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Religiousness is evident in every aspect of life, and its impact on construction project performance is undeniable. However, little has been done to fully understand the influences one's religiosity has on performance factors. This paper aims to explore the influence of religious elements on performance factors in the Ghanaian construction industry (GCI).

Using a desk survey and closed-ended questionnaire, data were obtained from the three religious' bodies (Christianity, Islamic and Traditionalist) in Ghana. The analysis of the collected data was done using mean score ranking and regression analysis.

It was revealed that most of the religious bodies were aware of the presence of the seven factors identified for measuring construction project performance. The findings suggested that there was a significant and positive relationship between the religious elements (of all the three religions) and cost as well as schedule performance. Islam recorded the highest relationship in influencing public construction project performance relative to cost performances. Specifically, 1% increase in Islamic elements accounted for an 82.7% increase in cost performance. Traditionalists and the Christian religion had minimal significance in influencing cost performance. Furthermore, a 1% progress in Islamic elements accounted for a 45.8% increase in the schedule performance of construction projects and among construction professionals.

This study has provided better understanding of the religious views on project performance. This research has also provided pragmatic directions to project stakeholders to encourage religious groups to take critical look at the other performance factors that were seen not to be significant.

This paper represents a novel attempt to measure the influence of religious elements on project performance factors in the construction industry. A key contribution to the body of knowledge is that the study has proven that religious element has tendencies to influence cost performance and schedule performance in the construction industry.

The purpose of this paper is to ascertain the interaction effects among organizational citizenship behavior (OCB), work overload (WO) and employees’ performance in the Ghanaian construction industry, thus identifying the thin boundary between advocating OCB and avoiding WO in attempt to increase higher employee performance.

Using a quantitative research method, three hypotheses were tested. The views of 86 project teams were elicited using a structured questionnaire, and linear regression was utilized to validate the hypotheses.

The study proved that OCBs positively affect employee performance in the construction industry. The results implied that increased work load on employees do not increase their productivity levels, but adversely increase the unconsiderable effects of employees’ work lives. In addition, WO played the role of homologizing moderation in the relationship between OCB and employee performance.

The findings suggest that there is a considerable effect of WO on overall employee performance in the construction industry; thus, there is a need for stakeholders to address this issue for performance improvement.

The application and investigation of these issues have dominated the banking industry but lacked in the construction industry. The current study therefore provides useful insight into the interaction effects among organizational citizenship behavior, WO and employees’ performance in the Ghanaian construction industry.

The aim of this study is to investigate the influence of Project Management Office (PMO) functions on project performance in businesses in Lower Middle-Income Countries (LMIC) using Partial Least Square–Structural Equation Modelling (PLS–SEM).

Utilizing close-ended questionnaires in a cross-sectional survey, 256 project professionals from 10 business sectors in Ghana views were elicited. The questions were developed through a comprehensive literature review and involved 27 PMO functional measures grouped into 6 and 19 project performance measures grouped into 6. Data collected was then analysed using the PLS–SEM to validate the hypothetical relationship.

The PLS–SEM model supported 13 (t > 1.65) out of 36 hypotheses investigating the relationship between PMO functions and project performance. Variations in the PMO functions moderately (R2 = 0.34) explained the performance of projects. The aggregate activities of the PMO had the highest significant influence on environmental performance (R2 = 0.467). The topmost PMO function was identified as monitoring and controlling project performance, and it was significantly associated with cost (ß = 0.265, p < 0.05), quality (ß = 0.291, p < 0.05) and project scope (ß = 0.265 p < 0.05) performance.

This research has brought more illumination to the functions of PMOs and its influence on project performance. The results suggest that PMO activities, when tailored to the business context, can significantly change project performance variables.

Most research on PMO and project performance has been limited to developed countries or a single sector. This study uniquely expands the business sectors and focuses on LMICs.

The purpose of this study was to identify key areas for benchmarking (BM) towards the improvement of small and medium scale enterprises (SMEs) construction firms in developing countries.

The study employed the use of the quantitative research method in the collection and analysis of primary data collected from field surveys using a piloted close-ended questionnaire created following a review of available literature on BM. Based on 63 solicited views of professionals with SMEs (quantity surveyors, project managers and architects) data collected were statistically analysed using a one-sample t-test.

The findings of the study indicate that the key areas for BM towards the improvement of SME construction firms in developing countries in order of relevance are “Financial Performance”, “Competitiveness”, “Customer Satisfaction”, “Technology Advancement”, “Communication Skills”, “Collaboration”, “Employee Satisfaction” and “Product orientation”.

The study has given more insight into the areas that need more attention for SMEs BM to achieve improvement. It can therefore be suggested firms that adapted identified areas will derive the benefits of BM. It is further opined that more BM education should be provided to various SMEs construction firms to facilitate an effective and efficient BM regime aiming at performance enhancement in project delivery.

This forging research attempts to identify the key areas for BM towards the improvement of SMEs construction firms in developing countries. Although there have been several efforts to create BM tools for the construction industry.

Of late, cities across the globe are taking pragmatic steps towards addressing environmental, social and economic problems in the debate on sustainable development. Even so, little attention has been paid to studies focused on developing countries. The aim of this study is to examine the barriers to green cities development in developing countries.

A comprehensive literature review was conducted to examine the barriers to green cities development. In terms of methodological choice, a quantitative research strategy was used to collect data from professionals who have lines of influence on the greening of our cities and sustainable urban development.

The barriers to green city development identified were lack of awareness of the benefits of a green city, environmental degradation, insufficient policy implementation efforts, excessive generation of solid waste and poor wastewater collection and treatment. It was indicative from the study findings that taking the right sustainable steps in urban development and a paradigm shift towards the pillars of sustainability, Ghanaian cities, especially Kumasi, have a great proclivity of regaining its longstanding status being “Garden City”.

The outcome of this study provides stakeholders in city development an insight into the barriers that inhibit the development of green cities. In practice, this study contributively proposes that the concept of green cities should be incorporated in the education and training of stakeholders to improve the level of awareness.

This paper presents the foremost comprehensive study appraising green city development in Ghana.

In Ghana, graduates often have limited entrepreneurial skills and rarely undertake entrepreneur initiatives as they are persistently in search of non-existing jobs in the formal sector. On this basis, this study was conducted to identify underlying strategies for improving entrepreneurial skill requirement of technical and vocational students in developing countries using Ghana as a case study.

The study approach was largely mixed, as the study aimed at testing existing theories on the entrepreneurial development of Technical and Vocational Education and Training (TVET) graduates and tutors using a quantitative approach. The findings of the study were further validated qualitatively by interviewing TVET experts and tutors. The analysis of the quantitative data gathered was done using relative importance index (RII) and factor analysis (FA). The thematic analysis was employed in analyzing the qualitative data gathered.

