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Supportive study climate and academic performance among university students: the role of psychological capital, positive emotions and study engagement 大学生支持性学习氛围与学业成绩:心理资本、积极情绪和学习投入的作用
IF 2.6 Q2 MANAGEMENT Pub Date : 2021-04-11 DOI: 10.1108/IJQSS-03-2020-0045
T. Slåtten, Gudbrand Lien, Solveig Beyza Evenstad, Terje Onshus
PurposeThe overall aim of this study is to explore factors associated with academic performance among university students. Specifically, it explores whether a supportive study climate is directly related to academic performance and whether students’ psychological capital (PsyCap), positive emotions and study engagement play a role in the relationship between supportive study climate and academic performance.Design/methodology/approachA total of 588 bachelor students from a range of academic programs participated in a survey. The partial least squares (PLS)-based structural equation modeling (SEM) was used to test the conceptual models and the hypothesized relationships, using the software SmartPLS.FindingsNo support was found for a direct relationship between supportive study climate and academic performance. However, the results show that PsyCap, positive emotions and study engagement have a mediating role between supportive study climate and academic performance. In addition, the findings reveal a multifaceted pattern among PsyCap, positive emotions and study engagement that promotes academic performance.Originality/valueThis is the first study that simultaneously explores the role of PsyCap, emotions and study engagement between supportive study climate and academic performance among university students. Consequently, it broadens and deepens previous research and offers both theoretical and practical implications.
目的本研究旨在探讨影响大学生学习成绩的因素。具体而言,它探讨了支持性学习氛围是否与学习成绩直接相关,以及学生的心理资本(PsyCap)、积极情绪和学习投入是否在支持性学习气氛与学习成绩之间的关系中发挥作用。设计/方法论/方法来自一系列学术项目的588名本科生参加了一项调查。基于偏最小二乘(PLS)的结构方程建模(SEM)用于测试概念模型和假设关系,使用软件SmartPLS.Findings。没有发现支持性学习氛围和学习成绩之间的直接关系。然而,研究结果表明,心理资本、积极情绪和学习投入在支持性学习氛围和学习成绩之间具有中介作用。此外,研究结果揭示了心理资本、积极情绪和学习投入之间的多方面模式,这些模式有助于提高学习成绩。独创性/价值这是第一项同时探讨心理资本、情绪和学习投入在大学生支持性学习氛围和学习成绩之间的作用的研究。因此,它拓宽和深化了以往的研究,并提供了理论和实践启示。
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引用次数: 22
Quality management practices as a driver of employee satisfaction: exploring the mediating role of organizational image 质量管理实践作为员工满意度的驱动因素:探索组织形象的中介作用
IF 2.6 Q2 MANAGEMENT Pub Date : 2021-02-24 DOI: 10.1108/IJQSS-10-2019-0124
F. Babu, S. Thomas
Purpose Total quality management (TQM) has been a universally applienod management strategy to improve organizational performance and thereby to achieve competitiveness. Compared with the scholarly and practical attention paid to identify the consequences of implementing TQM practices, little is known about how those practices enhance organizational image and employee satisfaction. This paper aims to address that research gap and is designed to empirically prove the relationship between TQM practices, organizational image and employee satisfaction. Design/methodology/approach A questionnaire-based survey of 285 employees including administrators, managers and heads of departments of 21 National Accreditation Board for Hospital and Healthcare providers-accredited hospitals in India was conducted. The proposed research model was tested using partial least squares based structural equation modelling. Findings The results revealed that TQM practices have positive direct and indirect effects on employee satisfaction, confirming the partial mediation role played by organizational image in the relationship between TQM practices and employee satisfaction. Research limitations/implications From the findings, leaders can understand that by implementing TQM practices, organizations can enhance image of the organization and bring high level of employee satisfaction. Originality/value The study tries to answer questions largely ignored in the TQM literature: the effect of TQM practices on organizational image and employee satisfaction, and the mediating role of organizational image on TQM practices and employee satisfaction.
