Mojtaba Jafari, Abbas Ebadi, Hamid Reza Khankeh, Sadat Seyed Bagher Maddah and MohammadAli Hosseini
The uniqueness of the pre-hospital setting and the need for quick decision-making confronts pre-hospital emergency personnel with various moral conflicts that can lead to moral…
Abstract
Purpose
The uniqueness of the pre-hospital setting and the need for quick decision-making confronts pre-hospital emergency personnel with various moral conflicts that can lead to moral distress (MD) in them. This study aimed to design a valid scale for the assessment of MD in emergency medical service (EMS) staff.
Design/methodology/approach
This exploratory mixed-method study was conducted among the EMS provider's community. In the qualitative section, data were gathered and analyzed with semi-structured interviews and conventional content analysis, respectively. The initial pool of items was formed and the primary scale was designed. In the quantitative section, a methodological study was carried out to determine the psychometric properties of the scale including qualitative-quantitative face validity, qualitative-quantitative content validity with content validity ratio and index (CVR/CVI), construct validity by exploratory factor analysis (EFA), and convergent validity, internal consistency (Cronbach's alpha/ Omega McDonald's/ floor and ceiling effect) and stability with intra-class correlation (ICC).
Findings
After interviews with 14 emergency technicians, the initial scale was designed with 60 items. Of the total items, 17 poor items were dropped during face and qualitative content validity. In the content validity phase, the items with CVR > 0.62, modified Kappa > 0.74 were retained, which eliminated 23 items. EFA was conducted with 20 items and lead to the 5 factors. The floor and ceiling effect for the whole scale was zero. Finally, the reliability of the scale was confirmed (a = 0.83, O = 0.86, ICC = 0.95).
Originality/value
The developed 20-item scale is a valid and reliable scale for the assessment of the MD in EMS providers.
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Foruzan Rajabzadeh, Mirsaeed Yekaninejad, Mohammadali Moshtaq, Shima Kordi, Aliyu Tijani Jibril, Ahmad Reza Dorosty Motlagh and Zahra Esmaeily
Life conditions for most slum dwellers are deplorable, with poor socio-economic status and high rates of malnutrition and communicable diseases. Studies have shown lower intake of…
Abstract
Purpose
Life conditions for most slum dwellers are deplorable, with poor socio-economic status and high rates of malnutrition and communicable diseases. Studies have shown lower intake of many nutrients in such people, but no study yet has checked the quality of diet using Healthy Eating Index (HEI) in them. This study aims to assess the quality of diet among slum dwellers of Tehran using the HEI-2015.
Design/methodology/approach
This cross-sectional study was conducted among 300 slum dwellers from two slums located on the border of Tehran city which is the capital of Iran. Stratified random sampling technique was used to select subjects for this study. Data on socioeconomic characteristics and 24-hours dietary recalls were obtained through face-to-face interviews with the respondents by trained personnel.
Findings
The overall diet quality of the respondents was poor, with a mean HEI score of 40.9 ± 23.7. About 84% of the participants had low overall HEI scores. A significant relation was seen in the following: the HEI and educational level (p = 0.044); the HEI and employment status (p = 0.001); and the HEI and chronic diseases (p = 0.049). There was no significant difference between the mean HEI score and marital status, welfare status and addiction status. From the findings, the diet of most of these slum dwellers needs modification. Therefore, taking measures to reduce slum dwelling and to improve the nutritional intake of this study population is needed.
Originality/value
The study was approved by the Ethics Committee of Tehran University of Medical Sciences, Tehran, Iran, and written informed consent was obtained from all participants.
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Mohammad Ali Fallah, Mehrdad Agha Mohammad Ali Kermani, Alireza Moini and Javad Mashayekh
The present research is trying to construct the network of relationships between different department of an organization during the design and development of car engine. Analyzing…
Abstract
Purpose
The present research is trying to construct the network of relationships between different department of an organization during the design and development of car engine. Analyzing the structure of the network, finding the patterns of collaborations, and determining the important departments are the main purposes of the present research.
Design/methodology/approach
Improving relationships during a project life is an effective way to enhance employee performance in project-oriented organizations. This paper examines the collaborative relationships between internal project stakeholders through social network analysis (SNA) in a project for the design and development of car engine. In the first step of the research, the network of internal stakeholders was studied based on collaboration in the common activities performed by the resources. Then, the network of correspondences between internal stakeholders was studied. Finally, the two networks were integrated into a single network.
