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Book part
Publication date: 15 September 2014

Charles Lockhart, Kristin Klopfenstein, Jean Giles-Sims and Cathan Coghlan

Federal and state governments collaborate on state Medicaid nursing facility long-term care (SMNF-LTC) programs. These programs are increasingly expensive as the baby-boomers…

Abstract

Purpose

Federal and state governments collaborate on state Medicaid nursing facility long-term care (SMNF-LTC) programs. These programs are increasingly expensive as the baby-boomers retire. Yet serious resident outcome problems continue in spite of the Centers for Medicare and Medicaid Services’ (CMS) extensive process-focused regulatory efforts. This study identifies a promising and simpler auxiliary path for improving resident outcomes.

Methodology/approach

Drawing on a longitudinal (1997–2005), 48-state data set and panel-corrected, time-series regression, we compare the effects on resident outcomes of CMS process-focused surveys and four minimally regulated program structural features on which the states vary considerably.

Findings

We find that each of these four structural features exerts a greater effect on resident outcomes than process quality.

Research limitations/implications

We suggest augmenting current process-focused regulation with a less arduous approach of more extensive regulation of these program features.

Originality/values of chapter

To date SMNF-LTC program regulation has focused largely on member facility processes. While regulating processes is appropriate, we show that regulating program structural features directly, an arguably easier task, might well produce considerable improvement in the quality of resident outcomes.

Details

Technology, Communication, Disparities and Government Options in Health and Health Care Services
Type: Book
ISBN: 978-1-78350-645-3

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Article
Publication date: 1 July 2018

Dirk Tempelaar, Bart Rienties and Quan Nguyen

This empirical study aims to demonstrate how the combination of trace data derived from technology-enhanced learning environments and self-response survey data can contribute to…

375

Abstract

Purpose

This empirical study aims to demonstrate how the combination of trace data derived from technology-enhanced learning environments and self-response survey data can contribute to the investigation of self-regulated learning processes.

Design/methodology/approach

Using a showcase based on 1,027 students’ learning in a blended introductory quantitative course, the authors analysed the learning regulation and especially the timing of learning by trace data. Next, the authors connected these learning patterns with self-reports based on multiple contemporary social-cognitive theories.

Findings

The authors found that several behavioural facets of maladaptive learning orientations, such as lack of regulation, self-sabotage or disengagement negatively impacted the amount of practising, as well as timely practising. On the adaptive side of learning dispositions, the picture was less clear. Where some adaptive dispositions, such as the willingness to invest efforts in learning and self-perceived planning skills, positively impacted learning regulation and timing of learning, other dispositions such as valuing school or academic buoyancy lacked the expected positive effects.

Research limitations/implications

Due to the blended design, there is a strong asymmetry between what one can observe on learning in both modes.

Practical implications

This study demonstrates that in a blended setup, one needs to distinguish the grand effect on learning from the partial effect on learning in the digital mode: the most adaptive students might be less dependent for their learning on the use of the digital learning mode.

Originality/value

The paper presents an application of embodied motivation in the context of blended learning.

Details

Interactive Technology and Smart Education, vol. 15 no. 4
Type: Research Article
ISSN: 1741-5659

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Book part
Publication date: 16 May 2007

Cynthia A. Thompson, Steven A.Y. Poelmans, Tammy D. Allen and Jeanine K. Andreassi

In this chapter, we review empirical research evidence regarding coping and work–family conflict. Limitations and gaps associated with the existing literature are discussed. Of…

Abstract

In this chapter, we review empirical research evidence regarding coping and work–family conflict. Limitations and gaps associated with the existing literature are discussed. Of special note is the finding that there is little systematic research that examines the process of coping with work–family conflict. Building on the general stress and coping literature, we present a theoretical model that is specifically focused on the process of coping with work–family conflict, and highlight presumed personal and situational antecedents. Finally, the chapter concludes with an agenda for future research.

