Participation In Decision Research Articles

TRANSFORMING PUBLIC SERVICES: THE ROLE OF DIGITAL INNOVATION IN INDONESIAN MUNICIPAL GOVERNANCE

Digital innovation has become an important catalyst in the transformation of public services in Indonesia, especially at the local government level. The application of digital technology can increase transparency, accountability, and responsiveness of the government to the needs of the community. However, challenges such as infrastructure gaps and bureaucratic resistance are still major obstacles in this process. This study aims to explore the impact of digital innovation on the quality of public services in local governments. The study was conducted using a qualitative approach, using thematic analysis of data obtained from various relevant sources. The results of the study indicate that digital innovation significantly improves the quality of public services by accelerating the administrative process and increasing transparency and accountability. Digital technology also enables local governments to be more responsive to community needs and encourages public participation in decision-making. However, the success of digital transformation is highly dependent on leadership commitment, technological infrastructure development, and increased human resource capacity. Challenges such as technological gaps between regions and bureaucratic resistance need to be overcome so that digital innovation can be implemented effectively. With the right strategy, digital innovation has great potential to increase efficiency and public trust in government in Indonesia.

Participatory decision-making, job satisfaction and employees’ innovative work behavior among small retail stores

Participatory decision-making, job satisfaction and employees’ innovative work behavior among small retail stores

Analisis Budaya Patriarki Dalam Pemilihan Karir Mahasiswi Tingkat Akhir Pada Universitas Sahid Surakarta

This study examines the influence of patriarchal culture on the career choices of final year female students at Sahid University Surakarta. Using qualitative methods, data was collected through in-depth interviews with seven main informants and two supporting informants. The results showed that patriarchal culture significantly influences the career choices of female college students, with men dominating important positions in academic and professional environments. Female college students face limited career opportunities in education and social fields, while leadership roles are dominated by men. While reproductive health services are generally adequate, the quality of off-campus facilities needs to be improved. Women also feel less safe in public spaces and their participation in public activities and economic decision-making remains limited. This research suggests universities provide mentoring programs and leadership training for female students, offer diverse internship opportunities, and promote gender equality through educational campaigns and supportive policies. This research is expected to provide new insights into the influence of patriarchal culture on women's career choices.

Design and validation of an instrument to evaluate Person-Centered care in health services

BackgroundThe concept of quality in health care has evolved, placing greater importance on the patient’s needs, culture, and social context, as well as their participation in clinical decision-making, as highlighted by Mead and Bower’s Person-Centered Care Model. The aim of the present study was to design and validate an instrument to assess the extent to which healthcare services provided by PEMEX (Petróleos Mexicanos) offer person-centered care according to user perceptions.MethodsThe first phase comprised the development of 57 items based on the analysis of responses from an open-ended questionnaire administered to 30 users of Pemex healthcare services. This questionnaire was designed considering the four factors of the person-centered care model, however, the high correlation between the 4 factors (i.e., r ≥ .80) indicated an overfactoring effect and consequently an increase in the risk of overfitting. Therefore, an exhaustive analysis of the instrument was performed, starting with the review of the individual behavior of each item, and carrying out exploratory and confirmatory factor analysis. Using a sample of 330 individuals, an exploratory factor analysis was perfomed. Afterward, a confirmatory factorial analysis was carried out with 335 participants. Finally, a new confirmatory factorial analysis included 130 participants due to the refinements made in the previous phase. Internal consistency was assessed using Cronbach’s α and McDonald’s ω at every phase.ResultsThe exploratory factor analysis retained 35 items in a single factor that accounted for 49% of the variance with an internal consistency of Cronbach’s α and McDonald’s ω = 0.97. Because the factorial structure by confirmatory factorial analysis was unsatisfactory, the initial model was refined, leading to the retention of 11 items and a final model with adjustment index of χ2 = 127.53, χ2/gl = 2.89, RMSEA = 0.07, IC RMSEA 0.06 to 0.09, TLI = 0.95 and CFI = 0.96, with an internal consistency of Cronbach’s α and McDonald’s ω = 0.93. Due to the refinements, a new confirmatory factorial analysis was conducted with suitable goodness-of-fit criteria in most items (χ2 = 151.44, χ2/gl = 3.43, RMSEA = 0.13, IC RMSEA 0.11 to 0.16, TLI = 0.93 and CFI = 0.94), resulting in a Cronbach’s α and McDonald’s ω = 0.98.ConclusionsThe instrument exhibits suitable psychometric properties to be employed to measure the degree to which medical care is patient centered. This instrument represents a strategy for promoting an innovative healthcare model.

