Organizational Approach Research Articles

Building a Resilient Patient Safety Culture: A Large Healthcare Organization's Approach to Systematically Reviewing Serious Harm Events.

Across Canada, pressures related to staffing, burnout and funding continue to affect healthcare organizations and systems. These pressures impact the quality of care Canadians receive, most notably access to care. Evidence indicates that patients are more likely to suffer from preventable harm during periods of hospital overcrowding and, indeed, very recent data from the Canadian Institute for Health Information suggest that rates of preventable harm have increased modestly in Canadian hospitals. A key lever that can have a positive impact on patient safety culture and contribute to fewer preventable adverse events at an institutional level is systematic formal case reviews. This article describes a large healthcare organization's approach to systematically reviewing serious harm events. An evaluation of both quantitative and qualitative metrics suggests that Unity Health Toronto's critical incident review process has been effective at building a resilient patient safety culture that stood up to the challenges of the COVID-19 pandemic and continues to have a positive impact on patient safety at Unity Health Toronto.

Health hazards in sports: Exploring the influence of despotic leadership and perceived organizational politics on well-being

In recent years, the concept of despotic leadership has garnered considerable attention in sports. Despotic leadership significantly reflecting leaders' deviant behavior has today heightened the risk of health hazards in the workplace. In addition, the perceived organizational politics have also yielded a deleterious result on employees’ well-being. In the dynamic landscape of healthcare, understanding the implications of organizational behavior on well-being is paramount for risk management. This study elucidates the relationships between despotic leadership, perceived organizational politics, workplace incivility, emotional exhaustion, person-organization unfit, and health harm, which can pose significant risks in a healthcare setting. The quantitative study was conducted using an empirical survey with respondents representing sports organizations. A Partial Least Squares Structural Equation Model (PLS-SEM) was used to analyze data from 429 participants using Smart PLS. The study findings suggest that despotic leadership and perceived organizational politics can lead to increased risks, manifested as workplace incivility, emotional exhaustion, and person-organization unfit. These organizational risks subsequently translate to tangible health harm for employees. Mediation analyses revealed that workplace incivility, emotional exhaustion, and person-organization unfit mediate the detrimental health outcomes rooted in leadership and organizational politics. The study underscores the urgent need for risk management strategies to foster a healthier organizational culture and leadership approach in healthcare settings. This will ensure enhanced employee well-being and a reduction in associated health risks, thus aligning with best practices in healthcare policy.

The Future of Diversity, Equity, and Inclusion in Embattled Environments: The Challenge to Educators and Providers Serving a Growingly More Diverse Geriatric Population and How to Overcome that Challenge

Diversity, Equity, and Inclusion (DEI) is the organizational approach to ensure fair treatment and welcomed participation of all groups. We can trace the roots of DEI back to the 1906’s civil rights movement and the African American struggle. As the movement evolved, it encompassed other groups vulnerable to discrimination. These groups include people of different ages, races, religions, ethnicities, different physical abilities, neurodiversity, socioeconomic means, genders, and sexual orientations.DEI is an important aspect of our healthcare institutions in the way of recruitment, admission, hiring, promotions, and practices. DEI is now under fire in several states. This has implications for the quality of training, effectiveness, and delivery of healthcare to all diverse populations. Our geriatric populations have grown more diverse by way of an aging immigrant population entering the healthcare system, as well as our own native-born needing more access to healthcare as they've aged. With these populations in mind, the need to continue creating and nurturing a diverse provider culture that is attuned to the complex needs of this growingly more diverse aging population is imperative.At the time of this writing, there have been 30 bills that seek to eliminate DEI from public institutions. Texas has passed Senate Bill 17 which bans diversity programs in public universities. The state of Florida teetered on effectively banning AP Psychology courses as part of the governor's “Stop W.O.K.E Act.” This is an effort to stop teachings about sexual and gender identity topics. Florida has also been in the news for school history curriculum proposals that would teach how some blacks benefitted from slavery. Just as states are eliminating once-protected aspects of reproductive rights and generating talk of reproductive bans on a Federal level, DEI is following this course. This country may methodically eliminate DEI at its peril. We must examine the effects this might have on our academic and clinical practices and our endeavor to deliver thoughtful inclusive health care to our aging population.

