bluuebunny/crossref_metadata_2025_split huggingface dataset:
Why are there local shortfalls in anaesthesia consultant staffing?
Authors: Pandit J.J. , Tavare A.N. , Millard P. 
Published: March 2010

PurposeAnecdotally, many hospitals experience shortfalls in anaesthetic consultant staffing. This paper aims to investigate whether these subjective experiences are confirmed objectively.Design/methodology/approachThe paper hypothesises that a simple model that estimated service delivery capability using consultant entitlements to annual and other types of leave would not (null hypothesis) accurately predict the magnitude of any shortfall that existed. It also hypothesises that excessive leave‐taking was an important cause of any shortfall. A comparison is made between the model predictions for total leave taken and service delivery with results from a real data set from a large university teaching hospital's department of anaesthetics.FindingsThe model prediction for leave (median total 45 days absence in a year per consultant, range (30‐59)) closely matched the reality (median 41 days (tenth‐ninetieth deciles 30‐69)). Consequently, both model predictions and the real data for annual elective service delivery agreed: median 228 sessions (193‐266) vs 232 (183‐266) per consultant respectively. Taking into account likely service delivery by trainees (2,304‐4,140 elective sessions in total annually) the predicted shortfall of 2,220 sessions was very close to the true elective service shortfall of 2,148 sessions for the department as a whole over the year.Practical implicationsRejecting the null hypothesis, it is concluded that a simple model that estimates elective service delivery using leave entitlements as the main factor can accurately predict actual service capability for a department. There is no evidence that excessive leave‐taking occurs.Originality/valueThe paper computes an estimate that 2.2‐2.6 consultants per functional operating theatre are necessary to ensure that staffing matches the elective workload.
The hospitalist as coordinator: an observational case study
Authors: Burkhardt Ulrike , Erbsen Astrid , Rüdiger‐Stürchler Marjam 
Published: March 2010

PurposeThe hospitalist concept aims for integration and continuity of care in inpatient treatment. The purpose of this paper is to understand how the hospitalist function emerges and unfolds on wards. Therefore, the paper aims to focus on interaction patterns and the role of the hospitalist.Design/methodology/approachBuilding on methodological approaches in health care team research, this process‐oriented case study used participatory observations and semi‐structured interviews. Over a year, 14 observational days were conducted, simultaneously accompanying hospitalists, nurses and surgeons. Observational data illustrate the findings.FindingsThe hospitalist function was perceived to have a positive impact. He/she serves as an informal leader by taking up five interrelated, mostly coordinative roles, which help to cope with different organisational gaps. The interaction patterns are bilateral,ad hoc, reactive, repetitive and dependent on chance and people. Roles, tasks and responsibilities are continuously negotiated.Research limitations/implicationsHospitalist research should make use of the debate in health care team research about overlapping roles, tasks and responsibilities. Additionally, one could look at the origins behind the evolvement of interaction patterns and the hospitalist's roles.Practical implicationsThe sole creation of the hospitalist function is not sufficient to tap its full potential. Organisational issues concerning the interaction processes need to be addressed. In so doing, the professions' orientations must be taken into account.Originality/valueThis paper addresses theoretical and methodological gaps in hospitalist research. Using a process‐oriented qualitative design, the findings question the prominent stimulus‐response assumption. The focus on the interplay of functions and the hospitalists' roles lead to a more comprehensive picture of the patient‐related interaction processes.
Anger‐provoking events and intention to turnover in hospital administrators
Authors: Harlos Karen 
Published: March 2010

PurposeThe purpose of this paper is to examine anger associated with types of negative work events experienced by health administrators and to examine the impact of anger on intent to leave.Design/methodology/approachTextual data analysis is used to measure anger in open‐ended survey responses from administrative staff of a Canadian hospital. Multivariate regression is applied to predict anger from event type, on the one hand, and turnover intentions from anger, on the other.FindingsPerson‐related negative events contributed to administrator anger more than policy‐related events. Anger from events predicted turnover intentions after adjusting for numerous potential confounds.Research limitations/implicationsFuture studies using larger samples across multiple sites are needed to test the generalizability of results.Practical implicationsResults provide useful information for retention strategies through codifying respect and fairness in interactions and policies. Health organizations stand to gain efficiencies by helping administrators handle anger effectively, leading to more stable staffing levels and more pleasurable, productive work environments.Originality/valueThis paper addresses gaps in knowledge about determinants of turnover in this population by examining the impact of administrator anger on intent to leave and the work events which give rise to anger. Given the strategic importance of health administration work and the high costs to health organizations when administrators leave, results hold particular promise for health human resources.
Selection of chairs of primary care trusts
Authors: Alban‐Metcalfe John , Alimo‐Metcalfe Beverly , Hughes Miranda 
Published: March 2010

