Improving patients’ satisfaction in a mobile hospital using Lean Six Sigma – a design-thinking intervention

Abstract

Lean Six Sigma (LSS) that offers a unique integration of Lean and Six Sigma has been accepted globally across services sectors. Previous studies that examined the application of LSS in healthcare were steered in traditional hospital settings. Apparently, there are no studies that highlight the application of LSS in mobile hospitals, an emerging trend in the healthcare sector. The aim of this article is to explore the applicability of LSS in a mobile hospital. The authors present a case study of improving patients’ satisfaction in a mobile hospital, through reducing turnaround time. Design-thinking intervention to LSS helped resolve a real-time problem using Define-Measure-Analyze-Design-Verify roadmap. This article contributes to the ‘healthcare quality” body of knowledge and is novel as it is the first of its kind of LSS application in a mobile hospital underpinning Design thinking. This study is unique as it demonstrates academia–industry collaboration in solving an organizational problem.     

Afghan families and health professionals’ access to health information during and after pregnancy

BackgroundHaving a baby in a new country can be challenging, especially if unable to communicate in a preferred language. The aim of this paper is to explore the provision of health information for Afghan women and men during pregnancy, childbirth and the first year after birth in Melbourne, Australia.MethodsCommunity engagement underpinned the study design. Qualitative study with bicultural researchers conducting semi-structured interviews. Interviews and focus groups were also conducted with health professionals.ResultsSixteen Afghan women and 14 Afghan men with a baby aged 4–12 months participated. Thirty four health professionals also participated. Verbal information provided by a health professional with an interpreter was the most common way in which information was exchanged, and was generally viewed favourably by Afghan women and men. Families had limited access to an interpreter during labour and some families reported difficulty accessing an interpreter fluent in their dialect. Availability of translated information was inconsistent and health professionals occasionally used pictures to support explanations. Women and men were unsure of the role of health professionals in providing information about issues other than pregnancy and infant wellbeing.ConclusionBoth individual and health system issues hinder and enable the availability and use of information. Consistent, understandable and ‘actionable’ information is required to meet the needs of diverse families. Health professionals need to be supported with adequate alternatives to written information and access to appropriate interpreters. Inconsistent provision of information is likely to contribute to low health literacy and poor maternal and child health outcomes.     

You don’t forget where you come from: linking formation and operations in publicly funded innovation networks

Abstract

Publicly funded innovation networks (PFINs) are an increasing form of organizing joint innovation activities. Yet, little is known about this form of organization which mixes characteristics of centralized and de-centralized innovation networks. This research investigates how processes of network formation affect its operation in PFINs as a hybrid form between centralized and de-centralized networks. Presenting rich data from a PFIN in the Scandinavian maritime industry, the findings show three patterns linking network formation and operation. The first pattern – well-aligned centralized and de-centralized approaches – in network formation resulted in well-functioning network operation. The second pattern – misalignment between centralized and de-centralized approaches in network formation resulted in stagnating innovation activities during network operation. The third pattern – a pre-dominant de-centralized approach during network formation resulted in unconnected sub-activities during network operation. This research contributes by showing the importance of utilizing both centralized and de-centralized approaches and aligning them to enable well-functioning network formation and operation.     

Are labour inspections effective when labour regulations vary according to the size of the firm? Evidence from Peru

This article analyses the impact of enforcement of four labour standards (pension system enrolment, minimum wage, maximum weekly working hours and written employment contract) on compliance in Peru, where labour regulations and penalties vary according to firm size. The author uses household survey data to analyse a factor not previously studied – adjustment by firms through downsizing to benefit from lower fines and less stringent regulations. The empirical findings indicate that enforcement efforts have little effect on either the degree of compliance or the size of firms.     

