Multiple Stakeholder Perspectives Research Articles

Trends in extreme rainfall and their relationship to flooding episodes in Vhembe district, South Africa.

Abstract Participatory methods and collaboration among diverse knowledge holders are critical for gathering multiple stakeholder perspectives for influencing policymaking and flood management. This study uses a participatory co-design workshop, post-workshop survey, and key informant interviews to engage diverse stakeholders, including flood-prone communities, in collaboratively developing effective flood response and early warning systems in South Africa’s Vhembe district. The co-design workshop brought together policymakers, practitioners, political actors, government agencies, local authorities, traditional leaders, and flood-prone communities. The workshop was conducted at Masisi Community Hall in Musina Local Municipality on 18 October 2023. At that time, discussions on mainstreaming climate change adaptation and disaster risk reduction in the development planning process were underway. The results show that the stakeholders were able to establish the key drivers of flood risk, challenges associated with flooding, current flood response measures, and barriers to effective flood response. However, there was an urgent need for more effective flood response and an active role of flood-prone communities in the district. Stakeholders were able to use insights from the current dissemination of flood early warning systems and networks created during the workshop to call for action towards a community-based flood early warning system in the district. This call to action was premised on genuine collaboration between flood-prone communities and other key stakeholders rather than on any specific interventions. This was key to fostering more open discussions on enhancing flood response and early warning systems in the district. The study concludes that the co-design approach with diverse knowledge holders is enriched by the local context and insights provided by the flood-prone communities (top-down collaborating with bottom-up) even beyond the workshop. This is useful for developing and implementing community-based flood early warning systems in the future.

Building a sustainable career during the initial transition to work: a multiple-stakeholder perspective on proactive behaviors and contextual factors

PurposeThe initial transition into work has become less predictable. Therefore, emerging adults should take charge and be proactively engaged in their careers during the preparation stage of the school-to-work transition (STWT). We explored which behaviors emerging adults display during the STWT to foster their happiness, health, and productivity, how various contextual factors enable or hinder these behaviors, and to what extent these behaviors can be considered proactive.Design/methodology/approachTaking a qualitative approach, we conducted 44 semi-structured interviews with undergraduate students at an Applied Sciences University in the Netherlands six months before graduation. Additionally, we held nine focus groups (n = 55) and four interviews (n = 6) with contextual stakeholders (i.e. parents, faculty/staff, employers, the board of the university, higher education policymakers, and the Ministry of Education).FindingsThe students mentioned three main behaviors to foster their health, happiness, and productivity, namely, eating healthy food, maintaining social contacts, and reflecting on their motivations. Our analysis shows that, conceptually, none of these behaviors can be considered truly proactive. Moreover, the findings revealed multiple systemic underlying contextual hindrances to portray these behaviors, such as educational system characteristics, which make proactive behaviors less likely.Originality/valueAs the STWT is affected by multiple contexts, adopting a multi-stakeholder perspective is imperative when studying the phenomenon. We adopted the sustainable careers framework as a lens to uncover how emerging adults may build early career sustainability—additionally, we nuance current research on proactivity by concretizing the conceptualization of proactive behaviors.

Ethics, design, and implementation criteria of digital assistive technologies for people with dementia from a multiple stakeholder perspective: a qualitative study

