bluuebunny/crossref_metadata_2025_split huggingface dataset:
National study of injury‐increasing analgesics in the elderly
Authors: Blackwell Steven A. , Baugh David K. , Montgomery Melissa A. , Ciborowski Gary M. , Levy Jesse M. 
Published: April 2011

PurposeThe purpose of this paper is to identify the probability of the occurrence of an analgesic medication injury when controlling for potential risk factors, as well as gain a better understanding of which risk factors appear more problematic.Design/methodology/approachCross‐sectional retrospective review of 2004 Centers for Medicare and Medicaid Service Medicaid Pharmacy claims data. Logistic regression analysis performed to examine the risk of injury‐related emergency room (ER) visits following the use of analgesics controlling for potential risk factors.FindingsMethadone, an agent to treat severe pain, and propoxyphene, an agent to treat non‐severe pain, are problematic opioids in the elderly. White origin, male gender, and increased disease burden are potential risk factors influencing injury‐related ER visits for elderly analgesic recipients. Increased age in the elderly is a potential risk factor for severe pain analgesics; decreased age for non‐severe pain analgesics.Research limitations/implicationsThe study uses administrative data which, by its nature, makes conducting outcomes research on inappropriate medication use problematic. A number of confounders are present.Practical implicationsAppropriate drug therapy in an elderly patient is complicated by age‐related changes in pharmacokinetics as well as chronic disorders that affect drug response. Knowing of additional risk factors that may place the patient at greater odds of having an adverse outcome should improve prescribing practices.Originality/valueThe findings add to the literature by identifying problematic risk factors associated with injury among elderly recipients of analgesics.
Users' consumption of healthcare videos on hospital web sites
Authors: Huang Edgar , Bolchini Davide , Jones Josette F. 
Published: April 2011

PurposeWhile hospitals have done much over the last five years to push new media marketing, little research has been done to find out whether such endeavors are justified by users' healthcare online information consumption. This study attempts to find evidence for or against such endeavors.Design/methodology/approachUsing the Delphi technique, this study investigated both users' healthcare video consumption behavior and their underlying rationales through three rounds of questions among 30 users of varied demographic backgrounds as a purposive sample.FindingsMost participants did not watch videos hospital web sites because of their stereotypical understanding that hospital web sites provide no more than clerical information and because of videos' perceived inefficiency in delivering relevant and personalized information. However, most participants expressed their willingness to watch videos if the presentation is improved.Research limitations/implicationsAlthough the Delphi technique is arguably the best approach when there is no defined population for sampling, a small sample may still be inadvertently biased toward the participants.Practical implicationsHospitals need to make users aware of the abundant healthcare information in multimedia formats including video on their web sites, present the relevant content, and make such presentations easily digestible.Social implicationsHospitals' move into online new media marketing may help hospitals establish levels of trust with their online users comparable to the levels doctors currently enjoy and encourage consumers to visit hospital web sites as part of their healthcare decision‐making process.Originality/valueFor the very first time, this study has answered from the users' perspective and with evidential support the question whether hospitals' march into new media marketing is justified.
Dynamic capabilities of institutional entrepreneurship
Authors: McKague Kevin 
Published: April 2011

PurposeAlthough the concept of institutional entrepreneurship has been developed in the institutional theory literature to explain change in the normative context of organizations, little attention has been given to understanding what institutional entrepreneurs actually do to create change. The purpose of this paper is to begin to address this gap in the literature by drawing on the process, challenges, successes and lessons learned when a large multilateral organization (the United Nations Development Program) launched a new international multi‐stakeholder initiative to facilitate inclusive business development.Design/methodology/approachThis case study gathered qualitative data through key informant interviews, participant observation and a review of project documents and e‐mail correspondence.FindingsDrawing on institutional theory and the literature on dynamic capabilities, the research found that highly institutionalized organizations acting as institutional entrepreneurs need to manage two key tensions – legitimacy management and change process management – in order to influence change in their institutional fields.Originality/valueThis paper is the first to combine institutional theory and the dynamic capabilities literatures to understand the question What capabilities are required by organizations to succeed in changing their institutional fields?
Construmex: housing investments for Mexican migrants and their families
Authors: Serrano González Loretta 
Published: April 2011