目的全面质量管理(TQM)是一种普遍适用的提高组织绩效,从而获得竞争力的管理策略。与学术界和实践界对确定实施TQM实践的后果的关注相比,人们对这些实践如何提高组织形象和员工满意度知之甚少。本文旨在解决这一研究空白,并旨在实证证明TQM实践,组织形象和员工满意度之间的关系。设计/方法/方法对印度21家医院和医疗保健提供者国家认证委员会认可的医院的285名员工进行了问卷调查,其中包括行政人员、经理和部门负责人。采用偏最小二乘结构方程模型对研究模型进行了验证。结果发现:TQM实践对员工满意度有正向的直接和间接影响,证实了组织形象在TQM实践与员工满意度之间的部分中介作用。研究局限/启示从研究结果中,领导者可以理解通过实施TQM实践,组织可以提高组织形象并带来高水平的员工满意度。本研究试图回答在TQM文献中被忽视的问题:TQM实践对组织形象和员工满意度的影响,以及组织形象对TQM实践和员工满意度的中介作用。
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引用次数: 6
Evaluating service quality and performance of higher education institutions: a systematic review and a post-COVID-19 outlook 评估高等教育机构的服务质量和绩效:系统回顾和COVID-19后的展望
IF 2.6 Q2 MANAGEMENT Pub Date : 2021-02-24 DOI: 10.1108/IJQSS-03-2020-0034
M. Camilleri
PurposeThis study aims to present a systematic review on service quality in higher education. It discusses about the latest opportunities and challenges facing higher educational institutions (HEIs) following the outbreak of the coronavirus (COVID-19) pandemic.Design/methodology/approachThe study relied on the grounded theory’s inductive reasoning to capture, analyze and synthesize the findings from academic and non-academic sources. The methodology involved a systematic review from Scopus-indexed journals, from intergovernmental and non-governmental policy documents, as well as from university ranking sites and league tables.FindingsThe comprehensive review suggests that HEIs can use different performance indicators and metrics to evaluate their service quality in terms of their resources, student-centered education, high-impact research and stakeholder engagement. Moreover, this paper sheds light about the impact of an unprecedented COVID-19 on higher education services.Practical implicationsDuring the first wave of COVID-19, the delivery of higher educational services migrated from traditional and blended learning approaches to fully virtual and remote course delivery. In the second wave, policy makers imposed a number of preventative measures, including social distancing and hygienic practices, among others, on HEIs.Originality/valueThis timely contribution has synthesized the findings on service quality and performance management in the higher education context. Furthermore, it investigated the effect of COVID-19 on higher education services. It deliberates on the challenges and responses in the short/medium term and provides a discussion on the way forward. In conclusion, it implies that HEI leaders ought to embrace online teaching models and virtual systems, as they are here to stay in a post-COVID-19 era.
目的本研究旨在对高等教育服务质量进行系统回顾。它讨论了新冠肺炎疫情爆发后高等教育机构面临的最新机遇和挑战。设计/方法/方法该研究依靠扎根理论的归纳推理来捕获、分析和综合来自学术和非学术来源的发现。该方法包括对scopus索引期刊、政府间和非政府政策文件以及大学排名网站和排名表进行系统审查。调查结果综合检讨显示,高等教育院校可采用不同的表现指标和量度,在资源、以学生为本的教育、高影响力研究和持份者参与等方面,评估其服务质素。此外,本文还揭示了前所未有的COVID-19对高等教育服务的影响。在2019冠状病毒病第一波疫情期间,高等教育服务的提供从传统的混合式学习方式转向了完全虚拟的远程课程交付。在第二波浪潮中,政策制定者对高等教育机构实施了一系列预防措施,包括保持社交距离和卫生习惯等。原创性/价值这篇及时的文章综合了高等教育背景下服务质量和绩效管理的研究结果。此外,还调查了新冠肺炎疫情对高等教育服务的影响。它审议了短期/中期的挑战和应对措施,并讨论了前进的道路。总而言之,这意味着高等教育领导者应该接受在线教学模式和虚拟系统,因为他们在新冠肺炎后时代仍然存在。
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引用次数: 61
Application of Kaizen-Kata methodology to improve operational problem processes. A case study in a service organization 改善型方法的应用,以改善操作问题的过程。一个服务机构的案例研究
IF 2.6 Q2 MANAGEMENT Pub Date : 2021-02-17 DOI: 10.1108/IJQSS-07-2020-0113
Manuel F. Suárez-Barraza, J. Miguel-Dávila, M. Morales-Contreras
