Stakeholder Approach Research Articles

Health service provider views on measuring patient involvement in healthcare: an interview study with researchers, clinicians, service managers, and policymakers.

There are several strategies used to assess involvement in their healthcare across service providers. However, there is no consensus on the most appropriate measurement tool to use when evaluating patient involvement initiatives. This qualitative study aimed to explore the perspectives of stakeholders from micro, meso, and macro levels within the Danish healthcare system on measuring patient involvement in their healthcare. This descriptive, explorative study employed semi-structured interviews with open-ended questions to elicit participants' views and experiences of patient involvement and measurement tools. A purposeful sample of participants was identified, to include decision makers, researchers, and health professionals (n = 20) with experiences of measuring patient involvement in healthcare at micro, meso, and macro levels across Danish organizations. Data underwent reflexive thematic analysis. Three main themes were identified: 1) Determining the purpose of patient involvement practices and measurement alignment; 2) Reflecting on the qualities, fit, and usefulness of measures; 3) Recognizing conflicting stakeholder paradigms. Despite the interest in and positive attitudes toward patient involvement innovations, views on the meaning and value of evaluating involvement varied; in part, this was attributable to challenges in selecting criteria, methods, and measures for evaluation. The findings indicate the need to integrate the perspectives of all key stakeholders in designing the evaluation of patient involvement initiatives. The application of a multiple stakeholder approach and co-production of a multidimensional evaluation may provide some common ground for selecting evaluation criteria and measurement tools in the healthcare setting. Danish Data Protection Agency (1-16-02-400-21) 15 October 2021.

Climate change vulnerability, adaptation and ecosystem services in different fisheries and aquaculture in Asia: a review

This review aimed to discuss the vulnerability and climate change impacts on tropical fisheries in Asia using a systematic literature review. The study applied the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) to evaluate literature from 1990-2020. The results showed clustering of texts, keywords, and titles based on search terms like climate change, fisheries, and adaptation. High-scoring links revealed clusters: 1) climate change and food security, 2) biodiversity and environment protection, 3) conservation of resource, 4) climate change impacts in Asia, 5) fisheries. Abstracts and titles produced clusters on: 1) livelihood and food security, 2) fisheries catch, 3) stakeholder approaches, 4) Ecosystem services. While climate change dominated vulnerability and adaptation studies, it is only one of many stressors affecting fisheries and aquaculture. Adaptation is suggested as a solution for reducing vulnerability and increasing resilience in fishing communities. However, our findings indicate that the social and economic factors contributing to climate-induced vulnerability are still relatively neglected. Enhancing biodiversity and environmental protection can lead to a more productive and food-secure environment for farmers and fishers. It is crucial that interventions focus on adaptation and establishing science-based ‘adaptive fisheries co-management’ to engage fishing communities and address their broader vulnerabilities and aspirations.

Lease of Life’

This case presents an ethical dilemma faced by the partners of a restaurant chain that prides itself on its stakeholder approach. The partners must decide whether to implement a health insurance policy for their employees despite the unfavourable financial condition of the company. The case explores the challenge of maintaining consistency in actions and values, especially during hard times. It also examines the issue of the rights of employees in this regard and the business case of providing health insurance. The case aims to help students understand the decisions that executive management faces frequently and the trade-offs between profitability and social responsibility.

Rethinking Success: A Stakeholder Approach to Maximize Long-Term Impact and Performance

In an era of heightened global competition, organizational success can no longer rely solely on efficiency, quality, and customer retention. This article makes the case for prioritizing value creation as the new guiding principle, emphasizing the need to generate value not only for shareholders but across all stakeholders—including employees, customers, communities, and the environment. We explore the shift from shareholder-centric models to stakeholder value frameworks, backed by research and practical examples. Key strategies for operationalizing this agenda include aligning business goals with social impact, fostering inclusive cultures, and implementing holistic performance metrics. Case studies of companies like Danone, 3M, and Adobe illustrate how stakeholder-driven approaches unlock sustainable growth, innovation, and social good. Ultimately, organizations that adopt value creation as their north star will be best positioned to achieve both long-term profitability and meaningful impact.

