Risha Fayyaz, Fasih Ali Ahmed, Adeel Abid, Afshan Akhtar, Rabail Jarwar, Anila Jasmine, Sameer Ahmad Khan, Shahira Shahid, Iraj Khan, Aneeq Muhammad Yousuf and Imtiaz Jehan
This study aims to assess the quality of care among adult oncology patients in tertiary care hospitals in Karachi by using an international standard of quality of care and to…
Abstract
Purpose
This study aims to assess the quality of care among adult oncology patients in tertiary care hospitals in Karachi by using an international standard of quality of care and to identify domains where improvement is needed.
Design/methodology/approach
This is a cross-sectional study carried out at two tertiary care hospitals of Karachi, Pakistan, belonging to private and public sector, respectively, between February and April 2018. Face-to-face interviews were conducted using a modified questionnaire having five-point Likert scale questions regarding satisfaction of patients with doctors, nursing staff, information provided and the hospital standards. SPSS 20 was used for statistical analysis, and the results were expressed using mean, frequencies, percentages and p-values.
Findings
The authors approached 415 patients, out of which 389 patients agreed to participate in the study. For both hospitals, the lowest mean scores were for sections pertaining to satisfaction with psychosocial support and information provided. The mean satisfaction score of patients from the private hospital were found to be significantly higher as compared to patients from the public hospital for all domains of patient care (p-value < 0.01 using t-test for two independent samples). The data showed an increasing trend of “satisfied” responses as the household income increased.
Research limitations/implications
A comparative study should be conducted with the aim of pinpointing the differences in areas in which there is a significant difference in positive satisfaction levels between private and public sectors. Similar research could also be expanded adding other variables that affect quality of care such as doctor's approach to their patients, time given during each consultation and patient's understanding of doctor's knowledge. Further studies can be done to bridge the gaps between what a doctor views as standard care and what the patient knows will help them receive a more holistic approach to care.
Practical implications
Assessing the quality of care helps determine gaps in care and allocating health resources accordingly. In clinical practice, emphasis needs to be given on increased duration and improved quality of patient counselling to improve the low satisfaction levels of patients regarding the psychosocial support. Addressing patients' concerns should be made part of clinical teaching from an undergraduate level. As far as patient access to doctors of the specific speciality is concerned, hospital managements should adopt systems to ensure continuum of care and come up with mechanisms to bridge the discrepancy between a patient's needs and doctor availability.
Social implications
After being identified as a major deficiency, training doctors in the sensitivities of the population and demographics, especially with respect to socio-economic statuses, can aid in enhancing patient satisfaction to the treatment. Implementation of patient-centred care leads to greater satisfaction with care, which, in turn, increases a patient's self efficacy in managing important aspects of their care and improves health care-related quality of life.
Originality/value
Cancer patients have long-term exposure to the hospital environment. A patient's satisfaction with the quality of care is an important determinant in patient compliance to the treatment protocol and required hospital visits. There is a dearth of research on the outpatient quality of care in the oncology departments in Karachi. This study provides an overview of the quality of care available to cancer patients in Karachi both in public and private sectors. The results of our study identify the gaps in the quality of care being provided to the patients in a developing country like Pakistan, which can be used to improve the quality of care, leading to better patient outcomes.
Details
Keywords
Sameer Mittal, Veli-Matti Uski, Vinod Yadav, Muztoba Ahmad Khan and Hannu Kärkkäinen
Manufacturing enterprises have started to offer the “outcome” derived from machines with the help of outcome-based contracts (OBCs). Offering OBCs leads to benefits such as…
Abstract
Purpose
Manufacturing enterprises have started to offer the “outcome” derived from machines with the help of outcome-based contracts (OBCs). Offering OBCs leads to benefits such as increased revenues, stronger customer relationships and sustainability. However, implementing OBCs requires critical capabilities. Existing literature has focused on identifying these necessary capabilities, but the prioritization and interrelationships among them remain unexplored. This study aims to address this gap.
Design/methodology/approach
Our study employs a hybrid analytical hierarchy process and interpretative structural modeling approach to prioritize and map interrelationships among OBC-related capabilities within small and medium-sized enterprises (SMEs).
Findings
The findings highlight the importance of digitalization capabilities such as data privacy and security, remote monitoring, and data analytics; and organizational and governance capabilities, including quantifying, controlling, and monitoring risks, teamwork, and leadership, are highlighted.
Research limitations/implications
We quantitatively prioritize OBC capabilities and establish their level-wise structural interrelationships, which will facilitate a more effective and efficient implementation of OBCs. Due to the emergent nature of OBCs, our study could identify just one SME case company meeting our selection criteria.
