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1 – 6 of 6Anna Walder, Robert Green and Sujata Soni
The purpose of this paper is to illustrate the difficulties patients with intellectual disabilities face when they present to a general hospital with ambiguous symptoms and…
Abstract
Purpose
The purpose of this paper is to illustrate the difficulties patients with intellectual disabilities face when they present to a general hospital with ambiguous symptoms and highlights the importance of adequate training for general staff in caring for people with learning disabilities.
Design/methodology/approach
The authors describe the pathway of a person with a learning disability and mental health problems from A&E, through a general hospital, to discharge and the problems encountered in terms of diagnostic clarity and subsequent treatment.
Findings
Delay in recognising a psychiatric cause for his symptoms and wrongly attributing his symptoms to his learning disability may have led to a protracted admission and invasive tests.
Originality/value
Education of healthcare professionals and proactive liaison work can help improve outcomes for people with intellectual disabilities when they are admitted to generic services.
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Transport is the main enabler of tourism, but also one of its main sources of environmental impact. This paradoxical condition is even more controversial if considering the…
Abstract
Transport is the main enabler of tourism, but also one of its main sources of environmental impact. This paradoxical condition is even more controversial if considering the reluctancy of policymakers to introduce traffic management strategies, as they fear possible drops in tourism demand. This chapter addresses the ‘tourism-traffic paradox’ as a wicked problem and explores adequate and efficient policy interventions to foster sustainable mobility in Alpine destinations, minimising rebound effects in tourism demand. The chapter is focussed on the exemplary case of the Dolomites World Heritage Site (WHS), as this Italian area has experienced a long-lasting process of evidence-informed decision-making in transport, with two pilot actions for traffic calming in 2017 and 2018. The main goal of those actions was to shift the modal choices of tourists, to optimise the traffic network use and to minimise environmental impacts. The policy interventions were rooted in a sustainability governance approach, that is, they were creating a government-led network of stakeholders, including several academic experts, involved in the transport planning and monitoring phase. Advantages and disadvantages of this government-led network to solve the tourism-traffic paradox are discussed in the chapter.
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Bruno Varella Miranda and Anna Grandori
The purpose of this paper is to provide a multidimensional framework for the identification, description and comparative analysis of alternative farm structures and their…
Abstract
Purpose
The purpose of this paper is to provide a multidimensional framework for the identification, description and comparative analysis of alternative farm structures and their properties for economic development.
Design/methodology/approach
Integrating previous typologies and considering a large set of examples, the authors identify six attributes that are necessary to characterize and compare farm structures: size; strategy; organizational form; legal form; who the owners are; and degree of separation of ownership and control. They also discuss potential complementarities between those organizational attributes and specific features of the institutions of developing and emerging countries, such as contract enforcement and property rights protection regime, and developed capital markets and corporate law.
Findings
Conceptually and empirically, effective farm structures can deviate from the templates traditionally considered – “small family-owned farm” or “large factory-like corporate farm,” combining structural attributes in diverse ways. The dimensionalization of farm structures also helps in revealing complementary institutional traits at the regional or larger system level that may foster development processes.
Research limitations/implications
The paper is limited to theory building and case-based evidence. Nevertheless, it provides dimensions that can be measured on a larger scale and by quantitative studies.
Originality/value
This paper sheds light on organizational diversity in agriculture and on a wider set of feasible development paths.
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Emilio Greco, Elvira Anna Graziano, Gian Paolo Stella, Marco Mastrodascio and Fabrizio Cedrone
Employees in the private, public, and third sectors have experienced an increase in stress over the years. Amongst the sectors, people working in hospitals and other healthcare…
Abstract
Purpose
Employees in the private, public, and third sectors have experienced an increase in stress over the years. Amongst the sectors, people working in hospitals and other healthcare facilities were put under severe stress during the COVID-19 pandemic. Indeed, the World Health Organisation has clearly stated that defending people's mental health at this particular time of restless pandemic growth is an absolute necessity. The purpose of this article is to assess the perceived work-related stress (WRS) of healthcare workers (HCWs) as a result of the spread of COVID-19, as well as how a leadership role can help to reduce WRS.
Design/methodology/approach
Based on a multiple case study approach applied to two Italian health-care facilities, the questionnaire results were subjected to a regression analysis.
Findings
The results show an association in HCWs between the perception of supportive leadership and the perception of negative psychosocial risks whose exposure can lead to manifestation of WRS during COVID-19 pandemic.
Originality/value
The study addresses the role that the perception of supportive leadership can play in reducing exposure to occupational psychosocial risks in a sample of healthcare professionals.
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Zheng Li, Xizhen Zhou, Samuel Jung and Jun Li
The purpose of this paper is to review the evolution of policies and practices of innovation in China for the past 40 years.
Abstract
Purpose
The purpose of this paper is to review the evolution of policies and practices of innovation in China for the past 40 years.
Design/methodology/approach
This is a review paper. It adopts a different multi-dimensional, qualitative methodology to examine China’s trajectory of innovation from the economic reform since 1978, highlighting “China” experiences in the developing innovation-driven economy, also pointing the challenges that China faces in this transition process and future prospects. The analysis of China’s innovation performance was based mostly on secondary data from sources and institutions that use statistical data to build country rankings, such as the global innovation index and global competitiveness index.
Findings
It is found that the institutional foundations of the national innovation system in China are already being laid, and so far, China has made extraordinary progress regarding innovation performance from country to region and from business to individual. However, some critical challenges in its innovation-driven development still need urgent attention and effective efforts to reinforce them.
Originality/value
This paper aims to fill the gap in the literature by providing an overview of the evolution of the policies and practices of innovation development in China since the 1978 economic reforms and explores the Chinese experiences in transforming into an innovation-driven economy.
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