8.K. Scientific session: Promoting Healthier and Sustainable Diets – Evidence from the Interdisciplinary MedDietMenus4Campus

Abstract Food service comprises the production of meals consumed outside the home, including consumers from all age groups and in different sectors. This service sector has evolved through the years, providing an increasing number of meals, which have been drifting away from the Mediterranean Food Pattern. Food service is an important setting for public health interventions, educating consumers and modulating behaviours through the meals provided. Prior research on eating habits has mainly focused on a single stakeholder - typically consumers - and on a narrow set of outcome variables. Although these studies provide important clues about the determinants of adherence to food offer, research has yet to address this issue using an integrative approach of multiple stakeholders (e.g., the consumers, food providers, and decisors) across a set of different variables. Also, intervention initiatives, usually act only on the environment without strategies that efficiently engage all the stakeholders involved. In contrast, to promote behavioral change this research will focus on Social Marketing as it has been acknowledged as an effective strategy to enhance the health and well-being of consumers. Establishing and managing long-term partnerships that include different groups of stakeholders - consumers, government, retailers, and other players - are key elements in the application of mid and upstream social marketing to complex issues. The project’s main ambition is to change the food service paradigm, by creating and implementing a new healthy and sustainable food service concept complying with the Mediterranean diet, as well as solutions that comply with consumers’ new needs, and also developing and implementing strategies that engage all the stakeholders with this concept. We expect to create the reference in terms of food offer that will be demanded by consumers of the next generations and the standpoint to inspire the other food service sectors/ settings to achieve an effective and sustainable food offer change and positively influence food service consumers’ food patterns towards Mediterranean recommendations. In this workshop, the findings of the project will be presented focusing on examining the barriers and facilitators of adherence to the Mediterranean Diet in the menus offered in public high education institutes canteens in Portugal, Turkey, and Croatia. To promote the identification of effective intervention pathways, we take on an interdisciplinary approach, integrating the theoretical and methodological frameworks of Nutrition, Psychology, and Marketing. Key messages • Provide an overview of an interdisciplinary approach to promote healthier and more sustainable food offered in university canteens. • Present the pathway to develop social marketing strategies to engage different stakeholders in effective food behaviour change.

Rethinking Corporate Governance: A Comparison of Agency, Stakeholder, and Cognitive Approaches

This article analyzes three main theories of corporate governance: agency theory, partnership theory and cognitive theory. Agency theory focuses on control mechanisms designed to mitigate conflicts of interest between owners and managers. In response to the limitations of this approach, partnership theory broadens the perspective by taking into account a wider set of stakeholders, while emphasizing the need for ethical and collaborative governance. Cognitive theory, meanwhile, emphasizes the importance of learning and innovation in creating value within organizations. The article provides a comparative analysis of these three theories, identifying their convergences and divergences, as well as their relevance to current governance practices. This reflection shows that these theories, far from being mutually exclusive, offer complementary perspectives for developing more inclusive governance mechanisms, capable of responding to contemporary challenges while integrating the economic, social and cognitive dimensions of organizational performance.

Morality and Profit

The purpose of this paper is the application of David Welch’s typology of the four modalities in the relationship between morality and national interests to the relationship between morality and profit in the debate between the stockholder and stakeholder approaches to corporate social responsibility. The paper attempts to apply a typology from one branch of applied ethics (ethics in foreign affairs) to another (corporate social responsibility). The critical finding of the paper is that the relationship between morality and profit in corporate social responsibility is more varied than in the existing literature, and more instructive as to how businesses actually understand their values and place in society.

Socially Responsible Business Practices: A Case Study of Kanchanjangha Tea Estate & Research Center, Nepal

Considering the ongoing debate regarding the roles of business in society, this case study highlights the exemplary socially responsible business practices of Kanchanjangha Tea Estate & Research Center (KTERC), Nepal. The data regarding the responsible business practices of KTERC were collected from primary as well as secondary sources. The qualitative content analysis of data obtained from KTERC's website, reports, deliberations in a business resiliency symposium, and three in-depth interviews with the company's executives revealed that KTERC’s approach to CSR goes far beyond shareholder and philanthropic approaches and it provides a good business case for CSR. The analysis of data showed that KTERC is embracing the stakeholder approach of CSR with special emphasis on creating shared value approach in order to create a win-win situation between business and society. In light of the study findings, corporate managers can learn CSR best practices and design their CSR policies and initiatives to gain social legitimacy as well as reap various strategic benefits. The government and policymakers can also recognize and reward certain CSR practices that are congruent with the government's social goals. This is perhaps the first study of its kind in the Nepalese context.