Originality/value
Existing OBC literature focusses on the design of OBCs in large companies. Similarly, earlier capability-related OBC literature is oriented toward identifying the OBC capabilities to perform specific functions. However, in the current study, we propose a systematic decision-making approach that comprehensively prioritizes and identifies the interrelationships among the capabilities necessary to provide OBCs, thus complementing the existing scientific literature on OBCs. In addition, we focus on SMEs, that have specific limitations and characteristics.
Details
Keywords
Rehema Namono, Ambrose Kemboi and Joel Chepkwony
Despite the current dynamism in the education sector that was manifested in new approaches to work that require innovative workforce, little empirical studies have been conducted…
Abstract
Purpose
Despite the current dynamism in the education sector that was manifested in new approaches to work that require innovative workforce, little empirical studies have been conducted on how to influence innovativeness in higher education institutions. Moreover, though studies have established a link between hope and innovative work behaviour, no study has established how hope and its two components of agency and pathways influence innovative work behaviour. The purpose of this study is to establish the influence of hope and its two components of agency and pathways on innovative work behaviour.
Design/methodology/approach
A quantitative cross-sectional research design was adopted in this study. The study employed hierarchical regression to test the hypothesised relationship between hope and its components of agency and pathways on innovative work behaviour using a sample drawn from public universities in Uganda in the two categories of academic and administrative staff.
Findings
The findings reveal that pathways and agency influence innovative work behaviour. The Findings also revealed that hope significantly influences innovative work behaviour over and above its individual components of agency and pathways.
Research limitations/implications
The study was cross-sectional in nature and the findings may not portray a true picture of the relationship between the study variables over time as behaviour is ever changing. Further studies could carry out a longitudinal study to establish the effect established in this study at different time intervals. The results provide a more complex understanding of how hope and its two components of agency and pathways enhance innovative work behaviour.
Practical implications
The findings of the study provide insightful direction to managers in public universities in Uganda to consider different avenues of increasing employee hope so as to enhance innovative work behaviour. This can be done through targeted interventions like involving employees in goal setting and setting alternative means to achieve goals.
Originality/value
The value of this study is both empirical and theoretical. Empirically, this study is the first to establish the influence of hope and its two components of agency and pathways on innovative work behaviour in Uganda’s university setting. Theoretically, the study extends veracity of the conservation of resources theory (COR) by clarifying those employees who possess the psychological characteristics of hope exhibit innovative work behaviour. The study also extends on the theory of hope by revealing that agency and pathways influence innovative work behaviour.
Details
Keywords
The concept of smart city has been adopted by various cities across the world. As urbanization is enlarging at a flying pace, the number of cities that engage the smart city…
Abstract
The concept of smart city has been adopted by various cities across the world. As urbanization is enlarging at a flying pace, the number of cities that engage the smart city concept is to rise, including in Gulf Cooperation Council (GCC) countries. This chapter discusses issues related to the development of (Islamic) smart cities in the GCC countries to create sustainable well-being through ecological and environmental resilience. This issue starts from the conflict between economic and human development on the one hand and ecological and environmental resilience on the other hand as one of the fundamental challenges of sustainable development. The higher the Human Development Index (HDI),, the higher the ecological footprint. Likewise, in the GCC region, all member countries are classified as Very High Human Development; however, all of these countries have a high ecological footprint. Therefore, through a literature study, this chapter focuses on investigating the development of (Islamic) smart cities in the GCC countries in reducing ecological footprints through a circular economy innovation with the support of technology and a digitally-enabled community in creating ecological and environmental resilience. This chapter provides valuable insight into the implementation of the (Islamic) smart cities in the GCC region in taking a global strategic role in green transition through the circular economy to transform their region toward sustainable well-being and become a symbol of sustainable smart global Islamic civilization.
Details
Keywords
This study aims to investigate the impact of ownership structure and board characteristics on dividend policy in the listed Turkish firms between 2013 and 2019.
Abstract
Purpose
This study aims to investigate the impact of ownership structure and board characteristics on dividend policy in the listed Turkish firms between 2013 and 2019.
Design/methodology/approach
This study uses the probability of paying dividends, dividend payout ratio and dividend yield measures. The suitable regression procedures (logit, probit and Tobit models) are used to examine the research hypotheses by focusing on a panel data set drawn from the Borsa Istanbul (BIST) 100 index, excluding financial and utility firms.
Findings
The empirical findings indicate that institutional and concentrated ownerships are significant and positively associated with dividend payouts, whereas family ownership does not influence dividend policy. On the other end, board size is positive, while chief executive officer duality is negatively related to dividend policy. Additionally, the female directors and board independence are insignificant in influencing firms to pay high dividends.
