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Article
Publication date: 14 August 2017

David M. Keohane, Thomas Dennehy, Kenneth P. Keohane and Eamonn Shanahan

The purpose of this paper is to reduce inappropriate non-steroidal anti-inflammatory prescribing in primary care patients with chronic kidney disease (CKD). Once diagnosed, CKD…

Abstract

Purpose

The purpose of this paper is to reduce inappropriate non-steroidal anti-inflammatory prescribing in primary care patients with chronic kidney disease (CKD). Once diagnosed, CKD management involves delaying progression to end stage renal failure and preventing complications. It is well established that non-steroidal anti-inflammatories have a negative effect on kidney function and consequently, all nephrology consensus groups suggest avoiding this drug class in CKD.

Design/methodology/approach

The sampling criteria included all practice patients with a known CKD risk factor. This group was refined to include those with an estimated glomerular filtration rate (eGFR)<60 ml/min per 1.73m2 (stage 3 CKD or greater). Phase one analysed how many prescriptions had occurred in this group over the preceding three months. The intervention involved creating an automated alert on at risk patient records if non-steroidal anti-inflammatories were prescribed and discussing the rationale with practice staff. The re-audit phase occurred three months’ post intervention.

Findings

The study revealed 728/7,500 (9.7 per cent) patients at risk from CKD and 158 (2.1 per cent) who were subsequently found to have an eGFR<60 ml/min, indicating=stage 3 CKD. In phase one, 10.2 per cent of at risk patients had received a non-steroidal anti-inflammatory prescription in the preceding three months. Additionally, 6.2 per cent had received non-steroidal anti-inflammatories on repeat prescription. Phase two post intervention revealed a significant 75 per cent reduction in the total non-steroidal anti-inflammatories prescribed and a 90 per cent reduction in repeat non-steroidal anti-inflammatory prescriptions in those with CKD.

Originality/value

The study significantly reduced non-steroidal anti-inflammatory prescription in those with CKD in primary care settings. It also created a CKD register within the practice and an enduring medication alert system for individuals that risk nephrotoxic non-steroidal anti-inflammatory prescription. It established a safe, reliable and efficient process for reducing morbidity and mortality, improving quality of life and limiting the CKD associated health burden.

Details

International Journal of Health Care Quality Assurance, vol. 30 no. 7
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 6 July 2010

Harpreet Sanghara, Eugenia Kravariti, Hanne Jakobsen and Chike Okocha

On average, the National Health Service (NHS) loses annually £360 million in opportunity costs due to non‐attendance of outpatient appointments (Stone et al, 1999). In addition to…

Abstract

On average, the National Health Service (NHS) loses annually £360 million in opportunity costs due to non‐attendance of outpatient appointments (Stone et al, 1999). In addition to draining healthcare resources, failure to attend clinical appointments incurs personal costs. Mobile phone technology has been applied successfully to reducing appointment non‐attendance and improving clinical outcomes for patients with physical illnesses. However, it is unclear whether these applications can be extended to patients with severe and enduring mental disorders. We conducted a trust‐wide survey of 141 psychiatric inpatients of the Oxleas NHS Foundation Trust (82% of the Trust's total inpatient population) to establish how many respondents owned a mobile phone (62%), could use text‐messaging services (62%) and were willing to use the latter as a means of communication with the Trust (80%). Compared to patients with psychotic illnesses, those with non‐psychotic illnesses reported higher rates of mobile phone ownership (78% versus 55%, p=0.01), ability to use text messaging (76% versus 56%, p=0.03) and willingness to receive text messages from the Trust (90% versus 76%, p=0.05). The results of the survey were used to inform the planning of a pilot study aimed at reducing non‐attendance rates of outpatient appointments in Oxleas.

