Communication links in a multihospital system.

The formation of communication links is important in any organization, but it is singularly important in a multihospital system with a centralized structure. Any number of barriers can arise in communication between departments within an element of the system and between the elements themselves. Key to the elimination of those barriers is the development of "links" that encourage open and ongoing communication.     

A Collaborative Model for Organizational Transformation

The purpose of this study was to develop a collaborative learning and communication model for higher education. On a university campus there are various psycho-social and organizational barriers to collaboration inside and outside of the classrooms. Scholars have stated that teachers rarely talk with each other about their teaching, there is little multi-disciplinary research and studies have shown that there is little or no collaboration in meetings and forums outside of university classrooms. So, what are the barriers to collaborative communication and learning and how can these barriers be removed through collaborative strategies? These are the questions that this study explored. Through the understanding of the psycho-social and organizational barriers to collaboration, strategies began to unfold and a new model for collaborative learning and communication was developed. This model reflects a high synergy, totally integrated social and cognitive system for individual and organizational transformation.     

The Role of Operational Interdependence and Supervisory Experience on Management Assessments of Resource Planning Systems

Greater interdependence among workers and activities not only increases the need for internal communication, but it also imposes complications and barriers to effective information exchange. Intraorganizational communication capabilities of certain information systems can help overcome these barriers. However, the extent to which certain systems are promoted as communication tools depends largely on management's interpretation of their usefulness, which in turn may be largely dependent on operational context and managerial experience. We use a controlled experimental approach to study how these issues interact to impact managerial assessments of resource planning systems. Results show that managers value the communication capabilities of resource planning systems more so in highly task‐interdependent contexts and that these assessments are still more positive among managers with greater supervisory experience. As a result, these findings pose direct implications regarding the management support of technology use.     

信息交流在群体性突发事件处理中作用的博弈分析

本文运用演化博弈理论,对信息交流在不同发展阶段的群体性突发事件处理中发挥的截然不同的作用进行了分析。在一般化模仿者动态模型基础上得出了群体性突发事件处制度危机阶段和制度转型阶段的扩散方程,其退化为包含学习障碍的传染病扩散方程。通过将不同策略的学习障碍加以内生化,使其成为信息公开程度的函数,分析了政府部门采取的信息公开措施在群体性突发事件不同发展阶段中的作用。研究结果表明,在群体性突发事件处于制度危机阶段时政府部门应控制信息交流程度;处于制度转型阶段时应该及时进行信息披露,引导不同的社会阶层对新体制形成稳定的认知均衡。     

学习型组织中的虚拟团队知识共享模型研究

传统的知识共享理论不能直接应用到虚拟团队知识共享研究之中,为克服虚拟团队知识共享存在的障碍,对交互记忆系统运作的核心--元记忆目录进行了扩展,加入元知识和社会网络2个维度,以帮助虚拟团队解决统一知识表述、规范专长认知、知识资源描述和展现内部实际沟通网络等问题.以扩展性元记忆目录为核心,建立了基于交互记忆理论的虚拟团队知识共享模型,并对知识共享模型各因素的相互关系进行了分析,提出了未来研究的结构方程模型.     

Strategic vision or strategic con?: Rhetoric or reality?

Major companies devote considerable effort to communicating corporate visions and missions. Yet three recent surveys suggest that much of this effort has been counter-productive. A gap has emerged between rhetoric and reality. Arenas of confrontation have arisen between directors and managers, head offices and business units, holding companies and their subsidiaries, and between specialists and generalists. A widespread desire for corporate transformation is not matched by understanding of how to bring it about. The lack of top management commitment and of communication skills are major barriers to change. More competent directors and more effective boards are needed. The article suggests key roles for the chairman and the chief executive. It examines how best to share a compelling vision, and identifies a requirement for new attitudes and approaches to communication.     