Conflict Management Styles and Organizational Behavior of Public School Heads in The New Normal

This study evaluated the organizational behavior and conflict resolution approaches used by public school heads in Calamba City's Cluster 9 Division. The study was conducted from April to May of 2023. Survey questionnaires were used in the study's descriptive correlational design and stratified random sampling to determine organizational behavior and conflict management approaches. The participants in the study were the school heads and teaching personnel in Cluster 9. There were 140 target respondents in all, and the cluster consisted of 6 public elementary and 2 secondary institutions. The researcher-made questionnaire underwent reliability testing using Cronbach's Alpha and pilot testing before data collection, with five experts validating it. The four-point Likert scale, mean, and Pearson r were used to assess the degree of organizational behavior and conflict management styles' application. An expert statistician who used thew the SPSS software received the collected data. The findings showed that school heads are proactive and skilled communicators with their staff. They use cooperative and accommodating resolution strategies, which is consistent with a supportive and less autocratic workplace. To improve the practices and utilization of conflict management techniques, a proposed enhancement program named Project CARP (Conflict Activity Resolution Program for School Heads in Cluster 9 Division of Calamba) was developed.

Promoting an E-Learning Culture: Exploratory Study of Different Organizational Approaches

Objective - In the digital age, e-learning is increasingly being introduced into human resources training practices in Moroccan organization. This study aims to understand the practices that can help promote an e-learning culture in Moroccan organizations. Methodology/Technique – We collected data through 12 semi-structured interviews with human resources and training managers in Moroccan organizations that have introduced e-learning as a training practice. We used NVivo software to analyze the empirical data. Findings and Novelty – Our exploratory approach enabled us to identify practices related to a proactive organizational approach and others associated with a reactive approach. Similarly, a culture of openness to change is a support measure for an e-learning culture. The practices identified offer levers for action that can be exploited by human resources and training managers to increase the chances of success in implementing this project. Type of Paper: Empirical JEL Classification: M53, M14, O30 Keywords: E-learning; Exploration; Organizational approaches; Promoting E-learning culture; Qualitative study Reference to this paper should be referred to as follows: Hammouchi, M.E; Soudane, J.A. (2024). Promoting an E-Learning Culture: Exploratory Study of Different Organizational Approaches, GATR-Global J. Bus. Soc. Sci. Review, 12(1), 44–55. https://doi.org/10.35609/gjbssr.2024.12.1(5) _______________________________________________

Leaders, conflict, and team coordination: a relational leadership approach in temporary organisations

This study explores how the level of relational leadership of team leaders influences team members’ conflict-handling style and team coordination in temporary organisations (TOs). Leaning upon Socio-Psychological and relational leadership theories, the research also evaluates how the cultural background of leaders moderates the nature of the association between relational leadership and project team performance. This contribution is unique by engaging with three moderating cultural groups while drawing on data from 126 teams in TOs using PLS path modelling. The results explain that relational leadership influences team members’ cooperative and conflict-avoiding styles, which are, in turn, positively associated with team coordination and team performance. The judicious and considered use of conflict-avoiding should be recognised as a thoughtful style in multicultural team contexts and as a consequence of relational leadership. Team coordination and performance, however, are related more to relational leadership with the sample of leaders from a specific within-nationality cultural background.

