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Due to increasing complexity, modern radiotherapy techniques require comprehensive quality assurance (QA) programmes, that to date generally focus on the pre-treatment stage. The purpose of this paper is to provide a method for an individual patient treatment QA evaluation and identification of a “quality gap” for continuous quality improvement.

A statistical process control (SPC) was applied to evaluate treatment delivery using in vivo electronic portal imaging device (EPID) dosimetry. A moving range control chart was constructed to monitor the individual patient treatment performance based on a control limit generated from initial data of 90 intensity-modulated radiotherapy (IMRT) and ten volumetric-modulated arc therapy (VMAT) patient deliveries. A process capability index was used to evaluate the continuing treatment quality based on three quality classes: treatment type-specific, treatment linac-specific, and body site-specific.

The determined control limits were 62.5 and 70.0 per cent of the χ pass-rate for IMRT and VMAT deliveries, respectively. In total, 14 patients were selected for a pilot study the results of which showed that about 1 per cent of all treatments contained errors relating to unexpected anatomical changes between treatment fractions. Both rectum and pelvis cancer treatments demonstrated process capability indices were less than 1, indicating the potential for quality improvement and hence may benefit from further assessment.

The study relied on the application of in vivo EPID dosimetry for patients treated at the specific centre. Sampling patients for generating the control limits were limited to 100 patients. Whilst the quantitative results are specific to the clinical techniques and equipment used, the described method is generally applicable to IMRT and VMAT treatment QA. Whilst more work is required to determine the level of clinical significance, the authors have demonstrated the capability of the method for both treatment specific QA and continuing quality improvement.

The proposed method is a valuable tool for assessing the accuracy of treatment delivery whilst also improving treatment quality and patient safety.

Assessing in vivo EPID dosimetry with SPC can be used to improve the quality of radiation treatment for cancer patients.

Entrepreneurship and the disciplines of science, technology, engineering and mathematics (STEM) are considered important drivers of innovation. At the same time, the representation of women entrepreneurs in STEM remains low. Despite this disparity, a number of women still choose to start ventures and persist in pursuing their innovations in STEM. This study aims to examine the motivational factors that drive women entrepreneurs to approach and consistently pursue their innovations and ventures in STEM.

Drawing on the concept of the heterogeneity of motivational factors (Graham and Bonner, 2022) and Social Cognitive Theory (Bandura, 1986, 2001; Wood and Bandura, 1989), 24 semi-structured interviews were conducted with women entrepreneurs in STEM. This approach allowed for an in-depth exploration of the heterogeneous motivational factors influencing women entrepreneurs in STEM.

The motivations of women entrepreneurs in STEM are multifaceted, interrelated and dynamic. They encompass personal and cognitive, behavioral and environmental factors and partly change over time. This study reveals two levels of heterogeneity: the heterogeneity of women entrepreneurs’ entrepreneurial motivations, and the within-context heterogeneity of women entrepreneurs in STEM themselves.

This study addresses the need for a deeper understanding of women entrepreneurs in STEM. By focusing on nuanced aspects of entrepreneurial motivations that are often overlooked in the existing literature, this research provides valuable insights and discusses implications for theory, policy and education.

This paper explores the influence of financialization in the post-2008 credit crisis, which led to a general mistrust in financial institutions and states. Simultaneously, Web3 and digital finance emerged as a way to navigate this problematic state of affairs, and many individuals were drawn to the agency of machines, code, and algorithms in making a deviation from austerity toward some form of liberation. Taking the form of an oracle reading, this paper uses the “Gambler” archetype to explore the subjective movement of those who engage with digital finance as a strategy to face the generalized climate of austerity and to claim their share of the economy, now that work has ceased to be a lifetime calling.

This study contributes to the literature on eco-innovation (EI) and the circular economy (CE) by providing insights into the factors of external knowledge absorption that facilitate the adoption of a subset of EIss called proactive-EIs. Proactive-EIs involve collaborations among multiple stakeholders, the use of technical knowledge and a greater level of investment than other innovations. In this study, the environmental actions taken by small and medium-sized enterprises (SMEs) in resource-intensive sectors in the European Union (EU) were observed, and elements related to the national context were compared.

The national innovation system (NIS) perspective was adopted using a multilevel framework to assess the determinants of proactive-EIs among SMEs in the EU. The framework involves three levels: micro- (environmental awareness), meso- (external collaboration and intra-industry agglomeration) and macro- (economic complexity, trade openness and government research and development [R&D]). The survey data of 6,188 SMEs in resource-intensive sectors were analysed using a binary logistic regression.

The results showed that public awareness, economic complexity and public sector R&D positively influenced SMEs' adoption of proactive-EIs, whereas external collaboration and sectoral agglomeration negatively influenced adoption.

Among the existing empirical studies on EI, areas related to external knowledge-based innovations and systematic assessments of heterogeneity among EU member states remain underexplored. This study contributed to the literature by assessing the conditions surrounding external knowledge absorption. The findings contribute to the green entrepreneurship literature in the context of developed economies and offer insights for managers and policymakers seeking to promote EIs.

The purpose of this paper is to explore how resilience can support entrepreneurs in uncertain environments. The study’s objective is to show how different dimensions of resilience (emotional/cognitive) are dynamically connected to different logics of actions (causation/effectuation) allowing the development of a successful entrepreneurial project.

The study is based on a qualitative analysis of a blog written by an entrepreneur during the first 17 months of a search, negotiation, and financing process for a company takeover.