BackgroundDementia impairs the ability of people with dementia to be autonomous and independent. They need support from third parties, who should ideally respect their autonomy and independence as much as possible. Supporting people with dementia can be very burdensome for caregivers and numbers of patients increase while numbers of potential caregivers decline. Digital assistive technologies (DATs) that directly support patients or their caregivers may help bridging the increasing gap between need of support and available resources. DATs have the potential to preserve the autonomy and independence of people with dementia and promote their abilities, if they are properly designed in close interaction with future users. In our study, we focused on ethical concerns, technological requirements, and implementation criteria for DAT in general and specifically to support outdoor mobility of people with dementia.MethodsWe applied a qualitative approach and conducted a World Café (2 tables, n = 7) and an online focus group (n = 6) with people with dementia, relatives, healthcare professionals, scientists, ethics experts, and experts for digitally-assisted medical care. We descriptively analyzed the data using a content analysis approach.ResultsThe participants reported technological (e.g., lack of Wi-Fi), financial (e.g., expensive devices or lack of budget for DATs), political (e.g., legal hurdles such as the European Medical Device Law or data protection regulations) as well as user-related hurdles (e.g., lack of digital competence) for the implementation of DAT in dementia care. Among the issues discussed were the importance of autonomy, independence, safety, privacy, and questions of decision making capacity in DAT’s use. Participants identified opportunities and benefits in self-learning, situation-aware DATs and wished for dementia-friendly communities. They emphasized the value of personal interaction that should not be replaced, but rather supported by DAT.ConclusionThe results revealed multiple hurdles and ethical concerns for DAT use and provided recommendations for designing and implementing DATs. Further investigations are needed on the impact of DAT on personal interactions in caregiving and the role of DAT in dementia-friendly communities.

Exploring the varying agendas of principals, teachers, and a university related to mentorship

ABSTRACT Teachers are entering the field with a different set of teaching expectations than existing teachers were held to during their own training programs. As a result of shifts in teacher preparation practices and increasingly diverse student populations, existing teachers may not be equipped to mentor novice and student teachers, perpetuating cycles of inequity and frustration. Employing qualitative methods that examined the perspectives of multiple stakeholders, this study explores factors that inform existing teachers’ willingness and ability to mentor the next generation of teachers. Findings suggest that there needs to be more explicit guidance and coordination on the part of all stakeholders, each of whom presents unique perceptions and agendas regarding mentoring the next wave of teachers.

Consensus-building to improve implementation of NICE guidance on planning for end-of-life treatment and care: a mixed-methods study

BackgroundDespite the availability of guidance for the provision of good end-of-life care, there are significant variations across the UK in its delivery. This study sought to identify the influences on end-of-life treatment and care planning across several areas where deficiencies in evidence-based practice have been identified, and to develop consensus among healthcare providers and users for recommendations on how to address these deficits.MethodsAn online survey (106 responses), qualitative interviews (55 participants) and a consensus-building exercise (475 participants in the initial round) were undertaken. Participants included people approaching the end of life, people important to them, and health and care practitioners who help people plan for the end of life or provide end-of-life care. Recruitment was via online methods, including social media and online newsletters of relevant charities and professional organisations. Thematic analysis using the framework method was used to analyse qualitative data. Synthesis of qualitative and quantitative data led to the development of statements regarding recommendations for advancing implementation of good practice. A two-stage consensus-building exercise asked respondents first to rate these statements and then to rate and rank further sub-recommendations in three areas.ResultsResults from the consensus building exercise confirmed that end-of-life care planning conversations are to be welcomed and encouraged, and that the priority should be to have the conversation (which could be initiated by a range of professionals, or people planning end-of-life care themselves), rather than to wait for an ideal time to have it. Further rounds identified specific components of a standardised record of end-of-life treatment and care preferences that should be prioritised, specific health and care staff that should be empowered through training in advanced communication, and aspects of communication most important to include in training for healthcare professionals.ConclusionsOur study has identified opportunities for action to improve end-of-life treatment and care by combining multiple stakeholder perspectives and building consensus among them: the resulting recommendations have sufficient granularity to be implemented and evaluated. They are of relevance to policy makers, those who train healthcare professionals, and those looking after patients approaching the end of life.

Implementing injury prevention training in youth handball (I-PROTECT) in Sweden: study protocol for a cluster randomised trial

IntroductionEfficacy trials show that evidence-based injury prevention training reduces injuries in youth athletes but effectiveness, that is, outside the controlled setting, is lower and, consequently this training has had limited...

Definitions and assessments of recovery from gambling disorder: A scoping review.