PurposeThe purpose of this paper is to explore the challenges and implications related to the integration of low‐income customers into the strategy of CEMEX, one of the world's largest building materials companies.Design/methodology/approachA case study with data from interviews of a wide variety of stakeholders as well as observation and review of company documents.FindingsConstrumex was launched following CEMEX's experience with Patrimonio Hoy, a socially minded business targeted at low‐income families. Since its inception in 2001, Construmex helped more than 14,000 Mexican migrants in the USA improve, build or buy a house for themselves or their families in Mexico. Through a comprehensive value proposition, Construmex provided access to remote sales, micro‐credit and professional design and planning assistance.Practical implicationsAmong early barriers was an initial overconfident approach from the company, as well as a low level of trust from potential clients. The program's success was possible through the establishment of key partnerships. By playing an intermediary role between migrants and their beneficiaries in Mexico, Construmex helped to increase the resource efficiency and effectiveness of housing investments. Migrants gained control of the destination of their money and saved time and resources. Among unsolved challenges was the need to reach a larger scale and financial sustainability. Opportunities to strengthen impacts were related to improved engagement of salespersons, local distributors and beneficiaries.Originality/valueThe case provides insights on how a low‐income market can be integrated to the business strategy of a large company resulting in the creation of social and business value.
The contribution of grassroots businesses to post‐conflict development in Liberia
Authors: Tarway‐Twalla Alfred K. 
Published: April 2011

PurposeThe purpose of this paper is to determine the contribution of grassroots (mostly informal) businesses to post‐conflict, socio‐economic development in Liberia.Design/methodology/approachThe research findings are based on quantitative data from a survey of 1,823 grassroots business owners from the central region of Liberia and qualitative data from 48 key informant interviews and 22 focus groups.FindingsGrassroots businesses ensured access to goods and services in remote towns and villages, a key component of post‐conflict development. Although they were usually profitable and had high loan repayment rates, inadequate loan opportunities undercut their contributions to private sector growth and capacity development.Originality/valueThis research points to the contribution of grassroots businesses to post‐conflict social and private sector development, a relatively unexplored area of research in Liberia. The study reveals how grassroots businesses provide needed goods, services, and livelihoods in inaccessible parts of Liberia. This research can be used by government and non‐governmental organization to contribute to improve the economic situation for grassroots businesses in Liberia.
Development of small and medium enterprises in a developing country
Authors: Tahi Hamonangan Tambunan Tulus 
Published: April 2011

PurposeThe Indonesian Government has taken many measures to support the development of small and medium enterprises (SMEs), which are expected to play a crucial role in employment creation, gross domestic product growth, and non‐oil and gas export development. The purpose of this paper is to examine recent developments of SMEs in Indonesia. More specifically, it aims to address the following research questions: How important are SMEs in Indonesia? What are their main constraints? What is the impact of women entrepreneurs on SME development? and Can Indonesian SMEs be sources of innovation?Design/methodology/approachThe paper analyzes data from Indonesia's National Agency of Statistics and reviews key literature and secondary data on Indonesian SMEs.FindingsFirst, SMEs have been the main player in domestic economic activities as they account for more than 99.9 percent of all firms and employ 96.2 percent of the workforce. Second, key SME constraints include lack of finance and marketing difficulties. Third, representation of women entrepreneurs is still relatively low and can be attributed to low level of education and cultural/religious constraints. Finally, SME innovation capability is low for several key reasons.Originality/valueThe paper considers the involvement of women in SMEs in a Muslim‐majority country and contributes to the literature on the innovation capability of SMEs.
Opportunities for learning from crises in projects
Authors: Hällgren Markus , Wilson Timothy L. 
Published: April 2011

PurposeThe purpose of this paper is to investigate how individuals in projects learn from crises.Design/methodology/approachThe multiple‐case protocol described by Yin and his six sources of evidence were utilized. Observations were contemporaneous and somewhere between direct and participative. Bias was avoided by having the observer on site, but not part of the project team. A diary recorded events; company notes and records substantiated observations.FindingsThe study contributes to the understanding of the need that project managers have to adapt to changes from plan and the coincidental learning that occurs in the workplace. Both cumulative and abrupt crises treated by project/site teams and corporate staff are described. A necessary and sufficiency approach was used to rationalize the organizational learning. The necessary condition was that the episodes could be described in terms used by Gherardi in her treatment of routine learning. As a sufficiency condition, the authors discussed the systemic approach in which these episodes are handled.Research limitations/implicationsBecause research was built on case studies, one has the reservations commonly associated with this approach. Extension from and agreement with previous studies, however, lend to acceptance of the study.Practical implicationsResults suggest that crises can be managed in accordance with four general responses associated with learning within the organization. The responses themselves are associated with five organizational practices that aid management in general.Originality/valueThe value of the work is that it extends basic concepts of organizational learning to treating crises in projects, which are both by definition unique.
The Norwegian front‐end governance regime of major public projects
Authors: Christensen Tom 
Published: April 2011

