Post-project Phase Research Articles

Implementation and development of hospital-based health technology assessment in Poland from the perspective of hospital representatives: qualitative research.

The analysis of health technologies in Poland has so far mainly concerned drugs assessed by the Agency for Health Technology Assessment and Tariffication, which was established for this purpose. Due to the implementation of various forms of investment (hardware, diagnostic, and organizational) in hospitals, and the growing need to properly assess the costs of implemented solutions, Hospital-Based Health Technology Assessment (HB-HTA) began to develop. In order to implement HB-HTA in the Polish healthcare system, in 2019-2022 a project was carried out, the consortium members of which were: the National Health Fund (NHF), the National Institute of Cardiology in Warsaw (NIKARD), and Lazarski University (UŁ). Analyzing the possibilities of developing HB-HTA in Polish hospitals based on the experiences of the study participants. Presenting benefits and barriers for HB-HTA units implementation to Polish hospitals. Qualitative analysis of in-depth interviews with the representatives of hospitals that participated in the HB-HTA project using the Nvivo12 program. A specially prepared questionnaire with questions regarding the pre-project, design, and post-project phases was presented to respondents from five of the seven hospitals participating in the pilot phase of the project, during which HB-HTA reports were prepared for selected medical technologies. The remaining two facilities that were invited refused to participate in the study. The Ethics Committee of the Jagiellonian University Medical College gave consent to conduct the study. Hospital representatives indicate that the HB-HTA methodology allows for the assessment of investments in facilities based on appropriate data. Thanks to the project, employees of hospital units gained new skills, such as becoming familiar with literature reviews in medical bibliographic databases. However, HB-HTA in Poland has not been fully implemented because facilities do not obtain adequate benefits from the implementation of HB-HTA at the organizational and financial level. According to the study participants, the methodology itself should be modified to take into account the needs of the facility. The hospitals participating in the HB-HTA project are developing the field of analyzing how innovative solutions are implemented in their facilities, but not to the extent that was intended in the project design.

Delineation of the proper locations for wastewater disposal in arid regions using TEM and ERT techniques: A case study at Rubiki industrial zone, Badr City, Egypt

Proper wastewater disposal is crucial for the sustainable development of rapidly growing megacities worldwide. The emergence of waterlogging near evaporation ponds (EVP) and in desert areas surrounding these cities poses a significant environmental threat. This study employs an integrated approach, combining transient electromagnetic (TEM) and 2D-electrical resistivity tomography (2D-ERT) methods with remote sensing techniques, to understand wastewater flow patterns around EVPs and identify suitable disposal sites. The research focuses on a complex subsurface structure in the Cairo-Suez district, characterized by extensive surface waterlogging. Initial monitoring relies on satellite imagery and land use-land cover maps. TEM provides an overview of subsurface layer distribution, while 2D-ERT offers detailed insights into near-surface flow paths. To address the limitations of geoelectrical methods in locating conductive layers, advanced inversion techniques (AIS) are applied. The findings reveal a four-layer subsurface composition, with waterlogging primarily attributed to the argillaceous limestone layer interbedded with shale. This layer is shallower in the eastern and northwest areas, correlating with higher instances of waterlogging. Moving northward, the argillaceous limestone layer deepens, and the upper clastic layer thickens, resulting in reduced waterlogging. The study underscores the influence of subsurface structure on near-surface layer distribution. Based on these findings, optimal wastewater disposal sites are recommended, with a focus on the northern region where the argillaceous limestone layer is deeper and the upper clastic layer is thicker. To mitigate waterlogging, the installation of disposal wells is highly advised, leveraging the insights derived from this research. This study offers a versatile and reproducible approach suitable for both pre-project planning and post-project phases in desert regions.

