Management Staff Members Research Articles

Patient-centered lean healthcare management from a humanistic perspective

BackgroundHealthcare organizations are under pressure to improve services because of an aging population and increasing healthcare demands. Lean healthcare management focuses on improving service quality and efficiency under the condition of limited resources, but it may overlook patients’ emotional needs and experiences, especially in developing countries. This study advocates integrating medical humanities with lean healthcare to develop a patient-centered service model.MethodsThe study employs literature review to discuss the critical role of medical humanities in lean healthcare frameworks, both theoretical and practical. Additionally, it conducts a qualitative study through semi-structured interviews to explore strategies for developing a humanistic lean healthcare model. The study conducts semi - structured interviews with eight management staff members and doctors in a tertiary hospital in China that actively adopts this approach.ResultsEight managers and doctors (five female and three male) were interviewed between January and March 2024 at their chosen locations. Firstly, the study identifies key benefits of integrating medical humanities into lean healthcare, which are as follows: (1) Enhancing the personalization and comprehensiveness of services. (2) Building trust in doctor-patient relationships. (3) Boosting the satisfaction of healthcare teams. Secondly, it highlights strategies for a humanistic approach, namely: (1) Conducting comprehensive patient assessments and providing personalized treatments. (2) Enhancing doctor - patient communication for emotional resonance. (3) Optimizing the medical environment for humanized services. (4) Developing humanistic qualities among healthcare professionals. (5) Using information technology effectively. Additionally, the study also addresses potential issues regarding lean healthcare’s focus on profitability and proposes preventive measures: (1) Implementing a scientific evaluation and incentive mechanism. (2) Enhancing transparency and oversight in healthcare. (3) Cultivating a patient - centric medical culture.ConclusionsThis research proposes a patient-centered lean healthcare model integrating medical humanities, providing a novel framework for improving service quality and efficiency while ensuring compassionate care. This management framework can support the reform of public hospitals in China and also serve as a reference for other countries.

Factors Influencing the Organizational Performance of Deposit-Taking Saccos in Kisii County, Kenya

SACCOs are member-owned financial institutions providing financial services aimed at promoting financial inclusion and empowering communities, particularly in underserved areas. In Kenya, SACCOs play a crucial role in offering savings and credit facilities, especially in remote regions. This study examined factors influencing the organizational performance of deposit-taking SACCOs in Kisii County, focusing on Gusii Mwalimu Sacco Society Ltd, Kenya Achievas Sacco Society Ltd, Vision Point Sacco Society Ltd, and Wakenya Pamoja Sacco Society Ltd. The objectives included assessing the impact of leadership and management practices, financial management practices, human resource management practices, and technological adoption and innovation on SACCO performance. The study used a census methodology targeting 130 respondents from management team members and staff members. Data were collected through structured and unstructured questionnaires and analyzed using descriptive and inferential statistics with SPSS v.27. Key findings revealed that transformational leadership, sound financial management, human resource practices, and technological adoption and innovation significantly enhance performance. The study recommends improving recruitment processes, employee development, and investing in technology while suggesting further research into leadership impacts, financial sustainability, and technological innovations in SACCOs.

Influence of Leadership Competencies on Implementation of Operational Strategies in Organizations in Kenya: A Case of Geothermal Development Company.

