1,165 research outputs found

    CONSTRUCTION PARTNERING: MOVING TOWARDS THE RATIONALISATION FOR A DOMINANT PARADIGM

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    This paper critically reviews seminal literature on ‘traditional’ and non-market partnering exchanges, in order to identify core congruent issues, drivers and agents of change. It draws out a number of key themes to better understand why the construction industry has remained relatively unchanged; even though successive reports have tried to rectify the industry’s challenges. Acknowledging that there is no one clear definition, strategy or template for the effective implementation of partnering, findings from extant literature highlight eight dominant drivers deemed integral to augmenting project performance and profitability. So, whilst the construction industry invariably conducts its business with a smaller ratio of strategic partnerships than commonly believed, and accepting buyer dominance has predominantly remained, it is advocated that there is an exigent need to disentangle the project partnering initiative through some form of deterministic model. The case for this is presented through a relationship schema that maps the fabric, reliance and drivers for partnering success

    Construction partnering: moving towards the rationalisation for a dominant paradigm

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    This paper critically reviews seminal literature on ‘traditional’ and nonmarket partnering exchanges, in order to identify core congruent issues, drivers and agents of change. It draws out a number of key themes to better understand why the construction industry has remained relatively unchanged; even though successive reports have tried to rectify the industry’s challenges. Acknowledging that there is no one clear definition, strategy or template for the effective implementation of partnering, findings from extant literature highlight eight dominant drivers deemed integral to augmenting project performance and profitability. So, whilst the construction industry invariably conducts its business with a smaller ratio of strategic partnerships than commonly believed, and accepting buyer dominance has predominantly remained, it is advocated that there is an exigent need to disentangle the project partnering initiative through some form of deterministic model. The case for this is presented through a relationship schema that maps the fabric, reliance and drivers for partnering success

    A Standardised Incorporated Partnering Model for the UK Construction Industry

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    Partnering is a broad term used to describe an integrated team working approach; and integration means combining various elements into a whole. Partnering became popular within the UK construction industry largely as a result of two distinct 1990 reports (i.e. Latham, 1994 and Egan, 1998). The corollary of this relied to some extent on parties being dependent upon one another for success whether this arrangement was for a one off project or a longer term relationship over a number of projects. Partnering was also proffered as a vehicle for providing greater efficiencies and a higher ‘value’ through an agreement where a set of actions could help project teams improve their conjoined performance. The partnering approach was seen as an agreement that endorsed better collaboration, engendered mutual trust and team working, whilst also creating a platform for sharing both risk and rewards. Therefore, whilst not meant to be a fixed way of working per se, it was acknowledged from the outset that certain cultural, attitudinal and procedural changes would be required throughout the relevant supply chain. This to enable partnering to develop as project teams evolved within their relationships in order to find the most effective ways of achieving agreed objectives. Meaning partnering was about achieving ‘best value’ for all parties. Yet, while the positive aspects of partnering have been espoused in extant literature, covering various industry sectors, including: manufacturing, retail and construction; there was no explicit definition as to what partnering was [specifically] within the UK construction industry, or what it was supposed to achieve. Considerable debate therefore continues to challenge the partnering paradigm, for as it remains unestablished with limited systematising or standardisation, organisations commonly communicate with those one tier removed. As a result, the UK construction industry remains relatively unchanged despite successive reports, recommendations and potential collaborative solutions. Thus organisations continue to pursue their own self-interests to such an extent that ‘true’ collaborative working is often rendered impossible to achieve. This has had a negative impact on the industry as a whole, including the supply chain. In summary therefore, the industry still remains fragmented, adversarial and divided, which impedes communication, trust and a willingness to embrace the true ‘spirit’ of partnering per se. The study, taking a pragmatic post-positivist stance, focuses on four key disciplines (Client, Consultant, Main Contractor and Sub-contractor). The rationale supporting this approach endeavoured to capture actors and context, such that observations and research findings could be grounded and linked back to theory generation. An explicit mixed method research methodological approach was adopted in this research to purposefully explore phenomena and reason, especially to increase understanding and affirmation in respect of the partnering paradigm. This engaged both quantitative and qualitative approaches which engaged domain practitioners across the four disciplines. Content analysis of that qualitative data provided a vehicle for mapping the fabric, resilience and veracity of the core partnering drivers. This helped develop the second phase of the measuring instrument. Accordingly, theoretical codes were then generated and subsequently administered to 40 individual companies across the four disciplines. Purposive sampling was then used to select two case studies for data capture and model explication. Quantitative data analysis was then used to evaluate a series of drivers and variables. These were then mapped into a conceptual process model using an iterative approach (within the case studies) to affirm process conformity, accuracy and relevance. The model was then tested and validated with independent domain experts to ensure cogency (internal/external), reliability (inter-rater/observer) and homogeneity (consistency). This work presents a new conceptual model for strengthening and supporting the partnering paradigm; which, it is proffered will open up new discourse in both theory and practice. The philosophical underpinnings of this work support the concepts of sustained partnering growth, through guidance, governance and commonality. It presents stakeholders with a systematised and standardised approach to supply chain collaboration. The conceptual model identifies eight key drivers, the granularity of which highlight dynamic drivers, dependencies and relationships needed to support and promote ‘true’ partnering. The causal relationships and dependencies embody different organisational ‘cultures’ where partnering parties can work together regardless of their perceived dominance and/or tier position. Thus, the entire supply chain can be actively and more purposefully engaged in the partnering paradigm the full potential of partnering. Moreover, as the success of partnerships depends to a large extent on selecting appropriate partners; there is a concomitant need to evaluate the ‘quality’ of these relationships. The conceptual partnering model presented in this thesis offers new insight into these dynamic relationships. In doing so, it offers readers detailed evidence for further reflection – specifically cognisant of partnering organisations’ different perceptions, positioning and responsibilities for making the partnering ethos work in practice