Servant Leadership Meets Health Equity: Examining the Causal Comparative Impact of Black Health Disparities and the United States in the First States to Mandate Implicit Bias Training

The racial health disparities gap is widening in the United States. This analysis uses a non-experimental quantitative causal-comparative analysis to support the study's findings. The rates and percentages of Black and National variables were compared to highlight devastating and disproportionate Black health disparities. The data focuses on statistics from some of the first states to require healthcare professionals to take implicit bias training. The health disparities chosen are the most prominent ones plaguing the Black community. Additionally, the article will examine how improving organizational behavior by implementing servant leadership will help improve Black health disparities. The research will highlight Black health disparities, implicit bias, organizational behavior, and servant leadership. The research shows that healthcare professionals become aware of their implicit bias to lead ethically by shifting the organizational behavioral approach toward servant leadership. It also revealed that servant leadership provided a more compassionate, caring, empathetic, selfless, and nurturing form of care that will build trust amongst Black patients and patient-provider relationships, lessening Black health disparities stemming from subconscious implicit decisions. The researcher tested the methodology and found that the data provided a comparative analysis between variables and showed the prevalence of Black health disparities in the United States; however, the analysis did not prove causal inference or cause and effect.

Mental Health and Well-being of Healthcare Professionals Amid the COVID-19 Pandemic in Canada

Introduction: The COVID-19 pandemic posed unique challenges to healthcare professionals (HCPs) with increased risk of mental health and well-being globally. However, the psychological impact of the pandemic on the mental health and well-being of HCPs in Canada is not fully understood. This paper critically reviews broadly available literature on the mental health and psychosocial status of HCPs amid the COVID-19 pandemic in Canada. Methods: A comprehensive online search was conducted using the guidelines outlined by the Centre for Reviews and Dissemination for combining the findings of diverse primary studies within a single review. Online search was conducted through databases such as AMED (Allied and Complementary Medicine), Embase, Global Health, Ovid Healthstar, Mental Measurements Yearbook, EBM Reviews - ACP Journal Club, EBM Reviews - Cochrane Database of Systematic Reviews, Ovid MEDLINE(R) and Epub Ahead of Print, In-Process, In-Data-Review, and Google Scholar for the period between March 2020 and May 2023. Twenty-two studies met the inclusion criteria and were analyzed systematically using a thematic analysis approach to identify the main themes across studies. Results: The analysis uncovers three key themes: 1) HCPs face diverse mental health impacts during the pandemic; 2) HCPs are dissatisfied with organizational approaches to COVID-19; and 3) HCPs express concerns about personal well-being and the safety of others during the pandemic. Conclusion: These findings emphasize the need for HCPs to cope effectively with stressors for their own, their patients, and their families' well-being. Therefore, future research should prioritize the ways in which HCPs can maintain their emotional, mental, and psychological well-being.

“Neither Water, nor War:” the Problem of Fresh Water in International Relations of the First Quarter of the 21<sup>st</sup> Century

In this article, the author compares the objective dynamics of changes in the state of the water problem since the beginning of the 21st century, which has continued to worsen in most regions of the world, and its foreign policy dimension, noting the transition from the global water alarmism of the 1990s to the challenges for small and medium powers, in solving the problems in which no major actor is yet actively interested. Fresh water, despite the slogans at the end of the last century about future water wars, the “blue oil” and the “new gold” of the 21ST century, has not become, and is unlikely to become, the cause of confrontation between great powers, while medium and small powers are still confine themselves to more traditional forms of conflict, including in the Tigris, the Euphrates and the Jordan basins, which have been seen for decades as a testing ground for future water wars. This does not negate the role of water bodies and ecosystems in promoting development or, conversely, in perpetuating the poverty and backwardness in entire regions. Waters remain in competition as an important source of water-intensive goods that can be converted into valuable assets – water-intensive goods, energy or the ability to achieve higher levels of the Human Development Index. And, of course, they can be used to exacerbate ethnic and political conflicts. This is where the potential of Russia, the world’s second water power, comes into play, both in terms of directly regulating regional water challenges and in influencing the approaches of international organizations and associations, in which Moscow plays a prominent role.

