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Adoption of E-Health Records Management Systems as a Strategy to Improve Service Delivery in Public Hospitals in Kenya 采用电子健康记录管理系统作为改善肯尼亚公立医院服务提供的战略
IF 7.4 1区 管理学 Q1 MANAGEMENT Pub Date : 2024-07-25 DOI: 10.47672/ijpm.2220
Lawrence Nduva Munyaka, N. Kyalo, R. Nyonje, Angeline Mulwa
Purpose: To establish the extent to which the adoption of an electronic records management system influences service delivery in public hospitals in Kenya. Materials and Methods: A descriptive research method, correlational research design, and mixed method of research were employed. The target population was all the 1207 professional staff working in Moi Teaching and Referral Hospital and Kenyatta National Hospital as well as 1841 outpatients treated in both hospitals between January and May. To select the 341 respondents of the research, a stratified random sampling technique was used. The researcher used secondary and primary data. Semi-structured questionnaires were distributed to the respondents to allow for the collection of primary data. Qualitative data was analyzed with the help of thematic analysis. Inferential and descriptive statistics were used in the analysis of quantitative data. Descriptive statistics that were used include mean, percentages, frequencies, and standard deviation. Inferential statistics that were used are multiple regression analysis, correlation analysis, and univariate regression analysis. Findings: The correlation analysis results showed that there exists a positive correlation between the utilization of electronic records management and service delivery in public hospitals (r=0.733, p-value=0.000). In addition, regression analysis results showed that the utilization of electronic records management had a positive influence on service delivery in public hospitals in Kenya (β=0.715, p-value=0.000). Implications to Theory, Practice and Policy: The study recommends that public hospitals in Kenya should fully adopt and utilize electronic record management as a way of improving efficiency in service delivery in terms of waiting time and loss of files.
目的:确定采用电子病历管理系统对肯尼亚公立医院提供服务的影响程度。材料与方法:采用描述性研究方法、相关研究设计和混合研究方法。研究对象为莫伊教学与转诊医院和肯雅塔国立医院的 1207 名专业工作人员,以及 1 月至 5 月期间在这两家医院接受治疗的 1841 名门诊患者。研究人员采用分层随机抽样技术选出了 341 名受访者。研究人员使用了二级和一级数据。研究人员向受访者发放了半结构化问卷,以收集原始数据。在专题分析的帮助下对定性数据进行了分析。在分析定量数据时,使用了推论性和描述性统计方法。使用的描述性统计包括平均值、百分比、频率和标准偏差。使用的推理统计包括多元回归分析、相关分析和单变量回归分析。研究结果相关分析结果显示,公立医院电子病历管理的使用与服务提供之间存在正相关关系(r=0.733,p 值=0.000)。此外,回归分析结果表明,电子病历管理的使用对肯尼亚公立医院的服务提供具有积极影响(β=0.715,p 值=0.000)。对理论、实践和政策的启示:本研究建议肯尼亚公立医院全面采用和利用电子病历管理,以此提高服务效率,减少等待时间和档案丢失。
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引用次数: 0
Lean Construction: The Role of a Project Manager 精益施工:项目经理的作用
IF 7.4 1区 管理学 Q1 MANAGEMENT Pub Date : 2024-07-09 DOI: 10.47672/ijpm.2197
Livinus Horsfall, Bright Alaribe
Purpose: Architectural and engineering facilities poses difficult management problems which has left the construction industries with waste and non-value adding activities and the clients have not been able to pull value from projects handled by contractors. It is against this background that this research was carried out for project managers to know how to apply lean construction principles and techniques to deliver their projects without waste, reduce project abandonment and abortion and for effective project delivery. Material and Methods: The research was carried out using primary and secondary data and subsequently analyzed. The data was presented using tables and charts Findings: It was observed that the principles of lean construction which promotes, the elimination of waste and non-value adding activities in processes, to engineering and design is unknown to our construction industries. Many of the construction firms are skeptical about the principal ad are not ready to entertain the techniques involved. Implications to Theory, Practice and Policy: It is recommended that the principle of lean construction be introduced and practiced by the construction firms so they may concentrate on how projects will bring value to the client.