PurposeThis paper aims to examine empirical evidence of the criterion, construct, and face validity of two processes commonly used in selection – selection interviews and assessment centres (ACs) – in the selection of chairs of primary care trusts.Design/methodology/approachA critical review of the literature and an empirical investigation are undertaken.FindingsEvidence is presented of the reliability and the predictive, construct, and face validity of using a combination of selection interviews and AC methodology in appointments to public office. In the light of the evidence of the potential benefits of using more than one approach, it is suggested that a combination of AC methodology and panel interviews be used in making public sector appointments.Practical implicationsThe evidence presented supports the decision of the Appointment Commission to use AC methodology in the selection for positions in public office, and points to ways in which the process could be improved.Originality/valueThe paper provides empirical evidence of the reliability and validity of two methodologies used in selection to posts.
Improving the crystal ball: harnessing consumer input to create retail prediction markets
Authors: Kaufman‐Scarborough Carol , Morrin Maureen , Bradlow Eric T. 
Published: March 2010

PurposeRetail buyers' decisions result in billions of dollars of merchandise being purchased and offered for sale by retailers around the world. At present, retail buyers do not appear to be adequately harnessing consumer input to improve their forecasts. The purpose of this paper is to address this issue by introducing a new approach involving both retail buyers' consensus forecasts and those from a sample of “ordinary” consumers.Design/methodology/approachThe authors introduce a new approach to online forecasting that involves both retail buyers' consensus forecasts and those from a sample of “ordinary” consumers.FindingsThe results suggest an opportunity to create what are termed retail prediction markets that offer significant potential to improve the accuracy of buyers' forecasts.Originality/valueThe authors go beyond crowd sourcing technology and show how retail prediction markets may offer significant potential to improve the accuracy of retail buyers' forecasts.
Young people's use of online social networking sites – a uses and gratifications perspective
Authors: Dunne Áine , Lawlor Margaret‐Anne , Rowley Jennifer 
Published: March 2010

PurposeThe purpose of this paper is to explore why young people use and participate in social networking sites (SNSs) with specific reference to Bebo.Design/methodology/approachA qualitative approach is employed in this paper with a view to exploring the uses and gratifications (U and G) that girls aged 12‐14 years, both seek and obtain from the Bebo SNS. The research is conducted in a school setting in Ireland.FindingsThe findings indicate that the participants are actively using Bebo for their own personal motives and gratifications in terms of presenting and managing a certain identity and persona in a social context. Furthermore, the relatively impersonal nature of the online environment is seen to especially facilitate the young participants in negotiating the practicalities and difficulties that can arise offline, in terms of forging identities and managing relationships.Originality/valueU and G theory has attracted criticism in terms of a perceived limitation that it only serves to offer lists of reasons as to why audiences attend to the media, and furthermore, a perception that much of the extant U and G research has desisted from discerning between gratifications sought (GS) and gratifications obtained (GO). This paper affirms the appropriateness of the U and G theoretical approach in the context of online research. The authors conclude that SNS such as Bebo facilitate the participants in this paper in executing personal aims (for example, identity creation and management) with a view to obtaining certain gratifications (for example, peer acceptance). Therefore, a clear distinction but inextricable link is demonstrated between the GS and GO from participating in SNS.
Factors that inhibit partnering for social start‐up enterprises
Authors: Maase Simone J.F.M. , Bossink Bart A.G. 
Published: March 2010

PurposeThe purpose of this paper is to analyze the inhibiting factors of partnership creation between social entrepreneurs in the business, government, public and non‐profit sector.Design/methodology/approachThis paper examines four cases of social entrepreneurship in the start‐up phase. Each case is studied in real time, for a period of two years.FindingsThe empirical research reveals that partnership creation for social enterprises between a social enterprise and organizations in various sectors is inhibited by conflicting interests and diverging speed of on one hand and by the conflicts that originate from the opportunity‐seeking behavior of the social entrepreneur and the risk avoiding behavior of the organizations. While the social start‐ups that managed to neutralize such inhibitors succeeded, the start‐up enterprises that did not manage to do so failed.Originality/valueWhile, there is a sound body of knowledge of the factors that inhibit the more traditional single and cross‐sector partnerships, relatively little is known about the factors that inhibit the partnerships between social enterprises and organizations in the business, public, government, and non‐profit sectors in society.
The politics of narrating social entrepreneurship
Authors: Dey Pascal , Steyaert Chris 
Published: March 2010