The purpose of this paper is to explore, study, analyze and implement Kaizen–Kata methodology in a service food organization (first-level restaurant), facing challenges in different operational processes that affect and influence the case company performance and customer satisfaction.,The service organization implemented Kaizen–Kata methodology to improve one operational problem process. A case-study approach was used in this research to understand the effects of the Kaizen–Kata methodology in solving problems in their operational service process. Different Kaizen–Kata techniques and tools (histograms, Pareto chart and Ishikawa diagram) using the Plan, Do, Check, Act improvement cycle framework were used.,Successful implementation of the proposed methodology reduced the main impact of the problem’s effects (customer’s complaints, process reworking, extra-cost, delays, among others). The effects of the problem were reduced on average by 70%. Some Kaizen–Kata routines were identified in a service process environment.,The main limitation of the research is that this work is a just one-case study. A main generalization is not possible, because it involves a company within a company.,Some other service companies can use the Kaizen–Kata methodology to solve any kind of operational problem within their processes. Service managers can learn about the methodology to apply and improve their operational performance and handle customer’s complaints.,A continuous improvement manufacturing methodology was imported to apply in an operational service process. The Kaizen–Kata methodology contributed significantly to reduce delays, handle customer’s complaints, process reworking and deal with extra costs, among other operational problems’ effects. In addition to that, in the literature, most of the Kaizen applications are in manufacturing companies. To the best of authors’ knowledge, this was the first study of applied Kaizen–Kata in a service organization (a fast-food restaurant).
本文的目的是探索、研究、分析并在一家服务食品组织(一级餐厅)中实施改善型方法,面对影响和影响案例公司绩效和客户满意度的不同运营过程中的挑战。服务机构实施了改善型方法来改进一个操作问题流程。本研究采用个案研究的方法,以了解改善型方法在解决营运服务过程中问题的效果。不同的Kaizen-Kata技术和工具(直方图,帕累托图和石川图)使用计划,执行,检查,行动改进周期框架。建议方法的成功实施减少了问题影响的主要影响(客户投诉、流程返工、额外成本、延迟等)。这个问题的影响平均减少了70%。在服务流程环境中确定了一些Kaizen-Kata例程。这项研究的主要局限性是这项工作只是一个案例研究。一个主要的概括是不可能的,因为它涉及到公司中的公司。其他一些服务公司可以使用Kaizen-Kata方法来解决其流程中的任何类型的操作问题。服务经理可以学习应用和提高他们的运营绩效和处理客户投诉的方法。将持续改进制造方法导入到运营服务流程中。Kaizen-Kata方法在减少延误、处理客户投诉、流程改造和处理额外成本以及其他运营问题的影响方面做出了重大贡献。除此之外,在文献中,大多数改善应用都是在制造公司。据作者所知,这是第一次在服务机构(快餐店)中应用改善型的研究。
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引用次数: 6
Critical success factors for lean six sigma in quality 4.0 质量4.0中精益六西格玛的关键成功因素
IF 2.6 Q2 MANAGEMENT Pub Date : 2021-02-12 DOI: 10.1108/IJQSS-06-2020-0099
Neeraj Yadav, R. Shankar, S. P. Singh
Critical success factors (CSF) for lean six sigma (LSS) using quality 4.0 are not researched so far. This study aims to bridge this gap. It also validates CSF already identified for LSS under conventional technologies.,Empirical research using the questionnaire method is conducted. Construct of the questionnaire is checked using Cronbach’s alpha and responses received are analysed using t-test and exploratory factor analysis.,In total, 20 factors are evaluated for LSS success. It includes 7 factors related to quality 4.0 technologies and 13 related to the conventional set-up. All 7 quality 4.0 related factors were found critical; whereas, under traditional set-up, 11 factors out of 13 were found critical.,The study will help enterprises in the fast and effective adoption of quality 4.0 and seamless integration with LSS. The post-Covid-19 business scenario is expected to be information technology focussed. The findings of this study will be useful in these circumstances. Consultants and practitioners can prioritise their efforts based on newly identified CSF. The new revelation about CSF for LSS in quality 4.0 enriches theory as well.,Developing skills based on newly identified CSF will help people in remaining employable in the era of automation, robotics and artificial intelligence which is otherwise ill-famed for destroying jobs.,CSF for LSS using quality 4.0 is a new contribution. It differentiates CSF established earlier for conventional technologies. Moreover, many CSF are common for LSS and industry 4.0, therefore this study will also help in smoother adoption of industry 4.0/quality 4.0 in organisations.