Details

Mental Health Review Journal, vol. 15 no. 2
Type: Research Article
ISSN: 1361-9322

Keywords

Article
Publication date: 1 July 1993

Thomas N. Garavan, Bridie Barnicle and Noreen Heraty

Reviews some of the literature on power and influence as it relatesto the training and development function. Highlights a number ofdifficulties that confront the training and…

1585

Abstract

Reviews some of the literature on power and influence as it relates to the training and development function. Highlights a number of difficulties that confront the training and development function in using power and influence successfully in organizations. Empirical evidence is presented on how Irish training specialists perceive the power of the training and development function. Concludes that a number of strategies are outlined for use by the training and development function in order to develop power and use it effectively.

Details

Journal of European Industrial Training, vol. 17 no. 7
Type: Research Article
ISSN: 0309-0590

Keywords

Book part
Publication date: 24 July 2020

Connie Atristain-Suárez and Santiago García-Álvarez

Family business firms (FBFs) constantly struggle with the challenge of successfully reaching and surviving beyond the third generation. Narrative or storytelling is frequently…

Abstract

Family business firms (FBFs) constantly struggle with the challenge of successfully reaching and surviving beyond the third generation. Narrative or storytelling is frequently used in business to transmit knowledge, achieve goals, create and maintain a connection with stakeholders, and achieve sustained growth. Most FBFs consciously or unconsciously use narrative and possess their own discourse, which is unique to every family and family business and which may aid FBFs in achieving continuity. FBFs must have an adequate atmosphere of collaboration and cooperation so that group members can transform acquired tacit knowledge through storytelling into explicit action. FBFs should be prepared to help collaborators and other stakeholders build competencies since tacit knowledge transfer, through narrative, can aid in the solving of problems, enhance innovativeness, and improve strategic decision-making. Therefore, narrative may well aid FBFs in fulfilling their ultimate goal of continuity. The purpose of this chapter is to evaluate the potential influence of narrative on FBFs’ continuity and prevention of their precipitous expiration. This chapter contributes to previous literature that sheds light on the narrative implications of FBFs, and depicts FBFs’ narratives and the dynamics of their business objectives, as well as touches on the heterogeneous nature of each family business’ storyline. There are various advantages to FBFs’ storytelling; perhaps the most noteworthy is the achievement of sustained business growth and continuity.

Details

Strategy, Power and CSR: Practices and Challenges in Organizational Management
Type: Book
ISBN: 978-1-83867-973-6

Keywords

Article
Publication date: 1 August 1997

Deborah Jones

The whaanau/support selection interview is a distinctively New Zealand example of bringing cultural diversity into organizations by changing human resource management (HRM…

1466

Abstract

The whaanau/support selection interview is a distinctively New Zealand example of bringing cultural diversity into organizations by changing human resource management (HRM) practices. Aims to advocate the possibilities of the whaanau/support process, to discuss its problems, and to suggest future research directions. Draws on the perspectives of HRM practitioners to present three case studies which analyse the use of the whaanau/support process in terms of specific organizational objectives.

Details

Employee Relations, vol. 19 no. 4
Type: Research Article
ISSN: 0142-5455

Keywords

Article
Publication date: 28 October 2020

Jubalt Alvarez Salazar

The purpose of this paper is to use a combination of resource-based theory and dynamic capabilities theory to explore the phenomenon of startup survival in an emerging…

Abstract

Purpose

The purpose of this paper is to use a combination of resource-based theory and dynamic capabilities theory to explore the phenomenon of startup survival in an emerging entrepreneurial ecosystem.

Design/methodology/approach

The study has a phenomenological research design, with an exploratory scope and qualitative approach. It uses in-depth interviews to identify the perceptions of ecosystem agents about the phenomenon of survival.

Findings

This paper argues that startup survival should be studied as a construct that is reflected by four conditions: break-even point, accelerated growth, cash stock and continuous operation. Furthermore, it is formed by the interaction of five mainly interacting resources: human capital, social capital, entrepreneurial capital, organizational capital and the incubation process.

Originality/value

The study offers a holistic model of survival that could be applicable to incipient entrepreneurial ecosystems such as the Peruvian one. This model presents survival as a reflexive-formative construct and not as a dichotomic variable (enterprise operating/enterprise closed) as has been commonly considered in the literature.

