Knowledge management processes and academic performance in Iraqi HEIs: An empirical investigation

This study examines the relationship between the processes of Knowledge Management (KM) and educational organization outcome in respect to academic performance. The study is based on a survey design and cross-sectional.The survey was conducted on 41 quality improvementadoption colleges in Iraqi higher-education institutions (HEIs).The study hypotheses were tested through correlation and regression analyses. The results supported the main hypotheses for the study, suggesting that Iraqi HEIs can benefit from KM processes. Pearson's correlation pointed out that all processes of KM have significant correlations with academic performance measures.Regression analysis showed significantly positive relationships. In addition, statistical analysis also indicated that the KM processes should be implemented collectively rather than separately.In conclusion, this study provided insight and further understanding of the effect of KM processes on academic performance, and therefore, allows decision-makers to get in-depth knowledge about the impact of KM processes in Iraqi HEIs context

Knowledge management and academic performance: An empirical study of Iraqi HEIs

This study examines the relationship between the processes of Knowledge Management (KM) and educational organization outcome in respect to academic performance.The study is based on a survey design and cross-sectional.The survey was conducted on 41 quality improvement-adoption colleges in Iraqi higher-education institutions (HEIs).The study hypotheses were tested through correlation and regression analyses.The results supported the main hypotheses for the study, suggesting that Iraqi HEIs can benefit from KM processes. Pearson's correlation pointed out that all processes of KM have significant correlations with academic performance measures. Regression analysis showed significantly positive relationships.In addition, statistical analysis also indicated that the KM processes should be implemented collectively rather than separately.In conclusion, this study provided insight and further understanding of the effect of KM processes on academic performance, and therefore, allows decision-makers to get in-depth knowledge about the impact of KM processes in Iraqi HEIs context

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Strategic Vigilance and Its Impact on Enhancing Adaptive Performance A Survey of the Opinions of A Sample of Officers in the Wasit Governorate Police Directorate

This study aims to investigate the relationship between strategic vigilance and adaptive performance, specifically in the Wasit Governorate Police Directorate, despite the scarcity of studies that attempted to determine the nature of the relationship between the study variables (strategic vigilance, adaptive performance). The organizational environment of any organization is "lack of interest in enhancing adaptive performance in light of a low level of strategic vigilance". This study gained its importance as it sheds light on two important variables at the organizational and functional level in organizations, namely (strategic vigilance and adaptive performance(. In this study, electronic questionnaire technology was used to collect data. The researcher focused on the officers working in the Wasit Governorate Police Directorate as the target study community (236), and the final number of participants in the study was (218), i.e. a response rate of (92,37%). Where several statistical techniques were employed for statistical analysis by the two programs SPSS and Smart-PLS, and the study came out with the following: Theoretical results: There is a knowledge gap to explain the nature of the relationship between the study variables (strategic vigilance and adaptive performance) in organizations in general and security institutions in particular. Process: The practical results showed an influence relationship between the study variables, which is a direct influence relationship between strategic vigilance and adaptive performance

The Adoption of E-government Services in the Iraqi Higher Education Context: An application of the UTAUT Model in the University of Kufa

E-government services are in their infancy in many developing countries, particularly in Iraq. The achievement of e-government services is dependent on government support as well as the users of these services. This study adopted the Unified Theory of Acceptance and Use of Technology (UTAUT) model to explore factors that determine the adoption of e-government services in the Iraqi higher-education context. In the University of Kufa, 430 academic staffs’ were surveyed using a modified version of the UTAUT model. The results reveal that performance expectancy and effort expectancy determine academic staffs’ behavioural intention. Moreover, facilitating conditions and behavioural intentions determine academic staffs’ use of e-government services' implications for decision-makers and suggestions for further research are also considered throughout this study

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background: Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods: This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was coprioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low-middle-income countries. Results: In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of 'single-use' consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low-middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion: This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high- and low-middle-income countries