Examining Links Between Sign-Out Reporting During Shift Changeovers and Patient Management Risks

This article reports on a qualitative study that investigated how various risk factors associated with the process of sign-out reporting across shifts in critical care hospital environments could lead to flawed communication and thus to increased risk of poor patient outcomes. The study was performed in two critical care hospital units: the pediatric intensive care unit (PICU) and the postanesthesia care unit (PACU). We collected data from observations of eight nurses and four resident physicians in the PICU and four nurses and four resident physicians in the PACU giving sign-out reports during their shift changes. In addition, we conducted semi-structured interviews with a separate sample of medical providers consisting of nurse managers, attending physicians, nurses, and residents from each of these two units. The issues that were addressed in these interviews included how various methods of conducting sign-outs and factors such as personality and experience could impact the effectiveness of communication during sign-out reporting. We also collected data from these medical providers on how failures in communication during sign-out reporting could lead to potentially adverse patient outcomes. The article concludes with the presentation of a modeling framework that demonstrates how the combined influences of risk factors can generate a particularly important type of failure mode in communication and how interventions can be targeted to serve as barriers to such events. A number of recommendations intended for reducing risks associated with the communication of sign-out reports are also presented.     

Communicating Fish Consumption Advisories in California: What Works,What Doesn’t

State agencies face many challenges in creating sport fish consumption advisories that can be readily understood by diverse populations. In this study, our objectives were to identify barriers to understanding consumption advisories and recommend more effective approaches for communicating advisory concepts. We conducted key informant interviews with demographically diverse consumers of sport fish from the Sacramento‐San Joaquin Delta watershed in California to explore how intended audiences perceive consumption advisories and identify factors that influence comprehension. Some barriers to communication included the use of portion sizes that departed from commonly consumed amounts, poorly understood terminology, misleading category headings, and ineffective visual tools. Comprehension was enhanced when advisory information did not contradict existing beliefs about fish or fish consumption, and when advisories provided information about contaminant levels in specific kinds of fish. Using certain methods, such as portion sizes that reflect commonly consumed amounts, mercury meters to convey contaminant levels, three advice categories (e.g., high, medium, low), and population definitions that identify specific age ranges, improved the clarity of advisory concepts for intended audiences.     

Intercultural training requirements for virtual assignments: results of an explorative empirical study

Virtual assignments are characterized by the spatial separation of private and business life. The virtual delegate lives and interacts in one culture, yet he or she works together mainly with people from another culture. Since face-to-face contacts with colleagues, customers or suppliers are reduced to a minimum, firsthand experience of foreign cultures does not take place. As a result, intercultural training becomes essential. The study suggests that virtual delegates are faced with several intercultural management problems such as different time zones and communication styles as well as language barriers. These problems are increased by the lack of face-to-face communication and common trust-building mechanisms. Intercultural training may be an instrument for overcoming these challenges. However, they have to be adapted to the specific requirements of virtual expatriates. Moreover, intercultural training should not only be offered to the virtual delegates themselves, but also to the individuals with whom they interact in the host country.     

Direct Inference, Probability, and a Conceptual Gulf in Risk Communication

Differences in the conceptual frameworks of scientists and nonscientists may create barriers to risk communication. This article examines two such conceptual problems. First, the logic of "direct inference" from group statistics to probabilities about specific individuals suggests that individuals might be acting rationally in refusing to apply to themselves the conclusions of regulatory risk assessments. Second, while regulators and risk assessment scientists often use an "objectivist" or "relative frequency" interpretation of probability statements, members of the public are more likely to adopt a "subjectivist" or "degree of confidence" interpretation when estimating their personal risks, and either misunderstand or significantly discount the relevance of risk assessment conclusions. If these analyses of inference and probability are correct, there may be a conceptual gulf at the center of risk communication that cannot be bridged by additional data about the magnitude of group risk. Suggestions are made for empirical studies that might help regulators deal with this conceptual gulf.     