到目前为止,还没有对使用质量4.0的精益六西格玛(LSS)的关键成功因素(CSF)进行研究。这项研究旨在弥合这一差距。它还验证了在传统技术下已经为LSS确定的CSF。,采用问卷调查法进行实证研究。使用Cronbachα检验问卷的结构,并使用t检验和探索性因素分析分析收到的回复。,总共评估了20个LSS成功的因素。它包括7个与质量4.0技术有关的因素和13个与传统设置有关的因素。所有7个质量4.0相关因素均为关键因素;而在传统设置下,13个因素中有11个是关键因素。,该研究将帮助企业快速有效地采用质量4.0,并与LSS无缝集成。新冠肺炎疫情后的商业场景预计将以信息技术为重点。在这种情况下,这项研究的结果将是有用的。顾问和从业者可以根据新确定的CSF来优先考虑他们的工作。质量4.0中关于LSS的CSF的新发现也丰富了理论。,基于新发现的CSF开发技能将有助于人们在自动化、机器人和人工智能时代保持就业能力,否则,人工智能以破坏就业而闻名。,使用质量4.0的LSS CSF是一个新的贡献。它区别于早期为传统技术建立的CSF。此外,许多CSF在LSS和工业4.0中很常见,因此本研究也将有助于组织更顺利地采用工业4.0/质量4.0。
{"title":"Critical success factors for lean six sigma in quality 4.0","authors":"Neeraj Yadav, R. Shankar, S. P. Singh","doi":"10.1108/IJQSS-06-2020-0099","DOIUrl":"https://doi.org/10.1108/IJQSS-06-2020-0099","url":null,"abstract":"Critical success factors (CSF) for lean six sigma (LSS) using quality 4.0 are not researched so far. This study aims to bridge this gap. It also validates CSF already identified for LSS under conventional technologies.,Empirical research using the questionnaire method is conducted. Construct of the questionnaire is checked using Cronbach’s alpha and responses received are analysed using t-test and exploratory factor analysis.,In total, 20 factors are evaluated for LSS success. It includes 7 factors related to quality 4.0 technologies and 13 related to the conventional set-up. All 7 quality 4.0 related factors were found critical; whereas, under traditional set-up, 11 factors out of 13 were found critical.,The study will help enterprises in the fast and effective adoption of quality 4.0 and seamless integration with LSS. The post-Covid-19 business scenario is expected to be information technology focussed. The findings of this study will be useful in these circumstances. Consultants and practitioners can prioritise their efforts based on newly identified CSF. The new revelation about CSF for LSS in quality 4.0 enriches theory as well.,Developing skills based on newly identified CSF will help people in remaining employable in the era of automation, robotics and artificial intelligence which is otherwise ill-famed for destroying jobs.,CSF for LSS using quality 4.0 is a new contribution. It differentiates CSF established earlier for conventional technologies. Moreover, many CSF are common for LSS and industry 4.0, therefore this study will also help in smoother adoption of industry 4.0/quality 4.0 in organisations.","PeriodicalId":14403,"journal":{"name":"International Journal of Quality and Service Sciences","volume":"13 1","pages":"123-156"},"PeriodicalIF":2.6,"publicationDate":"2021-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49496446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 36
The development of a measurement instrument focusing on team collaboration in patient transfer processes 开发一种专注于患者转移过程中团队协作的测量仪器
IF 2.6 Q2 MANAGEMENT Pub Date : 2021-02-11 DOI: 10.1108/IJQSS-04-2020-0055
Lilly-Mari Sten, Pernilla Ingelsson, Ingela Bäckström, Marie Häggström
PurposeTeam collaboration is essential to ensure the quality of care and patient safety when critically ill patients are transferred from an intensive care unit (ICU) to a general ward. Measuring team collaboration in the patient transfer process can help gain insights into how team collaboration is perceived and how it can be improved. The purpose of this paper is to describe the development and testing of a questionnaire aiming to measure perceived team collaboration in the patient transfer process from ICU to the general ward. This study also aims to analyze