Organizational Behavior Management Approaches to Advancing Compassionate Care in Research and Practice

Organizational Behavior Management Approaches to Advancing Compassionate Care in Research and Practice

Digital Turn in Higher Education: An Examination of Enablers and Inhibitors in the Turkish Context

By qualitatively analyzing the case of a higher education unit and reflecting upon its experience of digitalization, the current study attempts to gain insights into how and to what extent digitalization takes place, and what factors facilitate/hinder digitalization efforts in the Turkish context. Data for the present study were collected through individual semi-structured interviews and focus groups. An inductive thematic analysis was employed to identify emerging themes within the data. The findings indicate that there have been both intraorganizational and top-down initiatives towards digitalization, though the latter seems to have failed in addressing intraorganizational needs and priorities. The findings also suggest that the factors that have contributed positively to digitalization are the instructors’ personal interests and availability of many digital tools. However, negative student attitude towards digital tools, problems with online assessments, failure to initiate and maintain a strategic organizational approach towards digitalization and faculty’s reluctance to step outside their comfort zone significantly hinder digitalization.

Normativity, Autonomy, and Agency: A Critical Review of Three Essays on Agency in Nature, and a Modest Proposal for the Road Ahead

Has the renewal of interest in the ostensible agency of living beings signaled an advance from a merely heuristic Kantian sense of purposiveness to an unequivocally, empirically grounded research program or are there as yet hidden tensions or contradictions in, for example, the organizational autonomy approach to natural agency? Can normativity be found to be immanent in nature but only beginning with the living cell or must a thoroughgoing naturalism find the seeds of normativity immanent throughout abiotic as well as biotic nature? Beginning with a brief exposition of Kant´s influential treatment and recommendation for how to methodologically combine what he took to be the inevitable epistemological limit to explaining the origins of ostensible biotic purposefulness with the legitimate intentions of scientific research and explanation, this essay will critically engage with three recent essays that attempt to grapple with the preceding questions. Having putatively raised questions about the consistency and adequacy of each of the individual positions, the essay will attempt to move synthetically, drawing upon aspects of all three contributions, in the direction of a “cooperativity theoretic” approach to incipient natural normativity and agency.

Differences in needs and availability of healthcare, education and social protection between school-age children and youth with autistic spectrum disorder and their families in Serbia

Objectives Individuals with autism spectrum disorder (ASD) and their families are often faced with barriers of service accessibility, stigmatization and lack of support. The study aimed to map available support services for youth with ASD and their families in Serbia, as well as to determine whether there are differences during childhood and adolescence/young adulthood. Methods The current study included parents/caregivers of adolescents and young adults with ASD (n = 85). We compared the results from the current study, with those from the previous study done in a sample of parents/caregivers of school-age children with ASD (n = 231). Both studies used The Caregiver Needs Survey. The subjects included in the current study were recruited from the database of the Institute for Mental Health in Belgrade. Results In the period of adolescence/young adulthood, there is a decrease in the use of most support services, while pharmacotherapy becomes the primary treatment modality. A significantly smaller percentage of parents/caregivers receive information via the Internet, which may indicate an improvement in communication between doctors and families in Serbia. Conclusions In Serbia, there have been improvements, but there is still a need for further development of an organized family-oriented approach, early interventions and strength interventions for youth with ASD.

Transformasi Digital dalam Peningkatan Manajemen Aktivitas Panti Asuhan Al-Mabrur Bekasi Berbasis Sistem Informasi

Information technology which continues to develop in various sectors of life requires the parties involved to be able to adapt to technology. Efforts to adapt technology are also continuing to be developed by the management of Al-Mabrur Orphanage Bekasi. A digital transformation carried out by the Al-Mabrur Orphanage in order to improve the management of student activities using an information system. Orphanages, as places for children who need protection and care, require an organized and efficient approach in monitoring and improving the quality of these children's daily lives. This training aims to provide understanding to orphanage managers and students regarding the use of information systems, to make it easier to record student participation in every activity held by the Al-Mabrur Orphanage. With an integrated information system, orphanages can create an environment that is more adaptive to technology and responsive to various activities in the orphanage. The output of this community service activity is that students can view and access activity data easily, and orphanage managers can have digital data recapitulation to monitor and evaluate student activities.

