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Article
Publication date: 20 January 2012

David O'Brien, Steven Pengelly and Anthony Lambert

This study aims to quantify the provision of blood result logons to new Foundation 1 (F1) doctors in a large teaching hospital over the course of two years, with the audit used to…

137

Abstract

Purpose

This study aims to quantify the provision of blood result logons to new Foundation 1 (F1) doctors in a large teaching hospital over the course of two years, with the audit used to bring about improvement over this time.

Design/methodology/approach

New F1 doctors starting in August 2008 completed a questionnaire assessing their access to blood results and whether they had to resort to using other doctors' passwords. The results were fed back to stakeholders involved in F1 induction, and new F1s were audited again in August 2009.

Findings

On starting the job in 2008, 25 per cent of new F1s had pathology result logons and this rose to 78 per cent at eight weeks. None of the audit targets were met. The results were fed back to the IT department, the medical school and the Human Resources department with the result that in 2009, 90 per cent of the doctors had passwords on starting their jobs, with 100 per cent provision at eight weeks. All of the audit targets were met. Access and security improved considerably from 2008 to 2009.

Practical implications

Ease of access to those staff requiring access to patient data is important for patient safety; this has to be balanced against data security. Extra resources may be required to provide secure access to large numbers of staff starting all at the same time.

Originality/value

This study shows the usefulness of audit as a tool for producing improvements in patient safety and data security in large organisations; very little literature has been produced on this topic.

Details

Clinical Governance: An International Journal, vol. 17 no. 1
Type: Research Article
ISSN: 1477-7274

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Article
Publication date: 6 May 2024

Antje Bruesch and Martin Quinn

While extant research does mention performance management systems as antecedent to a management accountant’s role, and that there is tension between both, there is little detailed…

360

Abstract

Purpose

While extant research does mention performance management systems as antecedent to a management accountant’s role, and that there is tension between both, there is little detailed research. Thus, this paper aims to investigate the extent to which a performance management system interacts with the role of a management accountant.

Design/methodology/approach

The study is a cross-sectional field study, using interviews with paired management accountants and operative managers in 16 multinational organisations in Germany. The perspectives of both management accountants and operative managers are analysed separately. The role episode model theoretically informs the study.

Findings

The findings reveal management accountants distinguish between three roles of scorekeeping, controlling and business support, similar to prior literature. By contrast, operating managers are concerned with the value-adding and non-value-adding character of activities and thus support a dichotomy of management accountants’ roles. Drawing upon the role episode model, this study elucidates the interplay between performance management systems and the roles of management accountants, which encompass both role-taking and role-making dynamics. Additionally, this study contributes to management control literature by operationalising the components of a performance management system framework and linking them to the role of management accountants, as proposed by role antecedents in previous literature. The study also uncovers factors influencing role-taking and role-making, alongside examining the repercussions of role consensus or conflict based on the interaction with the operating manager.

Research limitations/implications

This paper is subject to the normal limitations of case study research and generalisation. The findings may also be influenced by the cultural context of the study.

Originality/value

An updated role episode model is presented, highlighting further performance management systems’ components. The study also reveals factors enabling and/or inhibiting the management accountants’ business support role and the impact of role consensus/conflict.

Details

Qualitative Research in Accounting & Management, vol. 21 no. 4
Type: Research Article
ISSN: 1176-6093

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Book part
Publication date: 23 January 2023

Siva Ganapathy Subramanian Manoharan, Rajalakshmi Subramaniam and Sanjay Mohapatra

Abstract

Details

Enabling Strategic Decision-Making in Organizations Through Dataplex
Type: Book
ISBN: 978-1-80455-051-9

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Abstract

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Enabling Strategic Decision-Making in Organizations Through Dataplex
Type: Book
ISBN: 978-1-80455-051-9

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Article
Publication date: 1 November 1989

Robert A. Novack

A Process Model During the last five years, American businesseshave increasingly accepted the notion that product quality is necessaryfor them to compete in today′s world markets…

1190

Abstract

A Process Model During the last five years, American businesses have increasingly accepted the notion that product quality is necessary for them to compete in today′s world markets. Product quality, in the context here, can be defined by an agreed set of standards and tolerance limits between the firm and its customers. Quality is achieved through the successful creation of form, possession, time, place, and quantity utilities for the firm′s products. Control must be implemented in order to ensure that these utilities are created to meet the standards and tolerance limits agreed upon by the firm and its customers. The purpose of exercising control is to ensure that desired results are attained from an activity or process. As such, it is important to exercise control over the logistics activities to make sure that time, place, and quantity utilities are created in accordance with customer needs. The purpose of this monograph is to present a rather comprehensive discussion of the concept of control. Specific control concepts presented include a discussion of the link between control and quality, the development of the characteristics of control and levels of sophistication of control, the presentation of an eclectic process control model, and suggestions to managers on how to implement the control process over logistics activities.

Details

International Journal of Physical Distribution & Materials Management, vol. 19 no. 11
Type: Research Article
ISSN: 0269-8218

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International Journal of Sociology and Social Policy, vol. 12 no. 4/5/6/7
Type: Research Article
ISSN: 0144-333X

Available. Open Access. Open Access
Article
Publication date: 27 February 2024

Siva Shaangari Seathu Raman, Anthony McDonnell and Matthias Beck

Society is critically dependent on an adequate supply of hospital doctors to ensure optimal health care. Voluntary turnover amongst hospital doctors is, however, an increasing…

2874

Abstract

Purpose

Society is critically dependent on an adequate supply of hospital doctors to ensure optimal health care. Voluntary turnover amongst hospital doctors is, however, an increasing problem for hospitals. The aim of this study was to systematically review the extant academic literature to obtain a comprehensive understanding of the current knowledge base on hospital doctor turnover and retention. In addition to this, we synthesise the most common methodological approaches used before then offering an agenda to guide future research.