the results to see how the survey could help improve team collaboration within ICU transitional care.Design/methodology/approachStatements, factors and main areas intended to measure perceived team collaboration were developed from a theory. The questionnaire was tested in two ICUs at two hospitals located in Sweden, and the results were analyzed statistically.FindingsThe results showed that the questionnaire could be used for measuring perceived team collaboration in this process. The results from the survey gave insights that can be useful when improving team collaboration in ICU transitional care.Research limitations/implicationsThe collaboration between two research subjects, Nursing Science and Quality Management, has given new perspectives in how cultural and systemic differences and opportunities can help improving team collaboration in ICU transitional care, by shifting focus from the individual to team, culture, system, process and continuous improvement.Practical implicationsThe developed questionnaire can be used to measure perceived team collaboration and to identify areas for improving team collaboration in the ICU transitional care process.Originality/valueThere is a sparse amount of research about measuring team collaboration in ICU transitional care, and this study contributes to filling this research gap.
目的当危重患者从重症监护病房(ICU)转至普通病房时,团队协作对于确保护理质量和患者安全至关重要。测量患者转移过程中的团队协作可以帮助了解如何感知团队协作以及如何改进团队协作。本文的目的是描述一份问卷的开发和测试,旨在衡量从ICU到普通病房的患者转移过程中的感知团队协作。本研究还旨在分析结果,以了解调查如何有助于改善ICU过渡护理中的团队协作。设计/方法论/方法用于衡量感知团队协作的陈述、因素和主要领域是从一个理论发展而来的。问卷在瑞典两家医院的两个icu进行测试,并对结果进行统计分析。结果表明,问卷可以用来衡量在这个过程中感知到的团队协作。调查结果为改善ICU过渡护理的团队协作提供了有用的见解。研究的局限性/意义护理科学和质量管理两个研究课题的合作,为文化和系统差异和机会如何通过将重点从个人转移到团队、文化、系统、过程和持续改进来帮助改善ICU过渡护理的团队合作提供了新的视角。实际意义开发的问卷可用于测量感知团队协作,并确定在ICU过渡护理过程中改进团队协作的领域。独创性/价值对ICU过渡护理团队协作的衡量研究较少,本研究有助于填补这一研究空白。
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引用次数: 3
Examining the impact of market orientation on service quality in shipping companies: the role of risk propensity 考察市场导向对航运公司服务质量的影响:风险倾向的作用
IF 2.6 Q2 MANAGEMENT Pub Date : 2021-01-19 DOI: 10.1108/IJQSS-01-2020-0012
A. Pantouvakis, Maria Karakasnaki
PurposeThe purpose of this study is to investigate the relationship between market orientation and service quality in the context of shipping companies. Moreover, this study aims to explore the moderating role of risk propensity in the above-mentioned relationship.Design/methodology/approachA research study was carried out on a sample of 255 shipping companies located in Greece. Data were obtained through a structured questionnaire from the managing directors or other senior executives. Data were analyzed through exploratory and confirmatory factor analyses, while the hypothesized relationships were determined through regression analyzes.FindingsThe analysis of the empirical data shows that intelligence generation and responsiveness have a positive and significant impact on the service quality of shipping companies. Also, the findings showed that this relationship is influenced by the degree of risk propensity, revealing, thus its moderating role on the market orientation – service quality link.Originality/valueThe current study contributes to the literature by examining for the first time the moderating role of risk propensity in the relationship between market orientation and service quality. Additionally, this is the first study that attempts to investigate the way the dimensions of market orientation predict service quality in the context of shipping companies.