While the concept of recovery is receiving increasing attention in the context of gambling disorder (GD), no consensus has yet been reached regarding its definition. This scoping review aims to map the literature on GD recovery, identify gaps, and provide insights for a more holistic and patient-centred perspective. A systematic search of three databases was conducted (PubMed, PsycINFO, and ScienceDirect). Based on the method by which the results of these studies were produced, the studies included were sorted into four categories (quantitative, instrument validation, qualitative, and mixed studies) and subsequently examined using conceptual analysis. One hundred thirteen articles were included in this research after the screening process. In the quantitative and instrument validation studies, recovery was defined or operationalized in terms of abstinence, the absence of a GD diagnosis, or mild GD severity, or by reference to treatment outcomes or controlled gambling. A meta-synthesis of the results of the qualitative studies revealed four core features of recovery (insight, empowerment and commitment, wellbeing enhancement, and reconsideration of the issue of relapse). Discrepancies in definitions, outcomes, and variables used were evident across studies. Additionally, the quantitative and standardized approaches employed in most studies exhibited severe limitations with regard to defining recovery from the subjective and multidimensional perspectives of people recovering from GD. This lack of definitional clarity emphasizes thenecessity for further qualitative research. This research should encompass multiple stakeholder perspectives to develop a working definition promoting recovery from a holistic, patient-centred, and tailored approach.

The role of artificial intelligence in the supply chain finance innovation process

AbstractLeveraging on ten case studies, the paper examines the Supply Chain Finance (SCF) innovation process through a multiple stakeholder perspective (buyers, suppliers, and SCF providers). The aim is to identify the phases of the process impacted by Artificial Intelligence (AI), as well as its benefits and challenges. AI affects several activities in the Initiation phase of the innovation process, supporting the SCF provider’s commercial activities and contributing to assessing the buyer’s creditworthiness, detecting fraud, or proposing the right SCF solution. In the Implementation phase, AI supports assessing the supplier’s credit rating, categorizing and onboarding suppliers, and fastening the administrative tasks. Formulating 9 propositions, this study supports the theory related to the SCF by providing empirical evidence about the role of AI in the SCF innovation process and also identifying the resulting benefits and challenges for all the actors involved.

Advancing Transthyretin Amyloidosis Drug Development in an Evolving Treatment Landscape: Amyloidosis Forum Meeting Proceedings.

Hereditary transthyretin amyloidosis (ATTRv, also referred to as hATTR; ORPHA 271861) and wild-type ATTR amyloidosis (ATTRwt; ORPHA 330001) are rare, progressive, systemic protein misfolding disorders with heterogeneous clinical presentations. ATTRv and ATTRwt amyloidosis are characterized by the deposition of amyloid fibrils in multiple organs including the heart, nerves, eyes, and soft tissues. The management of ATTR amyloidosis is complex because of its multisystemic nature and progression despite available treatment options. Morbidity is high and there are many unmet medical needs for patients. While contemporary ATTR amyloidosis cohorts are diagnosed earlier, have lower risk disease and lower mortality compared with the previous era, these advances coupled with the emergence of effective disease-modifying therapies have confounded the design of future prospective clinical trials and interpretation of historical control data. The Amyloidosis Forum is a public-private partnership between the US Food and Drug Administration Center for Drug Evaluation and Research and the nonprofit Amyloidosis Research Consortium ( www.arci.org ). This article summarizes proceedings from the 21 June 2023 Amyloidosis Forum on advancing drug development in ATTR amyloidosis in an evolving treatment landscape. The Forum focused on elements of clinical trial design to address these challenges and discussed their strengths and weaknesses from multiple stakeholder perspectives (i.e., patient, sponsor, statistician, clinician, and regulatory authorities). Given rapid evolution of natural history in ATTR amyloidosis, the utility of historical control data is limited. Leveraging contemporary real-world data is essential for clinical trial design. Evidence generation from clinical trials should address clinically relevant questions. Key factors in successful trial design must be informed by up-to-date data on natural history, prognostic factors, clinically meaningful thresholds, and sharing available clinical trial data. The Amyloidosis Forum includes the community of patients with ATTR amyloidosis, the physicians who treat them, and the sponsors and regulators who collectively stand ready to support further studies in order to develop novel effective therapies.

