1,041 research outputs found
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Policy options for food system transformation in Africa and the role of science, technology and innovation
As recognized by the Science, Technology and Innovation Strategy for Africa – 2024 (STISA-2024), science, technology and innovation (STI) offer many opportunities for addressing the main constraints to embracing transformation in Africa, while important lessons can be learned from successful interventions, including policy and institutional innovations, from those African countries that have already made significant progress towards food system transformation. This chapter identifies opportunities for African countries and the region to take proactive steps to harness the potential of the food and agriculture sector so as to ensure future food and nutrition security by applying STI solutions and by drawing on transformational policy and institutional innovations across the continent. Potential game-changing solutions and innovations for food system transformation serving people and ecology apply to (a) raising production efficiency and restoring and sustainably managing degraded resources; (b) finding innovation in the storage, processing and packaging of foods; (c) improving human nutrition and health; (d) addressing equity and vulnerability at the community and ecosystem levels; and (e) establishing preparedness and accountability systems. To be effective in these areas will require institutional coordination; clear, food safety and health-conscious regulatory environments; greater and timely access to information; and transparent monitoring and accountability systems
More Than Mindfulness: The Effectiveness of an Ecospiritual Fellowship in Building Connection, Promoting Wellness, and Transforming the Ecological Worldviews of Teachers
Action towards planetary well-being requires more than environmental awareness, acquisition of knowledge, or technological fixes; it necessitates a sacred connection, recognizing interdependence, and an ethic that maintains dignity for all non-human beings. It requires a shift in our ecological consciousness from the dominator and exploitative (I-it) view to the connected and participatory (I-thou) view which is best facilitated by an emerging paradigm called ecospirituality. For the next generation to adopt this paradigm, teachers must first adopt it. The research goal was to to transform teachers’ relationship with the natural world by enlisting ecospirituality as central in supporting teacher wellness, as an intervening variable for pro-environmental behaviors, and in developing robust ecological identities among teachers and correspondingly their students. The literature review focused on several intersecting but distinct theoretical approaches including; holistic learning theory, spiritual identity development, nature-based education, the indigenous worldview, and ecospirituality. For this dissertation, an immersive, spiritually enhanced, eco-curriculum called More than mindfulness: A teacher fellowship in ecospirituality was developed. It was then implemented in order to cultivate ecospiritual mindsets among the participants. The research sample drew from a 28 member, preschool-8th grade teaching faculty employed by a private, holistic school. The study was a convergent parallel mixed methods design and utilized a focus group technique where participant reflection was the source of qualitative data and pre and post surveys yield both quantitative and qualitative data. The research suggests that ecospirituality serves as a uniquely transformative paradigm for educators. The teacher fellowship changed the way the educators situate themselves in relation to the natural world as the data showed a significant increase in participant connectedness to nature. It provided them with an ecospiritual framework that bolstered their wellness as evidenced by a notable increase in spiritual wellness scores. It impacted their pedagogy by encouraging a more ecocentric approach in their teaching, as determined by the qualitative results. Suggestions for future research are included and the program modules are found in the appendices. This dissertation is available in open access at AURA: Antioch University Repository and Archive, https://aura.antioch.edu/ and OhioLINK ETD Center, https://etd.ohiolink.edu
Measuring the impact of COVID-19 on hospital care pathways
Care pathways in hospitals around the world reported significant disruption during the recent COVID-19 pandemic but measuring the actual impact is more problematic. Process mining can be useful for hospital management to measure the conformance of real-life care to what might be considered normal operations. In this study, we aim to demonstrate that process mining can be used to investigate process changes associated with complex disruptive events. We studied perturbations to accident and emergency (A &E) and maternity pathways in a UK public hospital during the COVID-19 pandemic. Co-incidentally the hospital had implemented a Command Centre approach for patient-flow management affording an opportunity to study both the planned improvement and the disruption due to the pandemic. Our study proposes and demonstrates a method for measuring and investigating the impact of such planned and unplanned disruptions affecting hospital care pathways. We found that during the pandemic, both A &E and maternity pathways had measurable reductions in the mean length of stay and a measurable drop in the percentage of pathways conforming to normative models. There were no distinctive patterns of monthly mean values of length of stay nor conformance throughout the phases of the installation of the hospital’s new Command Centre approach. Due to a deficit in the available A &E data, the findings for A &E pathways could not be interpreted
Warranty service contracts design for deteriorating products with maintenance duration commitments
