Internal Stakeholders Research Articles

Embracing tensions throughout crises: The case of an Italian university hospital during the COVID-19 pandemic.

Previous research has identified some tensions that public organizations may encounter during crises. However, there remains a scarcity of research examining how public health care organizations effectively navigate these tensions to reconcile the diverse interests, needs, and demands from various stakeholders. The study seeks to shed light on the dynamics underlying the tensions experienced by public hospitals during the COVID-19 pandemic. It illustrates how different hospitals' actors have navigated these tensions, identifying solutions and approaches that fostered collaborative endeavors among internal and external stakeholders. The study draws on qualitative analyses of 49 semistructured interviews and the notes from two focus groups involving key informants at one of the largest university hospitals in Italy. We also rely on the verbatim transcripts from meetings involving the members of the temporary emergency team constituting the taskforce. The results highlight the tensions that emerged throughout the different waves of the COVID-19 pandemic and how various actors have managed them in a way to reconcile opposing forces while unleashing adaptability and creativity. Hospital managers would benefit from developing a paradoxical mindset for crisis preparedness, allowing them to embrace existing tensions and devise creative solutions to favor resilience and change.

A Learning Health System to Generate and Accelerate Innovation: The HealthPartners Institute

The HealthPartners Institute is a research and education division embedded within HealthPartners — a nonprofit, member-governed integrated health system. The Institute aims to generate and accelerate innovation for the HealthPartners health system, its patients and members, and the communities it serves. It has taken a formal, organized approach to building the necessary capabilities, infrastructures, relationships, and tools to do so. This article outlines an innovative approach by which the HealthPartners Institute created an environment conducive to accelerated system performance. Key components of building this organizational milieu include (1) integration, (2) strategic planning, (3) democratization of knowledge (especially internally generated knowledge), (4) funding, and (5) a capability to listen to diverse perspectives from both within the organization and the community at large. In recent years, based on a 2023 survey of the HealthPartners Senior Strategy team, nearly two thirds of 34 respondents (61%) have seen more connections between their work and the work of the Institute, and just over half (52%) report that the Institute has become more relevant to their work. Notably, care delivery is the area to which respondents (78%) find the Institute brings the most value, followed by our patients (74%), HealthPartners as a whole (70%), and our community (70%). In addition, a series of multiyear federally funded trials involving patients with uncontrolled hypertension collectively represent an example of clinical and financial impact. This collaborative effort involving system division partnerships through the Institute’s core research department and centers of excellence compared usual hypertension care with an intervention that combined home blood pressure telemonitoring and pharmacist-led telephone care and found that the intervention group not only had lowered blood pressure and reduced cardiovascular disease events, but that for every US$1.00 spent the program realized US$1.82 in averted cardiovascular disease event costs. Efforts such as these advance system performance through a closer connection between the Institute and the health system’s strategic multiyear goals, shared leadership among major research portfolios and the care delivery service lines, preprofessional clinical education aligned with workforce needs, systemwide implementation of clinical simulation, aligned and integrated financial operations, and compliance and integrity programs. Based on these experiences and results, the authors present several themes that may support acceleration of progress toward achieving a high-performing learning health system. Future development will include focus on the generation and quantification of value for internal and external stakeholders, strategic alignment of priorities to enhance value, and continued focus on workforce development.

Comprehensive literature review on stakeholder prospects, responsibilities, and quality performance measurement in sustainable supply chain governance