目的:建筑和工程设施带来了棘手的管理问题,使建筑行业存在浪费和非增值活动,客户无法从承包商处理的项目中获得价值。本研究正是在这一背景下开展的,目的是让项目经理了解如何应用精益建造原则和技术来交付项目,避免浪费,减少项目放弃和流产,并有效交付项目。材料和方法:研究使用了第一手数据和第二手数据,随后进行了分析。数据使用表格和图表进行展示:研究发现,精益建造原则提倡在工程和设计过程中消除浪费和非增值活动,但我们的建筑行业并不了解精益建造原则。许多建筑公司对精益建造的原理持怀疑态度,不愿意接受其中涉及的技术。对理论、实践和政策的影响:建议建筑公司引入并实践精益建造原则,以便专注于如何为客户带来项目价值。
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引用次数: 0
The Impact of Teamwork Quality (TWQ) on Agile Software Development Team Performance 团队合作质量(TWQ)对敏捷软件开发团队绩效的影响
IF 7.4 1区 管理学 Q1 MANAGEMENT Pub Date : 2024-07-03 DOI: 10.47672/ijpm.2179
Alexander Larbie Mensah
Purpose: The study examined the extent to which teamwork quality (TWQ) impacts team performance in the Agile software development space in the U.S. and how the TWQ factors (Communication, coordination of expertise, cohesion, trust, mutual support & value sharing) are ranked in terms of importance to team performance Materials and Methods: The study used correlation and regression analysis to determine the degree of the relationship and the effect of the extended TWQ factors on Agile software team performance. Additionally, the study assessed the relative importance of the TWQ factors to team performance. Participants in the study included IT workers from the software development team in U.S. companies with in-house teams using the Agile methodology. Data was collected using an online survey through survey monkey. The data was presented through descriptive statistics and analyzed using regression analysis. Findings: The study found all the extended TWQ factors were strongly correlated to the team performance. The analysis showed that a statistically significance predictive relationship exists between the extended TWQ factors and Agile software development team performance. However, only mutual support and value sharing contributed statistically significantly to the model. Among these factors, mutual support was ranked as the most important TWQ factor in relation to team performance, while trust was ranked as the least. Implications to Theory, Practice and Policy: This empirical study tested and extended the TWQ model on team performance in the Agile software development space in the U.S. for software development teams and how these TWQ factors are ranked in terms of importance to team performance. The findings provide insight to project teams and team leaders, product owners, scrum masters, and project managers about the TWQ model from the perspective of agile software development teams. The findings also address the critical TWQ factors that are needed for building effective and efficient Agile software development teams.
目的:本研究探讨了团队合作质量(TWQ)对美国敏捷软件开发领域团队绩效的影响程度,以及TWQ因素(沟通、专业知识协调、凝聚力、信任、相互支持和价值共享)对团队绩效重要性的排序:研究采用相关分析和回归分析来确定扩展的 TWQ 因素与敏捷软件团队绩效的关系程度和影响。此外,研究还评估了 TWQ 各因素对团队绩效的相对重要性。参与研究的人员包括美国公司软件开发团队的 IT 员工,他们都是使用敏捷方法的内部团队。数据是通过 survey monkey 在线调查收集的。数据通过描述性统计进行呈现,并使用回归分析法进行分析。研究结果研究发现,所有扩展的 TWQ 因素都与团队绩效密切相关。分析表明,扩展 TWQ 因素与敏捷软件开发团队绩效之间存在统计学意义上的预测关系。然而,只有相互支持和价值共享对模型有显著的统计贡献。在这些因素中,相互支持被列为对团队绩效最重要的 TWQ 因素,而信任被列为最不重要的 TWQ 因素。对理论、实践和政策的启示:这项实证研究测试并扩展了美国敏捷软件开发领域软件开发团队绩效的 TWQ 模型,以及这些 TWQ 因素对团队绩效重要性的排序。研究结果从敏捷软件开发团队的角度为项目团队和团队领导、产品负责人、Scrum Master 和项目经理提供了有关 TWQ 模型的见解。研究结果还探讨了建立高效敏捷软件开发团队所需的关键 TWQ 因素。
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引用次数: 0
Coevolution of relationship networks and resistance behaviors for building information modeling implementation in construction projects 在建筑项目中实施建筑信息模型的关系网络和抵制行为的共同演化
IF 7.4 1区 管理学 Q1 MANAGEMENT Pub Date : 2024-07-01 DOI: 10.1016/j.ijproman.2024.102617
Shiting Shao, Dongping Cao