Research limitations/implications
Future researchers can validate this paper’s findings by considering the stock dividends as well. Additionally, future researchers may investigate the relationship between these constructs by extending the sample size of firms listed on BIST or in other emerging markets.
Practical implications
This study’s findings may serve policymakers, regulators, investors and academic researchers to get valuable guidance from relevant literature. The Turkish firms may improve dividend policy by implementing the regulatory framework introduced by the Capital Markets Law in 2012 for effective monitoring and protecting the minority shareholders’ rights. The controlling shareholders may alleviate principal-principal conflicts by ensuring the independence of directors and increasing the number of female directors according to the critical mass of at least 30% of board members.
Originality/value
This study contributes to agency theory and signaling theory by considering ownership structure and board attributes among Turkish firms related to dividend payments.
Details
Keywords
Halimin Herjanto, Muslim Amin and Mulyani Karmagatri
This study aims to offer a holistic halal cosmetic consumption framework by describing the current knowledge about halal cosmetics and presenting new directions for future…
Abstract
Purpose
This study aims to offer a holistic halal cosmetic consumption framework by describing the current knowledge about halal cosmetics and presenting new directions for future research.
Design/methodology/approach
The theory, method and context–attributes, decision and outcome systematic review framework was used in this study. This study addresses the halal cosmetics literature published in the Scopus database: nonpredatory journals between 2010 and 2021.
Findings
This study found seven antecedent categories that affect four halal cosmetics consumption decisions. Those decisions led to three outcomes. In addition, behavioral theories were identified as the most frequent theory used to explain this phenomenon in personal and business settings.
Originality/value
To the best of the authors’ knowledge, this is the first systematic review of halal cosmetics consumption. This study explores the relevant theories, contexts, methods, antecedents and consumer decisions. Therefore, this study offers important insights into this phenomenon.
Details
Keywords
Ayman Issa, Hesham Yousef, Ahmed Bakry, Jalal Rajeh Hanaysha and Ahmad Sahyouni
The purpose of this study is to examine the impact of board diversity (e.g. nationality, gender and educational level) on financial performance for a sample of banks listed in 11…
Abstract
Purpose
The purpose of this study is to examine the impact of board diversity (e.g. nationality, gender and educational level) on financial performance for a sample of banks listed in 11 countries in the Middle East and North Africa region.
Design/methodology/approach
This paper uses the system generalized method of moments estimation approach on the data of banks listed in the MENA countries over the period 2011–2018 to investigate the relationship between board diversity and financial performance. Also, the findings are supported by additional robustness tests, including ordinary least squares, fixed and random effect techniques.
Findings
The empirical results show that there is a significant relationship between board diversity and financial performance in banks. Specifically, the findings demonstrate that board diversity related to nationality has a significant positive impact on bank performance. The findings also show an insignificant association between gender and educational level diversity and bank performance. The robustness analysis supports the findings of the baseline model.
Practical implications
The study provides multi-country evidence on the importance of board diversity in the MENA region and it sheds light on possible tracks for future reforms aimed at enhancing the effectiveness of the board’s functions.
Originality/value
This paper extends the existing literature by providing empirical evidence on the association between board diversity and financial performance of banks in the MENA countries. This paper also provides preliminary evidence on the importance of board diversity to influence financial performance.
Details
Keywords
The purpose of this study is to identify the impact of Michel Porter's generic business-level strategies adopted by the organisation on its employer branding strategy. Based on…
Abstract
Purpose
The purpose of this study is to identify the impact of Michel Porter's generic business-level strategies adopted by the organisation on its employer branding strategy. Based on the expert’s opinion and insights, this study aims to determine the extent to which the employer branding strategy, its inherent significance, the requisite investment and the used tactics are influenced by the organisation's business strategy.
Design/methodology/approach
Considering a phenomenological research design, this study adopted semi-structured interviews as a means to gather qualitative data from a purposive sample comprising HR professionals. The collected data were subjected to thematic analysis, enabling the identification of recurring themes and patterns. Findings and conclusions were subsequently derived in accordance with the outcomes of the thematic analysis.
Findings
The study revealed that the significance, nature, challenges and ways of implementation of employer branding strategies vary depending on the type of business strategy adopted by the organisation. While organisations pursuing a differentiation strategy heavily invest in employer branding and placing considerable efforts into developing an appealing employee value proposition, companies pursuing cost leadership invest relatively less in employer branding by implementing cost-effective tactics. Companies implementing a focus strategy demonstrate a moderate level of investment in employer branding initiatives.
Research limitations/implications
The study is limited to IT, manufacturing and banking sectors only. Additionally, the sample of the study is limited.