The study revealed that four key strategies needed in improving the entrepreneurial skills and entrepreneurial education among TVE students in Ghana: comprised learner/student centred education; problem-based learning (PBL); classrooms that encourage development of intellectual aptitudes and activity-based learning (ABL). However, the leading reasons for non-usage of the underlying strategies were the lack of capacity of the tutors in the adoption of the strategies, lack of availability of human resources at TVET and the poor perception of TVET tutors and students. Some challenges included faced in adopting the strategies encompassed inadequate training resources, tutors’ training not tailored to the emerging technological advancement, insufficient resources and infrastructure, lack of industrial collaboration and readiness of the job market to absolve graduate from TVET.

The results of the study showed the mode of instruction delivery of entrepreneurial education should be improved by adopting the key strategies identified in this study in comparison to the conventional mode of education. The findings of this study would stir the policy debate on entrepreneurial education in Ghana. Similarly, further studies could develop relevant hypothesis for testing the identified strategies and its impact on entrepreneurial skill development in Ghana.

Various studies on entrepreneurial education has been developed all over the world. This study focused on how the skills of TVE students can be improved. The study further identified reasons for non-usage of these strategies in improving the entrepreneurial skills and entrepreneurial education by TVET tutors and other challenges faced by tutors who adopted the underlying strategies. A study of this nature in Ghana is novel and cogent findings were elicited from this study that could form the basis for policymaking and curriculum development in developing countries.

This research aims to evaluate the status of project management best practices in the road infrastructure sector of Ghana through the inquiry of project managers’ competency.

Based on a thorough literature review on competency and project management best practices, a criterion for measuring best practices based on the competencies was identified. Using closed-ended questionnaires as a survey instrument, data was collected and analyzed using a one-sample t-test, Kendall’s concordance coefficient and simple regression.

The key finding reveals that in achieving project management best practices for the Ghanaian road infrastructure projects, project managers should straighten and strengthen their capability in terms of skills, personal characteristics and knowledge as ranked. An appropriate blend of these characteristics would be a necessary requirement for project managers. Through this, project managers and project-based road infrastructure organizations will be able to win the confidence of their stakeholders and attain improvements in cost-effectiveness, quality and time management.

This study provides project managers in the road infrastructure sector with relevant information on which criteria and variables are critical and are frequently required to manage such projects. This will be helpful for training programs and professional development of project managers in the road infrastructure sector.

The study provides a new direction and focuses for project managers in the road infrastructure industry toward best project management practices in developing countries. It also complements existing studies in this area which deepen the understanding of the subject area.

The construction industry presents a particularly notable and demanding setting where sexual harassment demands special consideration. With its largely male-dominated workforce, intense work settings and entrenched workplace norms, the construction sector provides a unique backdrop in which the complexities of sexual harassment manifest. The purpose of this study is to investigate the relationship between sexual harassment and employee performance in the construction industry, with a particular focus on examining the mediating roles of psychological distress and employee engagement.

A cross-sectional survey design was utilized to collect data from 188 construction industry professionals. Participants completed validated questionnaires assessing their experiences with sexual harassment, levels of psychological distress, employee engagement and self-reported performance indicators. Partial least square-structural equation modeling (PLS-SEM) was conducted to examine the direct and mediated effects of sexual harassment on employee performance through psychological distress and employee engagement.

The findings reveal a lack of statistical significance in the negative relationship between sexual harassment and employee performance within the construction sector. Furthermore, there was a significant negative relationship between sexual harassment and employee engagement. Employee engagement emerged as a full mediator, buffering the negative effects of harassment on performance and suggesting that engaged employees may be better equipped to cope with and mitigate the impact of harassment.

The study’s findings contribute to understanding workplace dynamics amidst sexual harassment in construction. Work engagement fully mediates the relationship, highlighting the need to prioritize initiatives aimed at enhancing employee engagement, such as promoting a supportive and fostering open communication channels between management and employees, can mitigate the occurrence and negative impacts of sexual harassment on employee performance. Continuous monitoring of engagement levels is crucial for sustaining positive work environments.

This study contributes to the existing literature by providing quantitative evidence of the relationship between sexual harassment and employee performance in the construction industry. By examining the mediating roles of psychological distress and employee engagement, the research offers a deeper understanding of the mechanisms underlying this relationship. The findings underscore the importance of addressing sexual harassment and promoting employee well-being to foster a safe and productive work environment in the construction industry.

Supply chain (SC) disruption, whether demand sided or supply sided, is conversely perceived to affect organisational performance of construction firms. This paper, therefore, aims to examine the linkage of supply chain disruptions with organisational performance of construction firms through the moderating role of innovation.

Using a quantitative research, approach the views of 84 construction professionals were elicited using a structured questionnaire. Ordinary least squares were utilised to validate the hypotheses set.

The study proved that there is a negative relationship between demand-related disruption and business performance as well as project performance. Also, it was clear from the study that supply-related disruptions had a significant impact on both project performance and business performance. Although SC innovation was seen to impact business performance, it had no relationship with project performance. Generally, innovation was seen to have a moderating effect of demand and supply disruption of project performance, but it played no moderating role in business performance.

The findings suggest that business firms must be innovative with the supply chain, as it moderated project success. The supply chain of a construction firm plays a very critical role on projects; hence, this study recommends that a supply chain manager ought to be innovative in their operations due to the moderating role SC innovation has on project performance and largely business performance.

Various studies on supply chain has been done on different sectors in the economy; however, little can be said about the construction industry on how supply chain disruptions affects business and project performance and how innovation moderates such effects.

This paper aims to examine the factors that drive the career progression of construction project managers (CPM) in the Ghanaian construction industry.

Based on the quantitative approach, the views of 80 CPMs working with D1 building construction firms were elicited using a structured questionnaire. Data was analysed using one-sample t-test, which was used to examine the relative significance of the variables. The mean scores, standard deviations and significance values (p-values) of each variable were used to examine the outcome of the survey.

The findings suggest that “existence of organizational support systems”, “ability to create identity”, “having an influential mentor and coach”, “accepting complicated and high visibility assignments” and “ability to gain managerial or leadership experience” are the key factors that drive the career progression of CPMs in Ghana.

Findings from this study is limited to CPMs, specifically within the Ghanaian construction industry. This implies that with the fragmented nature of the construction industry, adopting these findings in construction settings within other countries may not yield the desired results, especially, if those countries do not share similar characteristics and context with Ghana.

Practically, this study highlights for the benefits of project managers (PM) (especially those in the construction industry) the key factors that drive their career progressions. Identification of these drivers offers the professionals with those factors to be prioritized when seeking to progress their careers in the construction industry.

Empirical research on the factors that drive the career progression of CPMs has not been fully examined in previous studies, though such studies in other sectors aside construction are prevalent. Hence, the identification of the drivers for career progression of construction PMs advances literature in the area and offers the professionals with those factors to be prioritized when seeking to progress their careers.

Cost estimation model serves as a framework for forecasting the probable cost of proposed construction projects. It can be classified either as traditional or non-traditional depending on the cost variables formulation. However, in the building industry, quantity surveyors traditionally estimate the initial cost of building projects using the traditional models, which have been criticized overtime for its inaccuracies. This paper therefore aims to examine barriers for the utilization of non-traditional cost estimating models.