Determining user implementation needs for pharmacist-prescribed contraception using concept mapping: A participatory, multiple stakeholder approach

BackgroundAs of October 2024, 29 states and the District of Columbia allow community pharmacists to prescribe hormonal contraceptives. Pharmacists have reported many challenges and barriers to service implementation. MethodsConcept mapping was used to gather insights from diverse stakeholders to identify resources to facilitate implementation of pharmacist-prescribed contraceptive services. Stakeholders included end-users (pharmacy managers, staff pharmacists) and decision-makers (pharmacy owners/executives). Participants' ideas for resources were collected via multi-stakeholder focus groups. Participants then rated each idea (i.e. statement) in terms of importance and feasibility (1 = not at all important/feasible, 4 = extremely important/feasible) and sorted ideas into groups based on similarity via an online survey. Sorting data were analyzed using multidimensional scaling and hierarchical cluster analysis to develop a cluster map. Descriptive statistics were used to analyze rating data to develop a go-zone map, where statements rated above average in terms of both importance and feasibility are plotted in the “go-zone” and are considered the most actionable ideas. ResultsParticipants (focus groups n = 19, survey n = 48) generated 46 unique statements which created four clusters via multidimensional scaling: 1) implementation guidance for practice setup, 2) marketing resources, 3) billing and payment resources, and 4) appointment management. The majority of the statements (13 of 15) considered the most actionable were from the implementation guidance and appointment management clusters. ConclusionsStakeholders seek guidance on implementation, marketing, billing and payment, and appointment management. To increase the ability of community pharmacies to meet the contraceptive needs of patients, resources should be dedicated to creating tools and solutions to address these identified needs.

EFFECTS OF BUDGET IMPLEMENTATION ON GOAL ACHIEVEMENT OF STATE OWNED TERTIARY INSTITUTIONS IN EBONYI STATE, NIGERIA

The evaluation of budget implementation on goal achievement in Ebonyi State of Nigeria prompted the specific objectives of the research work to include: budgetary control mechanism, late approval of budget, budget variance information and late release of approved budgeted funds. Survey research design was adopted and data were collected using close-ended questionnaire. The questionnaire was structured on a 5-point Likert scale statistical rating method. The total population of the study was 259 while the sample size was 157. Collected data were presented on frequency distribution tables, simple percentages and multiple regression analysis. The data were analyzed using Statistical Packages for Social Sciences, version 20, 2023. The study adopted Stakeholders Approach Theory by Edward (1984). The study unveiled that budgetary control mechanism and budget variance information had positive and significant effects while late approval of budget and late release of approved budgeted funds had negative and no significant effects on goal achievement of state owned tertiary institutions in Ebonyi State, Nigeria. The implications of the study were that budgetary control mechanism and budget variance information do not hinder budget implementation on goal achievement. Late approval of budget and late release of approved budgeted funds hinder budget goal achievement, encourage abandonment of projects and non-quality project perfection. Analysis of budget variance aids management of state institutions to adjust budget proposal in respect to deficit budget and, idle resources from surplus budget on any item(s) of budget are reinvested in achieving other goal congruence of the institutions. The study concluded that early approval of budget and timely release of approved budgeted funds facilitate budget implementation and aid in goal achievement of budget proposals of the institutions. The research therefore recommended that the management of the state institutions’ budget committee and other budget stakeholders should be familiar with the processes of budgeting and budget operation to facilitate planning and preparation of financial year budget void of errors and omissions for enablement of early approval of budget and timely release of approved budgeted funds among other measures capable of harnessing budgeting values in the State.

Managing The Barriers to Sustainable Construction Technologies in Ghana: A Conceptual Stakeholder Approach

Managing The Barriers to Sustainable Construction Technologies in Ghana: A Conceptual Stakeholder Approach

Взаимодействие стейкхолдеров при формировании и управлении децентрализованными фондами капитального ремонта жилищно-коммунального хозяйства

Introduction. The purpose of this study is a systematic analysis of the stakeholder relations on the issue of the formation and management of decentralized capital repair funds. The high social significance of capital repairs of residential real estate, coupled with a high degree of wear and tear, determines the need for coordinated and effective stakeholder interaction, the involvement of public authorities in co-financing expenses and the development of effective mechanisms for the rational allocation of funds from decentralized capital repair funds formed in special accounts in banking organizations and protecting them from inflationary processes.Materials and methods. The authors explore institutional factors in the implementation of major renovations of apartment buildings, identify the key stakeholders of these processes, their interests and risks, and reveal the presence of an agency problem. Based on statistical data and regulations, the authors conduct economic modeling of the formation of a decentralized capital repair fund using the example of an existing homeowners' association, and calculate target indicators for the efficiency of capital repair fund management.Results. The conducted research revealed inconsistency of the current management approaches and the impossibility of forming major overhaul funds in sufficient size to replace elevator equipment after the shelf life expiry without external financing. The authors conduct a study of the agency problem that arises when managing funds placed in special accounts for major overhaul, and identify the presence of informal institutional factors that prevent the formation of a "mature real estate owner".Discussion. Based on the results of the study, the authors proposed regulatory measures that could positively affect the effectiveness of relations on the issue of formation and management of decentralized capital repair funds. In addition to regulatory measures, the authors consider it necessary to involve municipal deputies in awareness-raising activities aimed at creating a “mature property owner.” The scientific novelty of this study consists in the development of management and regulation methods for the formation of decentralized capital repair funds on the basis of the synthesis of stakeholder and institutional approaches.