Risk Communication,Values Clarification,and Vaccination Decisions

Many health‐related decisions require choosing between two options, each with risks and benefits. When presented with such tradeoffs, people often make choices that fail to align with scientific evidence or with their own values. This study tested whether risk communication and values clarification methods could help parents and guardians make evidence‐based, values‐congruent decisions about children's influenza vaccinations. In 2013–2014 we conducted an online 2×2 factorial experiment in which a diverse sample of U.S. parents and guardians (n = 407) were randomly assigned to view either standard information about influenza vaccines or risk communication using absolute and incremental risk formats. Participants were then either presented or not presented with an interactive values clarification interface with constrained sliders and dynamic visual feedback. Participants randomized to the risk communication condition combined with the values clarification interface were more likely to indicate intentions to vaccinate (β = 2.10, t(399) = 2.63, p < 0.01). The effect was particularly notable among participants who had previously demonstrated less interest in having their children vaccinated against influenza (β = –2.14, t(399) = –2.06, p < 0.05). When assessing vaccination status reported by participants who agreed to participate in a follow‐up study six months later (n = 116), vaccination intentions significantly predicted vaccination status (OR = 1.66, 95%CI (1.13, 2.44), p < 0.05) and rates of informed choice (OR = 1.51, 95%CI (1.07, 2.13), p < 0.012), although there were no direct effects of experimental factors on vaccination rates. Qualitative analysis suggested that logistical barriers impeded immunization rates. Risk communication and values clarification methods may contribute to increased vaccination intentions, which may, in turn, predict vaccination status if logistical barriers are also addressed.     

Mobilising knowledge across organisational boundaries: addressing human issues in the telecommunications industry

The key question addressed in this research is ‘how can we effectively manage and mobilise knowledge in the extended enterprise?’. We explore how knowledge sharing and transfer occur when developing new products, with special reference to the telecommunications industry. The benefits of implementing knowledge management strategies have been proven but research has largely focused on technology as a solution. Working together with European-based telecommunication companies, we focus instead on the softer, human issues. The main human barriers identified include international differences, accuracy and protection of knowledge, maintenance of communication channels, lack of time, fear of penalties and market position.     

Marketing Strategies and Market Prospects for Environmentally-Friendly Consumer Products1

Recent evidence suggests that the extent of consumer adoption of ‘green’ products is much less than would be indicated by the enthusiastic opinion poll evidence concerning public attitudes towards environmentally-friendly consumption. This paper reports on an empirical analysis of firms' marketing strategies and their influence on consumer demand for green products. In twenty 2–3 hour interviews with senior managers, four representative groups of markets were analysed household detergents, paper (recycled), petrol (unleaded) and automobile technology (focusing on catalytic converters). According to managers, firms' marketing strategies influenced consumer demand by making green technologies available in the fwst instance. However, barriers to supplying green products that show panty with, or better performance than, conventional technologies constrain pricing and communication efforts Managers stressed that, in the absence of clarity of green products' environmental benefits, product performance and other attributes, not green benefits, remain the main determinants of product preference and choice. Promotions focused much more on consumers than distribution channels, yet channel acceptance and support of green innovations are paramount in facilitating sales. Firms see the costs of generating and promoting desirable green technologies as barriers to diffusion in the immediate future. Legislation and/or economic incentives may help, but manufacturers are not optimistic that future green consumption rates will accelerate. The results also highlight several propositions concerning the discrepancy between consumer environmental concerns and purchasing actions which warrant further testing: there is mis-specification of green products in relation to consumers'needs; there are barriers to perceptions of green products' environmental impact and consumers' free ride due to individual self-interest.     

EDB: A Case Study in Communicating Risk

This is a report on the Environmental Protection Agency's (EPA's) efforts to communicate with the public about the risks of ethylene dibromide (EDB), what the agency said it was doing about these risks and what information the public actually received through television and newspapers. Although special in many ways, the EDB case illustrates the problems that regulatory agencies have when they must take regulatory action and assure the public that the risks in question are being dealt with adequately. It also illustrates issues that the press faces. Above all, it illustrates the barriers to communication presented by the different perspectives of regulatory agencies and individuals and the types of information they each are most interested in.     

Key variables in technology transfer: A field-study based empirical analysis

Research and development (R&D) consortia represent a new organizational form which highlights barriers and clarifies solutions to efficient and timely technology transfer. Using interview, archival, and survey data collected on one of the nation's oldest and most prominent R&D consortia, the MCC (Microelectronics and Computer Technology Corporation), this study refines and contributes to established technology transfer theory by suggesting that four variables—communication interactivity, cultural and geographical distance, technology equivocality, and personal motivation—are central to technology transfer processes within and between organizations. Research hypotheses are presented in terms of a Technology Transfer Grid which depicts different combinations and managerial implications of the four variables.     