The sustainable Governance of supply chains has become essential for businesses trying to balance economic success and ecological and ethical imperatives in an era of increased environmental awareness and social responsibility. Many stakeholders are pressuring companies to integrate sustainability into their supply chains as environmental degradation and social inequality worsen. Therefore, it is essential to include non-traditional supply chain stakeholders, such as competitors and non-governmental organizations, in supply chain operations to produce an SSCG. This comprehensive literature review synthesizes and examines the current body of information on stakeholder prospects, responsibilities, and measuring quality performance in sustainable supply chain governance. Therefore, this study's primary objective is to clearly show how SSC practices are related to stakeholder roles and responsibilities. A thorough literature examination was conducted, and 40 peer-reviewed journal publications from 2019 to 2023 were included. In this work, expectations, as stated in scholarly literature, are methodically categorized, and any gaps are reviewed critically. A reasonable explanation for stakeholders' discontent with the sustainability performance measurement and evaluation methods used nowadays is that, as the literature review demonstrates, stakeholder expectations have yet to be considered. The findings indicate that many external and internal supply chain stakeholders drive, enable, or check the application of sustainable supply chain Governance techniques.While governments and non-governmental organizations are essential drivers of sustainable supply chain Governance techniques, research can also help with their implementation. Furthermore, proactive interaction with external supply chain stakeholders improves organizational learning by boosting understanding and awareness of sustainability and developing knowledge.

Realizing NetZero in social housing: strategic public procurement and internal stakeholder engagement

ABSTRACT Energy costs and fuel poverty are major concerns for social housing tenants, many of whom are vulnerable citizens. To meet challenging NetZero targets, public organizations have used strategic public procurement (SPP) in decarbonizing social housing stock and to make it more energy efficient. Drawing on SPP and stakeholder engagement, we theoretically argue that public organizations’ diverse set of internal stakeholders are integral to SPP. Empirically, we provide evidence of a disconnect between organization-facing and customer-facing stakeholder groups which must be considered and addressed if NetZero targets, and organizational responsibility are to be achieved when implementing SPP.

How Governance Can Contribute to Amazon Biome Conservation?

Forest conservation has transcended environmental concerns and become a determining factor in global social and economic issues. Therefore, setting forest conservation goals, including recovery and/or reforestation, is critical to help mitigate global warming and climate change. Although Amazonian countries have forestry policies for forest conservation, the forest continues to be degraded. The aim of this article is to suggest a regional governance model for the nine countries that share the Amazon rainforest. The thesis of the paper is that the definition of a common legal basis for the nine countries can contribute to forest conservation. Through qualitative analysis of exploratory and descriptive variables, the main topics related to the proposal of a governance model were identified. Multi-level governance contributes to the environmental conservation process by creating an environment to engage local, national, and international stakeholders from diverse groups. As a result of this paper, we suggest the creation of a supranational governance, composed and regulated by each of the nine countries of the Amazon biome and having as reference the AFR100 initiative. The proposition and creation of governance among Amazonian countries are fundamental for achieving the objectives for the conservation of the biome; such governance must take into account existing public policies, institutional mechanisms, and financial commitments. Although the Amazon countries present a framework of policies and commitments that seek to preserve the biome, the reality is that forest degradation through deforestation with negative effects on the climate and on the communities that depend on the standing forest still exists.

Insights on the Transition to Leadership: The Power of Onboarding and Networking

Problem In the rapidly changing future of work, advances in human resources are needed to develop individual leadership expertise and further the collective aims of the organization. This article explores the challenges and opportunities in the transition to leadership for new and early-career leaders across interdisciplinary and interorganizational contexts. Solution Two high-impact strategies are proposed to facilitate the leadership transition, namely, strategic onboarding and intentional networking. These methods expand conventional approaches in leadership development. When new leaders are primed with onboarding and networking structures, they are better prepared to partner with internal and external stakeholders in a culture of shared leadership for equitable and thriving organizations and their communities. Stakeholders The article may be of interest to a diversity of human resource development scholars and practitioners who seek to further their understandings and practices in the training, mentoring, and career development of new leaders for workforce performance and organizational integrity.

Lessons learnt from daily oral PrEP delivery to inform national planning for PrEP ring introduction for women in low-income and middle-income countries: a qualitative inquiry of international stakeholders

IntroductionSome African countries plan to introduce and scale-up new long-acting pre-exposure prophylaxis methods (LA-PrEP), like the monthly dapivirine vaginal ring (PrEP ring) and injectable cabotegravir. National costed implementation plans, roadmaps...

