Findings– It was found that the SE construct is highly applicable in the context of services addressing mental health inequities. In the analysis five core themes emerged that characterized the development of these organizations: the personal investment of leaders within a social justice framework; a very active period of clarifying values and mission, engaging partners, and establishing structure; applying a highly innovative approach; maintaining focus, keeping current, and exceeding expectations; and acting more as a service working from within a community than a service for a community.Practical implications– These findings may have utility as a guide for individuals early in their trajectories of SE in the area of mental health equity and as a tool that can be used by decision maker “champions” to better identify and support SE endeavours.Originality/value– In a context characterized by increasing attention given to models of SE in health equity, this study is the first to directly examine applicability to mental health equity.
“Packaging logistics”: promoting sustainable efficiency in supply chains
Authors: García-Arca Jesús , Prado-Prado J. Carlos , Gonzalez-Portela Garrido A. Trinidad 
Published: May 2014

Purpose
– The purpose of this paper is to examine the aspects of internal and external transformation that take place in each company along the supply chain when a “sustainable packaging logistics” approach is implemented. Before this can be achieved, it is necessary to identify and characterise the principal cornerstones and stages associated with this implementation.

Design/methodology/approach
– In the paper the combination of “case study” and “action research” techniques have been chosen. It has been analysed the implementation of “sustainable packaging logistics” in the supply chain of Mercadona (one of the largest retailers in Spain), paying special attention to the implementation and evolution in one of its main food suppliers.

Findings
– To adopt a “Sustainable Packaging Logistics” approach allows for a proactive integration of the efficiency and sustainability in supply chains. The proposal to implement “sustainable packaging logistics”, based on four cornerstones and three stages of evolution is particularly significant, while contributing to improved competitiveness. This implementation constitutes an evolutionary process which is conditioned by how each area, department or company along the supply chain interpret and assess different packaging features over time.

Research limitations/implications
– The model is based on a single supply chain analysis.

Originality/value
– This paper may be of interest both for researchers and professionals, because the model can aid companies in improving their global vision of product and packaging design in order to jointly increase sustainability and efficiency in the supply chain.
The benefits of the emissions trading mechanism for Italian firms: a multi-group analysis
Authors: De Giovanni Pietro , Esposito Vinzi Vincenzo 
Published: May 2014

Purpose
– The purpose of this paper is to test the impact of internal and external environmental management (EM) on performance to verify the emission trading (ET) mechanism
'
s effectiveness. It aims to investigate whether EM that is carried out by ET firms has a higher influence on performance than EM that is carried out by no-ET firms.

Design/methodology/approach
– A conceptual model is drawn up based on the existing literature in green supply chain management (GSCM) and is tested on a large sample of Italian firms. A multi-group analysis in structural equation modeling allows for the estimation of the impact of internal and external EM on economic and environmental performance over the two groups.

Findings
– Firms under ET regime do not perform better than no-ET firms environmentally or economically; moreover, environmental collaboration is significantly less effective for ET firms.

Research limitations/implications
– Although the ET mechanism has been introduced by the European Union to combat and reduce the emissions, research has shown its marginal effectiveness. Data comprises only data about Italian firms. Items in the questionnaire allow for a two-year lag period. Interviewed firms have been selected according to EM criteria only.

Practical implications
– Firms subjected to the ET mechanism should find more effective and efficient practices to improve their environmental performance because the ET is marginally beneficial.

Originality/value
– The findings supply insights to managers about the real effectiveness of ET as well as to decision planners for the development of future sustainable mechanisms.