Findings
In the integrated network, the “fuel and combustion department” had the largest degree centrality (i.e. highest collaboration with others). The “integration department” was found to have the highest closeness centrality (i.e. more rapid access to other nodes). Furthermore, the “procurement department” had the highest betweenness centrality (i.e. the most strategic department). Our results revealed the potential capabilities of SNA method for the project management in the vehicle industry.
Originality/value
The obtained results of the present research show us the value of applying SNA methods and concepts to analyze the inter-organizational network of the Project Stakeholders relationship.
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Seyed Jalil Masoumi, Ali Kohanmoo, Mohammad Ali Mohsenpour, Sanaz Jamshidi and Mohammad Hassan Eftekhari
Normal-weight obesity (NWO), characterized by normal body mass index (BMI) but excess body fat, is a potential contributor to chronic diseases. This study aims to assess the…
Abstract
Purpose
Normal-weight obesity (NWO), characterized by normal body mass index (BMI) but excess body fat, is a potential contributor to chronic diseases. This study aims to assess the relationship between this phenomenon and some metabolic factors in a population of Iranian employees.
Design/methodology/approach
This cross-sectional study was conducted on Iranian employees from the baseline data of Employees Health Cohort Study, Shiraz, Iran. Anthropometric measures, including weight, height, waist circumference and percentage of body fat, were obtained from the cohort database. The participants were divided into three groups: healthy, normal-weight obese and overweight/obese. Metabolic variables including blood pressure, fasting blood sugar, lipid profile, liver function enzymes and metabolic syndrome were assessed in relation to the study groups.
Findings
A total of 985 participants aged 25–64 years were included. Males with NWO had significantly higher alanine aminotransferase (ALT) levels compared to the healthy group in the fully adjusted model. Also, high-density lipoprotein (HDL) was significantly lower among females with overweight/obesity than healthy group when adjusted for age and energy intake. Furthermore, after adjusting for age and energy intake, both genders in the overweight/obese group showed significantly elevated systolic and diastolic blood pressure, while this was not observed for the NWO group. Lastly, metabolic syndrome was more prevalent in NWO as well as overweight/obesity.
Originality/value
These findings further encourage identification of excess body fat, even in normal-weight individuals, to prevent chronic metabolic diseases. Special attention should be paid to subgroups with sedentary occupations, as they may be at increased risk for NWO-related health issues.
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The purpose of this study is to comprehensively explore the impact of digitalization on healthcare supply chains (HcSCs). It seeks to understand how digital technologies enhance…
Abstract
Purpose
The purpose of this study is to comprehensively explore the impact of digitalization on healthcare supply chains (HcSCs). It seeks to understand how digital technologies enhance efficiency, transparency and responsiveness within these complex logistical systems. The study aims to provide a holistic view of the transformative potential of digitalization in the healthcare sector, with a particular focus on improving patient care and streamlining operational processes.
Design/methodology/approach
This research employs a systematic review methodology, carefully curating a selection of 45 relevant articles from 66 articles rigorously screened using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology to provide a holistic view. It follows established systematic review protocols, incorporating a meticulous search strategy and precise keyword selection. The chosen research design enables a comprehensive examination of the existing body of knowledge concerning digital platforms, real-time tracking technologies, transparency and responsiveness in the context of HcSCs.
Findings
The findings of this study emphasize the pivotal role of digital technologies in reshaping HcSCs. Digital platforms, real-time tracking systems and technological integrations substantially enhance efficiency, transparency and responsiveness. Data-driven decision-making, improved communication and agile responses to dynamic demands are key aspects. These findings underscore the transformative impact of digitalization on healthcare logistics, emphasizing the potential for streamlined operations, enhanced patient care and more efficient resource allocation.
Research limitations/implications
Despite the systematic methodology, this study is subject to certain limitations. It relies on existing literature, which may not cover the most recent developments in the rapidly evolving field of digital HcSCs. Furthermore, the study may be influenced by publication bias. The implications suggest the need for continued research to explore emerging digital technologies and their effects on healthcare logistics, ensuring that supply chains remain agile and responsive.