Integrated Public Service Analysis of South Bengkulu Police Station

In the digital age, technological advancements have led to the widespread use of information systems and technology (IS/IT) to enhance public services. Implementing e-government has become crucial in supporting good governance, particularly in Government-to-Employee (G2E) and Government-to-Citizen (G2C). This study focuses on the South Bengkulu Police Station's Information System/Information Tech utilization to improve public service delivery. Through an analysis of the station's public service processes using SWOT and PEST analysis, this research aims to identify existing efforts in service development. It also aims to propose a concept for integrated public services. The findings of this analysis offer insights into optimizing police performance, benefiting the general public and internal stakeholders. However, certain limitations are acknowledged, including the lack of in-depth analysis of public service system performance and the creation of integrated service design concepts.

Identifying and Dealing with Interdependencies and Conflicts between Goals in Manufacturing Companies’ Sustainability Measures

Companies are increasingly focusing on sustainable business practices. Internal and external stakeholders’ expectations manifest in legal requirements, national and international standards, and market and customer expectations, among other things, must be considered. In addition to profit maximization, which is the usual target for corporate management, management must consider environmental sustainability aspects such as resource efficiency, greenhouse gas intensity, and a company’s emissions behavior. In addition, social aspects related to the company’s employees, the immediate urban environment, the situation in the supply chain, and effects on the market environment must increasingly be considered. Specifically, companies are faced with the challenge of dealing with conflicting objectives regarding the various aspects of sustainability and, if necessary, weighing them up against each other. These trade-offs must be made against the company’s socio-economic and ecological environment, corporate strategy, and sustainability goals. This paper provides an overview of current approaches and research gaps on this topic through a literature review. It highlights the lack of methods and frameworks to specifically deal with trade-offs and conflicts between goals.

Attributes of Business Administration Graduates from Stakeholder Perspectives: Case Study of Prince of Songkla University, Pattani Campus

Unemployment of new graduates remains because of a mismatch between employer demands and graduate attributes. To reduce the skills gap, the study programs need to know what attributes are required by stakeholders. This study aims to identify the attributes of business administration graduates based on the requirements of stakeholders, and to determine the importance of the attributes of business administration graduates. The qualitative data was collected from stakeholders consisting of 17 internal stakeholders and 29 external stakeholders. Based on qualitative data analysis approach, the data was analyzed and thematically categorized by researchers. The study found that the importances of both generic and specific attributes of graduates were mentioned by stakeholders. The attributes of business administration graduates include 36 generic attributes and 3 specific attributes. This study suggested that the study programs should integrate the attributes of graduates into curriculum design and provide students with teaching and learning activities that enable them to develop the expected attributes. However, this study investigated graduate attributes specifically for the Bachelor of Business Administration Program, Faculty of Humanities and Social Sciences, Prince of Songkla University, Pattani Campus. The results of the study may not be generalized to other programs of study or other areas because the required graduate attributes in a specific area can be different than others.

Factors Influencing the Use of Account Information Systems and its Impact on Small and Medium Enterprises Performance: Systematic Literature Review

The viability of Small and Medium Enterprises is heavily reliant on effectively managed firm finance management. Utilizing technology and information through an Accounting Information System is beneficial for businesses as it aids in the management of financial transactions, financial reporting, and financial decision-making. This article employs the Systematic Literature Review research methodology, utilizing several papers indexed by Scopus from 2015 to 2024. Researchers investigate the characteristics that facilitate the adoption of Accounting Information Systems in Small and Medium Enterprises (SMEs) and their influence on corporate performance to ensure the long-term viability of SMEs in the face of business challenges and advancements. An Accounting Information System is crucial for assessing the progress of SME businesses and obtaining assistance from internal and external stakeholders. This is particularly important given the significant influence that Small and Medium Enterprises have on the national economy

Securing the peace or renegotiating the political settlement? Understanding popular support for post-conflict constitutions