Leadership played a pivotal role in shaping organizational direction and strategy execution, especially in the face of challenges posed by dynamic environments and a diverse workforce. The study explored the influence of leadership competencies on the implementation of operational strategies within the Geothermal Development Company (GDC) in Kenya. Drawing upon various theoretical frameworks including Path-Goal Theory, Great Man Theory, Leadership-Member Exchange (LMX) Theory, and Trait Theory, the research delved into the cognitive, emotional, social, and functional competencies of leaders and their impact on strategy realization. The study, employing a descriptive research design, collected data from 78 management staff members of GDC through structured questionnaires. Findings revealed significant positive correlations between leadership competencies and the implementation of operational strategies. Specifically, cognitive competencies, encompassing problem-solving and analytical skills, were found to strongly influence strategy implementation. Emotional competencies, such as self-awareness and relationship management, also played a significant role in fostering a conducive environment for strategy execution. Social competencies, including interpersonal skills and teamwork, positively impacted the coordination and cooperation necessary for successful strategy implementation. Additionally, functional competencies, comprising communication and decision-making abilities, were identified as crucial elements in aligning resources and guiding organizational efforts towards strategic objectives. The regression analysis further validated the significance of leadership competencies in predicting the implementation of operational strategies. Cognitive, emotional, social, and functional competencies collectively explained 61.8% of the variance in strategy implementation within GDC. The study underscored the importance of developing multifaceted leadership competencies tailored to the unique contexts of organizations, especially in the public sector where challenges such as limited resources and diverse roles prevailed. These findings contributed to the existing body of knowledge on leadership and strategy implementation, particularly in the context of public entities like GDC. Practical implications suggested that organizations should invest in leadership development programs that focus on enhancing cognitive, emotional, social, and functional competencies among their leaders to drive successful strategy execution. By understanding and leveraging these competencies, organizations could navigate complexities, overcome barriers, and achieve their strategic objectives effectively.

An Overview on Prescription Error

An overview of prescription errors among patients is studied. A prescription error is defined as a therapeutic process failure that results in or may result in patient damage. Errors with prescriptions states that at least 1.5 million people are harmed annually by one of the most prevalent medical blunders. While there are many benefits of using medicines, as well as there are also risks, which might occur due to prescription errors. One of the most frequent ways that patients suffer is from improper prescription management, which is often the result of prescribing errors. The methods to lower prescription errors are examined in this evidence scan. Finding the cause of prescription errors and raising public awareness are its two main goals to reduce errors. Make errors or inconsistencies in the selection and administration of medications, such as incorrect dosages, wrong route of administration, and unnoticed drug interaction. Prescription errors are more likely to occur in older adults. Errors in prescription drugs raise health care expenses and reduces patient trust in the medical system. Managers and health experts are constantly searching for methods to raise the standard and guarantee the security of healthcare. This document discusses medication errors, which are instances of drug mis adventuring that should be avoided by implementing efficient system controls. These controls should involve pharmacists, doctors, nurses, risk management staff, attorneys, administrators, patients, and other members of the organizational setting in addition to regulatory bodies and the pharmaceutical industry

How optimal trust–dependence nexus facilitates relational behavior in contractor–subcontractor collaboration: a configurational analysis

PurposeAlthough trust is generally taken as a fundamental factor in influencing relational behavior in contractor–subcontractor collaboration, the determination of an optimal level of trust is still lacking. Trust with an optimal tipping point that matches dependence best is considered the optimal trust to improve relational behavior between general contractors and subcontractors. To fill the knowledge gap, this study explores how combinations of trust and dependence trigger relational behavior between general contractors and subcontractors through a configurational approach.Design/methodology/approachQuestionnaires were administered to 228 middle management and technical staff members of the general contractor. The data were analyzed using fuzzy-set qualitative comparative analysis (fsQCA), and the inductive analytic method allowed researchers to explore configurations of different dimensions and levels of dependence and trust.FindingsNecessity analysis results indicated that neither dependence nor trust was a necessary condition for facilitating relational behavior. Through sufficiency analysis, four configurations of optimal trust matched with dependence were identified in contractor–subcontractor collaboration. Even if contractors rely only on subcontractors for resources, the optimal trust between contractors and subcontractors should include both institution- and cognition-based trust. In the event that contractor–subcontractor collaboration involves relational dependence, both affect- and cognition-based trust are necessary for the optimal trust.Originality/valueThis study enhances existing research by delving deeper into a nuanced understanding of optimal trust in dependence scenarios, and enriches project governance theory by uncovering the internal transmission of relational governance. Practically, this study offers general contractors guidance on how to establish optimal trust strategies based on the dual dependence level with subcontractors, which can facilitate subcontractors' relational behavior, and ultimately improve contractor–subcontractor collaboration performance.