Details

Exploring the Work and Non-Work Interface
Type: Book
ISBN: 978-0-7623-1444-7

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Article
Publication date: 2 August 2013

Marc Lemire, Olivier Demers‐Payette and Justin Jefferson‐Falardeau

Developing a performance measure and reporting the results to support decision making at an individual level has yielded poor results in many health systems. The purpose of this…

1396

Abstract

Purpose

Developing a performance measure and reporting the results to support decision making at an individual level has yielded poor results in many health systems. The purpose of this paper is to highlight the factors associated with the dissemination of performance information that generate and support continuous improvement in health organizations.

Design/methodology/approach

A systematic data collection strategy that includes empirical and theoretical research published from 1980 to 2010, both qualitative and quantitative, was performed on Web of Science, Current Contents, EMBASE and MEDLINE. A narrative synthesis method was used to iteratively detail explicative processes that underlie the intervention. A classification and synthesis framework was developed, drawing on knowledge transfer and exchange (KTE) literature. The sample consisted of 114 articles, including seven systematic or exhaustive reviews.

Findings

Results showed that dissemination in itself is not enough to produce improvement initiatives. Successful dissemination depends on various factors, which influence the way collective actors react to performance information such as the clarity of objectives, the relationships between stakeholders, the system's governance and the available incentives.

Research limitations/implications

This review was limited to the process of knowledge dissemination in health systems and its utilization by users at the health organization level. Issues related to improvement initiatives deserve more attention.

Practical implications

Knowledge dissemination goes beyond better communication and should be considered as carefully as the measurement of performance. Choices pertaining to intervention should be continuously prompted by the concern to support organizational action.

Originality/value

While considerable attention was paid to the public reporting of performance information, this review sheds some light on a more promising avenue for changes and improvements, notably in public health systems.

Details

Journal of Health Organization and Management, vol. 27 no. 4
Type: Research Article
ISSN: 1477-7266

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Book part
Publication date: 28 January 2003

Alan C. Spector

Abstract

Details

Progress in Psychobiology and Physiological Psychology
Type: Book
ISBN: 978-0-12-542118-8

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Book part
Publication date: 6 February 2007

Jacqueline Zinn, Vincent Mor, Zhanlian Feng and Orna Intrator

In this chapter, we investigate whether innovation, as measured by an aggregate weighted innovation score, impacts on nursing home performance. We employ multiple measures of…

Abstract

In this chapter, we investigate whether innovation, as measured by an aggregate weighted innovation score, impacts on nursing home performance. We employ multiple measures of performance, including occupancy rate, payer mix, and the number of deficiencies cited on the annual Medicare/Medicaid recertification survey. Arguing from a contingency perspective, we hypothesize that the performance of nursing homes that engage in minimal innovation will not be significantly different from those that do not innovate at all. However, those that engage in more extensive innovation will have superior performance. Using Online Survey, Certification, and Reporting data from 1997 to 2002, we conducted a series of logit regressions, controlling for organizational and market characteristics that could influence nursing home performance. The results of these analyses support our hypotheses. From a theoretical perspective, this evidence is consistent with contingency theory arguments that organizations that are not responsive to a changing environment will experience declining performance. From a managerial perspective, these results support the importance of the entrepreneurial spirit in the nursing home industry.

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Strategic Thinking and Entrepreneurial Action in the Health Care Industry
Type: Book
ISBN: 978-1-84950-427-0

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Article
Publication date: 19 April 2023

Rachana Jaiswal, Shashank Gupta and Aviral Kumar Tiwari

Amidst the turbulent tides of geopolitical uncertainty and pandemic-induced economic disruptions, the information technology industry grapples with alarming attrition and…

570

Abstract

Purpose

Amidst the turbulent tides of geopolitical uncertainty and pandemic-induced economic disruptions, the information technology industry grapples with alarming attrition and aggravating talent gaps, spurring a surge in demand for specialized digital proficiencies. Leveraging this imperative, firms seek to attract and retain top-tier talent through generous compensation packages. This study introduces a holistic, integrated theoretical framework integrating machine learning models to develop a compensation model, interrogating the multifaceted factors that shape pay determination.

Design/methodology/approach

Drawing upon a stratified sample of 2488 observations, this study determines whether compensation can be accurately predicted via constructs derived from the integrated theoretical framework, employing various cutting-edge machine learning models. This study culminates in discovering a random forest model, exhibiting 99.6% accuracy and 0.08° mean absolute error, following a series of comprehensive robustness checks.