With the increasing diversification of customers’ demand and purchasing behaviors, more and more manufacturers have focused their attention on the warranty service contracts design. The maintenance duration of the sold product, which plays an important role in the normal production and operation process of the user, is frequently taken into consideration in warranty contracts. In this study, we design different warranty contracts with various combinations of maintenance duration and availability requirements. The manufacturer commits to compensate for each overdue repair or failing to satisfy the availability target. The customers’ choice behavior is described by the multinomial logit (MNL) model, and customers often form their own minimum acceptable levels (also referred to as reference points) of maintenance duration and availability when making purchasing decisions, which have an impact on the contract choice. The expected warranty servicing profit is maximized to determine the optimal price, maintenance duration and availability. Finally, the proposed warranty contracts are demonstrated by numerical examples. We find that the maintenance duration affects not only the warranty cost but also the customer choice, which further affects the optimal contract pricing and profits
Maintenance of systems with critical components. Prevention of early failures and wear-out
We present a model for inspection and maintenance of a system under two types of failures. Early failures (type I), affecting only a proportion p of systems, are due to a weak critical component detected by inspection. Type II failures are the result of the system ageing and preventive maintenance is used against them. The two novelties of this model are: (1) the use of a defective distribution to model strong components free of defects and thus immune to early failures. (2) the removal of the weak critical part once it is detected with no other type of rejuvenation of the system which constitutes an alternative to the minimal repair. We study the conditions under which this model outperforms, from a cost viewpoint, other two classical age-replacement models. The analysis reveals that inspection is advantageous if the system can function with the critical component in the defective state for a long enough time. The proportion of weak units and the quality of inspections also determine the optimum policy. The results about the range of application of the model are useful for decision making in actual maintenance. A case study concerning the timing belt of a four-stroke engine illustrates the model
Science and Innovations for Food Systems Transformation
This Open Access book compiles the findings of the Scientific Group of the United Nations Food Systems Summit 2021 and its research partners. The Scientific Group was an independent group of 28 food systems scientists from all over the world with a mandate from the Deputy Secretary-General of the United Nations. The chapters provide science- and research-based, state-of-the-art, solution-oriented knowledge and evidence to inform the transformation of contemporary food systems in order to achieve more sustainable, equitable and resilient systems
A Two-dimensional Maintenance Service Contract Considering Availability and Maintenance Cost
In this paper, we study a two- dimensional Maintenance
Service Contract (MSC) characterized by two limits (dimensions) of age and
usage. It is considered that an agent offers a two-dimensional MSC by
guaranteeing a certain level of equipment available to consumers. The agent
needs to reduce the total maintenance cost to offer competitive MSC prices.
Preventive maintenance actions (PM) are periodically carried out, and each PM
action is considered to improve reliability modeled by reducing the failure
rate function. Two decision variables (the PM interval (T) and the reduction in
the intensity function are obtained by considering two performance
measures that are relevant to agents and consumers (i.e., availability and
total maintenance cost). A numerical example is presented by considering three
types of equipment usage rates: low, medium, and high. The optimization of the
two performance measures can ensure availability targets and, at the same time,
minimize total maintenance costs
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Healthy Diet: A Definition for the United Nations Food Systems Summit 2021
Application of knowledge management principles to support maintenance strategies in healthcare organisations
Healthcare is a vital service that touches people's lives on a daily basis by providing treatment and
resolving patients' health problems through the staff. Human lives are ultimately dependent on the skilled
hands of the staff and those who manage the infrastructure that supports the daily operations of the
service, making it a compelling reason for a dedicated research study. However, the UK healthcare sector
is undergoing rapid changes, driven by rising costs, technological advancements, changing patient
expectations, and increasing pressure to deliver sustainable healthcare. With the global rise in healthcare
challenges, the need for sustainable healthcare delivery has become imperative. Sustainable healthcare
delivery requires the integration of various practices that enhance the efficiency and effectiveness of
healthcare infrastructural assets. One critical area that requires attention is the management of
healthcare facilities.
Healthcare facilitiesis considered one of the core elements in the delivery of effective healthcare services,
as shortcomings in the provision of facilities management (FM) services in hospitals may have much more
drastic negative effects than in any other general forms of buildings. An essential element in healthcare
FM is linked to the relationship between action and knowledge. With a full sense of understanding of
infrastructural assets, it is possible to improve, manage and make buildings suitable to the needs of users
and to ensure the functionality of the structure and processes.
The premise of FM is that an organisation's effectiveness and efficiency are linked to the physical
environment in which it operates and that improving the environment can result in direct benefits in
operational performance. The goal of healthcare FM is to support the achievement of organisational
mission and goals by designing and managing space and infrastructural assets in the best combination of
suitability, efficiency, and cost. In operational terms, performance refers to how well a building
contributes to fulfilling its intended functions.