By using a questionnaire survey, respondents were invited to rate their level of agreement on 23 barriers identified from literature and interview (expert’s opinion).

Based on factor analysis inefficient techniques, perceptions of model techniques, unavailability of cost data and lack of understanding and unstable economic conditions were identified as barriers to the utilization of non-traditional cost estimating models.

Findings demonstrate that there is need for quantity surveyors to get adapted to utilization of non-traditional cost models which offers better accuracies than the traditional approaches in their quest to improve their professional practices.

This study demonstrates that there are barriers to the utilization of non-traditional cost estimating models in the Ghanaian construction industry, as evident of this will help in policy formulation for the improvement cost estimating practices.

There is a pressing need to increase investments in sustainable infrastructure to promote low carbon economic growth and ensure environmental sustainability. Consequently, this study examines the socio-political factors underlying the adoption of green bond financing of infrastructure projects.

Primary data was gathered from experts with advanced experience in, or knowledge of green bonds in the Kumasi Metropolis. To identify respondents with pertinent knowledge that is relevant to the study, purposive and snowball sampling techniques were used. One-sample t-test and relative importance index were used in this study's statistical analysis.

‘Training and experience with sustainable finance’ was seen as the most important social factor underlying the adoption of green bond financing of infrastructure projects by the respondents and ‘Governmental tax-based incentives’ was rated as the leading political factor.

This pioneering research attempts to ascertain the socio-political factors affecting the adoption of green bond financing of infrastructure projects. Emergent results of analysis and concomitant discussions add knowledge to fill a void in literature on the social and political factors affecting the adoption of green bond financing of infrastructure projects in developing countries.

The purpose of this study is to investigate the challenges of pricing quantity surveying (QS) professional services to enhance the understanding of practitioners in developing strategies for the determination of fees for their services.

The paper adopts the quantitative approach by administering 150 survey questionnaires QS professionals out of which 79 questionnaires were retrieved for analysis using the mean, standard deviation, standard error and the Chi-Square test.

The study identified the challenges that continue to hamper the successful pricing of QS services as the inability to respond to changing contractual arrangements; lack of appropriate response to emerging services; slow response to changes in information and communication technology.

This paper focused on QS professionals. Hence, a future study to encompass other professionals in the built environment will be novel.

The findings of this paper have the potential to motivate QS firms to develop solutions that address the challenges identified to improve the efficiency of their service delivery to clients. The paper also has the practical importance of opening up new frontiers of research that focus on pricing of professional services in the built environment in general.

The paper contributes to the awareness and understanding of QS professionals about the challenges that continue to hamper effective pricing of their services.

The selection of a suitable contractor for a project has a significant impact on project success. In order to avoid the selection of an incapable contractor, the capabilities of contractors must be assessed prior to tendering through pre-qualification. However, the pre-qualification process is characterized by partiality and ambiguity. In view of this, numerous models have been developed to solve the pre-qualification problems. Prior to the development of such models, it is very important to assess how the pre-qualification criteria impact project success criteria so as to aid in the selection of pre-qualification criteria while considering the project and client’s objectives. Therefore, the purpose of this paper is to ascertain the relationship between contractors’ pre-qualification criteria and project success criteria.

The study utilized explanatory research design in testing 35 hypotheses. The views of 121 practising quantity surveyors were solicited using a structured questionnaire and analyzed using the partial least square structural equation modeling to validate the hypothesis.

In all, 13 of the 35 hypotheses were not supported. The findings indicated a clear relationship between contractors’ pre-qualification and project success.

Therefore, it is evident that the practice of lowest evaluate bidder is not adequate for providing a satisfactory project outcome. It is, therefore, suggested that more emphasis should be placed on contractor’s technical abilities, health and safety and management capabilities as they have proven to have a significant correlation with the project success.

This study provides insights to the how various pre-qualification criteria can impact the project success criteria and further contributes to the symbiotic that exist in the literature on pre-qualification and project success.

Workforce diversity is essential for success from the perspectives of economic development and intellectual property. However, the construction industry is losing out on these gains due to the low diversity among them. The study aims to identify challenges impeding workforce diversity in construction literature through a mixed review approach.

The study desk reviewed 188 relevant construction peer-reviewed articles and conference papers with no restrictions on the time range. The study adopted the mixed methodology review approach through bibliometric and systematic content analyses.

The study identified 67 challenges and further classified them into 4 broad categories. These were industry-related, organisational-, personal or attitudinal- and health-related challenges. Organisational challenges were the most prevalent challenges of diversity uptake in the construction industry. The publications' most influential sources, countries/regions and annual trends were also discussed.

Classifying the challenges hindering diversity contributes to the existing knowledge base. The framework's interrelationships among categorised barriers will enable construction professionals to make informed decisions in promoting diversity in the industry.

This study has a broad geographical reach, allowing the findings to be widely applicable to the diverse practice of the worldwide construction sector.

With emerging technologies rapidly changing work processes, it is important to understand the skills and characteristics project managers (PMs) need to effectively manage projects in the digital era. This study determines the underlying competencies needed for digitalization among PMs in the construction industry. The study also identified the most significant competencies needed by PMs in the era of digitalization.

The methodology adopted for the research study was quantitative. It was founded on a thorough review of pertinent literature, which went through a pilot survey study from six project management experts in the construction industry. Based on the comment and feedback, a questionnaire survey was developed and distributed to participants through a convenience sampling technique. The data retrieved were from 100 professional PMs out of 130 questionnaires distributed in the Ghanaian construction industry. Data collected were analyzed using fuzzy synthetic evaluation (FSE).

Based on FSE, the three competency parameters (knowledge, skills, personal characteristics) generated significant indices indicating that all three competencies are significant among construction PMs in the digitalization era. Under the knowledge competency parameter, six sub-competencies comprising a total of 12 variables were identified. For skills, seven sub-competencies consisting of 23 variables were identified. Regarding personal attributes, six sub-competencies with 17 variables were highlighted. Under knowledge, technical knowledge was found to be the most important with an index of 4.212. For skills, leadership skills were rated highest with an index of 4.240. Regarding personal attributes, social or interpersonal skills were deemed most critical with an index of 4.199.

The results provide guidance to both industry and academic stakeholders. For PMs and their employers, the study highlights priority areas for competency development and training related to the era of digitalization. It also informs educational institutions on how to structure project management curricula to best prepare students for jobs of the future. This study gives more insight into the competencies that need more attention for PMs in the digitalization era. As a result, firms that adopt the identified competency will benefit from implementing digitalization in project delivery.

This study makes an original contribution as one of the first to empirically investigate the competencies required of construction PMs in the construction industry in the digitalization era. By focusing on the developing country context of Ghana, the study extends knowledge to an under-researched region and market. It provides a foundation for future comparative research across diverse global contexts.