Abstract P300: Evaluation of Organizational Behavior in a Rural Cardiology Clinic

Introduction: In the healthcare industry, organizational behavior plays a pivotal role in patient care and staff well-being. Exploring these dynamics in a rural setting may add the unique factors of community engagement, resource allocation, and staffing limitations. Taking steps to understand how these concepts manifest can improve the effectiveness of healthcare delivery and form positive work environments that benefit both patients and providers. Research Question: How do healthcare staff at a rural cardiology clinic operate in the context of organizational behavior? Goal: The goal is to understand the organizational behavior in a rural clinic to optimize healthcare delivery and tackle operational-related challenges. Methods: Conducted in 2022 during the COVID-19 pandemic, this study employed a mixed-methods approach featuring interviews with staff at the rural Georgia cardiology clinic of Lake Country Medical Group (LCMG) and a five-point Likert scale survey of twenty-three questions developed from qualitative data gathered through the interviews. The survey queried organizational behavior concepts such as job satisfaction, communication, and leadership, with answers being graded on a scale of 1 being “strongly disagree” to 5 being “strongly agree.” Descriptive statistics were used to analyze survey responses. Results: Twenty LCMG staff responded to the survey. Key survey results were analyzed according to organizational behavior categories (Figure 1). Qualitative data from interviews described operational inefficiencies and day-to-day challenges including scheduling issues, billing difficulties, and deficient recordkeeping perpetuated by “siloed” teams at the clinic. Conclusion: LCMG faces some operational challenges that can be ameliorated by organizational behavior approaches. Solutions oriented around enhancing synchronous work, cross-training, and stress-reduction could improve staff well-being and ultimately lead to improved patient care.

Operationalization of Knowledge Capital in Promoting Performance Development Based on Social Return on Investment (Sroi) at Bumdes Bumi Arum, Tlahab Temanggung

The urgency of improving business performance is to make a contribution to the company, where the organizational development approach seeks to increase business solution capabilities. The problem faced by micro businesses in the Tlahab Village area is a decline in performance as indicated by sales results in business units. Each business unit has not been able to optimize the role of knowledge and entrepreneurial networking capital to encourage better performance. Theoretically, it is necessary to study the behavior of business owners in the context of building business performance based on a social profit approach. Social profit, focuses on business governance actions by incorporating the power of micro business networks in the Tlahab Village area. Social networks are important business capital, which has potential as locality-based intellectual capital. The ties between micro business networks, business owners and workers have the potential to be leveraged for business performance . This is supported by research conclusions that business performance is influenced by the leadership of micro business owners. It is necessary to study in more depth how the owner behaves in managing business networks.

Effects of Job Stress on Employee Performance Level in the Health Sector of South Africa

The study investigates the effects of job stress on employee job performance. Quantitative design was employed for the study. The target population comprised of all employees in the selected health institution namely South Rand hospital and Nelson Mandela Children’s’ hospital in South Africa. A sample size of 250 respondents was used to gather data. Simple linear regression and descriptive statistics were used as the main data analysis tool. Findings from the study revealed varied causes of stress among health workers in South Africa. Poor working conditions, new technology, work overload and role conflict were the causes revealed by the study. The study indicated a direct effect of job stress on job performance. It revealed a significant negative relationship which means as job stress increases as a result of the workload, employees (health workers and administrators) performance decreases significantly. The study recommended that management must identify the possible causes of work-related stress employees’ face in the process of performing their duties to help reduce stress level significantly. Also, proper mechanism from both the individual and organizational approach to help manage stress related job like frequent leave, flexible work schedules, reduced working hours and frequent breaks to relax employees