Optimizing Operational Performance of Pharmaceutical and Health Companies in Nigeria through Efficient Materials Management Practices

Efficient management of raw materials, drugs, active pharmaceutical ingredients (APIs), and other medical materials and devices could result in an improved operational performance of pharmaceutical companies. Thus this paper seeks to investigate the relationship between materials management and operational performance of listed pharmaceutical companies in Nigeria on one hand and on the hand to provide information on material management practices that improves operational performance of the firms. Primary data was generated through structured thematic questionnaire responded to by 120 management and executive staff members of four (4) firms purposively selected out of the ten (10) listed pharmaceutical and health companies. Data collected was analyzed using descriptive statistics - weighted mean, standard deviation, correlation analysis and multiple regression statistical tools. The study revealed that the explanatory variables (materials management and is proxies) exert significant positive effect on operational performance measured using waste reduction, cost reduction and customers service satisfaction of the sampled firms. Therefore, this study concluded that materials management has positive and significant effect on operational performance of pharmaceutical firms in Nigeria, specifically when measured in terms of waste reduction, cost reduction and customers’ service satisfaction. The study recommended that pharmaceutical companies need to ensure optimal control and efficient management of materials by establishing a specialized and independent materials and inventory management department that will solely be in charge of managing the materials and other pharmaceutical inventories.

A STUDY ON ELECTRONIC HUMAN RESOURCE MANAGEMENT (E-HRM) PRACTICES IN APEX FOOTWEAR LIMITED

This study looks at Apex Footwear Limited's Electronic Human Resource Management (E-HRM) practices. Human resource services are made available to a wider range of organizational stakeholders, such as HR departments and employees, through web-based technology in E-HRM. The study's inception followed a comprehensive exploration of the transition from traditional HR to E-HRM, recognizing the integral role of technology in enhancing HR functions, reducing time wastage, and creating a competitive advantage. The primary objective of this study is to investigate E-HRM practices within Apex Footwear Limited. Key goals include scrutinizing E-HRM practices across different departments, gauging employees' perceptions of E-HRM, assessing its impact on organizational development, identifying implementation obstacles, and providing pertinent recommendations for leveraging E-HRM to enhance organizational performance. The research adopts a descriptive-analytical approach, incorporating both primary and secondary data. A structured questionnaire comprising 11 questions on E-HRM was designed for the study. The study encompasses 80 administrative and management staff members at Apex Footwear Limited, ranging from top-level executives to supervisors, using a convenient sampling approach. The study confirms the positive impact of E-HRM on organizational performance, with employees demonstrating a high level of awareness and satisfaction regarding the system. The study uncovers various challenges in implementing E-HRM, including insufficient financial support, time management issues, and resistance to change. To overcome these challenges, the study recommends aligning E-HRM systems with HR needs, expanding options under E-HR technology, facilitating online training, regular system updates, fostering employee commitment, and adapting to work environment variables.

The perceptions of food service staff in a nursing home on an upcoming transition towards a healthy and sustainable food environment: a qualitative study.

Healthy and sustainable food environments are urgently needed, also in nursing and residential care homes. Malnutrition in care homes is becoming an increasing problem as populations worldwide are ageing and many older people do not consume sufficient protein, fibre, fruit, and vegetables. Nursing homes also often experience a lot of food waste. A transition in the food environment like a nursing home, involves the participation of facility management and food service staff members. This study aims to map out their perceived barriers and facilitators for this transition. A qualitative study using semi-structured interviews was conducted with food service staff members (n = 16), comprising of kitchen staff (n = 4), wait staff (n = 10), and facility management (n = 2) of two nursing homes in the Netherlands. Thematic analysis was used to derive content and meaning from transcribed interviews. Four main themes were identified. Theme 1: 'Communication, transparency and accountability in the chain', highlighting the lack of effective communication flows and a fragmented overview of the food service chain as a whole. Theme 2: 'Understanding, knowledge and ability of the concepts healthy and sustainable', revealing the gap in staff's understanding of these abstract concepts, despite perceiving themselves as having sufficient knowledge and ability. Theme 3: 'The pampering service mind-set', highlighting the contradiction in the staff's shared goal of proving the highest quality of life for residents while also pampering them in ways that may not align with promoting healthy and sustainable food choices. Theme 4: 'Transition is important but hard to realize', describing the barriers such as existing routines and a lack of resources as challenges to implementing changes in the food service. Facilitators to transitioning nursing homes towards a healthy and sustainable food environment as perceived by staff members included transparent communication, accountability in the food supply chain, staff's perceived ability and shared goal, while barriers included lack of understanding of the concepts healthy and sustainable, the current pampering mindset, and top-down decision-making. These findings provide valuable insights for nursing homes seeking to transition towards a healthier and more sustainable food environment.