Bee pollination affects coffee quality, yield, and trade-offs within them

Bees provide valuable pollination services by increasing crop yields. However, pollination services to crop quality – which often determines nutritional and financial value – have been less studied, particularly in tropical commodities such as coffee. Understanding how pollination affects coffee quality is critical because high-quality coffee on the specialty market fetches higher prices, which can potentially benefit farmers more than just focusing on yield alone. This study aimed to test the effects of bee pollination on coffee yield and quality and to evaluate possible trade-offs within them. We conducted bee-exclusion experiments on 30 coffee plants in the Tarrazú region of Costa Rica, controlling for several factors associated with coffee quality. At the end of the growing season, we harvested the berries and compared yield (that is, fruit set and weight) and quality (that is, the cup profiles of certified coffee tasters) among treatments. Our results indicate that bee pollination can lead to trade-offs in coffee production. Bee pollination significantly increased final fruit set by 9 % and the desired aroma scores by 2 %. However, these fruits weighed 7 % less than self-pollinated berries and displayed more body but less balance in their cup profiles. This is one of the first experimental studies to evaluate pollination services for coffee, considering not just yield but also its cup profile. We provide early evidence suggesting bee pollination improves coffee aroma, a critical quality attribute in specialty coffee. Our research emphasizes the importance of protecting or restoring bee habitats in coffee farms, which can not only improve income for coffee producers but also conserve biodiversity. Integrating these ecological insights into initiatives like 'bee-friendly' coffee production presents an innovative approach for stakeholders in the coffee supply chain and can serve as a strategic nexus of agricultural, economic, and ecological interests.

European ports transition to carbon-neutral energy: A multiple regression analysis

This paper focuses on sustainable initiatives in the maritime industry, specifically energy transition in EU ports. Our research aims to apply the stakeholder theory in port contexts, to examine the influence of different actors on the adoption of carbon–neutral energy generation technologies, from a port-employee perspective. To that aim, the proposed conceptual model is empirically tested through a survey among port employees, following the identification of applicable technologies via a literature review. Specifically, six types of energy generation technologies that advance the goal of carbon neutrality are identified, and likewise, following the stakeholder theory approach, we identified six categories of relevant stakeholders, perceived as external or internal. By means of a multiple regression analysis, we assess the influence of stakeholders identified regarding the carbon–neutral generation technologies. The results corroborate the suitability of the stakeholder approach for assessing port environments. The findings suggest the existence of different perceptions among port employees regarding the various technologies, while stakeholder influence can be either positive or negative depending on the type of technology. Among the stakeholders involved, customers and competitors appear as most influential. The main contribution of our results derive of tackling the differences in perception of carbon neutrality within the European Ports, and the carbon–neutral technologies in ports contributing towards carbon neutrality. By providing a more thorough understanding regarding the influence of diverse stakeholders in promoting carbon neutral energy generation technologies, this study can serve as a guideline for future research and be of value for practitioners in the field.

Stakeholder Approach to the Regulation of On-Premise Signs

Using stakeholder theory, this article introduces a framework to inform decision making with respect to the regulation of on-premise signs. Because signage resides in a broader, shared environment and its regulation largely takes place at the local level of government, it can be considered unique among most other marketing-related communications. On-premise signs are important to individual businesses and the communities in which they are used, but at the same time, they are “out in the world,” cannot be avoided, and may not be relevant to or welcomed by many consumers who are exposed to them. A transformative consumer research lens is applied in this article to arrive at regulatory recommendations that balance the interests of the business with the interests of consumers, the general public, and other stakeholders.