Evaluating the inhibitors in the growth of high-speed railway in India: A multi-stakeholder perspective

The expansion of the high speed railway (HSR) network has made vital contributions in improving intercity travel around the globe. Despite being promoted by governments across the globe, multiplicity of barriers has prevented the penetration of HSR services in developing economies apart from China. Many studies have emphasized on the advantages of HSR services but have failed to highlight the challenges in developing an efficient HSR network. This study aims to identify and develop interrelationships between the major inhibitors in the growth of HSR in a developing economy such as India considering the perspective of multiple stakeholders. The stakeholders considered for the present study are academic researchers, Indian railway officials and ancillary companies involved in the construction of HSR. Thirteen major inhibitors are identified after consulting all the stakeholders and a blended methodology consisting of Fuzzy theory as well as decision-making trial and evaluation laboratory method (Fuzzy-DEMATEL) is used to develop the inter-relationships. All stakeholders highlighted some common inhibitors such as financial viability of the HSR project, financial health of Indian Railways and the existing infrastructure as the major challenges in growth of HSR in India. Furthermore, strategies have been identified to mitigate these inhibitors to help the policy makers. Strategies have been proposed and a relationship (inhibitor-strategy) matrix has been developed to understand the acceptability of these strategies. The major contribution of the present study is that no study has considered different stakeholder's perspectives in identifying the inhibitors. Furthermore, the policy makers can directly use the findings of this study for HSR growth in developing economies.

Codesigning Online Continuing Medical Education on Social Health Integration and Social Risk-Informed Care for Primary Care Providers.

Adapting clinical care decisions for patient-reported social risks is essential to social health integration and patient-centered care. Most research in this area focuses on awareness and assistance (social-needs-targeted care), such as screening and referral to food, financial, and other resources. Limited evidence for adjustment strategies (social risk-informed care) or adapting care for social risks made it difficult for Kaiser Permanente to implement new initiatives. This article describes a codesign process to build a novel, adjustment-focused continuing medical education course. The authors codeveloped the online continuing medical education course with patients and clinicians using user-centered design. Transcripts from codesign activities were coded and analyzed by thematic analysis to identify major themes, including perceptions of social risk-informed care and barriers to care adjustment. Practical hurdles for implementing social risk-informed care emerged, including clinicians' concerns about the ethics of adjustment as substandard care, particularly without robust assistance activities. However, patients expressed a desire for their care to be adapted to their social circumstances, to allow for more realistic care plans. Implementation barriers identified from the codesign were addressed through an interactive, case-study approach. Existing evidence on contextualized care and shared decision making informed a general framework for primary care providers to engage in awareness and adjustment activities, paired with 3 interactive case studies based on real-world, clinician-supplied scenarios. The authors recommend that multiple stakeholder perspectives be incorporated during the development of social health integration initiatives, particularly adjustment. Education complemented by active, nuanced, flexible implementation strategies may be necessary for the successful uptake of care-delivery-based social health integration activities.

Enhancing resilience in transnational E-commerce supply chains: Critical factors, perspectives and strategic action plan

This study develops a hybrid model to investigate the factors affecting transnational e-commerce supply chain resilience (TNSCRE) by integrating the Entropy Weight Method (EWM), Simple Additive Weighting (SAW), and Interpretive Structural Modeling (ISM). The study identifies 36 critical factors categorized under supply chain adaptability, supply chain efficiency, and supply chain evolution, and five criteria are used to rank these factors. The EWM is used to calculate the relative weights of the criteria, and the SAW method is used to rank the factors based on their weighted scores. The ISM is then used to evaluate the interrelationships among the key factors. The research highlights the significance of several factors, such as the speed of supply chain disruption recovery, interactive collaboration, and response time to supply chain disruption. Sensitivity analysis was performed to assess the robustness of the findings. Finally, a SWOT analysis is conducted to develop a strategic action plan for addressing these significant factors. The study provides a comprehensive understanding of the factors that impact TNSCRE from the perspective of multiple stakeholders. The findings can help e-commerce business owners improve their existing supply chain resilience and achieve sustainable growth in the context of globalization.