Heterogeneous individual participants are embedded within multiple dynamic intra-project relationship networks, which can both shape and be shaped by individual behaviors through social influence and selection processes, respectively. Yet empirical research on these complex interrelationships within projects remains lacking. This study fills this lacuna by investigating how formal task-oriented communication and informal knowledge-oriented advice networks coevolve with individual resistance behaviors for building information modeling (BIM) implementation in construction projects through social selection and influence processes. Stochastic actor-oriented network models and longitudinal data on project-level BIM implementation practices are used to examine this question. After controlling for related covariate and structural effects, the results provide clear evidence for the social selection process in which communication and advice ties in the networks are both more frequently formed between project participants with more similar resistance behaviors. Concerning the social influence process, the results show that compared with knowledge-oriented advice ties, task-oriented communication ties tend to more significantly influence the assimilation of resistance behaviors. The network-behavior coevolution process is simultaneously associated with the covariate effects related to individual experience as well as the structural effects related to reciprocity and triadic closure. As a pioneering effort of using longitudinal network modeling methods to empirically characterize network-behavior dynamics in projects, this study provides a deepened understanding of how social selection and influence processes collectively shape the dynamic interactions among heterogeneous project participants as a complex adaptive system.

异质的个体参与者被嵌入到项目内部的多个动态关系网络中,这些关系网络既可以通过社会影响和选择过程塑造个体行为,也可以通过个体行为被社会影响和选择过程所塑造。然而,关于项目内这些复杂相互关系的实证研究仍然缺乏。本研究通过调查正式的以任务为导向的沟通网络和非正式的以知识为导向的咨询网络如何通过社会选择和影响过程与个人在建筑项目中实施建筑信息模型(BIM)的抵制行为共同发展,填补了这一空白。随机行为者导向网络模型和项目级 BIM 实施实践的纵向数据被用来研究这个问题。在控制了相关的协变量和结构效应后,结果为社会选择过程提供了明确的证据,在这一过程中,网络中的沟通和建议关系更频繁地在具有更多类似抵制行为的项目参与者之间形成。关于社会影响过程,结果表明,与以知识为导向的咨询关系相比,以任务为导向的交流关系往往会对抵制行为的同化产生更显著的影响。网络与行为的共同演化过程同时与个人经历相关的协变量效应以及互惠和三元封闭相关的结构效应有关。作为使用纵向网络建模方法实证描述项目中网络-行为动态的一项开创性工作,本研究加深了对社会选择和影响过程如何共同塑造作为复杂适应系统的异质项目参与者之间的动态互动的理解。
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引用次数: 0
Misfiring and still succeeding: Seeking success in megaprojects amidst changing regulatory environments 误打误撞,依然成功:在不断变化的监管环境中寻求大型项目的成功
IF 7.4 1区 管理学 Q1 MANAGEMENT Pub Date : 2024-07-01 DOI: 10.1016/j.ijproman.2024.102615
Silvana Revellino , Lino Cinquini , Raffaele D'Alessio , Valerio Antonelli

This paper analyses the complexities involved in planning and managing infrastructural megaprojects under changing regulatory environments. Through the case of the megaprojects by Autostrade, a motorway construction company, the paper illustrates that the notion of success is problematic and not easily defined when changes in regulations by regulatory bodies become sources of overflows, inducing changes in plans that had been previously agreed upon.