Stakeholder Theory, Public Engagement, and Epistemic Injustice: The Case of Covid-19 Vaccine Hesitancy in Scotland’s African, Caribbean, and Black Communities

The adoption of a stakeholder approach to public engagement within the public sector has been extensive. However, there remain critical gaps in the understanding of stakeholder participation arising from hidden disparities that contribute to unequal access to communication channels, information, and hence ultimately knowledge and decision making. The term “epistemic injustice” has been used to describe such inequality of access and consequently, the outcome that ensues. Epistemic injustice is much overlooked in stakeholder theory. This article shows how epistemic injustice can act as a barrier to effective stakeholder engagement and hence to successful public policy formulation and implementation. We use the case of vaccine hesitancy among Scotland’s African, Caribbean, and Black (ACB) communities to illustrate this problem of unequal participation. The study drew on primary data involving 85 participants and secondary data sources from extant literature and explored salient factors shaping barriers to vaccine uptake during the recent pandemic. The findings demonstrate how the failure to grasp epistemic injustice undermines the effectiveness of the stakeholder approach, even with the most well-intentioned efforts. We argue that epistemic injustice is a critical barrier to effective stakeholder approaches.

Multisided collaboration and double stakeholder approach coexistence in restaurants: From Corporate Social Responsibility practices to partnerships for the goals

AbstractRestaurants have been becoming increasingly aware of their responsibilities and impact; however, literature on corporate social responsibility has mainly applied quantitative methods to analyze the environmental dimension of sustainability. By drawing on the stakeholder theory approach (normative vs. instrumental) and through a qualitative narrative method based on the analysis of 41 open interviews, this study aims to evaluate which stakeholders are engaged in restaurant‐related CSR practices and the nature of the relationship that ties them together. The results show that although a normative approach is more common, both approaches coexist in many cases. The emergence of multisided collaboration and a double approach enables achieving sustainability issues outside a strictly instrumental logic. This study contributes to the scant literature on CSR in restaurants by analyzing a wider set of stakeholders engaged in sustainability practices and indicating which practices are common and why and how stakeholders are involved.

Enhancing digital cryptocurrency trading price prediction with an attention-based convolutional and recurrent neural network approach: The case of Ethereum

To predict Ethereum price fluctuations, this study proposes a new two-stage Machine Learning approach using an improved convolutional neural network and a recurrent neural network framework, integrating an attention mechanism-based distribution function algorithm. We construct a dataset and perform model training, fitting, and forecasting. The results indicate that compared with traditional neural networks and time-series models such as GRU and ARIMA, respectively, this approach can effectively use the data information of digital cryptocurrency and improve the prediction accuracy and interpretability of attention-based allocation functions. This study contributes to the literature by offering a new approach for stakeholders.

Strategic management of alumni associations: a stakeholder approach for optimal efficiency

The purpose of the study is to explore the role of university alumni associations in aligning with the sustainable development goals (SDGs) articulated by the United Nations, emphasizing the criteria that defi ne a sustainable alumni association and their impact on university operations and broader economic and management practices. Methodology. Emphasis is placed on elucidating criteria that characterize a sustainable alumni association. This is complemented by a comprehensive analysis utilizing qualitative research methodologies, including indepth interviews and expert assessments. Originality / value of the research lies in its focus on the intersection of university alumni associations and sustainable development goals, an area that has received limited attention in academic discourse. Findings. The derived conclusions are rigorously substantiated through mathematical computations, culminating in actionable recommendations aimed at fortifying the future endeavors of alumni associations. The study is contextualized within the framework of a university in Kazakhstan, off ering practical insights and implications for economic and management practices in the contemporary academic landscape.

High-Resolution Mass Spectrometry for Human Exposomics: Expanding Chemical Space Coverage.

In the modern "omics" era, measurement of the human exposome is a critical missing link between genetic drivers and disease outcomes. High-resolution mass spectrometry (HRMS), routinely used in proteomics and metabolomics, has emerged as a leading technology to broadly profile chemical exposure agents and related biomolecules for accurate mass measurement, high sensitivity, rapid data acquisition, and increased resolution of chemical space. Non-targeted approaches are increasingly accessible, supporting a shift from conventional hypothesis-driven, quantitation-centric targeted analyses toward data-driven, hypothesis-generating chemical exposome-wide profiling. However, HRMS-based exposomics encounters unique challenges. New analytical and computational infrastructures are needed to expand the analysis coverage through streamlined, scalable, and harmonized workflows and data pipelines that permit longitudinal chemical exposome tracking, retrospective validation, and multi-omics integration for meaningful health-oriented inferences. In this article, we survey the literature on state-of-the-art HRMS-based technologies, review current analytical workflows and informatic pipelines, and provide an up-to-date reference on exposomic approaches for chemists, toxicologists, epidemiologists, care providers, and stakeholders in health sciences and medicine. We propose efforts to benchmark fit-for-purpose platforms for expanding coverage of chemical space, including gas/liquid chromatography-HRMS (GC-HRMS and LC-HRMS), and discuss opportunities, challenges, and strategies to advance the burgeoning field of the exposome.