Design/methodology/approach

Adopting the PRISMA methodology, we conducted a systematic literature search of four databases, namely CINAHL, MEDLINE, PsycINFO and Web of Science.

Findings

We identified 51 papers that empirically examined hospital doctor turnover and retention. Most of these papers were quantitative, cross-sectional studies focussed on meso-level predictors of doctor turnover.

Research limitations/implications

Selection criteria concentrated on doctors who worked in hospitals, which limited knowledge of one area of the healthcare environment. The review could disregard relevant articles, such as those that discuss the turnover and retention of doctors in other specialities, including general practitioners. Additionally, being limited to peer-reviewed published journals eliminates grey literature such as dissertations, reports and case studies, which may bring impactful results.

Practical implications

Globally, hospital doctor turnover is a prevalent issue that is influenced by a variety of factors. However, a lack of focus on doctors who remain in their job hinders a comprehensive understanding of the issue. Conducting “stay interviews” with doctors could provide valuable insight into what motivates them to remain and what could be done to enhance their work conditions. In addition, hospital management and recruiters should consider aspects of job embeddedness that occur outside of the workplace, such as facilitating connections outside of work. By resolving these concerns, hospitals can retain physicians more effectively and enhance their overall retention efforts.

Social implications

Focussing on the reasons why employees remain with an organisation can have significant social repercussions. When organisations invest in gaining an understanding of what motivates their employees to stay in the job, they are better able to establish a positive work environment that likely to promote employee well-being and job satisfaction. This can result in enhanced job performance, increased productivity and higher employee retention rates, all of which are advantageous to the organisation and its employees.

Originality/value

The review concludes that there has been little consideration of the retention, as opposed to the turnover, of hospital doctors. We argue that more expansive methodological approaches would be useful, with more qualitative approaches likely to be particularly useful. We also call on future researchers to consider focussing further on why doctors remain in posts when so many are leaving.

Details

Journal of Health Organization and Management, vol. 38 no. 9
Type: Research Article
ISSN: 1477-7266

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Book part
Publication date: 26 September 2024

Samantha A. Conroy and John W. Morton

Organizational scholars studying compensation often place an emphasis on certain employee groups (e.g., executives). Missing from this discussion is research on the compensation…

Abstract

Organizational scholars studying compensation often place an emphasis on certain employee groups (e.g., executives). Missing from this discussion is research on the compensation systems for low-wage jobs. In this review, the authors argue that workers in low-wage jobs represent a unique employment group in their understanding of rent allocation in organizations. The authors address the design of compensation strategies in organizations that lead to different outcomes for workers in low-wage jobs versus other workers. Drawing on and integrating human resource management (HRM), inequality, and worker literatures with compensation literature, the authors describe and explain compensation systems for low-wage work. The authors start by examining workers in low-wage work to identify aspects of these workers’ jobs and lives that can influence their health, performance, and other organizationally relevant outcomes. Next, the authors explore the compensation systems common for this type of work, building on the compensation literature, by identifying the low-wage work compensation designs, proposing the likely explanations for why organizations craft these designs, and describing the worker and organizational outcomes of these designs. The authors conclude with suggestions for future research in this growing field and explore how organizations may benefit by rethinking their approach to compensation for low-wage work. In sum, the authors hope that this review will be a foundational work for those interested in investigating organizational compensation issues at the intersection of inequality and worker and organizational outcomes.

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Book part
Publication date: 7 November 2017

Anna Pistoni and Lucrezia Songini

Abstract

Details

Servitization Strategy and Managerial Control
Type: Book
ISBN: 978-1-78714-845-1

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Article
Publication date: 30 November 2020

Graziela Breitenbauch de Moura and Letícia Godoy Saroli

The aim of this research is to analyze sustainable value chain management based on dynamic capabilities in small and medium-sized enterprises (SMEs).

1689

Abstract

Purpose

The aim of this research is to analyze sustainable value chain management based on dynamic capabilities in small and medium-sized enterprises (SMEs).

Design/methodology/approach

A qualitative methodology is used, through a multiple case study with three SMEs, to identify the conceptual relationship between the sustainable value chain and dynamic capabilities. Interviews are conducted with managers, and the data are analyzed through content analysis.

Findings

It is observed that breaking down barriers in processes is important for establishing the sustainable value chain, generating dynamic capabilities with the readaptation of activities.

Research limitations/implications

It is recommended that studies be conducted in other sectors and in large companies, to identify new perspectives.

Practical implications

The findings of this study demonstrate the constant processes of SMEs in response to legal, bureaucratic and logistical changes, in the generation of dynamic capabilities and sustainable value chain management, to achieve their customers' goals.

Social implications

The research contributes to the literature on the management of dynamic capabilities in the value chain in Brazilian companies and to the supply chain field, particularly in relation to SMEs.

Originality/value

This research analyzes sustainable value chain management based on dynamic capabilities in Brazilian SMEs, gathering the managers' perceptions regarding changes in the external environment that influence adaptations and alignments, impacting on their businesses.

Details

The International Journal of Logistics Management, vol. 32 no. 1
Type: Research Article
ISSN: 0957-4093

Keywords

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