The Mediating Role of Learning Analytics

Researchers in learning analytics have created indicators with learners’ trace data as a proxy for studying learner behaviour in a college course. Student Approaches to Learning (SAL) is one of the theories used to explain these behaviours, distinguishing between deep, surface, and organized study. In Latin America, researchers have demonstrated that organized approaches to learning could be more effective in higher education, leading to better performance and course approval. However, further analysis of student behavioural data is needed to understand this relationship and inform interventions targeting study habits and academic performance. In this study, we analyzed the relationship between student approaches to learning and their final grade in six college courses, using behavioural trace data as a mediator variable. Specifically, we conducted a quantitative study in two Latin American institutions where data of different granularity was collected from their Learning Management Systems. We observed that most learning analytics indicators do not mediate the effect between approaches to learning and course performance. However, there was evidence for fine-grained indicators acting as total mediators. Implications are discussed at methodological and pedagogical levels, aiming to inform the advancement of learning analytics in the region and its use for supporting student learning.

The barriers to advancing race equality in Scottish local authority employment

PurposeThis paper critically evaluates potential barriers to employment opportunities for ethnic minority (EM) individuals in Scottish Local Authorities – both in terms of access to job and development opportunities. It provides a fundamental discussion of concepts around race and ethnicity, and the levels of social injustice, with an explicit focus on institutional racialisation, discrimination and segregation. The paper explores organisational approaches towards recruitment, including positive action and workforce development.Design/methodology/approachThis paper adopts a subjectivist (ontology) and interpretivist (epistemology) stance, based on a small-scale, in-depth investigation. The data have been gathered through semi-structured interviews with equality diversity and inclusion (EDI) officers in four Scottish Local Authorities, utilising thematic analysis.FindingsThe finding suggests that participating local authorities have a long way to go to ensure the elimination of barriers to employment for EM people. This is largely based on concerns around limitations in the application of positive action and elimination of disadvantages in recruitment and access to career and development opportunities?Originality/valueThe paper aims to contribute by exploring the availability of employment opportunities for EMs through the eyes of EDI Officers in four local authorities. Their thorough understanding, over- and insight into potential equality issues from an employment perspective are invaluable, focussing on more tangible organisational issues and approaches.

Higher education cooperation at the regional level

PurposeThis article focuses on regional-level cooperation in higher education by examining the functional, organizational and political approaches (FOPA) framework for higher education regionalization and using supra-national regional universities as established and successful examples of regional-level higher education cooperation among countries.Design/methodology/approachA conceptual framework is used to provide the structure for analyzing the key approaches to higher education regionalization, followed by an analysis of supra-national regional universities to demonstrate the application of the model.FindingsThe FOPA framework for higher education regionalization includes three approaches. The first is the functional approach, which includes both collaborative academic and research activities among higher education institutions as well strategies and policies to help align systems across a region. The second is the organizational approach, which focuses on networks, organizations, institutions and programs, which facilitate partnerships. The third is the political approach, which includes regional-level agreements, declarations and strategic plans to promote higher education collaboration. Key higher education activities for each approach are discussed in generic terms, with examples provided from major regions of the world.Research limitations/implicationsThe research was based on desk research only. No interviews were conducted.Practical implicationsA conceptual analysis and a model were provided for the concept of regionalization of higher education and for regional universities, which can help readers locate their interests and research in the regionalization of higher education. Examples of three different types of regional universities were provided to give concrete illustrations of a regional university.Social implicationsOne of the rationales driving regional universities is to address and increase a sense of regional identify and to meet the social, economic and educational needs of the specified region.Originality/valueRegional universities, such as the University of West Indies, Arab Open University and the Pan-Africa University, are an understudied phenomenon. Using them as innovative and sustainable examples of higher education regional cooperation and the FOPA model, this study illustrates how single-campus, multiple-campus and virtual regional universities are functioning to meet the diversified needs and priorities across a region through cooperation among countries.