Stakeholder perspectives following implementation of Vietnam’s first speech-language pathology degrees: recommendations for future curriculum development

Purpose To investigate perspectives of multiple stakeholders involved in development and delivery of Vietnam’s first speech-language pathology degrees and derive recommendations for future degrees in Vietnam and other Majority World countries. Methods An exploratory-descriptive qualitative research design using focus groups and individual semi-structured interviews in the preferred language (English or Vietnamese) was used, with 70 participants from five stakeholder groups: project managers, students, academic educators, placement supervisors and interpreters. Transcriptions were analysed using thematic network analysis. Results Analysis identified five organising themes: (1) People enjoyed working with/learning from others; (2) Benefits from/to stakeholders; (3) The pandemic impacted program delivery and learning; (4) Practical challenges; (5) Preparation with flexibility required for success and sustainability. From the five organising themes, one synthesising global theme was developed, conveying that satisfying international collaborations require preparation, support, high quality interpreting, and management of challenges. Conclusions Recommendations highlight the need for preparation, collaboration, support to manage challenges, flexibility, recognition for placement supervisors and high-quality interpreting. The recommendations are of relevance to other organisations engaged in development of professional degrees in Majority World countries. Future research would benefit from a critical investigation of the diverse perspectives of stakeholders involved in the development and implementation of international curricula.

Attachment and adjustment in expatriate reactions to the 2011 Tohoku disasters

PurposeThis study aims to develop an extended social attachment model for expatriates, integrating a multiple stakeholder perspective, to understand evacuation decisions during disasters.Design/methodology/approachThrough interviews with 12 Tokyo-based expatriates who experienced the 2011 Tohoku earthquake, tsunami and nuclear disasters, this study collects the lived experiences of a diverse set of expatriates. This data is analyzed abductively to map relevant evacuation factors and to propose a reaction typology.FindingsWhile the 2011 Tohoku disasters caused regional destruction and fears of nuclear fallout, Tokyo remained largely unscathed. Still, many expatriates based in Tokyo chose to leave the country. Evacuation decisions were shaped by an interplay of threat assessment, location of attachment figures and cross-cultural adjustment. The study also discusses the influence of expatriate types.Practical implicationsDisaster planning is often overlooked or designed primarily with host country nationals in mind. Expatriates often lack the disaster experience and readiness of host country nationals in disaster-prone regions in Asia and beyond, and thus might need special attention when disaster strikes. This study provides advice for how to do so.Originality/valueBy unpacking the under-researched and complex phenomenon of expatriate reactions to disasters, this study contributes to the fields of international human resource and disaster management. Specifically, seven proposition on casual links leading to expatriate evacuation are suggested, paving the way for future research.

Protocol for the development of a consensus practice guideline To address clinical and regulatory barriers to buprenorphine dispensing in community pharmacy

BackgroundLess than half of community pharmacies in the United States stock buprenorphine products indicated for the treatment of opioid use disorder. This lack of access to buprenorphine in community pharmacies is a significant barrier to care. To address this issue, this protocol outlines a comprehensive approach to develop a practice guideline aimed at improving access to safe and effective opioid use disorder treatment in community pharmacies.MethodsThe guideline development process will proceed in three phases, following a technique closely aligned with the Institute of Medicine’s guidance on guideline development. The first phase will involve conducting qualitative interviews with pharmacists in three states to identify their beliefs toward buprenorphine dispensing. As limitations on buprenorphine supply are related to constraints at all levels of the drug supply and regulatory system, the second phase, we will recruit representatives from regulatory agencies, pharmacy organizations, the Drug Enforcement Administration, pharmaceutical wholesalers as well as addiction medicine physicians and psychiatric pharmacists to develop consensus recommendations through a modified Delphi design. This will be followed by a public comment period and external expert review of the recommendations led by the National Association of Boards of Pharmacy. Finally, in the third phase, a national, mixed media dissemination campaign will be led by the National Community Pharmacists Association (NCPA) to convey recommendations to practicing pharmacists.DiscussionThe guideline development process aims to incorporate the perspectives of multiple stakeholders and emphasize the importance of addressing the regulatory and pharmacy-specific aspects of care in addition to clinical evidence and guidance. The development of this guideline will provide targeted, multidisciplinary guidance for pharmacists, improving access to safe and effective opioid use disorder treatment in the community setting.PreregistrationThis protocol was registered with the Open Science Framework in March of 2023. Registration may be found at: https://doi.org/10.17605/OSF.IO/6S9DY.