The construction industry is an industry which has gained notoriety when it comes to both physical and mental health problems. Compared to other industries, the construction sector has a higher prevalence of many stressors and mental health concerns. This calls for mechanisms to cope with these concerns. One coping mechanism propounded to help cope and adapt in the face of pressures and challenges is “Mental Toughness (MT)”. While mental toughness has been widely studied in various fields, there is a paucity of comprehensive research examining its significance among construction professionals. Thus, the motivation of this study is to establish the mental toughness characteristics among construction professionals in Ghana.

The construction industry is an industry which has gained notoriety when it comes to both physical and mental health problems. Compared to other industries, the construction sector has a higher prevalence of mental health concerns. One coping mechanism propounded to help cope and adapt in the face of pressures and challenges is “Mental Toughness (MT)”. While mental toughness has been widely studied in various fields, there is a paucity of comprehensive research examining its significance among construction professionals. Thus, the motivation of this study is to establish the mental toughness characteristics among construction professionals.

the study's findings revealed 13-factor model characteristics of mental toughness with 43 variables for mentally tough performers in the construction environment. These 13-factor models include Pressure Management (PM), Motivation (M), Emotional Intelligence (EI), Interpersonal self-belief (SB), Tough Attitude (TA), Job-related self-belief (SBB), Ethical Values (EV), Commitment (C), Focus (F), Optimism (OP), Expertise and Competence (EC), Imagery Control (IC) and Resilient (R).

The outcome of this study has significant practical implications for various stakeholders. For construction professionals the identified factors provide valuable insights into the psychological attributes and behaviours that contribute to mental toughness among construction professionals. Understanding these characteristics can empower professionals to develop strategies for coping with stress, maintaining focus, and fostering resilience in challenging construction environments to achieve optimum performance levels consistently.

The originality of this study's findings stems from the fact that it is among the first to provide greater insight into mental toughness characteristics considered by professionals (quantity surveyors, construction managers, engineers, project managers, architects, estate managers) in the construction industry.

The construction sector is recognized for subjecting its workers to various psychological pressures and mental stressors. As a result, it is crucial to explore and discover effective strategies to support these workers in managing and enduring these demanding circumstances. Mental toughness is a concept that has been advocated to aid individuals in coping and adapting to pressures and challenges. Therefore, it is imperative to explore strategies critical to developing mental toughness among construction professionals. Thus, the purpose of this study is to identify critical strategies for the development of mental toughness among construction professionals.

A comprehensive literature review was conducted using Google Scholar, Scopus, ScienceDirect and PubMed databases to identify the strategies for the development of mental toughness. These identified strategies were used to develop a structured closed-ended questionnaire to aid in data collection. Of the 317 questionnaires distributed, 207 were collected and used for data analysis. The data were analysed using mean score ranking and one sample t-test.

The study highlighted 12 critical strategies for the development of mental toughness among construction professionals. These include recognizing and rewarding achievements, taking time for self-care, organizing mental training programs, using positive self-talk, embracing a growth mindset, providing social support/developing a strong support network, creating a challenging training environment, engaging in regular physical exercise, fostering a mastery motivational climate, setting clear but challenging goals, practicing mental imagery and practicing reflection on setbacks and failures. The analysis results indicated that all of the strategies, except one (which involves practicing reflection on setbacks and failures), displayed significance. By incorporating these strategies, construction firms and the industry as a whole can empower their workforce to cope and/or overcome the various demands and stressors that work and life places on them.

The study highlights the significance of recognizing and rewarding achievements, fostering a growth mindset and implementing mental training programs to cultivate mental toughness among construction professionals. Moreover, promoting self-care practices and offering social support are essential strategies for enhancing mental resilience in the construction industry. By adopting these evidence-based approaches, construction organizations can create a mentally tough workforce capable of handling the challenges and demands of the industry effectively.

This study contributes significantly to the general body of knowledge in mental health management among employees in the construction industry. It does set the pace for the development of the general well-being of construction professionals in the achievement of mental toughness goals.

The uptake of Design for Safety (DfS) practices in developing countries like Ghana has been limited. This study aims to provide an in-depth understanding of the barriers across regulatory, organizational, cultural and educational dimensions that restrict DfS assimilation in the Ghanaian construction sector. Identifying the key impediments can inform policy initiatives and industry efforts to facilitate safer construction.

A postpositive philosophy underpinned the quantitative research. Multi-stage research was used. A comprehensive questionnaire survey was designed and given to six industry experts to assess clarity, relevance and effectiveness after a thorough literature review. In all, 164 professionals were reached to take part in the study using purposive sampling and consequently snowballing. “Variables” were ranked using mean score ranking and normalization techniques; exploratory factor analysis was then used to group variables into clusters.

Emergent findings revealed four distinct clusters of challenges; Design Process and Communication Challenges; Regulatory and Expertise Limitations; Planning and Education Constraints; and Attitudinal and Perception Barriers. These findings help identify targeted solutions to overcome barriers including developing robust regulatory frameworks, promoting collaboration among stakeholders and cultivating a positive safety culture.

This study provides new insights into the integration of DfS in the context of the developing construction industry in Ghana. This study expands the knowledge base to drive further research in enhancing construction safety in developing countries. Practical recommendations for overcoming these challenges are proposed.

The construction business is widely recognised for its inherent complexity and dynamic nature, which stems from the nature of the job involved. The industry is often regarded as one of the most challenging industries globally in terms of implementing environmental, health and safety (EHS) practices. However, in the absence of EHS, the construction industry cannot be considered sustainable. Therefore, this study aims to identify the trends, knowledge gaps and implications of EHS research to enhance construction activities and knowledge.

The study adopted a science mapping approach involving bibliometric and scientometric analysis of 407 construction EHS publications from the Scopus database with the VOSviewer software. The study is based on journal articles from the Scopus database without restriction to any time range.

The main focus of construction EHS research identified in the study includes sustainability-related studies, risk-related, environmental issues, EHS management, integrated management systems studies, health and safety related and EHS in the construction process. Some emerging areas also identified include productivity, design, culture, social sustainability and machine learning. The most influential and productive publication sources, countries/regions and EHS publications with the highest impact were also determined.

Documents published in the Scopus database were considered for analysis because of the wider coverage of the database. Journal articles written in English language represent the inclusion criteria, whereas other documents were excluded from the analysis. The study also limited the search to articles with the engineering subject area.

The research findings will enlighten stakeholders and practitioners on the focal knowledge areas in the EHS research domain, which are vital for enhancing EHS in the industry.

To the best of the authors’ knowledge, this review-based study is the first attempt to internationally conduct a science mapping on extant literature in the EHS research domain through bibliometric and scientometric assessments.

In most developing countries, the delivery of construction project is still characterised by inefficiencies resulting from the use of outdated methods and techniques, which retards project performance. Hence, the call for the implementation of innovative technologies such as humanoids in the execution of construction projects as it has been proven to be very effective in other sectors while improving productivity and quality of work. Consequently, this study looks at how humanoids can be used in the construction industry and what benefits they can bring.