Can digital technology promote market participation among smallholder farmers?

Abstract Digital technology holds significant potential for enhancing business efficiency in agricultural marketing. However, empirical research on the use of digital technology among smallholder farmers engaged in staple crop marketing in Sub-Saharan Africa remains limited. Recognizing the pivotal role of digital technology in agriculture, this study aims to analyse and synthesize existing knowledge regarding the impact of mobile phones on market participation among smallholder farmers. Through a comprehensive analysis, we seek to provide a robust understanding that can inform policies and programs aimed at enhancing smallholder market integration. To achieve this objective, we collected cross-sectional data from 360 farmers in southeast Nigeria and implemented a double hurdle model to analyse market participation decisions and the extent of farmers’ involvement in staple crop markets. In addition to traditional econometric methods, we employed propensity score matching to further investigate the impact of mobile phone ownership on market participation. Our analysis revealed that ICT tools, particularly mobile phones and radios, significantly influence both the decision and intensity of market participation among smallholder farmers. Specifically, mobile phones were found to play a crucial role in facilitating access to market pricing information and disseminating knowledge on improved production methods. Given the volatility of farm prices, the timely dissemination of market information through mobile phones is essential for farmers to make informed decisions. With a high percentage of mobile phone ownership and substantial investments in mobile networks in Nigeria, the digitalization of extension services and marketing information delivery systems could catalyse rapid improvements in agribusiness and marketing. This shift towards digital platforms has the potential to address information asymmetry, particularly among smallholder farmers, thereby fostering greater market integration and economic empowerment within rural communities.

The association between task interdependence and participation in decision-making: a moderated mediation model in mental healthcare

ABSTRACT Participation in decision-making is crucial to healthcare workers collaborating across professions. Important correlates of participation in decision-making include task interdependence, informational role self-efficacy, and beliefs in the benefits of interprofessional collaboration. We hypothesised that although task interdependence is directly related to participation in decision-making, the relationship is mediated by informational role self-efficacy. Beliefs in the benefits in interprofessional collaboration act as a mediator. A sample of 315 mental healthcare workers answered validated questionnaires. Conditional processing was used to test the moderated mediation. Generally, the results confirmed our hypotheses. There was a direct relationship between task interdependence and participation in decision-making and it was mediated by informational role self-efficacy, and both relationships depend on whether healthcare workers believe in the benefits of interprofessional collaboration. However, although the moderation effect of beliefs in the benefits of interprofessional collaboration between task interdependence and informational role self-efficacy was positive, the moderation effect was negative for the relationship between task interdependence and participation in decision-making. Although there is an inherent logic in the positive relationships that were found, the negative moderation might be explained by the contrast between the structural view and the volitional view of task interdependence.

Association Between Korean Adults' Electronic Health Literacy and Active Participation in Health Decision-Making.

This study aimed to investigate the association between Korean adults' electronic health literacy and active participation in health decision-making while communicating with healthcare providers. A total of 421 adults 18 years and older were recruited from a survey panel developed by a survey company and completed an online survey asking about individual characteristics and electronic health literacy. Data were analyzed using descriptive statistics, independent-samples t tests, analysis of variance, and binomial logistic regression analysis. In results, for every one-unit increase in electronic health literacy, the rate of active participation in health decision-making was likely to increase by 3.62 times compared with the rate of passive participation in health decision-making. It was also likely to increase in those with a college degree or higher, those who used both Web sites and YouTube, those who perceived online health information to be useful, those who actively participated as a patient, and those with a desire to actively participate as a patient. To encourage active participation in health-related situations or decision-making processes, educational programs or interventions to improve individuals' electronic health literacy are needed. Healthcare providers must ensure that individuals feel comfortable expressing their preferences, needs, and values.

