bluuebunny/crossref_metadata_2025_split huggingface dataset:
Narrative Leadership: Storying Leaders in the Executive Business School Classroom
Authors: Trester Anna Marie 
Published: February 2015

AbstractI use interactional sociolinguistics to explore how participants in a thirteen-month-long executive master’s program focused on leadership navigate leadership identities within the classroom, focusing on narratives of professional experience. As I will argue, narrators claim a professional identity semiotically by constructing a corporation and then claiming a position within or relative to it. Whereas in a related project I explore such work through the concept “discursive othering,” in this project I focus on narratives. Specifically, I examine how agency is accomplished in these narratives at several levels: first, within the world of the story, second, at the interactional level, and, finally, at the intertextual level. Ultimately, I will consider what implications all of these processes have on the discursive construction of leadership.
CO2-driven decrease in pH disrupts olfactory behaviour and increases individual variation in deep-sea hermit crabs
Authors: Kim Tae Won , Taylor Josi , Lovera Chris , Barry James P. 
Published: February 2015

Abstract
Deep-sea species are generally thought to be less tolerant of environmental variation than shallow-living species due to the relatively stable conditions in deep waters for most parameters (e.g. temperature, salinity, oxygen, and pH). To explore the potential for deep-sea hermit crabs (Pagurus tanneri) to acclimate to future ocean acidification, we compared their olfactory and metabolic performance under ambient (pH ∼7.6) and expected future (pH ∼7.1) conditions. After exposure to reduced pH waters, metabolic rates of hermit crabs increased transiently and olfactory behaviour was impaired, including antennular flicking and prey detection. Crabs exposed to low pH treatments exhibited higher individual variation for both the speed of antennular flicking and speed of prey detection, than observed in the control pH treatment, suggesting that phenotypic diversity could promote adaptation to future ocean acidification.
Harvest disruption projections for the Australian sugar industry
Authors: Sexton Justin , Everingham Yvette , Timbal Bertrand 
Published: February 2015

Purpose– This study aims to investigate the effects of climate change on harvestability for sugarcane-growing regions situated between mountain ranges and the narrow east Australian coastline.Design/methodology/approach– Daily rainfall simulations from 11 general circulation models (GCMs) were downscaled for seven Australian sugarcane regions (1961:2000). Unharvestable days were calculated from these 11 GCMs and compared to interpolated observed data. The historical downscaled GCM simulations were then compared to simulations under low (B1) and high (A2) emissions scenarios for the period of 2046-2065. The 25th, 50th and 75th percentiles of paired model differences were assessed using 95 per cent bootstrapped confidence intervals.Findings– A decrease in the number of unharvestable days for the Burdekin (winter/spring) and Bundaberg (winter) regions and an increase for the Herbert region (spring) were plausible under the A2 scenario. Spatial plots identified variability within regions. Northern and southern regions were more variable than central regions.Practical implications– Changes to the frequency of unharvestable days may require a range of management adaptations such as modifying the harvest period and upgrading harvesting technologies.Originality/value– The application of a targeted industry rainfall parameter (unharvestable days) obtained from downscaled climate models provided a novel approach to investigate the impacts of climate change. This research forms a baseline for industry discussion and adaptation planning towards an environmentally and economically sustainable future. The methodology outlined can easily be extended to other primary industries impacted by wet weather.
Farm-level cost of adaptation and expected cost of uncertainty associated with climate change impacts in major river basins in India
Authors: Palanisami Kuppanan , Kakumanu Krishna Reddy , Ranganathan C.R. , Udaya Sekhar Nagothu 
Published: February 2015

Purpose– Researchers and policymakers are figuring out the adaptation technologies to cope with the changing climate. Adaptation strategies for crop production followed by the farmers at selected study locations had ranged from 6-30 per cent only, and this was mainly due to lack of awareness about the actual cost associated with adaptation and non-adaptation of these strategies.Design/methodology/approach– Hence, this study aims to address the cost of adaptation for rice using joint probability distribution of rainfall and crop prices.Findings– Cost of adaptation varied from INR2,389 to 4,395/ha for System of Rice Intensification (SRI); INR646 to 1,121/ha for alternate wetting and drying (AWD) and INR8,144 to 8,677/ha for well irrigation (WI), whereas expected cost for not using these technologies has ranged from INR6,976 to 9,172/ha for SRI; INR4,123 7,764/ha for AWD and INR10,825 to 17,270/ha for WI. Hence, promotion of the adaptation technologies itself will minimize the income losses to the farmers.Research limitations/implications– Even though, there are many ways for farmers (other than technology), to adapt to climate change (such as out-migration to cities, selling farm assets, focus on children’s education, etc.), this report, given the framework of the major research study undertaken, addresses only farm-level adaptation of the technologies to enhance farm income.Originality/value– Public–private partnership in providing the technologies at cheaper costs, capacity building in handling the technologies and creating awareness about the technologies to minimize the expected cost of adaptation are suggested to improve the adoption level.
Climate change and its impact on domestic water consumption in Sub-urban regions in the Gaza Strip
Authors: Jarboo Mahdy , Al-Najar Husam 
Published: February 2015

