Value Congruence Among Transformative Leaders in the Pharmaceutical Industry

Values have been defined as a generalized enduring organization of beliefs about the personal and social desirability of modes of conduct or “end-states of existence” (Klende, 2005). The congruence of personal values and organizational values represent an important opportunity for positive business results and outcomes (Klende, 2005). Based on the results of this qualitative study among transformative African American women leaders in the pharmaceutical industry, it is possible that value congruence may be a factor in the success experienced by these study participants. Three value themes are reported to describe the leadership values of these study participants. They are: “people,” “think,” and “company.” These value themes are supportive of tenets that comprise the transformative leadership model

Building coalitions, creating change: An agenda for gender transformative research in agricultural development

The CGIAR Research Program on Aquatic Agricultural Systems (AAS) has developed its Gender Research in Development Strategy centered on a transformative approach. Translating this strategy into actual research and development practice poses a considerable challenge, as not much (documented) experience exists in the agricultural sector to draw on, and significant innovation is required. A process of transformative change requires reflecting on multiple facets and dimensions simultaneously. This working paper is a collation of think pieces, structured around broad the mes and topics, reflecting on what works (and what does not) in the application of gender transformative approaches in agriculture and other sectors, and seeking to stimulate a discussion on the way forward for CGIAR Research Programs (CRPs) and other programs to build organizational capacities and partnerships

Measuring performance in healthcare

Hospitals invest in process management and process optimization from an organizational and patient perspective to increase efficiency and simultaneously the quality of their operations. Consequently, the use of process-oriented performance measurement systems gains importance. This study contributes to the development of a dashboard for the process of hip surgery using a case study design. We integrate strategic goals of hospital management and different stakeholders with the analysis of Business Process Management and Hospital Information Systems’ data. Process-oriented KPIs were integrated into the dashboard using a three-step approach. Dashboards enable healthcare organizations to put process-oriented performance measurement into practice

Management as a system: creating value

Boston University School of Management publication from the 1990s about the MBA programs at BU, aimed at prospective MBA students

Gendered geographies of environmental injustice

This is the accepted version of the following article: Buckingham, S. and Kulcur, R. (2009), Gendered Geographies of Environmental Injustice. Antipode, 41: 659–683. doi: 10.1111/j.1467-8330.2009.00693.x, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/j.1467-8330.2009.00693.x/abstract. Copyright @ 2009 The Authors.As environmental justice concerns become more widely embedded in environmental organizations and policy making, and increasingly the focus of academic study, the gender dimension dissolves into an exclusive focus on race/ethnicity and class/income. While grass roots campaigning activities were often dominated by women, in the more institutionalized activities of organizations dominated by salaried professionals, gender inequality is neglected as a vector of environmental injustice, and addressing this inequality is not considered a strategy for redress. This paper explores some of the reasons why this may be so, which include a lack of visibility of gendered environmental injustice; professional campaigning organizations which are themselves gender blind; institutions at a range of scales which are still structured by gender (as well as class and race) inequalities; and an intellectual academy which continues to marginalize the study of gender – and women’s – inequality. The authors draw on experience of environmental activism, participant observation, and other qualitative research into the gendering of environmental activity, to first explore the constructions of scale to see how this might limit a gender-fair approach to environmental justice. Following this, the practice of ‘gender mainstreaming’ in environmental organizations and institutions will be examined, demonstrating how this is limited in scope and fails to impact on the gendering of environmental injustice

An Exploratory Study of Patient Falls

Debate continues between the contribution of education level and clinical expertise in the nursing practice environment. Research suggests a link between Baccalaureate of Science in Nursing (BSN) nurses and positive patient outcomes such as lower mortality, decreased falls, and fewer medication errors. Purpose: To examine if there a negative correlation between patient falls and the level of nurse education at an urban hospital located in Midwest Illinois during the years 2010-2014? Methods: A retrospective crosssectional cohort analysis was conducted using data from the National Database of Nursing Quality Indicators (NDNQI) from the years 2010-2014. Sample: Inpatients aged ≥ 18 years who experienced a unintentional sudden descent, with or without injury that resulted in the patient striking the floor or object and occurred on inpatient nursing units. Results: The regression model was constructed with annual patient falls as the dependent variable and formal education and a log transformed variable for percentage of certified nurses as the independent variables. The model overall is a good fit, F (2,22) = 9.014, p = .001, adj. R2 = .40. Conclusion: Annual patient falls will decrease by increasing the number of nurses with baccalaureate degrees and/or certifications from a professional nursing board-governing body

Intersecting Worlds: Promoting Affordable Care Act Enrollment Through Community Tax-Preparation Programs

This report tells how four tax-preparation programs are breaking the mold and tackling the world of health care enrollment. Readers will learn the challenges and opportunities associated with such a move, which has the potential to help millions of low-income Americans take a critical first step toward a healthier future

Generating health technology assessment evidence for rare diseases

Objectives: Rare diseases are often heterogeneous in their progression and response to treatment, with only a small population for study. This provides challenges for evidence generation to support HTA, so novel research methods are required. Methods: Discussion with an expert panel was augmented with references and case studies to explore robust approaches for HTA evidence generation for rare disease treatments. Results: Traditional RCTs can be modified using sequential, three-stage or adaptive designs to gain more power from a small patient population or to focus trial design. However, such designs need to maintain important design aspects such as randomization and blinding and be analyzed to take account of the multiple analyses performed. N-of-1 trials use within-patient randomization to test repeat periods of treatment and control until a response is clear. Such trials could be particularly valuable for rare diseases and when prospectively planned across several patients and analyzed using Bayesian techniques, a population effect can be estimated that might be of value to HTA. When the optimal outcome is unclear in a rare disease, disease specific patient reported outcomes can elucidate impacts on patients’ functioning and wellbeing. Likewise, qualitative research can be used to elicit patients’ perspectives, with just a small number of patients. Conclusions: International consensus is needed on ways to improve evidence collection and assessment of technologies for rare diseases, which recognize the value of novel study designs and analyses in a setting where the outcomes and effects of importance are yet to be agreed.</p

Revenue Embeddedness and Competing Institutional Logics: How Nonprofit Leaders Connect Earned Revenue to Mission and Organizational Identity

The increasing reliance on earned revenue displayed by nonprofits in the US has raised mission-related organizational identity concerns. However, the effect of a market-driven activity on mission-driven service may vary based on revenue embeddedness: the activity’s connection to the organization’s mission. This study draws on the competing logics of isomorphism and resource dependence to examine how the pursuit of earned revenue affects the organization’s perception of its mission and projection of identity. The authors examine how leaders use language to connect market to mission, presents additional dimensions of embeddedness, and offers propositions for future research

Radical Technological Innovation and Perception: A Non-Physician Practitioners’ Perspective

Radical technological innovations, such as chatbots, fundamentally alter many aspects of healthcare organizations. For example, they transform how clinicians care for their patients. Despite the potential benefits, they cannot be integrated into practice without the support of the clinicians whose jobs are affected. While previous research shed important light on physicians’ perceptions, little is known on nonphysician practitioners view said innovations. This paper reports on a qualitative study, involving 10 nonphysician clinicians from Ontario, Canada, conducted to determine the perceptions and cognitions of clinicians regarding radical innovation and their previous experiences with technological change. Results indicate that clinicians as semi-autonomous agents can interpret and act upon their environment with regard to determining how innovations such as chatbots are implemented