ABSTRACT How do ordinary citizens view elite-driven, post-conflict constitutional reforms? Established theories emphasize the role of constitutional reform in both postwar democratization and preventing conflict resurgence. This article contends that emphasis on fostering political inclusion and settling conflicts resonates differently across post-conflict societies. Focusing on Nepal, this study draws on a survey implemented with over 1,000 respondents shortly after the ratification of the country’s constitution in 2015. The exploratory analysis shows that even when post-conflict constitutions grant greater rights to historically marginalized groups in absolute terms, they may still perceive that greater concessions would be possible; this makes such groups more likely to oppose the constitution and more likely to prefer extended negotiation periods. Conversely, Nepalis exposed to higher violence during the Maoist insurgency from 1996 to 2006 view the constitution as the conclusion of the peace process and are more supportive of the constitution and opposed to longer negotiation periods. The analysis further highlights that some excluded groups were less likely to learn about constitutional negotiations at all. We identify new pathways influencing the democratic legitimacy of post-conflict constitutions, offering insights for internal and external stakeholders involved in constitutional reform processes and their aftermath.

Penerapan Pendampingan Kompetisi Sains Nasional Bidang Ekonomi dalam Upaya Meningkatkan Kompetisi Siswa SMAN 1 Prambanan Untuk Menghadapi KSN Bidang Ekonomi

The National Science Competition (KSN) in Economics is a national scale event that talented and outstanding high school students throughout Indonesia attend. KSN activities are an annual agenda of the Ministry of Education, Culture, Research and Technology which is an opportunity for all students to show their best abilities in science and technology. Competition among students is getting tighter, the breadth and depth of material also requires students to study hard, not just from textbooks. To increase students' competence in dealing with KSN in the Economic Sector, the Community Service Team (PkM) of the Digital Business Study Program at AKPRIND University provides assistance and training to students at SMAN 1 Prambanan, Sleman, Special Region of Yogyakarta using sharing, discussion and question and answer methods. Through an integrated, harmonious, and synergistic approach, this activity involves internal and external stakeholders. The method of mentoring, guidance, refreshment material, and training to answer KSN Economics questions is practiced by a team of lecturers who have areas of expertise in the material presented. Evaluation of activities shows positive responses from students and success in improving their ability to understand Economics material and preparing themselves to face national-level competitions. The PkM implementation model has proven to be effective and needs to be continued, while future improvements can be focused on increasing cooperation between related parties and optimizing study time.

Responsible leadership in the public sector: A sector-specific interpretation

Purpose: Responsible leadership has gained significant attention in contemporary management scholarship. Despite significant advances made in the burgeoning corpus of knowledge, a paucity of studies focusses on developing economies with a dearth of studies underscoring specifically the public sector.Design/methodology/approach: A qualitative research methodology was implemented and operationalised by means of a policy analysis. Ascribed to leadership activities within the public sector being linked to policy directives, a policy document analysis was deemed an appropriate approach. Content analysis was utilised as a data analytical method which consists of a systematic evaluation of the content of written or verbal communication for the purpose of identifying themes.Findings/results: Findings are captured in a conceptual framework, which infers that leadership in the context of the public sector is consistent with the tenets of responsible leadership. Themes that emerged from the analysis include leadership antecedents, leadership roles, motivational drivers, and responsibility towards internal and external stakeholders. Leadership antecedents include psychological characteristics, aptitude and conative orientation. Normative, relational and operational roles were evidently stimulated by normative and intrapsychic motivation.Practical implications: The contribution relates to how responsible leadership in terms of theoretical tenets and practical applicability might support policy makers and public sector leaders to improve the implementation of the National Development Plan (NDP) as a societal meta-framework for sustainable development in a multi-stakeholder context.Originality/value: A dearth of research focuses on responsible leadership in the context of a developmental state especially theorising within the public sector indicative of the originality of the research.

Urgensi Perkuat Layanan Bimbingan dan Konseling pada Masa Transisi Siswa SMP

Junior High School or mostly called SMP, is often referred to as a transitional period. During this time, students often face challenges and difficulties that require guidance and counseling services to help them navigate this crucial stage. However, limited access to guidance and counseling services prevents students from receiving optimal support. This can lead to various problems, including unaddressed student issues, declining academic performance, and impaired mental health. Therefore, strategic steps are needed to strengthen guidance and counseling services in SMP.This study employs a qualitative library research method. Based on data analysis, it is concluded that guidance and counseling in SMP need to be strengthened to ensure optimal delivery of services. The following are strategic steps for strengthening guidance and counseling services in SMP: (1) Increasing the number of guidance and counseling teachers. (2)Enhancing the professionalism of guidance and counseling teachers. (3)Developing infrastructure and resources. (4)Implementing a comprehensive and systematic guidance and counseling program. (5)Establishing collaboration with internal and external stakeholders of the school. It is expected that by strengthening these services, guidance and counseling can be effectively delivered, creating a conducive learning environment, and supporting holistic student development.