Propósito

En este documento se utiliza una combinación de la teoría basada en los recursos y la teoría de las capacidades dinámicas para explorar el fenómeno de la sobrevivencia de startups en un ecosistema emprendedor incipiente.

Diseño/metodología/enfoque

El estudio tiene un diseño de investigación fenomenológica, con un alcance exploratorio y un enfoque cualitativo. Utiliza entrevistas en profundidad para identificar las percepciones de los agentes del ecosistema sobre el fenómeno de la sobrevivencia.

Hallazgos

En este documento se argumenta que la sobrevivencia de los startups debe estudiarse como un constructo que se refleja en cuatro condiciones: el punto de equilibrio, el crecimiento acelerado, el stock de efectivo y la operación continua. Además, se forma por la interacción de cinco categorías de recursos organizacionales: el capital humano, el capital social, el capital emprendedor, el capital organizacional y el proceso de incubación.

Originalidad/valor

El documento ofrece un modelo holístico de sobrevivencia que podría ser aplicable en ecosistemas emprendedores incipientes como el peruano. Este modelo presenta a la sobrevivencia como un constructo reflexivo-formativo y no como una variable dicotómica (empresa en actividad / empresa cerrada) como se ha considerado comúnmente en la literatura.

Article
Publication date: 1 October 1995

Maria Humphries and Shayne Grice

Persistent patterns of employment segregation have long beenchallenged through what is here called “the discourse ofequity”. Associated equity legislation and equal…

5567

Abstract

Persistent patterns of employment segregation have long been challenged through what is here called “the discourse of equity”. Associated equity legislation and equal employment policies have not succeeded in changing these patterns. “The management of diversity”, a newly‐developing discourse, is claimed by its proponents to encapsulate traditional equity issues in a more managerially compelling format. Additionally, through this new discourse, progressively addresses issues associated with managing diverse people in a global context. Argues that, in the context of globalizing capitalism, a new homogeneity with different patterns of exclusion is being achieved. The pragmatic focus on “the management of diversity” may diffuse the emancipatory imperative implicit in “the discourse of equity”. Urges an examination of the extent to which traditional equity concerns have been co‐opted to divert attention from new forms of systemic employment segregation.

Details

Journal of Organizational Change Management, vol. 8 no. 5
Type: Research Article
ISSN: 0953-4814

Keywords

Article
Publication date: 3 February 2012

Ali E. Akgün, Halit Keskin and John Byrne

As a fascinating concept, the term of organizational memory attracted many researchers from a variety of disciplines. In particular, the content of organizational memory, which…

2712

Abstract

Purpose

As a fascinating concept, the term of organizational memory attracted many researchers from a variety of disciplines. In particular, the content of organizational memory, which involves declarative and procedural memory, found broad research interest in the management literature. Nevertheless, there is sparse research in the management literature on the emotional content aspect of organizational memory. Emotional memory is a less obvious aspect of the organizational memory and should be conceptualized, defined and investigated to enhance the literature on the organizational memory. The purpose of this study is to: define and establish the characteristics of organizational emotional memory; discuss the process of emotional memory in organizations such as how emotional memory can be developed and retrieved, and where it can be stored in organizations; and develop arguments regarding the roles of emotional memory in organizations to enhance the current theory on organizational memory.

Design/methodology/approach

This study reviews a variety of literature on the organizational memory and emotions.

Findings

This study demonstrated that emotional memory of organizations influences their routines, beliefs and procedures, and management should consider the past emotional experience of organizations to be more innovative.

Practical implications

By introducing the emotional memory process in organizations, this study helps managers to control, regulate or manipulate the recollections of past emotional events to perform effectively.