PurposeThe purpose of this paper is to present a theoretically based analysis and evaluation of the Norwegian quality assurance scheme (QA1 and QA2) for major public projects (MPPs), drawing on a number of different perspectives from organization theory and decision‐making theory, but also from insight from two major public reform waves – new public management (NPM) and post‐NPM. The purpose is to analyze the scheme as a governance system, focusing on the way of organizing the decision system. Two illustrative cases are also analyzed where the QA system is used.Design/methodology/approachThe theory used in the article is taken from decision‐making theory, including an economic‐rational, an instrumental‐structural and a garbage can perspective, but also from reform theory and studies. The quality assurance scheme in Norway is first outlined, followed by a presentation and application of decision‐making theory on the system, and then a discussion of the elements from reform waves in the system. Method is interviews and public documents. The paper is also based on a pilot study that the author has done together with a consulting firm, covering three MPPs and an ongoing analysis of 23 MPPs.FindingsA structural‐instrumental perspective gives the best insight into the complex design of the QA system, which encompasses both centralizing elements with the potential to increase political control, and devolutionary elements, such as the use of private experts, while an economic‐rational perspective helps to explain the technical planning ideal. The garbage can perspective highlights complexity, potential ambiguity and the use of symbols. In a second step, the article shows that the QA system's approach to planning and the inclusion of external experts is very much inspired by NPM reform thinking, the QA1 part of the system, which anchors the system in the central political leadership and thus potentially increases political control, is a typical post‐NPM element. The two cases illustrate both how the political executive can use the QA system to increase control, that the consultants play a mainly supportive role and that MPP as about many other aspects than the one central for a QA system.Originality/valueThere are very few studies of QA systems for MPPs that are using decision‐making theory and reform theory in this way. Many MPP studies are of a technical and economic character, while the study described in this paper very much digs into the political considerations build into such systems and their balancing towards other concerns and interests. Designing QA system will, accordingly, be much more a political issue and not a technical and economical one.
Supportive culture for efficient project uncertainty management
Authors: Terje Karlsen Jan 
Published: April 2011

PurposeThe purpose of this paper is to study the effectiveness of current uncertainty management practice in projects with a special focus on the organization's cultural dimension.Design/methodology/approachThe empirical data were obtained using in‐depth interviews with project management professionals in three project‐oriented organizations in Norway, Statsbygg, Telenor and the Norwegian Defence Logistic Organization. All the respondents from these three organizations are people who actively work with projects and uncertainty management.FindingsThe study results show that a supportive uncertainty management culture is characterized by: positive attitude, commitment of time and resources, openness and respect, understanding of uncertainty management, uncertainty management internalized into daily work, senior managers asking for and using uncertainty information, proactive uncertainty management, a focus on opportunities, clear areas of responsibility, accepted and operationalized policy and terminology, and a holistic uncertainty view. Moreover, the interviews revealed that commitment, knowledge, communication, openness, and trust are factors that contribute to building a supportive uncertainty management culture.Research limitations/implicationsFuture research should investigate other organizations, types of projects, and countries, so that these findings may be generalized.Practical implicationsThis paper concludes that a supportive culture is important for achieving effective uncertainty management in projects. Uncertainty management practice will run more smoothly, there will be less problems and benefits of the uncertainty management activities will be more easily achieved.Originality/valueA supportive organizational culture for creating a well‐performing management of uncertainties in projects is studied in this research paper.
How actor‐network theories can help in understanding project complexities
Authors: Sage Daniel , Dainty Andrew , Brookes Naomi 
Published: April 2011

PurposeThe purpose of this paper is to question why current thinking towards project complexity ignores the role of objects in achieving social order and transformation. An alternative, but complementary, approach to address project complexities, drawing upon actor‐network theory (ANT), is offered to redress this concern.Design/methodology/approachCurrent thinking towards project complexity is briefly reviewed in the first section to illustrate the reasons why nonhumans are downplayed. An historical case study, the Skye road bridge project, is mobilized to explain, and develop, an ANT perspective on project complexities, and responses to such complexities.FindingsANT develops accounts of project complexity by highlighting the role of nonhumans in influencing how practitioners register, respond and stabilize project complexities. Front‐end planning and stakeholder analysis is shown to be only one narrow element of four moments through which actors apprehend and stabilize project complexities.Research limitations/implicationsThe empirical case study is developed to suggest some significant ways in which ANT could contribute, and complement, extant theories of project complexity. Alternative approaches to socio‐materiality are noted and may yield other important insights.Originality/valueThe paper positions ANT to offer a novel theory of project complexity. It is intended to be primarily of use to project management researchers, and theoretically informed practitioners, who are interested in developing fresh insights into notions of project complexities (unintended consequences, emergence and unpredictability).
Collaboration and the use of online collaborative toolsets in the project management environment
Authors: Harley James 
Published: April 2011