“I JUST WANTED TO GET THE PAIN OUT OF THE WAY”: WHY PEOPLE WITH SIGNS AND SYMPTOMS OF SUSPECTED CAUDA EQUINA SYNDROME ATTEND THE EMERGENCY DEPARTMENT

Purpose and backgroundCauda Equina Syndrome (CES), a rare (<1 per 100,000) and potentially devasting condition, involves compression of the lumbosacral nerve roots. If not quickly identified and treated, it can lead to lasting disability, and high medicolegal costs (>£186 million in the decade to 2018). This study identified why people with suspected CES attend the emergency department (ED) and explored any delays in attending.Methods and ResultsThe design was a secondary analysis of a qualitative dataset comprising patients with back pain who attended the ED, undertaken using an interpretivist approach. Fourteen patients (8M:6F, aged 23–63 years) with suspected CES were purposively sampled from 4 EDs (2 Northern and 2 Southern) in England between August and December 2021. Semi-structured interviews were conducted online, audio-recorded, transcribed verbatim and analysed thematically.Acopia with pain was the biggest factor in a participant's decision to attend the ED, along with the need for a diagnosis. This pain was the worst ever experienced and debilitating, leaving people unable to cope and desperate for relief. 12/14 were advised to attend the ED following identification of red flags by: GPs (n=9); physiotherapists (n=2); surgical colleague (n=1); and 111 (n=1). Factors such as guilt, previous experience of being disregarded, and symptom misattribution were seen to cause delays in seeking care.ConclusionThis paper revealed a disconnect between the priorities of patients and clinicians prior to attending the ED. Clinicians need to validate the pain experience, communicate clearly why signs and symptoms are concerning, and convey the urgency and potential impact of CES.Conflicts of interestNoneSources of fundingFunding for primary data: Health Education England & NationalInstitute of Health and Care Research (ICA-CDRF-2018-04-ST2-040)

Crowdsourcing solutions for innovation: An evolutionary examination of participant behavior strategy

AbstractDespite numerous enterprises embracing crowdsourcing to access several innovative solutions, the prevalence of information asymmetry among different participants has led to an increase in the submission of low‐quality solutions and payment disputes. To improve the efficiency of crowdsourcing solutions for innovation, this study aims to employ an evolutionary game model to capture the dynamic interaction and decision‐making process of the requesters, platforms, and solvers. Initially, we dissect the relevant factors influencing the behavioral decisions of participants to construct a tripartite evolutionary game model. Subsequently, we analyze five potential evolutionarily stable strategies and conditions. Ultimately, we simulate the dynamic evolution of participant decision‐making behavior and the sensitivity of related parameters. The simulation results depict that the initial selection probabilities of populations bear no correlation to the system stability, which only influences the time required to reach equilibrium. The participant's behaviors are affected by price, loss, penalty, compensation, cost, and reputation recognition. Reward and punishment mechanisms help effectively mitigate the emergence of free‐riding and collusion. These findings provide important implications for the sustainable development of crowdsourcing solutions for innovation.

The Impact of Transaction Credit on Credit Enhancement of Supply Chain Financing of Small and Micro-Logistics Based on Evolutionary Game Analysis

The issue of credit enhancement in supply chain financing for small and micro-logistics enterprises (SMLEs), as well as the factors that affect the decision-making of participants in supply chain financing transaction credit enhancement, is analyzed in this study. First, an evolutionary game model between financial institutions (FIs) and SMLEs was built. In contrast to bank loans, a novel mechanism for achieving credit enhancement based on transaction data in the transportation supply chain was established through a strict environment and an increase in default penalties to compel SMLEs to uphold their obligations. Furthermore, the stability analysis shows that the stable state convergence of the evolutionary game between FIs and SMLEs evolves to the stage where FIs offer loans to SMLEs. Finally, according to the simulation analysis on the real data collected from CHZL logistics park survey data, this work demonstrates that the fluctuation ranges of the strategy evolution process for the FIs and SMLEs are positively correlated with the intensity of the stochastic perturbation.