Sustainable Lighting Technology Implementation in Jelebu District Council, Negeri Sembilan, Malaysia

The aim of this study is to explore district council roles in sustainable development, specifically within its environmental sphere. It is focused on the district council’s internal stakeholders in understanding the relevant concepts of sustainable development. The efforts in implementing sustainable technology in its services by Jelebu District Council, one of the Local Governments located in Negeri Sembilan, Malaysia, was studied. A total of seven informants were purposely selected to contribute to this study. Primary data collection is done using face-to-face interview techniques to enable the informants to apprehend the real situation faced by their organization in implementing sustainable development. By utilizing the SWOT analysis technique, the result identified the main strengths, weaknesses, opportunities, and threats for the district council in their course of implementing sustainable development. Internal and external strengths supports, and deficiencies sum up the factors that are influential for the district council. The finding shows that the district council has significant roles at the grassroots level in implementing sustainable development, especially related to sustainable technology. The study also discovered that Jelebu District Council is one of the earliest local councils in Negeri Sembilan that opted for energy-saving lighting by using a light-emitting diode (LED) in place of conventional fluorescent lights to illuminate its township area.

The Tools for Integrated Management of Childhood Illness (TIMCI) study protocol: a multi-country mixed-method evaluation of pulse oximetry and clinical decision support algorithms.

Effective and sustainable strategies are needed to address the burden of preventable deaths among children under-five in resource-constrained settings. The Tools for Integrated Management of Childhood Illness (TIMCI) project aims to support healthcare providers to identify and manage severe illness, whilst promoting resource stewardship, by introducing pulse oximetry and clinical decision support algorithms (CDSAs) to primary care facilities in India, Kenya, Senegal and Tanzania. Health impact is assessed through: a pragmatic parallel group, superiority cluster randomised controlled trial (RCT), with primary care facilities randomly allocated (1:1) in India to pulse oximetry or control, and (1:1:1) in Tanzania to pulse oximetry plus CDSA, pulse oximetry, or control; and through a quasi-experimental pre-post study in Kenya and Senegal. Devices are implemented with guidance and training, mentorship, and community engagement. Sociodemographic and clinical data are collected from caregivers and records of enrolled sick children aged 0-59 months at study facilities, with phone follow-up on Day 7 (and Day 28 in the RCT). The primary outcomes assessed for the RCT are severe complications (mortality and secondary hospitalisations) by Day 7 and primary hospitalisations (within 24 hours and with referral); and, for the pre-post study, referrals and antibiotic. Secondary outcomes on other aspects of health status, hypoxaemia, referral, follow-up and antimicrobial prescription are also evaluated. In all countries, embedded mixed-method studies further evaluate the effects of the intervention on care and care processes, implementation, cost and cost-effectiveness. Pilot and baseline studies started mid-2021, RCT and post-intervention mid-2022, with anticipated completion mid-2023 and first results late-2023. Study approval has been granted by all relevant institutional review boards, national and WHO ethical review committees. Findings will be shared with communities, healthcare providers, Ministries of Health and other local, national and international stakeholders to facilitate evidence-based decision-making on scale-up.Study registration: NCT04910750 and NCT05065320.