Group concept mapping for health professions education scholarship.

While explicit conceptual models help to inform research, they are left out of much of the health professions education (HPE) literature. One reason may be the limited understanding about how to develop conceptual models with intention and rigor. Group concept mapping (GCM) is a mixed methods conceptualization approach that has been used to develop frameworks for planning and evaluation, but GCM has not been common in HPE. The purpose of this article is to describe GCM in order to make it more accessible for HPE scholars. We recount the origins and evolution of GCM and summarize its core features: GCM can combine multiple stakeholder perspectives in a systematic and inclusive manner to generate explicit conceptual models. Based on the literature and prior experience using GCM, we detail seven steps in GCM: (1) brainstorming ideas to a specific "focus prompt," (2) preparing ideas by removing duplicates and editing for consistency, (3) sorting ideas according to conceptual similarity, (4) generating the point map through quantitative analysis, (5) interpreting cluster map options, (6) summarizing the final concept map, and (7) reporting and using the map. We provide illustrative examples from HPE studies and compare GCM to other conceptualization methods. GCM has great potential to add to the myriad of methodologies open to HPE researchers. Its alignment with principles of diversity and inclusivity, as well as the need to be systematic in applying theoretical and conceptual frameworks to practice, make it a method well suited for the complexities of contemporary HPE scholarship.

Topic Modelling of Management Research Assertions to Develop Insights into the Role of Artificial Intelligence in Enhancing the Value Propositions of Early-Stage Growth-Oriented Companies

The article suggests a Value Proposition (VP) framework that enables analysis of the beneficial impact of Artificial Intelligence (AI) resources and capabilities on specific VP activities. To develop such a framework, we examined existing business and management research publications to identify and extract assertions that could be used as a source of actionable insights for early-stage growth-oriented companies. The extracted assertions were assembled into a corpus of texts that was subjected to topic modelling analysis—a machine learning approach to natural language processing that is used to identify latent themes in large corpora of text documents. The topic modelling resulted in the identification of seven topics. Each topic is defined by a set of most frequent words co-occurring in a distinctive subset of texts that could be interpreted in terms of activities constituting the core elements of the VP framework. We then examined each activity in terms of its potential to be enhanced by employing AI resources and capabilities. The interpretation of the topic modelling results led to the identification of seven topics: (1) Value created; (2) Stakeholder value propositions; (3) Foreign market entry; (4) Customer base; (5) Continuous improvement; (6) Cross-border operations; and (7) Company image. The uniqueness of the adopted topic modelling approach consists in the quality of the assertions and the interpretation of the seven topics as an activity framework, i.e., in its capacity to generate actionable insights for practitioners. The additional analysis suggests that there is a potential for AI to enhance the emerging four core elements of the VP framework: Value created, Stakeholder value propositions, Foreign market entry, and Customer base. More importantly, we found that the greatest number of assertions related to activities that could be enhanced by AI are part of the Customer base topic, i.e., the topic that is most directly related to the growth potential of the companies. In addition, the VP framework suggests that a company’s customer base growth is continuously enhanced through a positive loop enabled by activities focused on the Continuous improvement of the activities and the amount of Value created, the alignment of Stakeholder value propositions, and companies’ Foreign market entry. Thus, the multiple-stakeholder perspective on VP development and foreign market entry appears as a factor that helps in understanding the beneficial impact of AI on the enhancement of the VP of early-stage growth-oriented companies.