Intellectual Stimulation and Team Performance in Small and Medium Enterprises in the Cut Flower Industry in Kenya

This study aimed to examine the effect of intellectual stimulation on team performance in small and medium-sized enterprises (SMEs) in the cut flower industry in Kenya. This study employed a positivism research philosophy and utilized a descriptive correlational research design. The study population consisted of 640 senior and middle-level managers from 62 SMEs in the cut flower industry in Kenya. A total of 271 participants were selected for the study using a combination of stratified and simple random sampling techniques. The collection of primary data involved the use of a questionnaire guide. Using Statistical Package for Social Sciences, data analysis was done by descriptive statistical analysis (means and standard deviations) and multiple linear regression analysis. The study results demonstrated that innovativeness had a positive and significant influence on team performance (β = 0.283, t = 5.073, p < 0.05). The study findings further revealed that employee empowerment positively and significantly influenced team performance (β = 0.183, t = 2.587, p = 0.010). Additionally, the findings demonstrate that knowledge sharing had a positive and significant influence on team performance (β = 0.206, t = 2.942, p = 0.004). The results further showed that the intellectual stimulation of leaders has a significant positive influence on team performance in SMEs in the cut flower industry in Kenya (β = 0.673, t = 14.895, p < 0.05). This study recommends that leaders in SMEs in the cut flower industry should challenge team members to think differently and to promote individual and team growth. In addition, leaders in SMEs should introduce rewards and recognition for motivating teams. Moreover, leaders in SMEs in the cut flower industry should establish organizational practices and policies that support the use of existing skills, provide equal opportunities for staff development and encourage participation in decision-making.

Uncovering an emerging policy direction for Australian energy and future fuels using a “participatory decision-making” framework

IntroductionAn online deliberative engagement process was undertaken with members of the general public to understand what they value or would like to change about the energy system, within the broader context of decarbonizing Australia's energy networks, identifying a role for future fuels (hydrogen and biogas). Citizens developed a set of principles that could guide Australia's path toward a low-carbon energy future, reflecting on expectations they place upon energy transition. Next, citizens' principles were shared with policy-makers in government and policy-influencers from the energy industry using an online interactive workshop.MethodsThis study analyses policy-makers and -influencers response to citizens' guiding principles using the 'diamond of participatory decision-making' framework for analysis. Convergence and divergence in diverse, complex and rich views across cohorts and implications thereupon energy policy were identified.ResultsAlthough considerable alignment between multi-stakeholders' views was noted, key areas of divergence, or what is called the “groan zone” were easily identified in relation to social and environmental justice issues. This groan zone highlights the struggles that energy policy-makers face -the need to listen and respond to citizens' voices, vs. the need for practical and workable policies that also support overarching government or industry objectives.DiscussionPolicy making when the views of different stakeholders align is relatively straightforward. However, this is not the case where the expectations diverge. More creative measures will be needed to address divergent views and expectations whilst maintaining procedural fairness, in this case, using democratic deliberative engagement processes. While the use of deliberative processes is gaining momentum worldwide, particularly concerning climate change and energy transition policies, this paper also highlights the benefits of conducting a robust post facto analysis of the content of the processes. Areas of alignment, where policy can be made and implemented relatively easily without contention are identified. Other areas (such as making electrification mandatory) might be more complex or have unwanted negative social and environmental justice effects. Overall, this paper bridges an analytical gap between “expectation studies” and participatory research. By borrowing terminology from a participatory research framework we sharpen the concepts in “expectation studies” from a consensus, inclusion and diversity standpoint.

Talking across worlds: The ontological turn and communication in natural resource co-management with Indigenous communities

The ontological turn in critical social theory provokes emerging calls for new approaches to natural resource management where Indigenous perspectives, worldview, knowledges, and values are prioritized in the stewardship of Indigenous lands. Yet, scant literature focuses on the ontological implications for communication within environmental decision-making, where Habermas’ communicative action theory, with its norms of privileging argumentation, formality, expertise, institutional authority, rationality, and language, continues to shape spaces of public participation since the communicative turn in the 1990s. Growing calls for participatory decision-making, as well as the mounting failures of scientific management approaches espoused by conventional natural resource management, have fuelled the rise of co-management since the 1980s. The emerging emphasis in co-management approaches on community collaboration and meaningful communication was strengthened with the emergence of adaptive co-management and adaptive governance in the early 2000s. Yet, the ontological turn unveils communicative tensions which continue to persist, rooted in ontological difference and onto-epistemic violence. Rethinking communication under the ontological turn in co-management with Indigenous communities, this paper reviews the literature and further proposes the idea of ethical equivocation as a communicative tool and starting point toward learning to talk across worlds.