Originality/value

This study offers a contribution to the management literature by identifying the emotional memory concept and its processes, and presenting a model of interrelationships among emotional memory, declarative and procedural memory. In particular, this study adds new insight to the literature on the emotional life of organizations and offers literature a tool for both understanding and theorizing about emotion in organizations by making emotional memory concept explicit in a multidisciplinary understanding of organizational phenomena, and by providing a framework to clarify how we might conceptualize emotional memory.

Details

Management Decision, vol. 50 no. 1
Type: Research Article
ISSN: 0025-1747

Keywords

Article
Publication date: 1 June 1901

The institution of food and cookery exhibitions and the dissemination of practical knowledge with respect to cookery by means of lectures and demonstrations are excellent things…

51

Abstract

The institution of food and cookery exhibitions and the dissemination of practical knowledge with respect to cookery by means of lectures and demonstrations are excellent things in their way. But while it is important that better and more scientific attention should be generally given to the preparation of food for the table, it must be admitted to be at least equally important to insure that the food before it comes into the hands of the expert cook shall be free from adulteration, and as far as possible from impurity,—that it should be, in fact, of the quality expected. Protection up to a certain point and in certain directions is afforded to the consumer by penal enactments, and hitherto the general public have been disposed to believe that those enactments are in their nature and in their application such as to guarantee a fairly general supply of articles of tolerable quality. The adulteration laws, however, while absolutely necessary for the purpose of holding many forms of fraud in check, and particularly for keeping them within certain bounds, cannot afford any guarantees of superior, or even of good, quality. Except in rare instances, even those who control the supply of articles of food to large public and private establishments fail to take steps to assure themselves that the nature and quality of the goods supplied to them are what they are represented to be. The sophisticator and adulterator are always with us. The temptations to undersell and to misrepresent seem to be so strong that firms and individuals from whom far better things might reasonably be expected fall away from the right path with deplorable facility, and seek to save themselves, should they by chance be brought to book, by forms of quibbling and wriggling which are in themselves sufficient to show the moral rottenness which can be brought about by an insatiable lust for gain. There is, unfortunately, cheating to be met with at every turn, and it behoves at least those who control the purchase and the cooking of food on the large scale to do what they can to insure the supply to them of articles which have not been tampered with, and which are in all respects of proper quality, both by insisting on being furnished with sufficiently authoritative guarantees by the vendors, and by themselves causing the application of reasonably frequent scientific checks upon the quality of the goods.

Details

British Food Journal, vol. 3 no. 6
Type: Research Article
ISSN: 0007-070X

Article
Publication date: 28 June 2022

Mairead O'Connor, Kieran Conboy and Denis Dennehy

The purpose of this paper is to identify, classify and analyse temporality in information systems development (ISD) literature.

Abstract

Purpose

The purpose of this paper is to identify, classify and analyse temporality in information systems development (ISD) literature.

Design/methodology/approach

The authors address the temporality and ISD research gap by using a framework – which classifies time into three categories: conceptions of time, mapping activities to time and actors relating to time. The authors conduct a systematic literature review which investigates time in ISD within the Senior Scholars' Basket, Information Technology & People (IT&P), and top two information systems conferences over the past 20 years. The search strategy resulted in 9,850 studies of which 47 were identified as primary papers.

Findings

The results reveal that ISD research is ill equipped for contemporary thinking around time. This systematic literature review (SLR) contributes to ISD by finding the following gaps in the literature: (1) clock time is dominant and all other types of time are under-researched; (2) contributions to mapping activities to time is lacking and existing studies focus on single ISD projects rather multiple complex ISD projects; (3) research on actors relating to time is lacking; (4) existing ISD studies which contribute to temporal characteristics are fragmented and lack integration with other categories of time and (5) ISD methodology papers lack contributions to temporal characteristics and fail to acknowledge and contribute to time as a multifaceted interrelated concept.

Originality/value

This work has developed the first SLR on temporality in ISD. This study provides a starting point for ISD researchers and ISD practitioners to test commonly held temporal assumptions of ISD researchers and practitioners.

Details

Information Technology & People, vol. 36 no. 3
Type: Research Article
ISSN: 0959-3845

Keywords

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