Assessment of Strategy Implementation on Organizational Performance: A Case of Kenya Power and Lighting Company

This study assessed the barriers to strategy implementation on the performance of Kenya Power and Lighting Company Limited (KPLC) in Nairobi County, Kenya. It had four objectives: to establish the influence of strategic leadership, staff competencies, strategic planning, and organizational structure on performance of KPLC. The study used a descriptive research design. The study was conducted at Kenya Power and Lighting Company. The managerial employees of Kenya power and Lighting Company Limited constituted the study's population. At Kenya Power and Lighting Company Limited, there were 180 management staff members who made up the sample frame for the research. Formulae developed by Yamane (1967) were used to determine how representative the survey's sample was of the whole population. Sample size was 124 respondents. A questionnaire was used to collect data from respondents who are randomly selected from different departments or units of KPLC. The data was analyzed using SPSS version 21 and presented using descriptive statistics. Descriptive and inferential statistics were obtained. The study found that all the four objectives revealed a positive influence on performance of KPLC. In conclusion, strategic leadership, staff competencies, strategic planning, and organizational structure play crucial roles in shaping KPLC's performance by providing direction, motivation, innovation, alignment, coordination, adaptation, evaluation, communication, decision-making, and leadership. Finally, the study recommended that KPLC should continue to foster a culture of strategy implementation that can enhance its performance in a dynamic environment. Moreover, KPLC should also address any potential barriers or challenges in the strategy implementation process or outcomes that may affect its performance or competitiveness

Apex printing company limited employees’ appraisal

Apex Printing Company Ltd. (APC) performed appraisal on their employee to strategically achieve their organizational goals through staff enhancement. Performance appraisal evaluates personal traits and development for organizational benefits. Questionnaire administration and personal interview were the methodology adopted in this research. APC is made up of 1800 staff, comprising 1450 junior employees, 350 members of management and senior staff. APC performance appraisal system is unproductive in evaluating accurate performance of its staff, because of human prejudice in assessment. From the research, we therefore conclude that performance appraisal in APC is affected by prejudices while performance appraisal machinery in APC is ineffective in evaluating employee performance. Management of APC is recommended to embark on reviewing of the total appraisal system of the company design to achieve the goals of performance appraisal of employees.

Insufficient Understanding of User Benefits Impedes Open Data Initiatives at Museums