Do Directed Motivational Current Phenomena Exist Everywhere? An Investigation into African EFL Learners’ Experiences

The current study investigates African college students’ (ages 17-30) group-directed motivational currents (DMCs), a positive motivational aspect related to flow (Dörnyei, Henry, & Muir, 2016) in relation to their performance-based English development. The study measured the students’ motivational currents as they participated in an oral, integrated and multimedia presentation project. Two DMC questionnaires were taken by 100 students before and after they participated in the project (the first questionnaire was given after they received the project instructions, the second after they completed the project but before obtaining their scores). Five focal participants wrote diaries and participated in interviews to examine whether they experienced purposefully generated currents of motivation. The 100 students responded positively to the oral presentation project at both questionnaire administration times (pre- and post-project). Significant score increases from the pre-project to post-project appeared on most motivation variables. These significant increases observed at the post-project phase could be explained by the authenticity and importance of the project and its connectedness with the learners’ lives, as described by the five focal students. The results suggested that group-DMCs could be purposefully facilitated in African EFL classrooms, providing evidence for the validity of the DMC theory in an EFL context that is understudied.

DETERMINANTS FOR COOPETITION STRATEGIES OF INTERNATIONAL JOINT VENTURES IN HIGH-SPEED RAILWAY PROJECTS

International joint ventures (IJVs) have become a significant mode of exploiting high-speed railway (HSR) overseas market for contractors. This study is devoted to identify the determinants for the coopetition strategies of IJVs in the HSR projects, as well as the interactive paths. On the base of a thorough literature review and the pilot study with five industry experts, 22 determinants were identified and packaged into six groups covering the three levels (including macro, firm, and project levels). Meanwhile, the interactive paths amongst the six groups were proposed. A questionnaire survey was performed with 210 practitioners experienced in IJVs in HSR projects to assess the significance of the factors, and 113 valid questionnaires were received. Based on the collected data, six groups of 22 determinants and nine interactive paths were verified by applying partial least-squares structural equation modeling technology. Specifically, these significant paths could be classified into two categories, namely the coopetition-capability oriented paths, and the coopetition-relationship oriented paths. The findings of this paper are conductive to expand the knowledge on coopetition and provide a useful reference for the members of IJVs in HSR projects to accomplish coopetition strategies from pre-project phase, the implementation phase, to post-project phase.

Building Information Modeling Concept And Its Application in Building Renovation Stage In Term Of Time Efficiency

Abstract—Nowadays Building Information Modeling, known as BIM has become a common topic in construction technology. Indonesian government has even accelerated the implementation of BIM as a requirement in planning above 2000 m2 since year 2018. The word renovation in BIM life cycle means one of the post-project building phases after maintenance, rehabilitation but before reach demolition phases as an ending of the building. On the other hand, renovation is not a strange thing for the Indonesian people and has direct meaning to its activity. Even though occupying a new property, there is always a tendency to change, add or even reduce some parts of existing buildings. Renovation is also unavoidable when there is a change in function in a building and it can be classified as adaptive reuse as part of the concept of sustainable building, a preservation and rehabilitation of an old building that has unique design or contains certain historical significance. This research is structured and focuses more on the issue of time efficiency which is very significant in the renovation stage. The method used in the form of a comparison between conventional methods with methods that apply the BIM concept. This is interesting to be observed as the benefits of research so that the concept of BIM can be understood and seen its real advantages.Keywords—building information modeling, renovation, efficiency

Root Cause Analysis in Post Project Phases as Application of Knowledge Management

This paper is focused on the root cause analysis of post project phases. The research has been linked to the identification of the 21 most common reasons for not executing post project phases. The main aim of this paper is to identify the root causes of not executing selected post project phases. The empirical research was performed as qualitative research employing the observation and inquiry methods in the form of a controlled semi-structured interview. The research was realised in the Czech Republic in 2017 and 2018. The key performances for ensuring a functional, effective and systematic post project process are based on the principles of knowledge management. The identified causes were used as inputs for the proposed measures with the aim to make the post project process more effective. The main contribution of the paper is the overview of techniques that may be recommended for post project analysis. These techniques are demonstrated in detail on particular examples of the analysis of the most common reasons for failure to implement post project phases. The described examples demonstrate the procedure to be followed in order to identify the root cause of the analysed phenomenon. At the same time, the paper also describes proposals of recommended measures that should minimize the root causes resulting in negative outcomes. The paper explicitly emphasizes and shows the connection between knowledge management and post project phase effectiveness.