Purpose
– This paper aims to identify the priorities on water sector planning. The priorities are identified by comparing the climate change impact on water consumption and the impact of using domestic water illegally to irrigate the urban agricultural holdings in suburban areas.

Design/methodology/approach
– Metered water consumption in summer and winter in both urban and suburban areas was studied in Rafah city. A backward chronological linear model of climate change (precipitation and temperature) influence on water consumption was developed using software STATISTICA 10. The developed statistical relation was used to predict the impact of various climate change scenarios for domestic water consumption. Hence, four climate change scenarios were hypothesized – an increase in temperature by 1 and 20°C and a reduction in the rainfall by 10 and 20 per cent, respectively.

Findings
– The most influential climate change scenario was the increase of temperature by 20°C, which caused an increase of 1.4 per cent on the average domestic water consumption compared to the current value. The hypothesized reduction of 20 per cent in precipitation caused a negligible increase in water consumption by 0.1 per cent from the current value. Urban agriculture and current practice of using municipal water to irrigate cultivated urban holdings have a significant negative influence on domestic water consumption. The aforementioned practice led to a high percentage of unaccounted for water (UFW) of 33, 38 and 45 per cent for the years 2010, 2011 and 2012, respectively.

Practical implications
– The concerned decision-makers should consider the right track in prioritizing dilemmas for planning water sector in suburban areas.

Originality/value
– This research could be considered the first of its kind because impacts of urban agriculture and climate change on domestic water consumption have never been previously considered in the Gaza Strip.
An analysis of climatic impacts and adaptation strategies in Tanzania
Authors: Ojoyi Mercy M. , Mwenge Kahinda Jean-Marc 
Published: February 2015

Purpose
– The purpose of this paper is to investigate climate change perceptions and adaptation strategies in the communities of Morogoro region of Tanzania. Climate change is a vital issue of global concern.

Design/methodology/approach
– Rain fall data trends collected from different meteorological stations in the region were useful in assessment of climate variability and change trends from the historical perspective. In addition, quantitative interviews, surveys and focussed discussion groups were used to collect data capturing past and present trends in the catchment, and reasons provided by 199 respondents from a total of six villages. The data were collected with the aid of trained research assistants and trained graduates selected from each of the randomly select villages.

Findings
– Significant differences in rainfall intensities have been recorded by use of feedback results from analysis of variance tests conducted. Major indicators of climate variability and change include: increased dry spells (39.7 per cent), drying of rivers (34.7 per cent), a reduction in water flows (14.6 per cent) and poor economy of the area (11.1 per cent).

Research limitations/implications
– The scope of the study does not cover certain aspects such as the spatial and temporal changes in daily temperature which could have provided important and additional dimension. This study also did not take into consideration institutional arrangements required to successfully implement national adaptation programmes to climate change. Finally, it is important to remember that peoples’ perceptions determine the social mental picture of climate change.

Practical implications
– The study suggests the need for leverage on resource use through education and good governance strategies to be employed by resource planners, leaders and policy makers.

Social implications
– This study links scientific and participatory data as an approach for incorporating modern technologies and local knowledge into the design of useful practices and strategies as well as their successful implementation. Opinions from communities supported the urgent need for effective use and management of resources while laying emphasis on advancement of both indigenous and imported technologies.

Originality/value
– An understanding of how the community views climate change is crucial in design of practices aimed at improving their well-being. In this regard, a study investigating smallholder farmers’ views regarding major drivers of change, assessing main factors leading to changes in climate experienced and identifying potential coping strategies against climate change, was conducted in East Africa, Tanzania between 2009 and 2010. This paper identifies potential resilient practices intended to minimize destruction and maximize opportunities likely to benefit Morogoro region.
An EFQM excellence model for integrated healthcare governance
Authors: Favaretti Carlo , De Pieri Paolo , Torri Emanuele , Guarrera Giovanni , Fontana Fabrizio , Debiasi Franco , Flor Luciano 
Published: February 2015

Purpose
– The purpose of this paper is to account for a ten-year experience with the European Foundation for Quality Management (EFQM) Excellence Model implemented in the Trento Healthcare Trust.