Therefore, comprehensive deployment of efficient FM approaches is essential for ensuring quality
healthcare provision while positively impacting overall patient experiences. In this regard, incorporating
knowledge management (KM) principles into hospitals' FM processes contributes significantly to ensuring
sustainable healthcare provision and enhancement of patient experiences. Organisations implementing
KM principles are better positioned to navigate the constantly evolving business ecosystem easily.
Furthermore, KM is vital in processes and service improvement, strategic decision-making, and
organisational adaptation and renewal.
In this regard, KM principles can be applied to improve hospital FM, thereby ensuring sustainable
healthcare delivery. Knowledge management assumes that organisations that manage their
organisational and individual knowledge more effectively will be able to cope more successfully with the challenges of the new business ecosystem. There is also the argument that KM plays a crucial role in
improving processes and services, strategic decision-making, and adapting and renewing an organisation.
The goal of KM is to aid action – providing "a knowledge pull" rather than the information overload most
people experience in healthcare FM. Other motivations for seeking better KM in healthcare FM include
patient safety, evidence-based care, and cost efficiency as the dominant drivers. The most evidence exists
for the success of such approaches at knowledge bottlenecks, such as infection prevention and control,
working safely, compliances, automated systems and reminders, and recall based on best practices. The
ability to cultivate, nurture and maximise knowledge at multiple levels and in multiple contexts is one of
the most significant challenges for those responsible for KM. However, despite the potential benefits,
applying KM principles in hospital facilities is still limited. There is a lack of understanding of how KM can
be effectively applied in this context, and few studies have explored the potential challenges and
opportunities associated with implementing KM principles in hospitals facilities for sustainable healthcare
delivery.
This study explores applying KM principles to support maintenance strategies in healthcare organisations.
The study also explores the challenges and opportunities, for healthcare organisations and FM
practitioners, in operationalising a framework which draws the interconnectedness between healthcare.
The study begins by defining healthcare FM and its importance in the healthcare industry. It then discusses
the concept of KM and the different types of knowledge that are relevant in the healthcare FM sector.
The study also examines the challenges that healthcare FM face in managing knowledge and how the
application of KM principles can help to overcome these challenges. The study then explores the different
KM strategies that can be applied in healthcare FM. The KM benefits include improved patient outcomes,
reduced costs, increased efficiency, and enhanced collaboration among healthcare professionals.
Additionally, issues like creating a culture of innovation, technology, and benchmarking are considered.
In addition, a framework that integrates the essential concepts of KM in healthcare FM will be presented
and discussed.
The field of KM is introduced as a complex adaptive system with numerous possibilities and challenges.
In this context, and in consideration of healthcare FM, five objectives have been formulated to achieve
the research aim. As part of the research, a number of objectives will be evaluated, including appraising
the concept of KM and how knowledge is created, stored, transferred, and utilised in healthcare FM,
evaluating the impact of organisational structure on job satisfaction as well as exploring how cultural
differences impact knowledge sharing and performance in healthcare FM organisations.
This study uses a combination of qualitative methods, such as meetings, observations, document analysis
(internal and external), and semi-structured interviews, to discover the subjective experiences of
healthcare FM employees and to understand the phenomenon within a real-world context and attitudes of healthcare FM as the data collection method, using open questions to allow probing where appropriate
and facilitating KM development in the delivery and practice of healthcare FM.
The study describes the research methodology using the theoretical concept of the "research onion". The
qualitative research was conducted in the NHS acute and non-acute hospitals in Northwest England.
Findings from the research study revealed that while the concept of KM has grown significantly in recent
years, KM in healthcare FM has received little or no attention. The target population was fifty (five FM
directors, five academics, five industry experts, ten managers, ten supervisors, five team leaders and ten
operatives). These seven groups were purposively selected as the target population because they play a
crucial role in KM enhancement in healthcare FM. Face-to-face interviews were conducted with all
participants based on their pre-determined availability. Out of the 50-target population, only 25 were
successfully interviewed to the point of saturation. Data collected from the interview were coded and
analysed using NVivo to identify themes and patterns related to KM in healthcare FM.
The study is divided into eight major sections. First, it discusses literature findings regarding healthcare
FM and KM, including underlying trends in FM, KM in general, and KM in healthcare FM. Second, the
research establishes the study's methodology, introducing the five research objectives, questions and
hypothesis. The chapter introduces the literature on methodology elements, including philosophical views
and inquiry strategies. The interview and data analysis look at the feedback from the interviews. Lastly, a
conclusion and recommendation summarise the research objectives and suggest further research.
Overall, this study highlights the importance of KM in healthcare FM and provides insights for healthcare
FM directors, managers, supervisors, academia, researchers and operatives on effectively leveraging
knowledge to improve patient care and organisational effectiveness
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