目的本研究旨在探讨航运公司市场导向与服务品质的关系。此外,本研究旨在探讨风险倾向在上述关系中的调节作用。设计/方法/方法对位于希腊的255家航运公司的样本进行了一项研究。数据是通过董事总经理或其他高级管理人员的结构化问卷获得的。通过探索性和验证性因素分析对数据进行分析,通过回归分析确定假设关系。实证数据分析表明,智能生成和响应性对航运公司服务质量具有显著的正向影响。同时,风险倾向程度也会影响风险倾向与服务质量之间的关系,从而揭示了风险倾向对市场导向与服务质量之间的调节作用。本研究通过首次检验风险倾向在市场导向与服务质量关系中的调节作用,对文献做出了贡献。此外,这是第一个研究,试图调查市场导向的维度预测航运公司的服务质量的方式。
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引用次数: 4
Systematic analysis of the methodological structure of the lean literature 对精益文献的方法论结构进行系统分析
IF 2.6 Q2 MANAGEMENT Pub Date : 2021-01-01 DOI: 10.1108/IJQSS-03-2020-0050
M. Francis, A. Thomas, R. Fisher
Purpose The purpose of this paper is to analyse and evaluate the methodological structure of the lean literature, so that its characteristics and influence among academics and practitioners might be better understood. The authors define “methodological structure” to be comprising six categorical components: publication category, degree of methodological disclosure, research strategies and data collection instruments (DCIs), type of data collected and analysed and type of research informants. Design/methodology/approach This study is a systematic bibliometric analysis of the lean literature. It has a two-stage research design. The first stage involves the identification of the top 50 most highly cited publications on “Lean”, with the resultant reference details being entered into a focal population set (FPS) spread sheet. The second stage involves coding and adding the six component fields of the methodological structure for each of the FPS entries. Both citation analysis (CA) and publication counting are then used to analyse patterns in these six components of methodological structure. Findings The top 50 publications in the FPS represent over 52,700 citations. All are either journal papers or books, but books are the most influential. Based upon this FPS sample, the lean literature is found to be both largely atheoretical in nature and also methodologically weak. Over half of the FPS publications are viewpoint-type publications and 46% have no methodological disclosure. The lean literature is predominantly qualitative in nature. Where disclosed, the most common research strategy is the case study and the most common DCI is the interview. High- and mid-level managers are the most frequently encountered research informants, while shop floor workers are infrequently used. Originality/value This paper starts with the most extensive known systematic review of systematic reviews of the lean literature; the result of which is the characterisation of a number of gaps in this body of knowledge. One of these gaps is the lack of any previous CA. The paper then proceeds to address this gap by providing the first CA within the lean literature. This is also the most comprehensive known CA within the field of operations and supply chain management more generally. As a consequence of this analysis, previously unknown patterns and insights into the methodological structure of the lean literature are revealed.