Understanding the Role of Technology in Care: the Implementation of GPS-Technology in Dementia Treatment

Earlier literature on “welfare technologies” in general – and the use of GPS devices in dementia care in special – has been overwhelmingly focused on either individual (user-centric), technical or ethical challenges related to technology implementation. This paper argues for a relational analysis to supplement and adjust shortcomings in the existing research literature and introduces the concept of “techno-organizational networks” for the task. Through an analysis of a post-pilot period of a pilot-project with GPS-tracking of dementia patients, it is shown how a relational approach contributes to a better understanding of the dynamics and obstacles of developing technology-assisted health-care services. An original contribution of the article is also the argument for studying transitional, post-project or in-between project phases of technology implementation, which as a rule tend to be project driven, also in terms of research.

Risk Management and Knowledge Management as Critical Success Factors of Sustainability Projects

The paper is focused on the analysis of the key aspects of sustainability projects, namely advanced risk management and project knowledge. These aspects are recommended to the attention of institutions and project managers when designing and executing new projects simultaneously with quality and project status management. The aim of the paper is to point out the critical factors that have recently affected the success of sustainability projects, which is also its contribution. Empirical research focused on the identification of the application level of the post-project phases in project management in the Czech Republic in 2016 and 2017 was performed. The research was performed as qualitative research employing observation and inquiry methods in the form of a controlled semistructured interview. The research identified 21 most common reasons for not executing post-project phases. Ensuring good and efficient progress of post-project phases, in particular by the means of post-implementation system analysis and compilation of a set of improvement suggestions for subsequent project management, forms the practical background for application of knowledge management and project management principles. A case study focused on the application of fuzzy logic in project risk assessment has been elaborated. In practice, current project management requires the application of advanced risk analysis methods that will replace the simple risk values estimated by calculations of separate risk components.

Open innovation between energy companies in developed and developing countries: resource-based and knowledge-based perspectives

This paper presents proposals for improving and accelerating research and development processes through open innovation based on contractual project-based alliances between energy companies in developed and developing countries. The present study adopted an inductive approach, employing archival studies and a literature review to develop a model for research and development (R&D) contractual project-based alliances to be investigated in future research. This model was an attempt to collaborate between the phases of alliance strategy activities and the phases of R&D activities applied in contractual project-based activities. The present study distinguished three phases of open innovation: the pre-project phase of partner selection, the project phase of innovation, and the post-project phase of commercialisation. This model incorporated a knowledge management perspective focusing on intangible factors and a resource-based view focusing on tangible factors.

Open innovation between energy companies in developed and developing countries: resource-based and knowledge-based perspectives

This paper presents proposals for improving and accelerating research and development processes through open innovation based on contractual project-based alliances between energy companies in developed and developing countries. The present study adopted an inductive approach, employing archival studies and a literature review to develop a model for research and development (R&D) contractual project-based alliances to be investigated in future research. This model was an attempt to collaborate between the phases of alliance strategy activities and the phases of R&D activities applied in contractual project-based activities. The present study distinguished three phases of open innovation: the pre-project phase of partner selection, the project phase of innovation, and the post-project phase of commercialisation. This model incorporated a knowledge management perspective focusing on intangible factors and a resource-based view focusing on tangible factors.

Building information modeling (BIM) application in civil constructions intending the increase of service life

The use of building information modeling methodology in project design and planning of civil construction processes can contribute throughout the building lifecycle. In the various stages, the degree of assertiveness tends to increase because the information is worked together, allowing a better understanding of the details to be met. In addition, to facilitate the implementation, this process can also work in the post-project phase, through the support to the user before the need of building maintenance. These two stages, construction process and after work, when worked together, can directly influence the service life of the systems that make up the building. In this context, this paper aims to demonstrate how the project (three-dimensional model) can be worked along in the planning process and how the information on the maintenance process can be linked to the project. Its method consists in the implementation of 4D planning in a building, linking model and schedule, and listing the major maintenance of the major building systems, linking them to the project as parameterized information. Among the results, there is the viability of 4D planning and the linking of routines associated with the maintenance activities of the building project. Finally, it is concluded that the use of new technologies for the development of projects and support in the planning stages can directly influence the quality of the enterprise and the service life of the buildings when used properly.