A Review of: Booth, P., Navarrete, T., & Ogundipe, A. (2022). Museum open data ecosystems: A comparative study. Journal of Documentation 78(4), 761-779. https://doi.org/10.1108/JD-05-2021-0102 Objective – Using Nardi and O’Day’s (1999) definition of ecosystem as “a system of people, practices, values, and technologies in a particular local environment,” to understand how art museums form their policy to interact with and respond to the various open data (OD) ecosystems in which they operate. Design – Multiple case study consisting of interviews and subsequent qualitative analysis, as well as document analysis. Setting – European art museum OD ecosystems. Subjects – Subjects included 7 management staff members at 3 separate mid-size, art-based museums located in Norway, the Netherlands, and Spain; an unspecified number of representatives from a cultural-policy agency in each of those countries; an unspecified number of government, museum, and research documents from within each museum’s OD ecosystem. Methods – The researchers identified 3 museums with OD initiatives and conducted in-depth interviews with relevant staff members at each institution. The researchers also interviewed representatives from relevant national OD policy-related agencies. The researchers coded their data and developed a list of five key OD “ecosystem components,” which they used to analyze the 3 specific museum ecosystems under consideration. Main Results – Open data initiatives at cultural heritage institutions are subject to a number of internal and external pressures. Museums are typically responsive to their environments, and top-down policy requirements appear to be an effective means of advancing open data initiatives. Nevertheless, the value proposition of open data appears to be insufficiently understood by museum staff and other stakeholders. As a result, museums participate in OD initiatives even when the benefit remains undemonstrated and the use of OD—how and by whom—remains unclear. Conclusion – The needs and wants of OD end-users remain ill-defined and poorly understood. As a result, museums expend resources and effort to supply OD, while remaining uncertain about the return on their investment. Attention to users could result in “more robust information flows between ecosystem components.”

Performance Appraisal in the Industry (A Case Study of Apex Printing Company Limited)

This project work attempts to assess the performance appraisal exercise as carried out in Apex Printing Company Ltd. (APC). Performance appraisal aims at improving an organization's performance by enhancing an individual’s performance. It assesses individuals’ present and future performances. A good appraisal system recognizes the distinction between personal, traits and achievements. The achievements of an employee are the ultimate measure of his success or self-fulfillment. However, the person’s attitudes are sometimes contrivance he uses to achieve the results. The methodology employed in the research includes questionnaire administration and personal interviews. The population studied comprised the entire staff of APC, which is made up of 1800 comprising 350 members of senior and management staff and 1450 junior employees. The tests revealed that the company’s performance appraisal machinery is ineffective in evaluating the factual performance of its personnel due to several reasons, which include human bias in assessment. It has therefore been recommended among other things that the management of APC should embark on an immediate review of the entire appraisal machinery of the company and ensure that it is designed to achieve the purpose of assessing the true performance of employees.

The Effect of Human Resource Practices on Hotel Performance during Crisis: A Case Study of Star-Rated Hotels in Mombasa, Kenya

Purpose: Star-rated hotels play a pivotal role in the global economy, contributing significantly to international tourism, job creation, and fostering cross-cultural exchanges. These establishments are luxurious havens and symbols of excellence and diplomacy, promoting economic growth and development, attracting foreign investment, and serving as ambassadors of local culture. In Kenya, star-rated hotels are essential contributors to the national economy, promoting sustainability and wildlife conservation. While these hotels have traditionally thrived due to Kenya's vibrant tourism sector, the industry faces an ever-present threat of crises. Therefore, this study, anchored in the Resource-Based View (RBV) theory analyzed the effect of human resource practices on the performance of hotels in Mombasa County during crises.
 Methodology: This research employed a Covariance-Based Structural Equation Modeling (CB-SEM) approach, well-suited for assessing direct and indirect associations among observed and latent constructs. The study utilized an ex post facto research design to investigate the impact of specific Human Resource Management (HRM) practices on the performance of star-rated hotels in Mombasa County, Kenya, particularly during crises. Structured questionnaires were meticulously administered to 198 management staff members working within star-rated hotels in Mombasa County. This population was chosen due to its critical role in hotel operations, allowing the research to gain comprehensive insights into the relationships under examination. The response rate, approximately 90%, was considered practical and representative of questionnaire-based research. Data were analyzed using descriptive and inferential analysis techniques and presented in tabular format.
 Findings: The study indicated that Talent Retention and Training exhibited a statistically significant positive effect on hotel performance, with a substantial path coefficient of 0.619. Crisis Communication and Leadership also contributed significantly to hotel performance, showcasing a positive and statistically significant path coefficient of 0.355. On the other hand, Resource Management and Adaptability did not exhibit a statistically significant direct relationship with hotel performance, as indicated by a non-significant path coefficient (p = 0.607). The robust positive relationships discovered between Talent Retention and Training, Crisis Communication and Leadership, and hotel performance align harmoniously with previous research findings. These results underscore the critical roles these factors play within the hospitality industry. Investments in talent management and effective crisis management strategies are vital for a hotel's success. The non-significant relationship between Resource Management and Adaptability and hotel performance challenges conventional wisdom but emphasizes the importance of considering the specific contextual nuances.
 Recommendations: In conclusion, the study demonstrates that Talent Retention and Training, as well as Crisis Communication and Leadership, significantly contribute to the performance of star-rated hotels in Mombasa County, Kenya. These findings underline the need for hoteliers to prioritize investments in talent management, crisis management, and leadership skills. While the relationship between resource management, adaptability, and hotel performance appears more complex, further research is required to unearth any potential indirect effects or contextual nuances.