Since regulations are dynamic, there may be a limit to which the initial planning parameters are legitimate benchmarks for the actualized megaproject's cost, time, and quality. It follows that a megaproject's success can result in orchestrating actions and reactions that involve both the capability of envisioning boundaries and demolishing them. This has severe implications for the notion of success itself, which does not easily fall into the traditional perspective of goal fulfillment but rather is linked to the inability to perceive the project's incompleteness.

本文分析了在不断变化的监管环境下规划和管理大型基础设施项目的复杂性。通过高速公路建设公司 Autostrade 的大型项目案例,本文说明了当监管机构的法规变化成为溢出源,导致之前商定的计划发生变化时,成功的概念是有问题的,而且不容易定义。由于法规是动态的,最初的规划参数作为实际大型项目的成本、时间和质量的合法基准可能是有限度的。由此可见,特大项目的成功可能会导致各种行动和反应,其中既包括设想边界的能力,也包括打破边界的能力。这对 "成功 "这一概念本身产生了严重影响,因为 "成功 "并不容易归入传统的 "目标实现 "视角,而是与无法感知项目的不完整性相关联。
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引用次数: 0
Examining owners’ and contractors’ motivations to participate in collaborative risk management of mega infrastructure projects 研究业主和承包商参与超大型基础设施项目合作风险管理的动机
IF 7.4 1区 管理学 Q1 MANAGEMENT Pub Date : 2024-07-01 DOI: 10.1016/j.ijproman.2024.102614
Yuanli Li , Pengcheng Xiang , Paul W. Chan , Jinwen Zhang

Despite the importance of motivation in driving the formation of collaborative risk management, the existing literature lacks recognition of stakeholders’ motivations to participate in the collaborative risk management of mega infrastructure projects. By combining interview data with the theoretical framework based on previous literature, this study constructs a motivation framework for stakeholders to participate in collaborative risk management of mega infrastructure projects, comprising four groups of motivations formed by glue identity logic (organizational or individual level) and interest logic (intrinsic drive or extrinsic stimulus). Motivational differences between project owners and contractors are discussed based on the case study of the Hong Kong-Zhuhai-Macao Bridge, indicating that these differences are closely related to the identity of stakeholders and project progress. This study contributes a systematic perspective to recognize the motivations behind participation in collaborative risk management of mega infrastructure projects, aligns managerial intentions with actual motivations, and uncovers new insights into collaborative risk management. It enriches the collaborative risk management theory in mega infrastructure projects and provides guidance and inspiration for practitioners in decision-making and collaborative risk management in such projects.

尽管动机对协同风险管理的形成具有重要推动作用,但现有文献缺乏对利益相关者参与超大型基础设施项目协同风险管理动机的认识。通过将访谈数据与基于以往文献的理论框架相结合,本研究构建了利益相关者参与超大型基础设施项目协同风险管理的动机框架,包括四组动机,分别由身份逻辑(组织或个人层面)和利益逻辑(内在驱动或外在刺激)形成。基于港珠澳大桥的案例研究,讨论了项目业主和承包商之间的动机差异,指出这些差异与利益相关者的身份和项目进展密切相关。本研究以系统的视角认识了参与特大型基础设施项目协同风险管理的动机,将管理意图与实际动机相统一,为协同风险管理提供了新的视角。它丰富了超大型基础设施项目协作风险管理理论,为从业人员在此类项目中进行决策和协作风险管理提供了指导和启发。
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引用次数: 0
Boundary work in a project-based organization: Flow across interdependent boundaries in interorganizational programs 基于项目的组织中的边界工作:跨组织项目中跨越相互依存边界的流程
IF 7.4 1区 管理学 Q1 MANAGEMENT Pub Date : 2024-07-01 DOI: 10.1016/j.ijproman.2024.102622
Lynn Vosman, F. Deken, Leentje Volker
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引用次数: 0
Investigating the drivers of innovation in infrastructure development: A configurational analysis of boundary spanning roles in Dutch projects 调查基础设施发展中的创新驱动力:荷兰项目中跨越边界角色的配置分析
IF 7.4 1区 管理学 Q1 MANAGEMENT Pub Date : 2024-07-01 DOI: 10.1016/j.ijproman.2024.102620
Shreya Anna Satheesh, Stefan Verweij, Tim Busscher, Jos Arts
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引用次数: 0
Building legitimacy in flexible work projects: A study on institutional, organizational, and individual narratives 建立灵活工作项目的合法性:关于机构、组织和个人叙事的研究
IF 8 1区 管理学 Q1 Business, Management and Accounting Pub Date : 2024-06-14 DOI: 10.1016/j.ijproman.2024.102604
Bertrand Audrin , Eric Davoine , François Pichault