The study employed a quantitative approach underpinned in post-positivist philosophical view using questionnaire as the instrument for data collection. The target respondents were construction professionals, and purposive sampling was used, while a response rate of 62.5% was gotten. The methods of data analysis were mean item score, standard deviation and one-sample t-test.

The findings revealed that humanoids can be used in progress tracking, auto-documentation and inspection and surveillance of tasks in construction activities. Also, the most important benefits of using humanoids in construction work were found to be shorter delivery times, fewer injuries and more accurate work.

The outcome of the study gives professionals and relevant stakeholders in construction and other interested parties' information about the areas where humanoids can be used and their benefits in construction.

The novelty of this study is that it is a pioneering study in South Africa on humanoids' usage in the construction industry. Also, it expands the existing borderline of the conservation of construction digitalisation for enhanced project execution.

While existing research has explored the association between supervisor support and turnover intention among construction workers, there is a notable gap in the literature concerning the potential mediating role of work engagement in elucidating this relationship, warranting further investigation. The paper, hence, aims to examine the mediating role of work engagement in the relationship between supervisor support and turnover intention among construction workers.

Based on the quantitative research method, the hypothesis was tested. The data were collected from 144 construction professionals using a structured questionnaire. Observed variables were tested using confirmatory factor analysis, and the mediating role relationship was validated using hierarchical regression.

The outcome of this study shows a significant positive impact of work engagement and supervisor support on employee turnover intention. The study further showed that work engagement plays a mediating role in the connection between supervisory support and the intention to turnover and improve project and business performance. Turnover intention, on the other hand, negatively affects project and organizational performance.

By enhancing employee work engagement and perceptions of supervisor support, the findings of this study may aid construction organizations in making better judgments regarding the likelihood of employee turnover. The effectiveness of the project and the organization will likely be greatly impacted.

The results of this study provide supporting evidence and advance efforts at reducing employee turnover intention through work engagement and supervisor support in improving project and organizational performance.

Works procurement performance is critical to successful project delivery. However, early supplier involvement (ESI) has been touted in other industries to impact procurement performance positively. Works procurement has been attracting significant attention from major players due to poor performance characterized by poor performance, budget overruns and incompetence. Hence, the purpose of this study was to assess the impact of ESI on public works procurement performance.

Based on a thorough review of the literature for a pilot survey, the main questionnaires were administered to 103 public procurement officers. To assess the impact of ESI on public works procurement performance, three constructs that served as factors for implementing ESI and five that measure works procurement performance were validated using partial least square structural equation modelling (PLS-SEM).

The outcome of this study shows a significant positive impact of ESI on works procurement performance. This included communication, trust and supplier capabilities. The study further showed that even though cost, schedule, quality, health and safety are essential, sustainability measures are also crucial for work procurement.

The results of this study could help firms make better decisions regarding public works procurement by encouraging ESI. This will likely significantly impact the successful project delivery and preservation of sustainability and efficiency objectives.

The application of PLS-SEM analysis in this study provides insights into how ESI can impact the procurement of public works in Ghana.

Tender price remains an imperative parameter for clients in deciding whether to invest in a construction project, and it serves as a basis for tender price index (TPI) manipulations. This paper aims to examine the factors affecting tender price in the construction industry.

Based on the literature review, nine independent constructs and one dependent construct relating to tender pricing were identified. A structured questionnaire survey was conducted among quantity surveyors in Ghana. Partial least squares structural equation modelling (PLS-SEM) examined the influences of various constructs on tender price development (TPD) and the relationships among TPD and TPI.

Results showed that cultural attributes, client attributes, contractor attributes; contract procedures and procurement methods; consultant and design team; external factors and market conditions; project attributes; sustainable and technological attributes; and TPI have a positive influence on tender price, whereas fraudulent attributes exert a negative influence.

The findings offer construction professionals broader understanding of factors that affect tender pricing. The results may be used in professional decision-making in the pricing of construction projects, as they offer clearer causal relations between how each construct will influence pricing.

This study adds to the body of construction pricing knowledge by establishing the relationships and degree of influences of various factors on tender price. These findings provide a valuable reference for practitioners.

The needs assessment is the heart of any capacity-building strategy since it determines the design of any intervention, and also helps to prioritise the allocation of resources. Whereas there is a considerable amount of literature on the challenges faced by small- and medium-scale building contractors (SMBCs), very little is known about the needs (support) required by SMBCs. But given the critical role played by SMBCs in the construction industry demands, an understanding of how this sector can be assisted is required. The purpose of this paper is to contribute to the literature relative to capacity building of SMBCs by exploring and examining the needs with the objective to extend the understanding on how to promote and sustain SMBCs to continue their infrastructural delivery at the local and rural areas in Ghana.

A questionnaire with five-point Likert scale is administered to 416 respondents, including local government authorities, consultants, first-class contractors and SMBCs using simple random and purposive sampling techniques. Data generated from the survey are analysed using mean score ranking and principal component analysis, thus enabling the findings of the study to be examined under six thematic areas.

The SMCs needs identified include anti-corruption measures, job accessibility, technical and technological assistance, favourable fiscal policy, business development support and financial assistance. The findings of the study bring to the attention of policy makers the critical areas that required support by the assistance of SMBCs. In the interim, the study recommends the extension of business advisory services to the SMBCs by National Board of Small-Scale Industries, whilst in the long term, the government must create the necessary business operating environment to promote SMBCs pertaining to the industrial sector of the economy. The SMBCs must also factor the needs into their business operations that can be addressed from within.

The study suggests the need of SMBCs in building a robust construction industry in developing countries.

The momentous contribution of innovative technologies has made a significant impact in several sectors globally. However, the construction industry is undoubtedly lagging when it comes to technology usage. Thus, this study aims to explore the various emerging technologies in the construction industry while noticing stakeholders’ challenges and strategies in its use.

The study used a pragmatism research philosophy together with a quantitative research strategy in determining emerging technologies in the construction industry while noticing stakeholder challenges and strategies. Data were obtained from a total of 80 construction stakeholders through a structured questionnaire survey. The analysis was done with descriptive statistics using mean score ranking and a one-sample t-test.

Each emerging technology challenge was analysed and compared to see how pressing the challenges were as well as the aligned strategies. A key indication of this study is that the familiarity of the various emerging technologies was based on how many occasions one had an encounter with the technology.

The discussion’s findings contribute to a better knowledge to construction stakeholders on the challenges and strategies for rising technology adoption and implementation competencies.

The study reckoned stakeholders’ challenges on the emerging technologies in the construction industry context and recommended strategies to balloon the adoption of these emerging technologies in a developing country setting.

The adoption of green construction concepts in road infrastructure projects is an opportunity to minimise the carbon footprint while boosting the built environment's capacity to promote sustainability. Consequently, this study examines the components of green road construction practices in developing countries such as Ghana.

Using a quantitative research method, four hypothesised constructs identified from the review of relevant literature were tested. The views of 144 quantity surveyors, civil engineers and project managers within Ghana's three road agencies were elicited using a structured close-ended questionnaire. A confirmatory factor analysis (CFA) based on the structural equation model (SEM) was adopted in analysing the data obtained.