Findings

The empirical findings of this study have revealed critical determinants of compensation, including but not limited to experience level, educational background, and specialized skill-set. The research also elucidates that gender does not play a role in pay disparity, while company size and type hold no consequential sway over individual compensation determination.

Practical implications

The research underscores the importance of equitable compensation to foster technological innovation and encourage the retention of top talent, emphasizing the significance of human capital. Furthermore, the model presented in this study empowers individuals to negotiate their compensation more effectively and supports enterprises in crafting targeted compensation strategies, thereby facilitating sustainable economic growth and helping to attain various Sustainable Development Goals.

Originality/value

The cardinal contribution of this research lies in the inception of an inclusive theoretical framework that persuasively explicates the intricacies of a machine learning-driven remuneration model, ennobled by the synthesis of diverse management theories to capture the complexity of compensation determination. However, the generalizability of the findings to other sectors is constrained as this study is exclusively limited to the IT sector.

Details

Management Decision, vol. 61 no. 8
Type: Research Article
ISSN: 0025-1747

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Book part
Publication date: 2 June 2015

Shani Pindek and Paul E. Spector

Contextual factors play a vital role in employee mistreatment. This chapter deals with the definition and scope of contextual factors, including a distinction between the…

Abstract

Contextual factors play a vital role in employee mistreatment. This chapter deals with the definition and scope of contextual factors, including a distinction between the objective environment and its idiosyncratic perception by employees. Several mechanisms are offered to explain the effects of context on mistreatment, including the stressor–strain framework, interaction with personal characteristics, and also mistreatment acting as a stressor. The framework suggested in this chapter uses levels of analysis, and proposes that the objective environment (group level variables) is perceived at the individual level, which consequently leads to both perpetrated and received mistreatment. Those same objective environment variables also have a direct effect on mistreatment, as well as a moderating role in the relationship between individually perceived context and mistreatment. Furthermore, there is some evidence that mistreatment acts as a contextual variable in and of itself, with perpetrators, victims, and bystanders perceiving mistreatment in their workplace and reporting higher levels of stressors and strains. Finally, we outline the need for more longitudinal, multi-level studies to clearly discern the role of context in employee mistreatment.

Details

Mistreatment in Organizations
Type: Book
ISBN: 978-1-78560-117-0

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Book part
Publication date: 10 June 2015

Stephanie A. Andel, Derek M. Hutchinson and Paul E. Spector

The modern workplace contains many physical and interpersonal hazards to employee physical and psychological health/well-being. This chapter integrates the literatures on…

Abstract

The modern workplace contains many physical and interpersonal hazards to employee physical and psychological health/well-being. This chapter integrates the literatures on occupational safety (i.e., accidents and injuries) and mistreatment (physical violence and psychological abuse). A model is provided linking environmental (climate and leadership), individual differences (demographics and personality), motivation, behavior, and outcomes. It notes that some of the same variables have been linked to both safety and mistreatment, such as safety climate, mistreatment climate, conscientiousness, and emotional stability.

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Research in Personnel and Human Resources Management
Type: Book
ISBN: 978-1-78560-016-6

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Book part
Publication date: 30 December 2004

Lori Anderson Snyder, Peter Y. Chen, Paula L. Grubb, Rashaun K. Roberts, Steven L. Sauter and Naomi G. Swanson

This chapter examines aggression at work perpetrated by individual insiders by bringing together streams of research that have often been examined separately. A comparison of the…

Abstract

This chapter examines aggression at work perpetrated by individual insiders by bringing together streams of research that have often been examined separately. A comparison of the similarities and differences of aggression toward individuals, such as verbal abuse or physical attack, and aggression toward organizations, such as embezzlement or work slowdowns, is shown to provide important insights about the causes and consequences of workplace aggression. We propose a comprehensive model based on the integration of prior theoretical treatments and empirical findings. The model attempts to offer a framework to systematically examine psychological and organizational mechanisms underlying workplace aggression, and to explain the reasons why workplace violence policies and procedures sometimes fail. A set of research propositions is also suggested to assist in achieving this end in future research.

Details

Exploring Interpersonal Dynamics
Type: Book
ISBN: 978-0-76231-153-8

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