A comparative multidimensional evaluation of parameters and alternatives for transformation of sustainable cement production in Pakistan

The United Nations has declared its latest climate report a ‘code red,’ sounding the alarm and prompting a global call for scientists and policymakers to adopt comprehensive, systems-wide integrated strategies for promoting sustainable life on Earth. The need for collaborative and holistic approaches for the transformation of cement production into a socio-ecologically sustainable industrial segment had never been more imperative. This paper rigorously evaluates the parameters and alternatives for the sustainable transformation of Pakistan's cement industry. Economic, environmental, and social parameters are explored and screened using multiple methodologies. Real-world data collected from the operating cement plants in Pakistan are analyzed using Principal Component Analysis (PCA) and Grey Relational Analysis (GRA). The consolidated list of sustainability criteria and alternatives is evaluated using the Multi Actor Multi Criteria Analysis (MAMCA) framework, which incorporates the involvement of both local and international stakeholders for prioritization of the transformation goals. Data analytic results reveal that carbon emissions have a strong degree of statistical association with production ingredients such as SiO2, Insoluble Residue (IR), Al2O3, and Fe2O3. Although there are a few interesting variations in the priorities computed from the recorded perspectives of different stakeholders, the consensus on giving top priority to environmental parameters and the alternatives like ‘Waste-heat Recovery Plants’ and ‘Vertical Rolling Mills’ is novel and promising. By taking all the main sustainability domains into account, employing multidimensional techniques, and involving multiple stakeholder perspectives under the context of a developing country, the research outcomes of this study become highly attractive for researchers, investors, and policymakers all over the world.

Decoding Success in IT projects: a Multi-Stakeholder Perspective

Purpose–This study evaluated how effectively key stakeholders (project managers, team members, and clients) could predict I.T. project success. Every stakeholder had an independent perspective on the project's success, which made it possible to evaluate the project's success by considering all the stakeholders' points of view. Study Design/Methodology/Approach–Two focus groups studied how project managers, teams, and clients could determine I.T. project success. The study focused on assessing I.T. project success from various perspectives. Five to six stakeholders from different sectors with personal experience in I.T. projects participated in that study. Findings – The results suggested that successful I.T. projects that met business goals, improved operational efficiency, and produced significant returns on investments depended upon communication and teamwork, and equal participation by all stakeholders, the project success would be improved. Practical Implications – The research implications for project management strategies are that organizations could enhance their capacity to work together and achieve project goals by incorporating multiple stakeholder perspectives. This approach promoted creativity and encouraged IT solutions that aligned with business objectives. Originality/Novelty – Project managers monitored I.T. project execution to balance corporate goals with technology demands. Project teams produced high-quality deliverables and communicated well to overcome difficulties. Clients preferred I.T. solutions that met their company objectives, improved operational efficiency, and provided significant ROI.

Incorporating a situational judgement test in residency selections: clinical, educational and organizational outcomes

BackgroundComputer-based assessment for sampling personal characteristics (Casper), an online situational judgement test, is a broad measure of personal and professional qualities. We examined the impact of Casper in the residency selection process on professionalism concerns, learning interventions and resource utilization at an institution.MethodsIn 2022, admissions data and information in the files of residents in difficulty (over three years pre- and post- Casper implementation) was used to determine the number of residents in difficulty, CanMEDS roles requiring a learning intervention, types of learning interventions (informal learning plans vs. formal remediation or probation), and impact on the utilization of institutional resource (costs and time). Professionalism concerns were mapped to the 4I domains of a professionalism framework, and their severity was considered in mild, moderate, and major categories. Descriptive statistics and between group comparisons were used for quantitative data.ResultsIn the pre- and post- Casper cohorts the number of residents in difficulty (16 vs. 15) and the number of learning interventions (18 vs. 16) were similar. Professionalism concerns as an outcome measure decreased by 35% from 12/16 to 6/15 (p < 0.05), were reduced in all 4I domains (involvement, integrity, interaction, introspection) and in their severity. Formal learning interventions (15 vs. 5) and informal learning plans (3 vs. 11) were significantly different in the pre- and post-Casper cohorts respectively (p < 0.05). This reduction in formal learning interventions was associated with a 96% reduction in costs f(rom hundreds to tens of thousands of dollars and a reduction in time for learning interventions (from years to months).ConclusionsJustifiable from multiple stakeholder perspectives, use of an SJT (Casper) improves a clinical performance measure (professionalism concerns) and permits the institution to redirect its limited resources (cost savings and time) to enhance institutional endeavors and improve learner well-being and quality of programs.