The study's results reveal that the identified components: sustainable design, materials and resources, stormwater management and energy efficiency, significantly influence green road construction.

It reveals the critical elements of sustainable road design and construction, aiding organisations, construction companies and legislators in making informed choices on road design and construction.

Results from this study provide empirical evidence lacking in the literature about the main components of green road construction.

Firms in the architectural, engineering, construction and operations (AECO) sector continue undertaking projects in a disruptive environment due to the coronavirus disease 2019 (COVID-19) pandemic. This study aims to explore environmental turbulence in the AECO project delivery space and suggest mechanisms for enhancing resilience against future pandemics.

The study adopts the quantitative approach by administering 110 survey questionnaires to participants comprising project managers, site engineers, quantity surveyors, contractors and subcontractors.

The study identifies 24 COVID-19 disruptions linked to environmental turbulence categorised as scheduling, performance and productivity, project budget, supply chain, resource allocation and technological and regulatory. The study suggested resilient mechanisms for surviving in future pandemics.

This study enhances the understanding of environmental turbulence from the perspective of COVID-19 disruptions in AECO project delivery, while the implementation of the resilient mechanisms improves capability of AECO firms against future pandemics.

Prodigious teamwork is the basis for augmenting the level of productivity on construction projects. Globalisation of the construction market has meant that many practitioners work outside of their geographical spectrum; however, the multicultural dissimilarities of construction workforces within the project management team (and how these may impact upon project productivity performance) have been given scant academic attention. To bridge this knowledge gap, this paper aims to analyse the effects of a multicultural workforce on construction productivity.

The epistemological positioning of the research adopted mixed philosophies (consisting of both interpretivism and postpositivism) to undertake a deductive and cross-sectional survey to collate primary quantitative data collected via a closed-ended structured questionnaire. Census sampling and convenience sampling techniques were adopted to target Ghana’s construction workforce and their opinions of the phenomenon under investigation. Out of 96 questionnaires administered, 61 were retrieved. The data obtained were analysed by using mean score ranking, relative important index, one sample t-test and multiple regression. The reliability of the scale was checked by using Cronbach’s alpha coefficient.

From the t-test analysis, 11 variables sourced from extant literature, and the null hypothesis for the study was not rejected and all factors (except high cost of training and improper gender diversity management) were affirmed as negative effects of the multicultural workforce on construction productivity. Using multiple regression analysis, six of the independent variables were shown to impact upon productivity. The goodness of fit was verified by collinearity and residual analysis. The model’s validation revealed a relatively high predictive accuracy (R² = 0. 589), implying that the results could be generalized. In culmination, these findings suggest that the predictors can be used to accurately predict the effects of multicultural workforce on construction productivity performance.

The findings indicate that multicultural workforce/teams have a substantial effect on overall construction productivity in the construction sector; consequently, stakeholders must address this issue to enhance productivity across the sector.

The current study significantly contributes to our understanding of how multicultural workers/teams affect construction productivity in the construction business perspective and how to respond to the negative menace.

Construction firms worldwide are increasingly taking pragmatic steps towards addressing environmental problems arising from their activities. Nonetheless, there is a paucity of studies focused on the nexus between green construction and environmental performance. Hence, this study aims to examine the linkages between green construction practice and environmental performance.

An extensive literature review was conducted to identify the relevant dimensions of green construction practice and indicators for measuring environmental performance. Variables collated were then subjected to pre-assessment and pre-testing processes. The pre-assessment was used as a preliminary content validation where experts assessed the various dimensions of green construction practice and indicators for measuring environmental performance proposed and determine if indeed the variables represent what the study set out to measure. Data were collected from construction professionals within the Ghana's Kumasi Metropolis. The sample size for the study was 100 experts in sustainable construction methods in the construction industry. A total of 63 responses were received out of the 100 target respondents, accounting for a 63% response rate. Data generated was analysed using mean score analysis and one-sample t-test to determine the level of significance of the various green construction practices and indicators for measuring environmental performance. A Pearson correlation analysis was undertaken to ascertain the relationships that exist among the various dimensions of green construction practice and indicators for measuring environmental performance. Finally, multiple linear regression analysis was utilised to ascertain the effect of the adoption of green construction practice on environmental performance.

The results indicate that all the green construction practices and the indicators of environmental performance identified from the literature were significant at p = 0.05. The study's findings revealed that energy management is the most significant construct of green construction practice followed by storm-water management. Furthermore, the analysis showed that the preservation of water is the most significant environmental performance indicator followed by sanitation. The regression model developed also explained that 75% of the variations in environmental performance are explained by green construction practice.

Notwithstanding the study's achievements, one major limitation the research faced was the relatively small sample size.

This study provides sufficient data for construction professionals to identify the various green construction practices that could enhance environmental performance. The study's results showed that environmental performance could be improved by adopting the key green construction practices identified in this study. Pragmatic directions are also provided to stakeholders in the construction industry to take a critical look at the environmental performance indicators that were significant.

This pioneering research attempts to investigate the linkages between green construction practice and environmental performance in Ghana. Key results provide a critical evidential influence of green construction on environmental performance and make a crucial contribution to the current body of knowledge.

The aim of the paper is to examine the challenges to the pricing of construction projects in the Ghanaian industry. This remains a persistent problem among construction stakeholders because price is the basis for which offers are made. Project stakeholders are always faced with challenges relating to effective and efficient pricing system making it difficult to achieve value for money.

Research data were collected through a questionnaire survey involving quantity surveyors in the Ghanaian construction industry. Data collected were analyzed using exploratory factor analysis which helped to reduce the factors into six components. Confirmatory factor analysis (CFA) was further carried out to explore whether these six observed variables would form a latent variable called challenges to pricing of construction projects.

The paper highlighted six underlying challenges which were cost-related, managerial-related, quality-related, variation of works, poor understanding of the terms of contract and time-related. Strong and significant relationships were found between all six of the observed variables. A CFA confirmed that they formed a latent variable the authors called challenges to pricing of construction projects.

The findings clearly can serve as a reference for both developed and developing countries in the quest for finding an antidote to pricing challenges. In addition, use of CFA improves measurement of the constructs and thus enhances understanding of the underlying components of a construct and their individual relationship with pricing. The paper is particularly useful for policy making and industry regulation because it identifies some of the factors that need attention.

This paper presents an exceptional contribution to the construction management literature by concentrating on the factors that challenge effective and efficient pricing system in the construction industry.

Although building information modelling (BIM) adoption in developed countries has largely been incentivised by government, in developing countries, adoption is often driven by desires of industry professionals, which is dependent on awareness of BIM and availability of skills among the professionals. Thus, BIM awareness and competence among professionals have become useful baseline measures of BIM readiness. To ascertain BIM readiness within the Seychelles construction industry, this study aims to investigate the level of BIM awareness and level of BIM competence among construction professionals.