    Editorial: work-life balance: a matter of choice?

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    Work–life balance has come to the forefront of policy discourse in developed countries in recent years, against a backdrop of globalization and rapid technological change, an ageing population and concerns over labour market participation rates, particularly those of mothers at a time when fertility rates are falling (Organization for Economic Co-operation and Development [OECD], 2004). Within the European Union the reconciliation of work and family has become a core concern for policy and encouraged debate and policy intervention at national levels

    Pain relief for women with cervical intraepithelial neoplasia undergoing colposcopy treatment

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    Treatment for CIN is usually undertaken in an outpatient colposcopy clinic to remove the pre-cancerous cells from the cervix. It commonly involves lifting the cells off the cervix with electrically heated wire (diathermy) or laser, or destroying the abnormal cells with freezing methods (cryotherapy). This is potentially a painful procedure. The purpose of this review is to determine which, if any, pain relief should be used during cervical colposcopy treatment. We identified 17 trials and these reported different forms of pain relief before, during and after colposcopy. Evidence from two small trials showed that women having a colposcopy treatment had less pain and blood loss if the cervix was injected with a combination of a local anaesthetic drug and a drug that causes blood vessels to constrict (narrow), compared with placebo. Although taking oral pain-relieving drugs (e.g. ibuprofen) before treatment on the cervix in the colposcopy clinic is recommended by most guidelines, evidence from two small trials did not show that this practice reduced pain during the procedure. Most of the evidence in this field is of a low to moderate quality and further research may change these findings. Additionally, we were unable to obtain evidence with regards to dosage of the local anaesthetic drug or method of administering local anaesthetic into the cervix. There is need for high-quality trials with sufficient numbers of participants in order to provide the data necessary to estimate these effects

    Sport and the local economy: the role of stadia in regenerating commercial property