Design/methodology/approach
– Since 2000, the EFQM Excellence Model provided an overarching framework to streamline business process governance, to support and improve its enablers and results. From 2000 to 2009, staff performed four internal (self) and four external EFQM-based assessments that provided guidance for an integrated management system. Over the years, key controls and assurances improved service quality through business planning, learning and practice cycles.

Findings
– Rising assessment ratings and improving results characterized the journey. The average self-assessment score (on a 1,000 points scale) was 290 in 2001, which increased to 610 in 2008. Since 2006, the Trust has been Recognized for Excellence (four stars). The organization improved significantly on customer satisfaction, people results and key service delivery and outcomes.

Practical implications
– The EFQM Model can act as an effective tool to meet governance demands and promote system-level results. The approach to integrated governance discussed here may support similar change processes in comparable organizations.

Originality/value
– The paper describes a unique experience when implementing EFQM within a large Italian healthcare system, which had a broader reach and lasted longer than any experience in Italian healthcare.
Steering healthcare service delivery: a regulatory perspective
Authors: Prakash Gyan 
Published: February 2015

Purpose– The purpose of this paper is to explore regulation in India’s healthcare sector and makes recommendations needed for enhancing the healthcare service.Design/methodology/approach– The literature was reviewed to understand healthcare’s regulatory context. To understand the current healthcare system, qualitative data were collected from state-level officials, public and private hospital staff. A patient survey was performed to assess service quality (QoS).Findings– Regulation plays a central role in driving healthcare QoS. India needs to strengthen market and institutional co-production based approaches for steering its healthcare in which delivery processes are complex and pose different challenges.Research limitations/implications– This study assesses current healthcare regulation in an Indian state and presents a framework for studying and strengthening regulation. Agile regulation should be based on service delivery issues (pull approach) rather than monitoring and sanctions based regulatory environment (push approach).Practical implications– Healthcare pitfalls across the world seem to follow similar follies. India’s complexity and experience is useful for emerging and developed economies.Originality/value– The author reviewed around 70 publications and synthesised them in healthcare regulatory contexts. Patient’s perception of private providers could be a key input towards steering regulation. Identifying gaps across QoS dimensions would be useful in taking corrective measures.
An empirical study on hospital selection in India
Authors: Ghosh Manimay 
Published: February 2015

Purpose
– The purpose of this paper is to understand the different factors patients consider in choosing a hospital in a major city in India, prior to admission.

Design/methodology/approach
– A 20-item scale to identify various factors a patient considers in choosing a hospital was developed. A field survey was conducted on patients who were discharged in the recent past from a public or a private hospital. The data collected were analysed using multivariate techniques.

Findings
– The data analysis highlighted several factors in the hospital choice selection process, namely quality of treatment, referral, transport convenience, cost, and safety and services.

Research limitations/implications
– This research study was carried out in one of the four major metropolitan cities of India. Nonetheless, the study provides valuable insights into the hospital selection process in a developing country like India.

Practical implications
– Hospital managers, in general, can use the study findings to improve the operating performance of their hospitals so that they are able to attract more patients in the future. Additionally, the information can be useful to the marketing managers for developing appropriate marketing strategies for their hospitals.

Originality/value
– Majority of the empirical research on hospital choice process has been conducted in Europe and North America. Limited knowledge exists on the same in a developing nation like India. This research illustrates a comprehensive study to address that concern.
Food production and service in UK hospitals
Authors: Ahmed Mohamed , Jones Eleri , Redmond Elizabeth , Hewedi Mahmoud , Wingert Andreas , Gad El Rab Mohamed 
Published: February 2015

Purpose
– The purpose of this paper is to apply value stream mapping holistically to hospital food production/service systems focused on high-quality food.

Design/methodology/approach
– Multiple embedded case study of three (two private-sector and one public-sector) hospitals in the UK.

Findings
– The results indicated various issues affecting hospital food production including: the menu and nutritional considerations; food procurement; food production; foodservice; patient perceptions/expectations.

Research limitations/implications
– Value stream mapping is a new approach for food production systems in UK hospitals whether private or public hospitals.

Practical implications
– The paper identifies opportunities for enhancing hospital food production systems.