The study involved a questionnaire survey of construction professionals (n = 96) and data analysis using both descriptive statistics and association analysis.

The results indicate a moderate level of BIM awareness, but a low level of engagement in BIM education/training. Also, the professionals have very low BIM technical skills, notably the ability to use BIM-related tools and to perform BIM-related task. Furthermore, this study suggests that the experience of working on collaborative projects could be a useful premise for BIM implementation among construction professionals.

The implication is that construction professionals in the Seychelles need to start readying themselves for greater BIM adoption by taking steps to address the BIM technical skills deficiencies and the low engagement in BIM education/training.

The non-achievement of projects of best value remains a perennial problem within the construction industry. This paper aims to identify the latent shortcomings affecting the achievement of value for money (VfM) within the Ghanaian construction industry.

From a comprehensive literature review and pilot survey, 18 variables responsible for the non-achievement of VfM were identified. Through purposive and snowballing sampling techniques, a questionnaire was administered to the target professionals. Factor analysis was used to establish the latent shortcomings underlying the same dimensions of VfM achievement in the Ghanaian construction industry.

A total of six components were identified and explained as external factors; institutional culture and policy constraints; technical and decision-making factors; human-related factors and accountability and transparency constraints. The relative importance index was used in analysing the strategies to addressing the shortcomings.

The prevalent situation of poorly delivered projects and the continuous campaign for VfM necessitated the need for a study into explaining the latent shortcomings in achieving VfM within the Ghanaian construction industry. It is recommended that governments give VfM in public projects serious attention. This would help to reduce the overall cost of construction projects without compromising quality. When VfM is taken seriously, governments can save more money and undertake more projects as well as gain public acceptance in terms of transparency and accountability.

This study has set the pace for further research in the VfM analysis by identifying the latent shortcoming, which other developing countries can emulate.

Monitoring and evaluation (M&E) of projects is a very important aspect of project execution and management. This is because proper M&E practices have a significant effect on the successful delivery of projects. The purpose of this paper is to examine the impact of project M&E practices on construction project success criteria.

Structured questionnaires were used to solicit the views of project professionals in the Ghanaian construction industry. The questions were developed through critical review of literature and complemented with a pilot interview on the subject. This paper utilized a partial least square–structural equation modeling (PLS–SEM) to establish the impact of project M&E practices (constructs) on project success based on the hypothesis.

Results showed that M&E practices had a positive statistical significant relationship with construction project success criteria. In addition, health and safety performance and project scope showed a strong significant relation with M&E practice, implying that, in developing countries, these two main constructs should be given critical attention in achieving project success.

The findings of this study may be useful to organizations in determining M&E techniques that are relevant and contribute highly to project success. This may go a long way to increase productivity and accelerate the rate of successful project delivery.

The application of rigorous analysis, PLS–SEM, gives a more reliable information on M&E practices that can ensure successful delivery of construction projects.

The studies on contractor prequalification focus more on the review of models and algorithms rather than review of the criteria for contractor prequalification. However, the basis of every prequalification model primarily relates to the measurement and judgement of prospective contractors based on a set of decision criteria. This paper aims to address the gap by reviewing academic papers on contractor prequalification criteria.

A desktop search was conducted under the “T/A/K (title/abstract/keyword)” field of the Scopus search engine. A total of 49 papers were initially identified; however, only peer reviewed journals were selected for the study; therefore, a sample of 36 was subsequently used. Further filtering was done in which 26 papers were found valid for further analysis as it was realized that, not all the identified papers presented empirical arguments about the issue of contractor pre-qualification criteria. The selected 26 papers were subjected to content analysis to identify the key contractor pre-qualification criteria.

A total of 41 criteria were identified which were subsequently classified into six main categories, namely, technical considerations, management considerations, financial considerations, reputation considerations, general experience considerations and health, safety and environmental considerations. There was an indication that, the involvement of health, safety and environmental considerations in contractor prequalification proceedings is limited.

The major limitation of this research was the limited number of papers selected for further analysis based on the Scopus search engine. The identified criteria serve as a basis for further empirical studies on contractor prequalification criteria.

The outcome of this study broadens the understanding of practitioners and researchers on the various criteria for contractor prequalification.

By critically reviewing available literature on contractor prequalification, the study sets the tone for further empirical studies on contractor prequalification.

COVID-19 came as a surprise to the global economy and devastated many sectors worldwide, including the construction sector. Small construction firms are believed to be an engine of growth in many developing countries, including Ghana; thus, their survival cannot be trivialized. This study explored the impact of the COVID-19 on the businesses of the small confirms in Ghana.

A qualitative research approach was adopted for this study. Open-ended interview questions were distributed via email to 45 small construction firms (D3K3 and D4K4) purposefully selected. Thematic contents analysis was used to analyze 30 interview questions received.

This study has revealed that the COVID-19 has severely affected small construction firms in Ghana. Small construction firms are struggling in their finances; their cash flow/payments for work done are severely affected; they cannot secure contracts and management site efficiently. Their worker's productivity level has dwindled, which has subsequently escalated their project cost and completion time. These effects identified are significantly affecting the survival of these small construction firms.

The study included small construction operating in the Central, Western and Greater Accra regions of Ghana during the second wave of the COVID-19 pandemic. However, the findings may be applicable to construction sites outside these regions.

The implication is the COVID-19 pandemic hugely impacts the small construction firm's business operations. Therefore, they must be mindful of the new norm (COVID-19) and institute strategies to help them overcome the challenges and sustain their businesses.

The study gives insight into the effects of the COVID-19 on the businesses of small construction firms in Ghana and proposes strategies that they must implement to overcome their challenges and sustain their businesses.