Employee Ownership in Startup Governance: Preserving Agility in Participatory Decision-Making

Employee Ownership in Startup Governance: Preserving Agility in Participatory Decision-Making

Children's right to participation in Swedish child welfare – The extent, nature and determinants of child interviews during investigations

BackgroundChildren's right to participation in child welfare decision-making is highlighted in law and research. However, there is a lack of comprehensive empirical research on how such participation is actually fulfilled. ObjectiveThis article aims to describe and analyse the extent, nature and determinants of children's participation in child welfare investigations in Sweden as well as to discuss barriers to participation. Participants and settingThe dataset comprises a cohort of 2123 children investigated during 2022 across eight municipalities in Stockholm County, Sweden. MethodsThe study is based on cross-sectional data where the responsible child welfare workers served as informant in a survey focusing child and case factors concerning 2123 children subject to child welfare investigations. The data is analysed by using descriptive and binary logistic regression analyses. ResultsIn approximately 75 % of the child welfare investigations, child welfare workers held interviews with the child (with or without parental presence) while individual child interviews were carried out in about 50 % of the cases. Multiple interviews (≥3) occurred in 14 % of the cases. Reasons for not interviewing children included finding interviews to be unnecessary, perceiving the child as too young, and reluctance by the child as to participation. Investigations involving older children and referrals related to abuse increased the odds for participation. ConclusionsThe study suggests that more children are interviewed by child welfare authorities than found in previous studies, but that there still is a gap between the legislative intention to facilitate child participation and the actual state of child welfare practice.

Patient experience and satisfaction with shared decision-making: A cross-sectional study among outpatients

ObjectivesThis study aimed to investigate how doctor-patient communication, trust in doctors impacted patients’ experience and satisfaction in shared decision-making (SDM). MethodsThis study is based on the data from a cross-sectional survey (n = 12,401) conducted in 27 public specialist outpatient clinics in Hong Kong. ResultsThe multivariable regression models revealed that doctors’ better communication skills were associated with lower decision-making involvement (odd ratio, 0.75 [95 % CI, 0.88–0.94], P < .001) but higher satisfaction with involvement (odd ratio, 6.88 [95 % CI, 5.99–7.93], P < .001). Similarly, longer consultation durations were associated with reduced involvement in decision-making (odd ratio, 0.71 [95 % CI, 0.66–0.73], P < .001) but increased satisfaction with involvement (odd ratio, 1.91 [95 % CI, 1.80–2.04], P < .001). Trust in doctors significantly mediated these associations, except for the association between consultation duration and patients’ satisfaction with decision-making involvement. ConclusionDoctors’ better communication skills and longer consultations might not necessarily increase patient involvement in SDM but correlated with increased satisfaction with involvement. Trust in doctors emerged as a mediator for participation and satisfaction in decision-making. Practice implicationsClinics should consider patients’ preferences and capabilities when tailoring communication strategies about decision-making and optimizing patient satisfaction.

Gender Relations between Men and Women in Village Government Decision-Making

study aims to examine the dynamics of gender relations in decision-making in Pesagi village, Kayen sub-district, Pati district. The main focus of this research is to understand the extent to which women are involved in the decision-making process and how to improve the role of women in line with the enactment of Law No. 6 of 2014 on Villages, which provides new opportunities for women's participation. This research uses a qualitative approach with the methods of in-depth interviews, participatory observation, and document analysis to obtain a comprehensive picture of women's participation in village decision-making. By testing the validity of the data using the Triangulation technique, namely comparing and reviewing the degree of trust in information obtained through different times and tools in qualitative research. The results show that despite formal recognition of women's role in village governance, their active participation is still limited. Women tend to be involved in domestic and community issues, such as health and social welfare, while men dominate areas of physical village development. Deep-rooted gender stereotypes and inequalities in access and opportunity are also factors inhibiting women's participation, and decision-making by women is often influenced by men. Based on the explanation from the analysis of men's and women's gender relations in decision-making in Pesagi village, to increase women's participation in village decision- making, a comprehensive strategy is needed, including training and capacity building, setting quotas for women's representation, and active support from the female village head. So that women can contribute more significantly to village development and ensure gender-equitable policies.