A resource-based view perspective in alliance strategy energy project

This paper introduces a model for managing and enhancing resources in alliance contractual research and development project between energy companies in developed and developing countries. This paper used qualitative research conducted through a literature review, exploratory study consists of interview, observations and archival study. One finding of this research is that Pertamina, an Indonesian state-owned enterprise in energy in a developing country, which has rich of natural resources, is attempting to increase its benefit and competitive advantage by leveraging its unique resources through contractual alliances in research and development projects with energy companies from developed country. The company's activities are divided into three phases. First was the pre-project phase, in which partners were selected based on the following factors: complementary assets, resources alignment objectives, risk sharing and cost sharing. In the project-execution phase, the following innovation activities were performed based on the following factors: trust, commitment and integrity. Moderating by organisation structure based on the factors: team building process, partner roles, communication process and decision-making process the post-project phase commercialised innovation based on innovativeness, as a source for competitive advantage needs to be properly managed.

A resource-based view perspective in alliance strategy energy project

This paper introduces a model for managing and enhancing resources in alliance contractual research and development project between energy companies in developed and developing countries. This paper used qualitative research conducted through a literature review, exploratory study consists of interview, observations and archival study. One finding of this research is that Pertamina, an Indonesian state-owned enterprise in energy in a developing country, which has rich of natural resources, is attempting to increase its benefit and competitive advantage by leveraging its unique resources through contractual alliances in research and development projects with energy companies from developed country. The company's activities are divided into three phases. First was the pre-project phase, in which partners were selected based on the following factors: complementary assets, resources alignment objectives, risk sharing and cost sharing. In the project-execution phase, the following innovation activities were performed based on the following factors: trust, commitment and integrity. Moderating by organisation structure based on the factors: team building process, partner roles, communication process and decision-making process the post-project phase commercialised innovation based on innovativeness, as a source for competitive advantage needs to be properly managed.

A Quantitative Model Proposal for the Assesment of Project Performance: The Bridge Model

Project performance models should serve as managerial measurement tools that evaluate the various aspects of projects with a holistic approach. However, predate models in the literature generally focus on limited performance indicators of projects - such as budget and time - for performance assessment and they lack broad perspective. In this respect, we aimed to introduce and propose a new model for the quantitative, effective and holistic evaluation of projects. The proposed model is originally developed as a conceptual approach by Livvarcin (2013) and entitled as The Bridge Model. In this study we enlarged the study and embodied the project performance parameters. In this study, we examine project performance by focusing on two different parameter groups: Process parameters and indicator parameters. Process parameters include seven elements of The Bridge Model, these are preparation phase, initiation phase, implementation phase, closing phase, post-project phase, project atmosphere and project actors. Indicator parameters are measures that are similar to the project parameters used in existing project performance models and they include cost, time, quality, performance of outcomes, motivation, development and competitiveness. We also performed a pilot study to figure out the performance of 42 different projects by using the performance parameters of the proposed model. We proved the validity and reliability of our model by using both quantitaive and qualitative methodologies.

Alliance strategy in an R&D energy sector project: a knowledge-based view perspective

This paper introduces a model for managing, transferring and protecting knowledge in alliance contractual research and in a development project between energy companies in developed and developing countries. This paper uses qualitative research conducted through a literature review, interviews, observations and an archival study. One finding of this research is that Pertamina, an energy company in a developing country, is attempting to increase its added value and competitive advantage by leveraging its resources and its unique knowledge through contractual alliances in research and development projects. The company's activities are divided into three phases. First was the pre-project phase, in which partners were selected based on the following factors: competence, capability, experience and expertise. In the project phase, the following innovation activities were performed: technology transfer, technology support in knowledge management, knowledge sharing and absorptive capacity. The post-project phase commercialised innovation based on knowledge and intellectual property rights and innovativeness.