The results highlight that in high uncertainty, strong entrepreneurial resilience and shift of logics of action can contribute to the success of a business takeover. This study identifies forms of resilience during the business takeover process that helped the entrepreneur overcome adversity and succeed. Moreover, these forms of resilience seem to be related to effectual and causal logics.

This study could help future entrepreneurs succeed in the creation or takeover of an organization by improving knowledge of the relationship between resilience and logics of actions.

This study proposes a different approach to the study of entrepreneurial resilience by analyzing it in relation with the logics of action (causation/effectuation). Moreover, the study offers a modern methodological approach by using an internet blog as a data source.

This study aims to examine the relationship between environmental commitment and environmental sustainability practices of manufacturing small and medium enterprises (SMEs) in Uganda.

This study employed a cross-sectional and correlational design using evidence from 106 manufacturing SMEs in Uganda. Data was analyzed through Statistical Package for Social Sciences Version 23.

Results show that environmental commitment is a significant predictor of environmental sustainability practices and its dimensions which comprise of eco-friendly packaging, energy efficiency, waste management and water conservation of the manufacturing SMEs in Uganda.

This study offers initial evidence on the association between environmental commitment and environmental sustainability practices using evidence from a developing country’s perspective. The results also provide new insights on the relationship between environmental commitment and the dimensions of environmental sustainability practices which comprise of eco-friendly packaging, energy efficiency, waste management and water conservation.

This study aims to examine the influence of entrepreneurial orientation and knowledge management orientation on participation of women-owned small and medium enterprises (SMEs) in public procurement. The research also aimed at examining the influence of knowledge management orientation on entrepreneurial orientation, and the mediating role of entrepreneurial orientation on the relationship between Knowledge management orientation and participation of women-owned SMEs in public procurement.

The study used a quantitative cross-sectional survey design. Data were collected using a drop-off pick-up method. The determined sample size for the women-owned SME firms was 123, while an effective sample size of 103 was obtained, and covariance-based structural equation modelling was used to test the research hypotheses.

Findings indicated that entrepreneurial orientation and knowledge management positively and significantly influenced both the search for tender opportunities and the number of times the firm submitted bids. Knowledge management orientation had a significant positive influence on entrepreneurial orientation, while entrepreneurial orientation partially mediated the relationship between knowledge management orientation and participation of women-owned SMEs in public procurement, thus implying that both knowledge management orientation and entrepreneurial orientation contribute to search for tender opportunities and the number of times a woman-owned SME firm submits bids.

The study was cross-sectional and quantitative in nature, yet it involved behaviour aspects such as participation in public procurement. Further, a wholistic approach is taken when studying the SMEs disregarding the industrial characteristics to which the SME belongs.

Almost 30% to 38% of SMEs in developing countries are owned by women. Focusing on increasing the number of women owned SMEs participating in public procurement will improve the nations’ GDP and increase the number of the citizens in the labour force due to increased employability.

Previous research takes a wholistic approach when examining SMEs participation in public sector procurement disregarding the impact of gender. Further, knowledge management orientation and entrepreneurial orientation in women-owned SMEs are studied for the first time in a public procurement setting.

Past studies have mainly concentrated on the impact of stress and self-employment on physical health. However, little research has paid attention to firm-level determinants of entrepreneurs’ physical health. This study aims to investigate the relationship between performance variability and entrepreneurs’ physical health as well as the moderating effect of prior failure experience.

This study uses data drawn from 255 start-ups across the Bohai Economic Rim in China over a period of three years (2015–2017). The results are still robust after several robustness checks.

Results show that performance variability is positively related to the probability of entrepreneurs showing poor health. This confirms that performance variability has an adverse effect on entrepreneurs’ physical health. Moreover, this relationship is moderated by the prior failure experience of entrepreneurs.

First, entrepreneurs should gain more information about the firm’s daily operation to reduce the potential threat of performance variability. Second, it is imperative for entrepreneurs to build a stable relationship with their stakeholders to avoid the potential costs related to performance variability. Finally, entrepreneurs should take health consequences into consideration when making strategic decisions.

First, this paper contributes to the studies on the antecedents of entrepreneurs’ physical health by introducing a firm-level determinant (i.e. performance variability). The findings enhance the understanding of the association between entrepreneurs and new ventures. Second, this paper also enriches the extant literature on the outcomes of performance variability. Finally, this paper attempts to offer new insights into prior failure experience by establishing its moderating effect on the performance–health relationship.

This study sought to examine the attitudes of blue-collar workers toward job automation. The study examined the relations between job automation, fear of job loss and self-actualization.

Using mixed methods (qualitative and quantitative analysis) with 539 participants overall, we examined employees' attitudes toward job automation through two separate studies conducted in a large public organization that employs blue-, white- and pink-collar employees. The blue-collar workers who participated consisted of waste collectors, gardeners and parking supervisors whose work is at risk of job automation.

We found that 74% of the blue-collar employees described technology as a “replacer” that simplifies and reduces human work activities, while only 3% perceived it as an “enabler” that could enrich their jobs and expand human potential. Fifty-three percent of the employees in the white-collar professions described technology as a “replacer,” and 36% perceived it as an “enabler.” Among pink-collar workers, 51% perceived technology as an “enabler,” while only 14% perceived it as a “replacer.” A positive relationship between job automation and self-actualization was evident for pink- and white-collar workers, but not for blue-collar workers.

This study sheds light on how employees in different types of jobs perceive technological advancements at work. A classification of the perception of technology as an “enabler” vs a “replacer” is presented. The relationships between job automation and self-actualization in different job types are explored.