Conversations about race: A reflection on shifts in thinking, teaching and creative practice

Over the course of a year, I was involved in biweekly discussions in which a group of lecturers, members of management and administrative staff at a higher education institution in Stellenbosch, South Africa discussed personal experiences regarding race in and outside of our institution. The purpose of these discussions was to become more aware of how different people experience race, and in turn power, within the same space and place. With the Academy being a predominantly ‘white space’, these conversations affirmed the need for a collective consciousness of different experiences relating to race and power, as it directly impacts teaching and learning practices. As a white educator and Eurocentrically taught creative practitioner, the engagement in these conversations not only brought attention to different experiences and viewpoints, but also made me question my innate visual resources and bias regarding the construction of knowledge as relating to race, power, and place. In this paper I reflect upon the influence of these conversations on my personal thinking, teaching approaches and creative practice. I trace the process of gradual self-awareness, that has led to intentional adaptations in my teaching approach and alternative approaches in my practice as an illustrator. In so doing, the value of multimodal learning practices, particularly relating to race, is justified.

Exploitation of Contract Workers in the Banking Industry: Study of Banks in Sokoto, Nigeria

The study assessed the exploitation of casual workers in the Nigerian financial sector, with a specific reference to banks in the Sokoto megalopolis. The objective of the study was to examine the working condition of utmost casual staff in these banks. The study was explicatory and employed a qualitative exploration design; for the purposes of the study, a total of five banks were used as a sample, accounting for 70% of the banks in Sokoto metropolitan. Fifty respondents (casual/contract workers) were purposefully picked from the 171 casual staff members of the selected banks by random sampling to form a sample of the population. Using a key informant interview guide, five management staff members, one from each selected bank, were also interviewed. The study found that the salaries to casual staff in the bank is not commensurate to the work executed, Business Solution enterprises were the major agents in the exploitation of casual workers of banks in Nigeria and these BSFs are possessed by the top directors of the banks; denoting double exploitation, casual staff are being deprived of certain social benefits, allowances, and social security of jobs. The study recommends the perpetration of the transnational labor laws and making of laws to check the casualization of labor in fiscal institutions, that government should ensure strict compliance with the labor laws, and unionization was explosively recommended as a move toward negotiating the rights of casual staff, among others. Keywords: casual, business solution firms, exploitation of workers, workers’ performance. DOI: https://doi.org/10.55463/hkjss.issn.1021-3619.60.80

The influence of the Fourth Industrial Revolution on organisational culture: An empirical investigation.

The Fourth Industrial Revolution (4IR) is known to transform and create opportunities for the world of work. However, little is known about how the future workforce, such as university students, are being equipped and exposed to 4IR technologies and ways of thinking in a South African (SA) context. This study's findings contribute to understanding the influence of organisational culture on the uptake of 4IR technology within higher education (HE) in SA during a pandemic. The study uses Edgar Schein's theoretical framework to explore the organisational culture at a university in the Gauteng province. The article responds further to the questions on how 4IR technology and principles are understood and applied within the context, and how to investigate to what extent the 4IR is reflected upon or embedded in the university's culture. A qualitative research design is used, and data are gathered through in-depth, semi-structured interviews from seven purposively selected academic and senior management staff members. Thematic analysis uncovered that the university's ambitious and competitive culture contributed to a positive uptake of 4IR technology and principles, even pre-COVID-19. Furthermore, the specific influence of the university's Vice-Chancellor to build 4IR thinking into the university helped shape more 4IR thinking and technologies, such as artificial intelligence, whilst still considering the existing disparities of SA, as a developing country.