Originality/value
– The paper provides a theoretical basis for process enhancement of hospital food production and the provision of high-quality hospital food.
Managerial process improvement: a lean approach to eliminating medication delivery
Authors: Hussain Aftab , Stewart LaShonda M. , Rivers Patrick A. , Munchus George 
Published: February 2015

Purpose
– Statistical evidence shows that medication errors are a major cause of injuries that concerns all health care oganizations. Despite all the efforts to improve the quality of care, the lack of understanding and inability of management to design a robust system that will strategically target those factors is a major cause of distress. The paper aims to discuss these issues.

Design/methodology/approach
– Achieving optimum organizational performance requires two key variables; work process factors and human performance factors. The approach is that healthcare administrators must take in account both variables in designing a strategy to reduce medication errors. However, strategies that will combat such phenomena require that managers and administrators understand the key factors that are causing medication delivery errors.

Findings
– The authors recommend that healthcare organizations implement the Toyota Production System (TPS) combined with human performance improvement (HPI) methodologies to eliminate medication delivery errors in hospitals.

Originality/value
– Despite all the efforts to improve the quality of care, there continues to be a lack of understanding and the ability of management to design a robust system that will strategically target those factors associated with medication errors. This paper proposes a solution to an ambiguous workflow process using the TPS combined with the HPI system.
Laboratory errors and patient safety
Authors: Miligy Dawlat  A. 
Published: February 2015

Purpose
– Laboratory data are extensively used in medical practice; consequently, laboratory errors have a tremendous impact on patient safety. Therefore, programs designed to identify and reduce laboratory errors, as well as, setting specific strategies are required to minimize these errors and improve patient safety. The purpose of this paper is to identify part of the commonly encountered laboratory errors throughout our practice in laboratory work, their hazards on patient health care and some measures and recommendations to minimize or to eliminate these errors.

Design/methodology/approach
– Recording the encountered laboratory errors during May 2008 and their statistical evaluation (using simple percent distribution) have been done in the department of laboratory of one of the private hospitals in Egypt. Errors have been classified according to the laboratory phases and according to their implication on patient health.

Findings
– Data obtained out of 1,600 testing procedure revealed that the total number of encountered errors is 14 tests (0.87 percent of total testing procedures). Most of the encountered errors lay in the pre- and post-analytic phases of testing cycle (representing 35.7 and 50 percent, respectively, of total errors). While the number of test errors encountered in the analytic phase represented only 14.3 percent of total errors. About 85.7 percent of total errors were of non-significant implication on patients health being detected before test reports have been submitted to the patients. On the other hand, the number of test errors that have been already submitted to patients and reach the physician represented 14.3 percent of total errors. Only 7.1 percent of the errors could have an impact on patient diagnosis.

Practical implications
– The findings of this study were concomitant with those published from the USA and other countries. This proves that laboratory problems are universal and need general standardization and bench marking measures.

Originality/value
– Original being the first data published from Arabic countries that evaluated the encountered laboratory errors and launch the great need for universal standardization and bench marking measures to control the laboratory work.
Impact of hospital atmosphere on perceived health care outcome
Authors: Narang Ritu , Polsa Pia , Soneye Alabi , Fuxiang Wei 
Published: February 2015

Purpose
– Healthcare service quality studies primarily examine the relationships between patients
'
perceived quality and satisfaction with healthcare services, clinical effectiveness, service use, recommendations and value for money. These studies suggest that patient-independent quality dimensions (structure, process and outcome) are antecedents to quality. The purpose of this paper is to propose an alternative by looking at the relationship between hospital atmosphere and healthcare quality with perceived outcome.

Design/methodology/approach
– Data were collected from Finland, India, Nigeria and the People
'
s Republic of China. Regression analysis used perceived outcome as the dependent variable and atmosphere and healthcare service quality as independent variables.

Findings
– Results showed that atmosphere and healthcare service quality have a statistically significant relationship with patient perceived outcomes.

Research limitations/implications
– The sample size was small and the sampling units were selected on convenience; thus, caution must be exercised in generalizing the findings.

Practical implications
– The study determined that service quality and atmosphere are considered significant for developing and developed nations. This result could have significant implications for policy makers and service providers developing healthcare quality and hospital atmosphere.

Originality/value
– Studies concentrate on healthcare outcome primarily regarding population health status, mortality, morbidity, customer satisfaction, loyalty, quality of life, customer behavior and consumption. However, the study exposes how patients perceive their health after treatment. Furthermore, the authors develop the healthcare service literature by considering atmosphere and perceived outcome.