We publish elsewhere a report of the judgment delivered by Mr. LOVELAND‐LOVELAND, K.C., Chairman of the County of London Sessions, in the case of the Kensington Borough Council versus Bugg. The termination of this case has been called a “compromise” by some of the trade journals, and it is well to point out that it was nothing of the kind. When a conviction is confirmed in a higher court, and when proceedings are stayed upon an undertaking being given by the defendants that they will do what they were proceeded against for not doing, the description of such circumstances by the term “compromise” is ridiculous—particularly when a judgment is accompanied by remarks so decisive and uncompromising as those which were made by the learned Chairman in reference to this case. The suggestion that the case should bo brought to a conclusion in the manner indicated came from the Bench, who were evidently perfectly satisfied as to the meaning which attaches to the word “Cornflour,” and the course suggested was obviously intended merely to save the time of the Court; while the fact that the defendants submitted to the terms imposed without oven attempting to bring forward such evidence as they might have been able to get to support their position, is in itself amply sufficient to show that their advisers had appreciated the weakness of their case. There has been the usual outery in the trade journals about the sufferings of the innocent tradesman, and about “interference with the liberties of manufacturers.” In the whole history of the administration of the Food Acts in this country there are hardly any instances of prosecutions for the sale of an article under a name which is properly applicable to another, in which such outcries have not been raised. Such outcries may, however, be taken as blessings in disguise, since they mainly serve to emphasise the facts and to educate the public. The term “Cornflour” is well known to have originated from the expression “Indian Corn Flour,” and it unquestionably has a specific meaning which is not applicable to either of the two words of which the term is made up. Originally, perhaps, the term “Indian Corn Flour” may have meant the actual meal of Indian Corn or Maize, but, by the usage of more than forty years the term “ Cornflour” means the prepared starch of Maize. No doubt it has been honestly thought by some that in view of this fact any starch might bo described as “Cornflour,” but such a position is quite untenable There is no argument which can bo adduced in support of the contention that rice starch may bo described as Cornflour, which cannot also be brought forward in support of a statement that any starch whatever may be sold as Cornflour. The absurdity of this position is so obvious that it is needless to discuss it. The starches obtained from different sources are different in physical characters, in structure, and in other respects. For these reasons they are differently acted upon by the digestive juices. Moreover different starch preparations exhibit differences which are due to the presence of minute amounts of special flavouring substances derived from the raw material; and these differences it is most important to consider since they often give to an article certain characters which are required by the purchaser. A number of instances in point could be brought forward. It is no more permissible to substitute rice starch for maize starch than it is to substitute potato starch for arrowroot starch, and, for reasons which are perfectly well known and always acted upon in the medical profession, a medical man who orders a patient to be fed on a particular starch food, such as cornflour, would strongly and rightly object—particularly in certain cases —to the substitution of another starch preparation for that which he had ordered. The matter has been settled in such a way and with so strong an expression of opinion on the part of the tribunal which dealt with it, that we think it unnecessary to discuss it further.

With the pandemic reshaping healthcare delivery, telemedicine has emerged as a vital solution for overcoming access barriers, particularly in resource-constrained settings. Hence, this study explores the key drivers behind the sustained use of telemedicine services in low-income countries during the post-pandemic period.

Using a quantitative research approach and purposive sampling technique, 273 valid responses were gathered from participants in Bangladesh. A comparative analysis utilizing partial least squares structural equation modeling (PLS-SEM) and fuzzy-set qualitative comparative analysis (fsQCA) were conducted to ensure greater accuracy.

The PLS-SEM analysis revealed that expectation confirmation and perceived ease of use positively influence satisfaction. Similarly, perceived usefulness and perceived ease of use directly impact Attitude toward telemedicine services. However, perceived usefulness and perceived security were not significantly associated with satisfaction and attitude toward telemedicine services, respectively. The findings highlight that user satisfaction drives continuance use intention for telemedicine services, but only when it also cultivates a positive attitude toward telemedicine services. While the PLS-SEM findings indicate that perceived usefulness has no significant relationship with satisfaction and perceived security is not significantly associated with attitude toward telemedicine services, the fsQCA results offer a different perspective. fsQCA reveals that perceived usefulness retains a significant association with satisfaction and that perceived security, regardless of whether its effect is high or low, is equally effective in contributing to the intention for continuous telemedicine use. These findings underscore fsQCA’s ability to provide deeper insights into the complex causal relationships among the antecedents.

The findings provide valuable insights for hospitals, doctors and telemedicine providers on retaining existing users. Additionally, governments can leverage this information to address healthcare disparities between urban and rural areas. The study also identifies strategies to reduce costs and improve the efficiency of healthcare services.

This study advances telemedicine research by employing the extended technology continuance theory (ETCT) alongside a hybrid analytical approach that integrates PLS-SEM and fsQCA. It highlights that telemedicine organizations can boost patient confidence and encourage continued use by enhancing satisfaction and cultivating a positive user attitude. The innovative use of ETCT and the combined methodologies provide a comprehensive analysis, offering actionable strategies to retain telemedicine users in low-income countries during the post-pandemic period.

Telemedicine is a context-specific intervention that implies significant procedural changes in a health organization. The objective of the study is to explore healthcare professionals’ usage of and perceptions towards telemedicine technology and identify the perceived factors and related process change, influencing the effective adoption of telemedicine from an organizational perspective.

The study includes multi-disciplinary commentaries of a purposive sample of 31 healthcare professionals, conducted through semi-structured qualitative interviews and employs Grounded Theory and Thematic Analysis techniques to analyze the data.

Telemedicine is perceived as a highly beneficial digital intervention in healthcare, focusing on the delivery of effective healthcare, and promoting healthcare equity. Healthcare professionals showed their willingness to assimilate technology into clinical decision-making, resulting in better treatment outcomes, and recommended its’ adoption into mainstream healthcare as a viable approach to providing remote healthcare. The key organizational issues with telemedicine adoption were system requirements, network connectivity, non-standardized medical records, and legal bottlenecks, that can be addressed by improving infrastructural convenience, optimizing service processes, imparting training, and adopting better technical measures.

The focus is on exploring factors significant for the adoption of telemedicine technology from the perspective of multi-specialties in a health organization, rather than a specific specialty, as studied in previous scholarly work. This study contributes to the theory by proposing a conceptual framework on critical factors for telemedicine adoption, integrating the theory of planned behavior (TPB) and diffusion of innovation (DOI).

The mental healthcare is experiencing an ever-growing surge in understanding the consumer (e.g., patient) engagement paradox, aiming to vouch for the quality of care. Despite this surge, scant attention has been given in academia to conceptualize and empirically investigate this particular aspect. Thus, drawing on the Stimulus-Organism-Response (S-O-R) paradigm, the study explores how patients engage with healthcare service providers and how they perceive the quality of the healthcare services.

Data were collected from 279 respondents, and the derived conceptual model was tested by using Smart PLS 3.2.7 and PROCESS. To complement the findings of partial least squares (PLS)-based structural equation modeling (SEM), the present study also applied fuzzy set qualitative comparative analysis (fsQCA) to identify the necessary and sufficient conditions to explore substitute conjunctive paths that emerge.

Findings show that patients’ perceived intimacy (PI), cohesion and privacy enhance the quality of mental healthcare service providers. The results also suggest that patients’ PI, cohesion and privacy have indirect effects on the perceived quality of care (PQC) by the service providers through consumer engagement. The fsQCA results derive that the relationship among conditions leading to patients’ perception of the quality of care in regard to mental healthcare service providers is complex and is best reflected as multiple and conjectural causation configurations.

The findings from this research contribute to the advancement of studies on patients’ experiences by empirically examining the unique dynamics of interaction between consumers (patients) and mental healthcare service providers, thereby enriching both the literature on social interactions and the understanding of the consumer–provider relationship.

The results of this study provide practical implications for mental healthcare service providers on how to combine the study variables to enhance the quality of care and satisfy more patients.

A significant research gap has ascertained the inter-relationship between PI, cohesion, privacy, engagement and PQC from the perspective of mental healthcare service providers. This research is one of the primary studies from a managerial and methodological standpoint. The study contributes by combining symmetric and asymmetric statistical tools in service marketing and healthcare research. Furthermore, the application of fsQCA helps to understand the interactions that might not be immediately obvious through traditional symmetric methods.