PurposeResponding to recent pleas both to critically analyze and to conceptually advance social entrepreneurship. The purpose of this paper is to examine how the political “unconscious” operates in the narration of social entrepreneurship and how it poses a limit to alternative forms of thinking and talking.Design/methodology/approachTo move the field beyond a predominantly monological way of narrating, various genres of narrating social entrepreneurship are identified, critically discussed and illustrated against the backdrop of development aid.FindingsThe paper identifies and distinguishes between a grand narrative that incorporates a messianistic script of harmonious social change, counter‐narratives that render visible the intertextual relations that interpellate the grand narration of social entrepreneurship and little narratives that probe novel territories by investigating the paradoxes and ambivalences of the social.Practical implicationsThe paper suggests a minor understanding and non‐heroic practice of social entrepreneurship guided by the idea of “messianism without a messiah.”Originality/valueThe paper suggests critical reflexivity as a way to analyze and multiply the circulating narrations of social entrepreneurship.
Transitioning from service management to service‐dominant logic
Authors: Gummesson Evert , Lusch Robert F. , Vargo Stephen L. 
Published: March 2010

PurposeThe purpose of this paper is to reflect on actions and obstacles in the conceptual transition from mainstream service management (1970‐2000s) to a new approach synthesized in service‐dominant (S‐D) logic (2000s).Design/methodology/approachThe paper takes the form of a review of approaches to service in the literature, education, and practice in management disciplines and economics.FindingsS‐D logic has triggered considerable interest in the global academic community. Its ten foundational premises (FPs) hold that service(s) and the roles of suppliers/customers be reconceptualized on a higher level of relevance and generalization. The new logic is not final but – to use its own terminology – is a value proposition that opens up for co‐created theory improvements.Research limitations/implicationsTo transition from a goods/services divide to a goods/service union, the platform for future service research requires the superordination of mainstream service management by a new language and lexicon and the generation of new theory; testing of the new theory by comparing its robustness with that of extant theory; conduct of empirical studies through hypotheses‐testing and real world, in‐depth research and the application of complexity theory, network, and systems theory; co‐creation by and between researchers; focus on validity and relevance by using the full range of S‐D logic compatible methods and metrics; and investigation at both micro and macro levels.Practical implicationsBusiness, marketing, governments, and politicians should focus on service and value and abandon the goods/services and producer/customer divides. Textbooks and educators should transition from outdated concepts and models. Improved education is strongly supported by IBM's service science programme.Originality/valueThe paper suggests that several developments in mainstream service management that once brought attention to service now provide obstacles both in research, education, and practice.
Linking the viable system and many‐to‐many network approaches to service‐dominant logic and service science
Authors: Barile Sergio , Polese Francesco 
Published: March 2010

PurposeThe purpose of this paper is to combine service science (service science, management and engineering, and SSME) and service dominant (S‐D) logic contributions with the network and systems‐based theories of many‐to‐many marketing proposed by Gummesson and the viable system approach (VSA), proposed by Italian researchers and highly diffused in Italy during the 2000s.Design/methodology/approachThis paper is a conceptual analysis based on recent developments in service science, S‐D logic and network/systems theory.FindingsBeing grounded in network theory, systems thinking and value co‐creation, many‐to‐many marketing is found to be particularly supportive to both service science and S‐D logic. It is also found that VSA, being broad, interdisciplinary and based on systems theory and resource‐based theory, and with strong influences from biology, sociology and mechanics, is a key to the interpretation of complex phenomena. Both many‐to‐many and VSA embrace the whole and the general while still considering the detail and its contextual dependency. Both theories are highly suitable for analysing and designing service systems.Research limitations/implicationsThe network and systemic approach to business offer by many‐to‐many marketing and VSA and applicable to service and the value creation, relationship management and business finalities, are strongly coherent with the one proposed or tacitly implied by service science and S‐D logic.Practical implicationsThe paper helps practitioners to better manage service and to enable efficient behaviour within multiple contexts with multiple actors and optimising inter‐systemic relations.Originality/valueThis is believed to be the only paper to apply network theories and the VSA perspective on service.
Business model design: conceptualizing networked value co‐creation
Authors: Nenonen Suvi , Storbacka Kaj 
Published: March 2010