Strategic Public Relations Communication in Higher Education: The Case of Raden Fatah State Islamic University Palembang

This study examines Raden Fatah State Islamic University Palembang's public relations (PR) communication strategies in establishing relationships with press agencies. The research highlights the challenges and opportunities faced by the university's PR department in navigating the rapidly evolving digital landscape. Utilizing a qualitative approach and case study methodology, the study explores the university's cooperative efforts with mass media outlets, focusing on internal and external stakeholders. Key findings indicate that effective PR strategies involve strategic communication, media engagement, and proactive crisis management. The study also identifies inhibiting factors, such as interest conflicts and coordination issues, alongside supportive factors like robust Information and Communication Technology (ICT) infrastructure and collaborative media partnerships. These insights provide a comprehensive understanding of the PR practices at Raden Fatah State Islamic University and offer actionable recommendations for enhancing institutional communication strategies.

Analysis of Driving Factors for Fluctuations in China’s Tuna Product Exports from 2002 to 2022

Tuna products are among the most popular seafoods in the world and widely traded across the globe. China is a major contributor to the worldwide tuna industry as both a producer and an exporter. Employing the Constant Market Share model, this study examines the factors influencing the variations in China’s tuna exports from 2002 to 2022, focusing on global, country, and product type levels. Results show that (1) China’s expanded tuna exporting trade is partially due to the rising worldwide demand for tuna, which is mostly prominent in China’s tuna exports to the USA, Vietnam, and Malaysia, as well as its exports of frozen tuna products. (2) China’s competitive edge in tuna exports has steadily strengthened in most of its principal exporting markets, especially in Japan and the fresh tuna markets. Nevertheless, the competitiveness structure of Chinese tuna exports has challenges in satisfying the diverse requirements of different nations (regions) for various types of tuna products. (3) The second-order effect has been the primary driver of the expansion in Chinese tuna exports, with its contribution rate consistently rising in recent years. In response to the changes in international and domestic tuna markets, China must implement strategies to maximize the potential of the tuna importing market, further improve its global competitiveness, enhance communication and coordination among domestic and international tuna stakeholders, and cultivate domestic tuna markets.

What does it mean to be aphasia aware? An international survey of stakeholder perspectives and experiences of aphasia awareness

ABSTRACT Background Over the past two decades, “aphasia awareness” has been studied across 19 countries and five continents. Despite international efforts, awareness of aphasia has remained persistently low and little consideration has been given to what it actually means to be “aphasia aware”. In order to raise awareness of aphasia, it is first necessary to understand how key stakeholders perceive the topic, and their experience of raising awareness of aphasia and the factors which may enable or hinder success. Aims To explore international stakeholder: (1) perspectives on aphasia awareness, (2) experiences of delivering aphasia awareness campaigns; and to identify (3) barriers to, and facilitators of, successful aphasia awareness raising activities. Methods & Procedures Two cross-sectional, international, online surveys were conducted. Survey 1 was conducted with people living with aphasia (PLWA: people with aphasia, family members, friends, carers). Survey 2 was conducted with people who work with PLWA (workers: clinicians, researchers, volunteers, consumer organisation representatives). The surveys contained 31 and 25 questions respectively across four topic areas: demographics, perspectives on aphasia awareness, experiences of running aphasia awareness campaigns, and barriers to, and facilitators of, raising awareness. Closed and open-ended responses were elicited. Data were analysed using descriptive statistics and qualitative content analysis. Outcomes and Results A total of 105 PLWA and 306 workers, from 39 countries, completed the surveys. More than 90% of participants considered aphasia awareness to be “very” or “extremely important”, primarily due to the communication and information barriers faced by people with aphasia daily. Participants reported that being “aphasia aware” meant knowing: that aphasia does not affect intelligence (PLWA), and how to communicate with a person with aphasia (workers). In total, 15% of PLWA and 31% of workers reported they had previously run an aphasia awareness campaign. Barriers to campaign success included insufficient resources (e.g., funding, time) and lack of experience and specialised skills (e.g., health promotion). Key facilitators included people living with aphasia (including celebrities) sharing their stories and being key members or leaders of the campaign. Conclusions “Aphasia awareness” was considered essential by all participants. To enhance aphasia awareness misconceptions and stereotypes about communication disability must be challenged and practical education on how to communicate with a person with aphasia provided. These results lay the foundation for developing an international aphasia awareness campaign. Future research is needed to identify campaign priorities and to co-design the campaign.