Search results

This article aims to explore coronary care unit (CCU) extubation structures, processes and outcomes. There were 13 unplanned-extubation cases (UE) among 251 intubated patients (5.2 per cent) in a cardiologist-led CCU in 2008. Seven did not require re-intubation, implying possible earlier extubation. A quality improvement project was undertaken with a goal to eliminate CCU UE within 12 months.

Using the clinical practice improvement (CPI) method, the most significant root causes were missing sedation/analgesia protocol, no ventilator weaning protocol and absent respiratory therapist during the CCU morning rounds. Non-physician directed sedation/analgesia and ventilation weaning protocols were created and put on trial in Plan-Do-Study-Act cycles before formal implementation. Arrangements were made to allocate a respiratory therapist to the CCU daily for morning rounds.

For 12 months after fully implementing the interventions, UE incidence dropped from 5.2 per cent to 0.9 per cent (p=0.006). There were no adverse outcomes, re-intubation and/or readmission to CCU within 48 hours.

Through a multi-disciplinary CPI approach, adopting non-physician directed protocols has successfully streamlined and improved airway management in mechanically ventilated patients in a cardiologist-led CCU.

There is little published data on improving intubated patient care in cardiologist-led CCUs. Previous studies centered on intensive care units managed by critical care specialists.

The purpose of this study is to examine the consumer socialization of preschool age children in a peer‐to‐peer context as they participate in dramatic play in a grocery store setting.

This research employs a case study approach as outlined by Yin. A preschool located within a major metropolitan area in the Southeastern USA was selected for investigation. Located within each of the three classrooms was a grocery store learning center. This learning center provided children the opportunity to engage in dramatic play while enacting grocery shopping scripts. A total of 55 children between the ages of three‐ and six‐years old were observed over a six‐week period. Observations were recorded via field notes and transcribed into an electronic data file. Emergent themes were compared with theoretical propositions, fleshing out an overall interpretation and description of the case context.

Findings indicate that even very young children (ages three to six years) are able to successfully adopt and utilize adult shopping scripts within the grocery store shopping context. The children followed a common sequence of behaviors that mimicked adult shopping patterns. Furthermore, the children demonstrated peer‐to‐peer consumer socialization strategies, directing each other on how to perform appropriate shopping scripts.

This study differs from previous research in that the data reveal that preschool age children do in fact exhibit peer‐to‐peer influence while enacting shopping scripts. Although research has examined children as consumers, no researchers have used dramatic play to study young children in a grocery store setting. The rich content obtained from observing children in dramatic play in a grocery store learning center is unique to the marketing literature and provides a better understanding of the consumer socialization of young children.

The purpose of this paper (editorial) is to take a stock of the research focused upon South Asia, in order to evaluate if it has produced useful results, and to discuss its future directions as per the scope and mission of the South Asian Journal of Global Business Research. In view of pleas for greater attention to context effects, the authors use the concept of contextualization as the basis for analysis.

A qualitative content analysis of research published in 21 top‐tier business journals is employed, including a total of 96 articles focusing upon South Asia or any South Asian country.

A contextualization typology is presented, related to purpose (whether context guides the research or not) and methodology (whether new or old framework and/or scales are used) and continuum of attention to contextualizations for hypotheses and/or research questions, and research findings in order to discuss the status of published South Asian research.

The authors discuss limitations of their philosophical underpinning and epistemological standing that have influenced their analytical approach and results.

This paper presents a contextualization typology as a starting point to discuss contextualization in international business theory and practice. The paper also provides directions for future research for scholars interested in South Asian research.

This study sits at the intersection of financial planning and FinTech, focusing on robo-advisory, an affordable and accessible digital financial advisory service. Individuals’ lack of trust has resulted in low adoption of robo-advice. This study aims to understand the psychological process of how individuals build trust in robo-advice, helping them engage with it more effectively and access affordable financial advice.

Using a trust transfer theory framework and 15 semi-structured interviews, this study identifies the sources people rely on to build trust in robo-advice.

The authors highlight four themes – social influence, psychological comfort, safeguarding and compliance and personal capacity – that shape individuals’ trust in robo-advice. In addition to direct trust in robo-advice, firm-specific trust and system trust can also transfer to trust in robo-advice. This study finds that financial literacy and risk tolerance moderate individuals’ trust in robo-advice, while psychological comfort first shapes trust and then drives adoption. The findings suggest that even young, tech-savvy individuals may not fully benefit from robo-advice due to low personal capability. They also prefer a hybrid model, where combining robo-advice with traditional advisory services could offer greater benefits.

This study details the concept of trust in the robo-advice context into three dimensions: technology trust, firm-specific trust and system trust. Existing research on robo-advice lacks quantitative tests on firm-specific and systemic trust; therefore, this qualitative exploratory study offers foundational theoretical insights.