PurposeThe purpose of this paper is to describe and summarise a PhD thesis that investigates the extent to which collaboration occurs through the use of online technologies in the project management environment (PME).Design/methodology/approachSix PMEs and their use of online collaborative toolsets (OCTs) were investigated, using a collaboration scale developed specifically to measure the level of collaboration existing within each PME. The comparative case study approach was chosen as it provided the capacity to develop in‐depth analysis of multiple cases, whilst catering for the use of multiple sources and methods of data to be used for analysis. This approach enabled the author to gain an understanding of how each case used the OCT, whilst also identifying patterns of use across the cases. The analysis also included testing for the extent to which collaboration was occurring in the PME.FindingsThe conclusions drawn from this research are: OCTs can contain a variety of features, several of which are common amongst all features; although OCTs are capable of facilitating a high level of collaboration, project managers do not use OCTs for this purpose; OCTs are used predominantly for cooperation and coordinating activities within the PME; and collaboration exists in degrees, at times being identified with cooperative functions, and at other times coordinating functions. The findings demonstrate a consistent pattern of collaboration across all cases.Practical implicationsThe collaboration scale is a tool that can be used to measure the extent of collaboration within many contexts and is not restricted to the PME.Originality/valueThere has been scant academic treatment or quantifiable analysis that reviews OCTs to assess their use in the PME and as such this thesis contributes specific knowledge and intelligence to organisations using OCTs. The collaboration scale has been specifically designed for this thesis.
International university‐industry collaboration to bridge R&D globalization and national innovation system in China
Authors: Jin Jun , Wu Shanchao , Chen Jin 
Published: April 2011

PurposeThe purpose of this paper is to examine the issues of integrating R&D globalization, national innovation system, university‐industry (U‐I) knowledge transfer, and international U‐I collaboration.Design/methodology/approachA framework for research on internationalization of U‐I collaboration is proposed and the process of international U‐I collaboration could be categorized Processes A (including A1‐A2‐A3), B, C and D. The framework is applied to explore the process and contribution of international U‐I collaboration in China based on the cases studies of Philips' Brainbridge program and institute for the study of the ancient world (ISAW) international cooperation.FindingsProcesses A and B are confirmed in this research. Through the international U‐I collaboration, foreign universities contribute to the development of innovative capabilities of industries in China, while the foreign companies could play roles in the China's national innovation system. The research suggests that the international U‐I collaboration could be used as a bridge to connect strategies of R&D globalization to the improvement of national innovation system. With the internationalization of U‐I collaboration, the national innovation system would be developing to global innovation system. Moreover, this paper provides a method of technological internationalization and practical suggestions to the management of U‐I collaboration.Research limitations/implicationsMore empirical research is necessary to further examine this framework.Originality/valueThis paper provides a framework to analyse the process of international U‐I collaboration. Additionally, it enriches the research on R&D globalization from the industrial fields to the academics and the research on national innovation system. The findings will contribute to the practice and diffusion of international U‐I collaboration from the industrial and governmental levels.
The dynamic patent output elasticity of high tech industry in China
Authors: Niu Xin , Chen Xiangdong 
Published: April 2011

PurposeThe purpose of this paper is to explore the relationship between the patenting movement and economic growth by analyzing development states and raising possible questions of high‐tech industries in order to provide lessons for policy makers.Design/methodology/approachA model of polynomial distribution with lagging effect was applied to patenting data and economic operation data, including revenue from new products.FindingsThrough three grouped investigations, namely: short term, medium term, and long term, it was found that innovation activities significantly influence positive economic growth in high‐tech industries. However, total patent output elasticity (POE) in some high‐tech industries is lower than in non‐high‐tech industries. Among the detailed sectors selected in this study, medical equipment and measuring instruments show higher POE.Originality/valueThis paper focuses on an industry‐level study of the relationship between the patenting movement and economic growth, which has important theoretical and practical significance to promoting high‐tech industry innovation capability and enhancing the technological innovation competitive advantage of China.