本文的目的是分析和评价精益文献的方法论结构,以便更好地了解其特点及其在学术界和实践者中的影响。作者将“方法结构”定义为包括六个分类组成部分:出版物类别、方法公开程度、研究策略和数据收集工具(DCIs)、收集和分析的数据类型以及研究线人类型。设计/方法/方法本研究是对精益文献进行系统的文献计量分析。它有两个阶段的研究设计。第一阶段涉及确定关于“精益”的前50份被引用最多的出版物,并将所得参考资料输入焦点人口集电子表格。第二阶段涉及为每个FPS条目编码和添加方法论结构的六个组件字段。然后使用引文分析(CA)和出版物计数来分析方法结构的这六个组成部分的模式。研究结果FPS排名前50位的出版物被引用超过52,700次。它们要么是期刊论文,要么是书籍,但书籍是最有影响力的。基于这个FPS样本,我们发现精益文献在本质上很大程度上是理论性的,而且在方法论上也很薄弱。超过一半的FPS出版物是观点型出版物,46%没有方法披露。精益文献本质上主要是定性的。在披露的地方,最常见的研究策略是案例研究,最常见的DCI是访谈。高层和中层管理人员是最常遇到的研究线人,而车间工人很少被使用。原创性/价值本文从已知最广泛的精益文献系统综述开始;其结果是对这一知识体系中的一些空白进行了表征。其中一个差距是缺乏任何以前的CA。然后,本文通过提供精益文献中的第一个CA来解决这一差距。这也是运营和供应链管理领域中最全面的CA。作为这种分析的结果,揭示了以前未知的模式和对精益文献方法结构的见解。
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引用次数: 0
Cultural dynamics and tensions when applying design thinking for improving health-care quality 应用设计思维提高医疗质量时的文化动态和紧张关系
IF 2.6 Q2 MANAGEMENT Pub Date : 2020-12-31 DOI: 10.1108/ijqss-04-2019-0055
Jonas Boström, Helene Hillborg, J. Lilja
PurposeThe purpose of this paper is to contribute knowledge concerning the dynamics and potential cultural tensions that occur when applying user involvement and design thinking (DT) for improving quality in a health-care setting.Design/methodology/approachThis paper is based on a case study following a quality improvement (QI) project in a medium-sized Swedish county council in the field of somatic care. The project involved eight health-care professionals, one designer, four patients and two relatives. A multiple data collection method over a period of ten months was used. It included individual interviews, e-mail correspondence and observations of workshops that covered the QI project.FindingsThe result shows tensions between QI work and the daily clinical work of the participants. These tensions primarily concern the conflict between fast and slow processes, the problem of moving between different fields of knowledge, being a resource for the individual clinic and the system and the participants’ expectations and assumptions about roles and responsibilities in a QI project. Furthermore, these findings could be interpreted as signs of a development culture in the health-care context.Practical implicationsThere are several practical implications. Among others, the insights can inspire how to approach and contextualize the current concepts, roles and methods of DT and user involvement so that they can be more easily understood and integrated into the existing culture and way of working in the health-care sector.Originality/valueThis study provides a unique insight into a case, trying to uncover what actually is going on and perhaps, why certain things are not happening at all, when user involvement and design practices are applied for improving health-care quality.
目的本文的目的是提供有关在医疗保健环境中应用用户参与和设计思维(DT)来提高质量时发生的动态和潜在文化紧张关系的知识。设计/方法/方法本文基于瑞典一个中等规模县议会在躯体护理领域的质量改进(QI)项目的案例研究。该项目涉及八名保健专业人员、一名设计师、四名患者和两名亲属。一种为期十年的多重数据收集方法 使用了个月。它包括个人访谈、电子邮件通信和对涵盖QI项目的研讨会的观察。结果表明,QI工作与参与者的日常临床工作之间存在紧张关系。这些紧张关系主要涉及快速和慢速过程之间的冲突,在不同知识领域之间移动的问题,作为个体诊所和系统的资源,以及参与者对QI项目中的角色和责任的期望和假设。此外,这些发现可以被解释为卫生保健背景下发展文化的标志。实际含义有几个实际含义。除其他外,这些见解可以启发如何处理DT和用户参与的当前概念、角色和方法并将其置于背景中,以便更容易地理解它们,并将其融入医疗保健部门的现有文化和工作方式中。独创性/价值这项研究对一个案例提供了独特的见解,试图揭示当用户参与和设计实践用于提高医疗质量时,实际发生了什么,也许还有为什么某些事情根本没有发生。
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引用次数: 3
Can high performance work practices and satisfaction predict job performance?An examination of the Malaysian private health-care sector 高绩效的工作实践和满意度能否预测工作绩效?对马来西亚私营医疗保健部门的审查
IF 2.6 Q2 MANAGEMENT Pub Date : 2020-11-30 DOI: 10.1108/ijqss-06-2019-0090
A. Nasurdin, C. Tan, S. Khan