The integration of a person-centered approach in palliative care

The philosophy underlying palliative care places the respect of patients and their autonomy at the heart of clinical practice. A study was conducted at a palliative care facility to document changes that occurred after the integration of a person-centered approach focusing on human freedom (which is linked to autonomy): the humanbecoming school of thought. It aimed to describe changes observed in the beliefs and practices of healthcare providers, the concept and respect of autonomy by healthcare providers, care and respect of autonomy experienced by patients' relatives, and consideration of patients' wishes through their documentation. The method adopted consisted of a pre-project - process - post-project descriptive qualitative design and was inspired by teaching-learning and mentoring models. Data were collected from 51 healthcare providers and 10 relatives through semistructured interviews and from the medical records of 30 patients during the pre- and post-project phases. They were analyzed and compared at the end of the study. The process phase consisted of offering training sessions and mentoring, encouraging the involvement of healthcare providers, and cocreating integration and care tools. While the analysis exposed some discrepancies with the language of the approach and differences between nurses and other healthcare providers, it revealed, above all, similarities in the changes observed between the different sources of data. The focus moved from being task-centered to being person-centered; the affirmation of the priority of respecting patients' choices, desires, and needs; a presence shifting from being available to true listening; the affirmation of following the ever-changing rhythm of the patient; and a notion of respect of autonomy now including the other. In line with the philosophy of palliative care, the project demonstrated that the integration of the humanbecoming approach can result in changes that contribute to the development of a more person-centered practice.

OpenUp! Creating a cross-domain pipeline for natural history data

Multimedia data held by Natural History Museums and Universities are presently not readily accessible, even within the natural history community itself. The EU project OpenUp! is an effort to mobilise scientific biological multimedia resources and open them to a wider audience using the EUROPEANA data standards and portal. The connection between natural history and EUROPEANA is accomplished using well established BioCASe and GBIF technologies. This is complemented with a system for data quality control, data transformation and semantic enrichment. With this approach, OpenUp! will provide at least 1,1 Million multimedia objects to EUROPEANA by 2014. Its lean infrastructure is sustainable within the natural history community and will remain functional and effective in the post-project phase.

Hybrid drinking water governance: Community participation and ongoing neoliberal reforms in rural Rajasthan, India

This paper examines a Rajasthan (India) drinking water supply project that relied on hybrid governance reforms in its original design. Decentralization and marketization, combined with a participatory approach, were intended to facilitate an empowering shift in state-citizen relationships. Paying citizens were expected to make quantity and quality demands of the state as consumers, not welfare beneficiaries. Research on the project 3years after its completion revealed that although payment for water and community participation were intended to compel the state to provide clean water, they failed in this regard. The problem of an unreliable state supply was solved through small scale privatization, a decision ‘independently’ reached at the local scale, but one that served to further undermine the state’s ability to provide clean water.In this paper, we trace the shifts in regulation that evolved in the post-project phase at both the state and village scale that resulted in the delivery of contaminated water. Ethnographic research indicates that community participation was introduced as a set of institutions that would govern how villagers interacted with the state and its water supply, but villagers altered community participation by introducing reforms in water governance as a way of coping with an unresponsive state and increased work burden. Community participation evolved in contradictory ways as the impacts of neoliberal environmental governance were felt. The paper contributes to understandings of neoliberalization processes’ local impacts by analyzing their ongoing hybridization at multiple scales. It further calls into question foundational notions that community participation in resource governance is the appropriate solution to drinking water supply.

Evaluation of the Western Australian Department of Health telehealth project

In 1999, the Department of Health in Western Australia began a telehealth project, which finished in 2004. The 75 videoconferencing sites funded by the project were part of a total state-wide videoconference network of 104 sites. During the period from January 2002 to December 2003, a total of 3,266 consultations, case reviews and patient education sessions took place. Clinical use grew to 30% of all telehealth activity. Educational use was approximately 40% (1,416 sessions) and management use was about 30% (1,031 sessions). The average overhead cost per telehealth session across all regions and usage types was 192 Australian dollars. Meaningful comparisons of the results of the present study with other public health providers were difficult, because many of the available Websites on telehealth were out of date. Despite the successful use of telehealth to deliver clinical services in Western Australia, sustaining the effort in the post-project phase will present significant challenges.