PurposeA common thread in the modern marketing theories, such as service‐dominant logic and viable systems approach, is the notion value co‐creation: thelocusof value creation is no longer perceived to reside within firm boundaries but value is considered to be co‐created among various actors within the networked market. The evolution of value creation, from value creation by the manufacturing firm to value co‐creation in a network, necessitates a corresponding change in the concepts used to depict value creation. The purpose of this paper is to investigate business models as a broader conceptualization of value co‐creation that captures this change.Design/methodology/approachThe topic is approached by a combination of literature review and interactive research, including interactions with managers from 12 international companies.FindingsBusiness models are defined as configurations of 12 interrelated elements, covering market, offering, operational, and management viewpoints. The effectiveness of a business model in value co‐creation is defined by the internal configurational fit between all business model elements and the external configurational fit between provider's and customers' business models.Research limitations/implicationsThe paper contributes to the understanding on value co‐creation by providing a conceptualization of the business model construct depicting value co‐creation in a network. Of the 12 companies providing the empirical data, ten are within business‐to‐business which limits the applicability to business in general. Further, the paper indicates that within a single firm multiple parallel business models are in use.Practical implicationsA firm can radically improve value co‐creation by designing business models that have a high degree of internal and external configurational fit.Originality/valueThe originality and value of this paper lies in its analysis and discussion of co‐creation of value within a business model.
Co‐creating value innovation through resource integration
Authors: Mele Cristina , Russo Spena Tiziana , Colurcio Maria 
Published: March 2010

PurposeThe purpose of this paper is to analyse innovation in the light of service‐dominant (S‐D) logic and service science as a value‐creating process occurring through a many‐to‐many network resource integration.Design/methodology/approachThe paper utilises S‐D logic and network theory to present case study research of a highly innovative Italian firm. The study investigates three innovation projects and the processes of interaction and integration that take place among the members of the networks involved in each project.FindingsThe traditional understanding of innovation, in which the supplier is the innovator and the customer is the recipient of (or perhaps the stimulus for) innovation, is replaced by an understanding of innovation based on S‐D logic in which customers and other stakeholders become real co‐innovators who exchange and integrate resources to co‐create value.Research limitations/implicationsFuture studies could examine the antecedents and implications of the interaction and integration processes of collaborative innovation.Practical implicationsInnovation should be pursued as an open process in which all of the network's actors mobilise resources to become co‐innovators who co‐create value for themselves and other stakeholders.Originality/valueThis paper offers a widened perspective of innovation by using S‐D logic to emphasise the role of the network and the many‐to‐many interaction between stakeholders in developing value‐creating innovation.
Rethinking service innovation: four pathways to evolution
Authors: Sebastiani Roberta , Paiola Marco 
Published: March 2010

PurposeService‐dominant (S‐D) logic and service science provide a conceptual framework to describe evolutionary pathways that companies could follow by innovating in order to overcome and rethink traditional and non‐productive ways of managing their businesses. The purpose of this paper is to explore service innovation.Design/methodology/approachThrough a critical review of literature about service innovation, highlighting a dynamic perspective and building on the latest contributions from S‐D logic and service science, a research framework is designed. An in‐depth analysis of empirical data from almost 100 companies is conducted.FindingsFour evolutionary paths based on innovation pursued by companies to face the growing complexity of their competitive environment are identified. The paths are dematerialization of the offering system, virtualisation of the value systems, replication of the organizational models and multiplication of market niches.Research limitations/implicationsThis is a starting point for better understanding, in a dynamic perspective, the role of innovation in supporting the redefinition of corporate business models and the conditions that enable their path development.Originality/valueFour cases that show the characteristics of each path are presented. The cases allow the specificity of each path to be emphasized, especially in terms of antecedents and the role of the service science key resources people, technology, organizations and shared information.
Social practices as units of value creation: theoretical underpinnings and implications
Authors: Holttinen Heli 
Published: March 2010

PurposeThe purpose of this paper is to conceptually examine how value is created in (social) practices in which consumers use offerings as operand resources.Design/methodology/approachDrawing on service‐dominant logic, practice and consumer culture theories, this paper conceptualizes the operational logic of value creation in practices and draws implications to marketing theory and practice. The approach to markets is “markets as practices” in value networks.FindingsValue is tied to practices, not to offerings. Therefore, a key research unit for examining value creation is a practice. Value creation is socially constructed because a practice‐specific meaning structure, influenced by the context and consumer resources, configures consumers' activities. Guided by it, consumers do what makes best sense to do in the practice in the specific moment. As the context and consumer resources are unfixed, fragmented consumers emerge. Therefore, segmentation of value‐creating practices offers a valid description of value creation.Originality/valueThe paper extends the examination of value creation from use to practices. Drawing on marketing and other social sciences, it conceptualizes the operational logic of value creation in a practice: it defines practice elements, their roles and interdependencies in the value‐creation process. The operational logic introduces meaning structures as value‐creation mediators: influenced by the context and consumer resources, they steer consumer participation in the practice (including the use of offerings) and experienced value. Understanding meaning structures helps firms to identify value improvement opportunities which can be transferred to improved or new value propositions. Finally, the paper proposes segmentation of practices in the presence of fragmented consumers.