PurposeThis paper aims to examine the effects of high-performance work practices (HPWPs) (participation, training and compensation) on nurses’ job performance (task and contextual) through the mediating role of job satisfaction. As nurses form the bulk of health-care professionals, their performance at work is crucial in determining patient satisfaction regarding care quality. HPWPs have been recognized as having the ability to affect employees’ work attitudes and behaviours positively. Specifically, these practices foster job performance.Design/methodology/approachSelf-administered questionnaires were used to collect the survey data on 639 staff nurses working in large private hospitals in Malaysia. Data were subsequently analysed using the partial least squares method.FindingsThe findings indicate that job satisfaction serves to mediate the relationships between the three HPWPs (participation, training and compensation) and the two dimensions of job performance (task performance and contextual performance).Research limitations/implicationsFirst, as all variables were measured using self-reports, a common-method bias could exist (Podsakoff et al., 2003). Hence, future researchers may want to combine self-assessments and supervisory or peer assessment to improve the validity of the outcomes. Second, the cross-sectional nature of this study limits our ability to make causal inferences. Bias could happen because the study examined both exogenous and endogenous variables at the same time. Thus, a longitudinal approach taken in the future could cross-validate the current findings and provide additional support regarding the causality of the HPWPs-job performance relationship. Third, the data were collected from staff nurses working in large private hospitals in Peninsular Malaysia. Thus, one should be careful to generalize the findings to different health-care professional groups and organizations.Practical implicationsFrom the practical perspective, it is evident from the findings that as job satisfaction is able to enhance job performance and given the need for nurses to provide quality health-care services, private hospital authorities concerned with encouraging greater job performance among their nursing workforce need to provide adequate support to their employees. This could be achieved through the implementation of HPWPs. Perceptions of the extent of a hospital’s HPWPs in terms of participation, training and compensation, have significant and positive effects on nurses’ level of job satisfaction. Therefore, it would be worthwhile for private hospitals to encourage more opportunities for nurses to participate in decision-making regarding their work. In addition, frequent training activities will be able to enhance nurses’ knowledge, skills and abilities, resulting in greater satisfactionOriginality/valueTo the best of the authors’ knowledge, this is the first attempt to investigate the effects of HPWPs on nurses’ job perfo
目的通过工作满意度的中介作用,研究高绩效工作实践(参与、培训和薪酬)对护士工作绩效(任务和情境)的影响。由于护士是医疗保健专业人员的主体,他们的工作表现对于决定患者对护理质量的满意度至关重要。HPWP已被公认为具有积极影响员工工作态度和行为的能力。具体来说,这些做法有助于提高工作表现。设计/方法/方法采用自我管理问卷收集马来西亚大型私立医院639名护士的调查数据。随后使用偏最小二乘法对数据进行分析。研究结果表明,工作满意度可以调节三个HPWP(参与、培训和薪酬)与工作绩效的两个维度(任务绩效和情境绩效)之间的关系。研究局限性/含义首先,由于所有变量都是使用自我报告来衡量的,因此可能存在常见的方法偏差(Podsakoff等人,2003)。因此,未来的研究人员可能希望将自我评估与监督或同行评估相结合,以提高结果的有效性。其次,这项研究的横截面性质限制了我们进行因果推断的能力。由于该研究同时考察了外生变量和内生变量,因此可能会出现偏差。因此,未来采取的纵向方法可以交叉验证当前的研究结果,并为HPWP工作绩效关系的因果关系提供额外的支持。第三,数据是从马来西亚半岛大型私立医院的护士那里收集的。因此,应谨慎地将调查结果推广到不同的医疗保健专业团体和组织。实际含义从实际角度来看,研究结果表明,由于工作满意度能够提高工作绩效,并且考虑到护士需要提供优质的医疗服务,关心鼓励护理人员提高工作绩效的私立医院管理部门需要为员工提供足够的支持。这可以通过实施HPWP来实现。在参与、培训和薪酬方面对医院HPWP的程度的感知对护士的工作满意度有显著而积极的影响。因此,私立医院值得鼓励护士有更多机会参与工作决策。此外,频繁的培训活动将能够提高护士的知识、技能和能力,从而提高满意度。据作者所知,这是首次尝试在马来西亚私人医疗环境中调查HPWP对护士工作表现的影响。由于使用东方样本的研究相对有限,本研究的发现将有助于从跨文化的角度扩展现有文献。
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引用次数: 17
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International Journal of Quality and Service Sciences
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