The purpose of this paper is to investigate legitimacy building narratives of project managers in flexible work projects and their articulation with institutional, organizational, and individual narratives. We use Greimas actantial model to analyze four case studies, collecting data from 27 interviews of project managers, employees and line managers as well as extensive secondary data. This study contributes to project management literature by identifying legitimacy building mechanisms that project managers use in their narratives: on one hand, they build on institutional and organizational narrative components to produce their own project narratives; on the other hand, they perform identity work through heroification to build their own legitimacy as project managers. We also show how some of these narratological components are challenged by other organizational actors (employees and line managers). On a methodological level, we also reflect on Greimas’ actantial model as a tool to analyze and compare project narratives at different levels and from different groups of actors.

本文旨在研究灵活工作项目中项目经理的合法性建设叙事及其与机构、组织和个人叙事的衔接。我们使用格雷马斯行动模型分析了四个案例研究,从对项目经理、员工和直线经理的 27 次访谈中收集了数据,并收集了大量二手资料。本研究通过确定项目经理在其叙述中使用的合法性建立机制,为项目管理文献做出了贡献:一方面,他们在制度和组织叙述成分的基础上,产生了自己的项目叙述;另一方面,他们通过英雄化来进行身份认同工作,以建立自己作为项目经理的合法性。我们还展示了其中一些叙事成分是如何受到其他组织参与者(员工和部门经理)的挑战的。在方法论层面上,我们还对 Greimas 的行为模式进行了反思,将其作为分析和比较不同层面和不同参与者群体的项目叙事的工具。
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引用次数: 0
Dynamics of routine creation and transfer in strategic programs 战略计划中常规创建和转让的动态变化
IF 8 1区 管理学 Q1 Business, Management and Accounting Pub Date : 2024-06-11 DOI: 10.1016/j.ijproman.2024.102606
Nicolaj Frederiksen , Ermal Hetemi , Stefan Christoffer Gottlieb

Programs are frequently highlighted for their ability to enable the implementation of strategic transformation amidst rapidly changing and unpredictable business environments. This study explores the creation of routines within a strategic program in the Danish construction industry and the subsequent transfer of these routines to the parent organizations. It identifies three sequential patterns of action: entrenching, dis-embedding, and re-embedding routines. Through an interpretive case study, the study reveals how these routines emerge and adapt in alignment with diverse organizational capabilities and relations. The findings highlight the importance of routine transfer and integration in parent organizations, emphasizing their adaptability to distinct needs and their significance for achieving strategic objectives. The discussion presents a process model and elaborates on the three sequential patterns of action. The paper contributes to the program literature by exploring the dynamics of how routines emerge through their own enactment and in relation to other actions at the program level.

在瞬息万变、难以预测的商业环境中,计划能够促进战略转型的实施,因此经常受到重视。本研究探讨了丹麦建筑行业战略计划中常规的创建,以及这些常规随后向上级组织的转移。它确定了三种连续的行动模式:巩固、分离和重新嵌入常规。通过解释性案例研究,该研究揭示了这些常规是如何出现并适应不同的组织能力和关系的。研究结果突出了常规转移和整合在母体组织中的重要性,强调了常规对不同需求的适应性及其对实现战略目标的重要意义。讨论提出了一个过程模型,并详细阐述了三种有序的行动模式。本文探讨了常规如何通过其自身的实施以及与计划层面其他行动的关系而产生的动态,从而为计划文献做出了贡献。
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引用次数: 0
期刊
International Journal of Project Management
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