Design,Disability and the Planning Challenge: The Reality of Living with Severely Disabled Children

This paper investigates the effects of the speculative and standardized house building model dominant in the UK on the residential experience of families with severely disabled children and evaluates the barriers to the provision of inclusive accommodation through the planning and development process. Unlike previous studies on the theme, this paper draws together, compares and contrasts, within one location, the experiences of families that include severely disabled members, local planners and housing developers. The results indicate that, as a result of the deficiencies of mainstream housing design and delivery, real and substantial stress can be created for families with disabled children. Moreover, it was found that institutional and attitudinal inertia restricts communication between developers and planners in responding to the needs of these families. It is argued that evidence based on experiential knowledge of the needs of disabled groups is a critical first step in meeting their requirements for appropriately designed housing.     

Barriers in Green Lean implementation: a combined systematic literature review and interpretive structural modelling approach

Green Lean has recently emerged as an alternative strategy for organisations to pursue both operational and sustainability excellence. The interest on this approach has rapidly risen in both academic and industry circles. However, despite this interest, very limited research has focused on its implementation, and no research has investigated the barriers that hinder the success of such activity. This study investigates the Green Lean implementation barriers and their contextual relationships and effects on the integration and deployment of this approach. A Systematic Literature Review (SLR), Interpretative Structural Modelling and fuzzy Matriced’ Impacts Croise’s Multiplication Appliqée a UN Classement (MICMAC) analyses were carried out. Fifteen barriers were extracted from the SLR and then validated in consultation with industry and academic experts. The Interpretive Structural Modelling (ISM) method was used to understand the relationship between the fifteen barriers and to develop a hierarchical model of these. The different barriers were classified into ‘linkage’ and ‘dependent’ barriers by using MICMAC analysis. The results suggested that all the identified barriers play an important role, and hence can equally act as a significant hurdle to the implementation of Green Lean projects. This study can help managers and policy-makers in better understanding these barriers. Thus, they can be assisted in managing and prioritising barriers towards the successful implementation of Green Lean initiatives for better financial and environmental performance.     

Barriers to the Implementation of Environmentally Oriented Reverse Logistics: Evidence from the Automotive Industry Sector

Even though reverse logistics has existed as long as forward logistics, growing social concern for the environment has caused reverse logistics activities to become a critical function for many organizations. Yet, barriers to implementation of environmentally oriented aspects of reverse logistics still exist. The aim of the present study is to identify the barriers that impede or hinder the implementation of environmentally oriented reverse logistics practices, with a focus on the automotive industry. Empirical evidence and robust statistical analysis provide insights into the practices of environmentally oriented reverse logistics and barriers encountered in the Spanish automotive sector. Using structural equation modelling we are able identify two types of barriers, external and internal, and to study whether these barriers, previously identified in the literature, hinder environmentally oriented reverse logistics practices. The model also allows for identification of the most relevant barriers for the automotive sector.     

组内竞争与组间竞争对企业绩效的影响差异——基于移动壁垒分隔作用的研究

本文基于战略群组理论,通过实证研究探索了组内竞争、组间竞争对移动壁垒内外部企业具有的不同影响。以中国制药业上市公司为样本,采用阶层聚类分析中的Ward法进行战略群组划分,识别行业中的移动壁垒并将其保护功能作为调节变量,然后分别使用POLS和RE回归模型对两类竞争的效果进行了分析检验。研究发现,组内竞争对于移动壁垒外部企业绩效的不利影响显著大于其对壁垒内部企业的影响;相反,组间竞争对移动壁垒内部企业绩效的不利影响显著大于其对壁垒外部企业的影响。上述发现表明,行业中不同类型竞争的效果存在显著差异,而企业相对于移动壁垒的位置是造成上述差异的重要原因。对竞争效果的准确分析需把握以下两方面因素:行业中有哪些移动壁垒,以及竞争发生在组内还是组间。     

Application of additive manufacturing for mass customisation: understanding the interaction of critical barriers

Additive Manufacturing (AM) technology presents a very optimistic case for its application for mass customisation. Even though theoretically suitable, practically several critical barriers inhibit its implementation. Thus, this paper attempts to identify those barriers and also understand the dynamic interaction among them. The barriers were identified by a detailed literature review and validated by expert opinions. Interpretative Structural Modelling (ISM) was applied to determine the mutual influences among the barriers. It was also able to ascertain the level of the barriers and categorise them based on their driving power and dependence. The results are highly useful for industry practitioners to determine the interventions required to overcome the most dominant barriers.