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    The use of sports stadia for economic development and regeneration has gained increasingly credibility in recent years, both academically and in terms of UK urban policy. However, evidence to support the effectiveness of stadia for these purposes is highly variable. This paper uses a comparative case study of the Millennium Stadium and the City of Manchester Stadium to examine the effects of stadia development on the commercial property market, an area of research that has received little attention in the literature. It uses the expert opinion of professionals working in real estate, together with the experience of key stakeholders in Manchester and Cardiff to provide empirical evidence that stadia can create tangible and intangible impacts on the commercial property market, but that these are variable between different sectors. It concludes by arguing the need for further research on the role of stadia in the regeneration process if the impacts of these developments are to be maximised in the future.</p

    A Cross National Study of Golf Tourists’ Satisfaction

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    The purpose of this study was two-fold: firstly, it was to examine the determinants satisfaction levels of golf tourists and secondly to investigate if these vary across golf tourists’ country of residence. Using data collected through a survey of golf tourists visiting Lisbon (Portugal), attributes directly related to playing golf as well as more generic destination attributes were examined as potential determinants of golf tourists’ satisfaction. The data was analysed in two stages by the means of logistic regression. In stage one, the analysis was based on a representative sample of golf tourists to the region. In the second stage, two separate analyses were undertaken, one examining the satisfaction of Nordic golf tourists and another of British golf tourists (the two main markets for Lisbon). The results indicate that the satisfaction level of golf tourists is influenced by several factors, including those related to perceived quality and value. In addition, the results suggest that satisfaction is influenced by cross-cultural differences. While some determinants were important influences for both the British and the Nordic golfers, other determinants were specific to each country of origin. lytoinvestigateifthesevaryacrossgolftourists’countryofresidence.Using data collectedthroughasurveyofgolftouristsvisitingLisbon(Portugal),attributesdirectlyrelatedto playinggolfaswellasmoregenericdestinationattributeswereexaminedaspotentialdeterminantsof golf tourists’satisfaction.Thedatawasanalysedintwostagesbythemeansoflogisticregression.In stage one,theanalysiswasbasedonarepresentativesampleofgolftouriststotheregion.Inthesecond stage, twoseparateanalyseswereundertaken,oneexaminingthesatisfactionofNordicgolftourists and anotherofBritishgolftourists(thetwomainmarketsforLisbon).Theresultsindicatethatthe satisfactionlevelofgolftouristsisinfluencedbyseveralfactors,includingthoserelatedtoperceived qualityandvalue.Inaddition,theresultssuggestthatsatisfactionisinfluencedbycross-cultural differences.WhilesomedeterminantswereimportantinfluencesforboththeBritishandtheNordic golfers,otherdeterminantswerespecifictoeachcountryoforigin

    Skills in Handling Turbuhaler, Diskus, and Pressurized Metered-Dose Inhaler in Korean Asthmatic Patients

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    Purpose: The objective of this study was to evaluate skills in handling inhalers and factors associated with these skills among patients with asthma who had undergone treatment at special asthma and allergy clinics in Korea. Methods: We enrolled 78 subjects who used Turbuhaler and 145 who used Diskus for asthma control at special clinics in 10 university hospitals and visually assessed their skills in handling these inhalers. We also evaluated skills in 137 subjects who had used pressurized metered-dose inhalers (pMDIs) for symptom relief. Age, sex, duration of asthma and inhaler use, smoking status, monthly income, highest grade completed in school and previous instruction for handling inhalers were also measured to evaluate their association with overall inhaler skills. Results: Performance grade was inadequate for 12.8% of participants using Turbuhaler, 6.2% for Diskus, and 23.4% for pMDIs. The success rates for each step in handling the inhalers were relatively high except for the &quot;exhale slowly to residual volume&quot; step, in which success rates ranged from 24.2% to 28.5%. Older age, male sex, lower educational grade, and absence of previous instruction for handling inhalers were associated with inadequate inhaler technique in univariate analysis; however, only older age and absence of previous instruction remained significant independent risk factors in multivariate analysis. Conclusions: Among Korean asthmatic patients in special asthma and allergy clinics, skills in handling their inhalers were mostly excellent; meanwhile, older age and absence of previous instruction for handling inhalers were associated with inadequate techniques
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