Zeyad Mahmoud, Nathalie Angelé-Halgand, Kate Churruca, Louise A Ellis and Jeffrey Braithwaite
Millions around the world still cannot access safe, timely and affordable surgery. Considering access as a function of efficiency, this paper examines how the latter can be…
Abstract
Purpose
Millions around the world still cannot access safe, timely and affordable surgery. Considering access as a function of efficiency, this paper examines how the latter can be improved within the context of operating theatres. Carried out in France and Australia, this study reveals different types of waste in operating theatres and a series of successful tactics used to increase efficiency and eliminate wastefulness.
Design/methodology/approach
Data for this qualitative study were collected through 48 semi-structured interviews with operating theatre staff in France (n = 20) and Australia (n = 28). Transcripts were coded using a theory-driven thematic analysis to characterise sources of waste in operating theatres and the tactics used to address them.
Findings
The study confirmed the prominence of seven types of waste in operating theatres commonly found in industry and originally identified by Ohno, the initiator of lean: (1) underutilised operating rooms; (2) premature or delayed arrival of patients, staff or equipment; (3) need for large onsite storage areas and inventory costs; (4) unnecessary transportation of equipment; (5) needless staff movements; (6) over-processing and (7) quality defects. The tactics used to address each of these types of waste included multiskilling staff, levelling production and implementing just-in-time principles.
Originality/value
The tactics identified in this study have the potential of addressing the chronic and structurally embedded problem of waste plaguing health systems' operating theatres, and thus potentially improve access to surgical care. In a global context of resource scarcity, it is increasingly necessary for hospitals to optimise the ways in which surgery is delivered.
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The purpose of this paper is to focus on the repercussions of work and employment in low-status jobs upon the collective organisation and representation of Egyptian immigrant…
Abstract
Purpose
The purpose of this paper is to focus on the repercussions of work and employment in low-status jobs upon the collective organisation and representation of Egyptian immigrant workers.
Design/methodology/approach
Focusing on results from 117 in-depth interviews, the qualitative research (2010-2013) and analysis examines the case of Egyptians in Athens, Greece and on how the frame of their work and their employment affects participation in the immigrant work association Union of Egyptian Workers in Greece/EL-RAPTA and in Greek trade unions as well.
Findings
Evidence from in-depth interviews proves that Egyptians are supported by friendly and relative relations in search for solidarity; they develop individualistic behaviours and find alternative solutions for survival and protection.
Practical implications
Through the research, what is analysed is how immigration has affected social welfare and collective forms of representation but also how the immigrants themselves view and act within the collective frameworks. The results are of great concern to immigration policymakers to facilitate integration, combat undeclared work and identify weaknesses in worker rights and organisations.
Originality/value
The research, the first in Greece specifically for Egyptians immigrant workers and their work association, contributes to the broader body of sociological literature on the study of labour migration and immigrant voluntary associations and it is original as it is based on primary research on the experiences of Egyptian immigrants.