Practical implications
Employer branding as a strategy has been widely explored in the recent past. Similarly, Michel Porters’ generic strategies have also been widely researched. However, the interconnection between these two levels of strategies presents novel perspectives for business strategists and HR professionals involved in the formulation and implementation of HR strategies. This linkage provides valuable insights that facilitate effective decision-making in relation to employer branding strategies, enabling organisations to prioritise their objectives more effectively.
Originality/value
The existing literature lacks research that investigates the connection between employer branding strategy and business strategy. Hence, this study represents a pioneering effort that aims to explore this unexplored linkage. Further, this research effort has also uncovered previously uninvestigated findings concerning the comparative analysis of employer branding strategies across different sectors while examining the connection between business strategy and employer branding strategy.
Details
Keywords
Suhail Ahmed Manroo, Noor Zaman Khan, Babar Ahmad and Vinayak Malik
Altering the microstructure and developing the surface metal matrix composites (MMCs) in a solid-state by friction stir processing (FSP) has been on trend for the past decade. The…
Abstract
Purpose
Altering the microstructure and developing the surface metal matrix composites (MMCs) in a solid-state by friction stir processing (FSP) has been on trend for the past decade. The microstructural modification increases the material properties, which are structure sensitive. The microstructural evolution is highly influenced by the selection of process parameters in FSP. In this study, the effect of process parameters on the microstructure evolution and microhardness of the fabrication of surface MMCs of newly commercialized Mg-ZE41 alloy by the incorporation of different reinforcement particles such as ZrO2, CeO2 and Al2O3 is investigated.
Design/methodology/approach
By making use of Taguchi’s design of experimentation, which recognizes the crucial factors and ascertain their effect on the properties of the material, the optimization of process parameters for this study was done using MATLAB-14 software. The parameters were adopted along with the levels throughout the FSP for the fabrication of different surface MMCs. For each reinforcement particle, two factors at three levels each had L9 factorial design were used to analyse the effect of these factors on the processing result (microstructure, grain refinement and hardness). The two different factors used in this study are tool rotational speed (TRS) and tool traverse speed (TTS) as a part of the full factorial design matrix for different surface MMCs.
Findings
Among all combinations, TRS of 1500 rpm and TTS of 20 mm/min. for ZE41-ZrO2 MMCs and ZE41-CeO2 MMCs were observed as optimum to produce defect-free processed zone along with the high level of grain refinement and hardness, whereas for ZE41-Al2O3 the same was obtained at 1500 rpm TRS and 10 mm/min TTS.
Originality/value
In this paper, the role of process parameters in the development of surface MMCs on newly commercialized Mg-ZE41 alloy by FSP is investigated. The effect of TRS and TTS on microstructure evolution, grain refinement and microhardness is analysed. Hence, in this study, the optimum parameters for the fabrication of surface MMCs of Mg-ZE41 alloy have thus been established.
Details
Keywords
Ahmad Raza Bilal, Muhammad Naveed and Farooq Anwar
The purpose of this study is to conduct a comparative analysis of the short- and long-term financial strategies to augment SMEs’ performance in emerging markets. Using a…
Abstract
Purpose
The purpose of this study is to conduct a comparative analysis of the short- and long-term financial strategies to augment SMEs’ performance in emerging markets. Using a resource-based theoretic perspective; the analysis has investigated the mediating role of distinctive management competencies (DMCs) between efficient financial strategies and SMEs’ business growth.
Design/methodology/approach
The empirical data were drawn from a cross-industrial panel of 273 SMEs from Spain and 224 SMEs from Pakistan across all manufacturing sectors over the period of 2006-2013. Multivariate tests are conducted to estimate the impact of efficient financial strategies on SMEs’ performance. The advanced mediation version of Kenny and Judd (2013) is used to test mediation confirmation of DMCs; while Sobel test is applied to examine robustness of mediation results.
Findings
The robustness check of 497 privately held SMEs confirmed that practicing efficient financial strategies has significant influence on SMEs’ performance. Stimulatingly, mediating effect of DMCs, that are used for executives’ prudent financial decisions have been traced in both respondent countries. Based on the findings, it is argued that efficient financial strategies realistically translate into DMCs, which taken together are likely to lead more effective and significant to improve SMEs’ performance.
Research limitations/implications
The results suggest that power of distinctive managerial decisions is a crucial factor in the employment process besides efficient financial strategies identified in previous studies. The results of this study are of great importance to managers and major stakeholders, such as investors, creditors, financial analysts and policymakers, to inflate their efforts to reduce the incidence of business failure and for survival and growth of SMEs.
Originality/value
The paper raises a new theoretic explanation by determining the intervening role of DMCs in translating EFS into improved SMEs’ performance, thereby supplementing the extant theories.