Same-Day Total Joint Discharges: A Collaborative Effort for Patient Safety

<h3>Background Information</h3> Previously, both knee and hip replacement patients had been admitted to the hospital for several days on average. Our orthopedic surgeons began booking them as same day discharges. In navigating this new plan of care, we identified a lack of knowledge of the PACU RN regarding discharge instructions for these patients. The required home discharge information included: antibiotics, anticoagulation therapy, home visits with nursing, and physical therapy. Coordinating these therapies, same day, was identified as a new process for the PACU RN. <h3>Objective of Project</h3> The objective and goal of this project was to ensure our patients have a safe discharge on post-op day zero with adequate preparation for medication management and the necessary services at home. <h3>Process of Implementation</h3> Our team identified the key stakeholders to accomplish our objective. These stakeholders included: Orthopedic surgery, Orthopedic Nurse Practitioner, Case Management, Physical Therapy, PACU management, and PACU staff members. Multiple meetings occurred between these multidisciplinary team members to discuss each member's expectations for a safe discharge, potential roadblocks, and solutions. Issues identified were Case Management coverage for PACU, proper lovenox teaching, and physical therapy evaluation equipment needed in the PACU. These issues were addressed and resolved. To assure that the complex criteria for discharge was met, the PACU RN's created a tool to assist with this process. This tool listed all the activities to be completed prior to discharge. <h3>Statement of Successful Practice</h3> The identification of proper discharge requirements and the creation of the "Orthopedic Same-Day Surgery Tip Sheet" streamlined the discharge process. This tip sheet provided guidance to RN's to ensure each patient was being sent home with the correct teaching and tools for a safe same-day discharge. During the post-operative phone call the patients confirmed that the discharge instructions were complete and the home visits were scheduled. <h3>Implications for Advancing the Practice of Perianesthesia Nursing</h3> The identification of a knowledge deficit led to a multidisciplinary group collaborating on best practices. The creation of a PACU "Tip Sheet" gave the RN's the necessary tool and knowledge to care for the same day discharged total joint patient. Our patients are going home with proper education and resources needed for a successful and safe recovery at home.

Research on Government Regulation of Social Credit System — From the Perspective of Business Ethics

Institution system is an important part of modern social governance. Government, market and social relations within the system, as well as the corresponding institutional arrangements, can be said to be the top priority. Corporate social responsibility is an outstanding case that embodies the relationship and institutional arrangement of the three in practice.Government regulation of social credit system is a good example to analysis it. The research on government regulation of social credit system itself is put forward from the perspective of government, so in the field of government regulation of social credit system, should enterprises play a role? Especially in the era of big data, a large number of data are provided by private enterprises. Without these data, it is difficult to complete the construction of big data system. If enterprises should play their role, what’s the contribution of the government? Academic and industrial circles have been expressing their own opinions on these issues.Therefore, this paper attempts to build a game model among government, enterprise and society to solve the following problems: how to solve the relationship problem among government, enterprise and society? How to build the corresponding system? What’s the corresponding government regulation of China’s social credit system go from the perspective of business ethics?Through the game model analysis, the author finds that shareholders can reduce the threat of CEO replacement and collude with the management staff members to make the cake (including the interests of stakeholders) smaller. But on the basis of the loss of stakeholders’ rights and interests, shareholders’ wealth is increasing, which also explains why more and more senior executives are trying to form collusion with stakeholders in the campaign against antitakeover and loose audit system. Shareholders’ rights and interests and stakeholders’ rights and interests present a seesaw phenomenon. The response of the stakeholders and shareholders to a better corporate governance model is consistent. That is to say, the increase of shareholders’ income is not necessarily based on the loss of stakeholders. The game model also shows that the protection of formal laws and regulations is the main factor to increase the benefits of stakeholders. Through the case of the social credit system, we will conclude that the formal laws and regulations cannot fully ensure the increase of stakeholders’ income, but also need to strengthen the transformation of institutional advantages into governance advantages, and strengthen the law enforcement. It will finally promote the further improvement of social credit system.