Learning in and from projects: the learning modes and a learning capability model

Abstract

The notion of ‘project delivery’ is well embedded in and across the management and organizational sciences literature – generating a narrative that reflects and recognizes the instrumental nature of projects and programmes in strategy execution. Project management, as a distinct and well-established body of research enquiry, has increasingly sought to focus our attention on the impacts of complexity, risk and uncertainty in projects; the corollary being a desideratum to strengthen our theoretical understanding of how insight and learning from projects may influence improvements to organizational efficiency. The wider literature suggests that organizational learning remains a challenging proposition, particularly in the context of organizations operating in environments of high complexity. In this paper, we enhance the conversation on organizational learning through a series of case studies, generating evidence of thirteen ‘learning modes’. The paper proposes that mature organizations tend to exhibit a greater number of learning modes and that there is a tendency to capture and socialize knowledge with a greater emphasis on the context of the learning situation rather than the learning artefact in isolation. The empirical evidence gathered in this paper forms the basis of a capability model, characterized by the thirteen modes of learning. The model intimates that learning occurs, and is more effective, when knowledge and information are enacted in practice through the learning modes which form a nucleus of the organizational learning capability. The research concludes with a 'call to action' that emphasizes the strategic importance of learning practices and routines in project oriented-organizations.     

论传统文化与大学生核心价值观的培育

五千年生生不息的历史文化积淀是中华民族的根和魂。新时代高校如何用优秀传统文化涵养社会主义核心价值观,成为必须解决的重要课题。文章以山西警官高等专科学校2012、2013级学生为对象,进行了深入调查与研究,着重从教育改革新理念的树立、理想信念教育的加强、加大传统文化教育软硬件设施的投入和多元化教学渠道的开辟等四个方面进行了初步探索。文章认为传统文化教育与大学生社会主义核心价值观培育具有内在统一性。     

基于模糊TOPSIS的企业知识转移能力评价

知识转移能力作为企业获取知识、吸收知识和应用知识能力的衡量标准,是企业从事创新活动的前提和基础。以知识转移主体和客体两个要素为依据,构建企业知识转移能力指标体系,运用模糊TOPSIS法对企业知识转移能力进行综合评价,并进行实证分析,为企业制定发展战略和提高自身竞争力提供借鉴。     

中国农村研究的主体回归与方法论创新

21世纪以来,中国农村治理研究陷入了本土化与主体性双重困境,中国农村社会基础的深度转型,农村研究方法的缺陷以及大规模村庄研究的局限,要求中国农村研究回归深度的村庄研究,尊重农民主体性。在回归村庄研究的方法论上,文章认为要突破国家政权建设理论等研究视角的局限,把市场化这一变量纳入分析视野中。村庄主位、农民主体、市场化过程同国家宏观治理体系的互动逻辑,应该构成后中国农村治理研究时代的主要内容。     

Behavioral Determinants of Nonprofit Board Performance

There is an increased awareness that the performance of boards (good governance) is not only determined by structural determinants but by behavioral determinants as well. These behavioral determinants might be particularly important for public and nonprofit governance, where the role of the board is more diffuse and heterogeneous than in corporate governance. Here we investigate how social dynamics within boards in secondary education influence their performance. We follow a concise model that includes cognitive conflict, the use of expertise, effort norms, and social cohesion as determinants of board task performance. A survey among all secondary schools in the Netherlands serves as the empirical underpinning for this process‐oriented model of good governance. We show that the behavioral determinants have different effects on the control task and advice task of boards. Also, we find that cognitive conflicts in supervisory boards do not lead to less but rather to more social cohesion within boards. Building on these findings, we suggest a revised model of the behavioral determinants of nonprofit board performance.     

Overcoming barriers: engaging younger students in an online intercultural exchange

This paper reports on a small-scale project involving an online school exchange between two classes of 12-/13-year olds located in the North of England and the Ruhr area of Germany. The overarching aim of the project was to develop intercultural understanding in foreign language learning through communication in an online environment. Analysing data from website posts, lesson observations, student questionnaires and interviews, the paper investigates the extent to which the project realised this goal, and examines emerging practical and pedagogical issues. Comparing the processes and outcomes of this project in secondary education to similar projects in Higher Education (HE), the research found that the young people learnt more than older students about cultural similarities than differences. They were thus less likely to be party to cultural misunderstandings, developing friendly relationships and openness towards a people of a different culture. However, their failure to notice differences may have been due to a lack of in-depth discussion and absence of more demanding student tasks. The paper concludes that in order to develop more sophisticated intercultural learning, expertise derived from telecollaboration in HE needs to be adapted to the lower secondary school context, drawing particularly on auto-ethnography and ethnographic interviewing.