Practical implications
The practical implications of this research are significant for HcSC managers with insights into digital technologies to enhance transparency and collaboration and improve resource visibility. The integration of data analytics can lead to more effective inventory management and demand forecasting. Blockchain (BC) technology can ensure transparent and secure transactions, fostering trust among stakeholders. For practitioners, this research offers actionable guidance for navigating the digital age, promoting operational efficiency and ensuring a consistent supply of essential medical products. Researchers can use these insights as a foundation for further exploration into the potential of digitalization in HcSCs.
Social implications
The social implications of digitalization in HcSCs are far-reaching. They encompass improved patient care, as digital technologies enhance the efficiency, transparency and responsiveness of supply chains. This translates to better access to critical medical supplies, potentially reducing healthcare disparities and benefiting underserved populations. Enhanced patient safety is a significant social outcome, as transparent and secure transactions enabled by technologies like BC mitigate the risks associated with counterfeit medications. Furthermore, digitalization builds trust among stakeholders, promotes accountability and fosters resilient healthcare systems, which are capable of responding effectively to crises. It also has the potential to make healthcare more affordable, contributing to increased healthcare access and transparency in decision-making.
Originality/value
The originality and value of this study lie in its comprehensive synthesis of diverse findings related to digitalization in HcSCs. While prior studies have examined isolated facets of digital technology adoption, this research provides a comprehensive overview. It contributes to a deeper understanding of the transformative potential of digitalization within the healthcare sector, offering practical approaches to enhance patient care and streamline operations.
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Ying Zhao, Wei Chen, Zhuzhang Yang, Zongliang Li and Yong Wang
Risk factors related delay hinder the schedule performance of most construction projects in the world. It is a critical challenge to realize the advantages of prefabricated…
Abstract
Purpose
Risk factors related delay hinder the schedule performance of most construction projects in the world. It is a critical challenge to realize the advantages of prefabricated construction projects (PCPs) under the negative effect of schedule delay. This paper aims to propose an exhaustive list of risk factors impeding the progress of PCPs and evaluate the collected risk factors based on the cause–effect relations. The ultimate goal is to improve the understanding of the complex relations among various risk factors related delay in PCPs, and also offer managers a reference on aspect of schedule risk management.
Design/methodology/approach
This paper proposes a hybrid method of GT–DEMATEL–ISM, that is combing grounded theory, DEMATEL (decision-making trial and evaluation laboratory) and ISM (Interpretative Structural Modeling), to collect, evaluate and structure risk factors related delay for PCPs. The research procedure of this methodology is divided into three stages systematically involving qualitative and quantitative analysis. In the first stage, GT is utilized to implement qualitative analysis to collect the risk factors leading to schedule delay in PCPs. While, the quantitative analysis is to analyze and evaluate the collected risk factors based on the cause–effect relations in the next two stages evaluation by the DEMATEL focuses on quantifying the priority and intensity of the relations between factors. Additionally, ISM is employed to construct the hierarchical structure and graphically represent the pairwise relations between factors.
Findings
The outcome of qualitative investigation by grounded theory proposes a theoretical framework of risk factors related delay for PCPs. The framework contains three levels of category, namely, core category, main category and initial category and provides a list of risk factors related delay. Following this finding, evaluation results by the DEMATEL classify factors into cause and effect groups and determine 11 critical delay risk factors. Meanwhile, the findings show that risks referring to organizational management issue foremost impact the progress of PCPs. Furthermore, a systemic multilevel hierarchical structure model is visually constructed by ISM to present the pairwise linkages of critical factors. The model provides the risk transmission chains to map the spread path of delay impact in the system.
Originality/value
The contribution of the study involves twofold issues. Methodologically, this research proposes a hybrid method GT–DEMATEL–ISM used to identify and analyze factors for a complex system. It is also applicable to other fields facing similar problems that require collecting, evaluating and structuring certain elements as a whole in a comprehensive perspective. The theoretical contribution is to fill the relevant research gap of the existing body of knowledge. To the best knowledge of the authors, this paper is the first attempt to integrate qualitative and quantitative research for risk analysis related delay and take the insight into the whole process of PCPs covering off-site manufacture and on-site construction. Furthermore, the analysis of findings provided both a micro view focusing on individual risk factor and a managerial view from a systematic level. The findings also contribute the effective information to improve the risk management related schedule delay in PCPs.