Change for performance improvement in the Tanzania Ports Authority, a public sector organization in Tanzania

PurposeThis study is about the Tanzania Ports Authority (TPA), a central institution in the country that has seen efforts towards improved performance in terms of cargo handled and revenue generated from port operations. This study identifies the actions that were taken by public institutional leaders as a result of political leadership call for performance improvements and implications therefrom for sustainable performance. It attempts to engage with both change and public value theories to make sense of TPA efforts and implications as a result.Design/methodology/approachThe study was conducted at TPA headquarters in Dar-es-Salaam and involved the management and other staff members. The study design was descriptive and exploratory. Data collection involved mostly the use of semi-structured questionnaires and review of documents.FindingsThe study reveals that the efforts to improve performance at the TPA indicate success in terms of cargo handled and revenue increases. Factors that support change and factors that impede change efforts were also identified making reference to Lewin's change theories and ADKAR (awareness, desire, knowledge, ability and reinforcement) model. The varied level of improved performance is attributed to the emphasis on change factors and the origin of change that do not give the human element the requisite concern. The quest for performance improvement in the public sector organization is also found wanting on the failure to place the requisite emphasis on public value creation both in processes set in motion and the desired outcomes. A more planned systematic change, championed or internalized within the organization by internal players, specifically TPA's management, is also proposed for a better and more consistent sustainable change in performance at TPA and possible in other public organizations.Research limitations/implicationsThe study is about an organization within a change context that is driven by the top leadership of the country. There have been studies on TPA but not as a change process and not yet after 2015 when the country witnessed a very strong leadership. According to Kets de Vries (2016), powerful leadership in Africa has had little to show and a legacy to be lauded. Therefore, there might be some relevance to contribute to the reasons why most African leadership fails, if that is the case.Practical implicationsPerformance can be achieved through change efforts that are driven by the country's top leadership when the context is right and support factors are present. What can be elusive is sustainable performance creating public value and that endures despite changes in the country's leadership, particularly when internal leadership of a public organization is not the change champion and is basically toeing a line, and the change process is not holistic. A more systemic approach to efforts to create strong organizations as opposed to strong individuals in leadership may be key to sustainable change in similar institutions in Tanzania and Africa.Originality/valueThe study is based on change management models that have gained long-term interest of both scholars and practitioners. It explores a performance-seeking initiative in a developing country's context that is driven by top country's political leadership. It is thus unique because the institutional leadership had to be in stride with national level changes that was centered on efforts to improve service delivery and to counter corruption and complacency in public institutions. It has also attempted to link change theories and public value creation in the quest for improved public performance.

The impact of marketing agility on crisis management stages at five and four-star hotels in Jordan

This paper aims to examine the impact of marketing agility on decision-making during crisis management stages in five-star and four-star hotels in Jordan. The study included 71 top management staff members from Jordan’s five- and four-star hotels. A questionnaire was designed and utilized to collect the data on marketing agility and crisis management at four and five-star hotels in Jordan. A total of 213 questionnaires were distributed, and 187 useable responses were returned, which resulted in an 86% response rate. Results show that marketing agility plays a significant role in decision-making during crisis management stages. The analysis revealed that marketing agility affected the five stages of crisis management with mixed levels. The findings show that accessibility, decisiveness, swiftness, and flexibility have an immense impact on crisis management stages, while the alertness dimension result shows a weak impact on crisis management stages except for containment. Hotel managers are recommended to emphasize enhancing coordination and integration internally with different managerial levels and units and with external partners to boost information exchange. In addition, it will help promote learning orientation amongst hotel staff to handle the fast-changing environment.