Tests for market failures and overcoming transaction costs barriers to market participation in Afghanistan

AbstractSimilar to other fragile poor countries, the majority of the rural population in Afghanistan depend directly or indirectly on small-scale farming for their livelihoods, and poor infrastructure and other barriers restrict access to markets and services, making improving access to local input markets a significant challenge for policymakers aiming to increase productivity. This paper offers empirical evidence addressing two important issues for smallholder participation in input markets: are rural markets incomplete or failing and how do transaction costs affect participation in factor markets? Pooled cross-sectional data from three waves of nationally representative surveys between 2011 and 2016 with a sample of nearly 21,000 households are used. The analysis first tests and rejects the separability hypothesis that household production and consumption decisions are independent which can be interpreted as evidence of market failures. A control function approach with instrumental variables to address endogeneity is employed to estimate household input market participation decisions. Ownership of or access to information and communication technology and transport equipment are used as proxies for transaction costs. Results confirm that lower transaction costs increase input market participation and expenditure on inputs by farm households. Additionally, households with better access to roads and district or provincial market centres have higher market participation and expenditure on input. Reducing transaction costs plays an important role in input use, potentially increasing productivity and incomes.

THE IMPACT OF EMPOWERING LEADERSHIP ON EMPLOYEE CREATIVITY: THE MEDIATING ROLE OF ORGANIZATIONAL-BASED SELF-ESTEEM

This study aims to explore the impact of empowering leadership on employee creativity, with organizational-based self-esteem (OBSE) serving as a mediating variable. By surveying and analyzing data from 301 employees, the study employs statistical methods including reliability analysis, validity analysis, correlation analysis, regression analysis, and mediation effect testing. The research findings reveal: 1) There is a significant positive relationship between the four dimensions of empowering leadership and employee creativity, and 2) OBSE mediates the relationship between empowering management and employee creativity. Factors such as enhancing job significance, promoting decision-making participation, expressing confidence in high performance, providing autonomy, and empowering leadership have a significant positive impact on employee creativity, with OBSE playing an active mediating role. In practical management, the study suggests that organizations should focus on improving leadership styles, advocating for empowering leadership, and paying attention to employees' self-esteem to promote the comprehensive development of employee creativity.

Family Satisfaction of Polytrauma Patients in Intensive Care Unit at a Tertiary Care Center.

Family members play a crucial role in ICU patients' treatment and decision-making, despite the stress and uncertainty they may experience, ensuring high-quality medical care. Providing comfortable spaces with noise-reducing techniques can boost family satisfaction. Further research is needed to support families in intensive care units (ICU). This study aims to evaluate family satisfaction and decision-making in polytrauma patients in the ICU, identify improvement opportunities, and analyze demographic and socioeconomic factors influencing satisfaction. This cross-sectional study was conducted at King George's Medical University, Lucknow, over a period of one year. A total of 66 patients, aged between 20 and 70, their family members, and those who gave written informed consent were included. Exclusion criteria included those who died within 48 hours of ICU admission or did not give consent. Patient characteristics, such as age, sex, Acute Physiology and Chronic Health Evaluation (APACHE) II score, and hospital stay length, were also collected. The family satisfactionin the intensive care unit (FS-ICU) questionnaire, consisting of 24 items with five Likert response options, was used to assess satisfaction levels in ICU care and decision-making. A study of 66 patients which included 78.79% male and 21.21% female. The majority of the patients (66.67%) lived with their family members. The mean ICU stay was 13.03 days, with an APACHEscore of 17.39. The results showed that families were very satisfied with a considerable portion of the ICU stay. The overall satisfaction score was 57.00. Families were less satisfied with the atmosphere in the ICU and involvement in the decision-making process. The satisfaction scores were comparable for both genders, except for the time taken to respond to questions, which was significantly higher for women. Although families were very satisfied with the ICU stay, several areas were identified as having potential for improvement. The present study shows that the quality of treatment and communication during hospitalization is a major factor in the need for follow-up care. This underlines the need for a constant focus on communication skills in the training of nurses and doctors and in their practical training in the ICU. Participation in decision-making, especially by family members of survivors, was identified as an area for improvement. We recommend more research to be conducted in India focusing on family satisfaction with involvement in the decision-making in ICU considering the unique racial, cultural, ethnic, and linguisticdifferences in India.