Minimum nurse staffing ratios for nursing homes

The authors explored minimum nurse staffing ratios for nursing homes using production function simulations. Minimum levels of registered nurse hours per resident day were 0.31, 1.83, and 3.3 at 50%, 75%, and 90% levels of quality respectively. These results suggest that efficiency-oriented minimum nurse staffing points exist, and could be used to inform policymakers and nursing home administrators on better resource allocation and health care delivery.     

Balancing the dual mandate of conservation and visitor use at a Canadian world heritage site in an era of rapid climate change

Abstract

National parks in Canada operate under the dual mandate of conservation and visitor use, which involves balancing ecological integrity and nature-based tourism activities. Climate-induced environmental change may increase the existing tension between conservation and visitor use as major tourism resources located in protected areas (PAs) are projected to undergo large-scale changes. This study draws upon the behavioural approach, scenario planning, and landscape visualizations to examine the relationship between climate change impacts, visitor perceptions, and visitor experience management at the Athabasca Glacier in Jasper National Park, Canada. Four tourism development scenarios defined by two management drivers (ecological integrity and visitor demand) with corresponding storylines and visualizations were developed for 2050. The visualized scenarios were presented to visitors (n?=?304) in a survey to understand potential implications on visitor satisfaction. The results suggest that park managers need to find a balance between ecological integrity and visitor use in a way that ensures commercialized tourism development is limited, educational material is prioritized, and ecological integrity is maintained. While understanding the behaviour of future tourists is complex, it is a critical component of climate change adaptation planning and decision-making processes that needs to be prioritized by policymakers and PAs managers.     

Behavioral Adaptation of Alpine Skiers to Climate Change: Examining Activity Involvement and Place Loyalty

This study employed a visitor survey to analyze the influence that changing climatic conditions have on the substitution behaviors of alpine skiers (activity, spatial, temporal). It further focuses on the role that activity involvement plays in influencing behavioral adaptations (i.e., substitution) and also the extent to which place loyalty is affected. The Modified Involvement Scale (MIS) was used to segment respondents based on high, medium, and low levels of leisure involvement with activity. Highly involved skiers were more likely to change their skiing behavior as a result of poor snow conditions than were less involved individuals. Pritchard's Psychological Commitment Index (PCI) provided evidence that less involved skiers exhibit lower levels of commitment to particular service providers than do highly involved individuals.     

From Dependency to Defiance? Work‐Unit Relationships in China’s State Enterprise Reforms

This paper outlines the economic reform process being undertaken in China and the subsequent partial closure and radical down-sizing of the state-owned enterprise sector. Redundancies arising out the restructuring process have eroded the state-worker contract of the iron rice-bowl. This has resulted in growing and sometimes violent labour unrest. The planned workforce projections until the end of the year 2000 suggest that the numbers of redundancies has increased, adding to China's 'surplus labour' problem. A critical issue is thus whether the Chinese government, together with state-enterprise management, can contain potential future labour and civil unrest using its present methods.     

The effect of signage and emotions on satisfaction with the servicescape: An empirical investigation in a healthcare service setting

Marketing and environmental psychology studies have long emphasized the importance of signage in large and dispersive service settings but have focused little on utilitarian service contexts. Previous studies have also analyzed the role of emotions in customer satisfaction with the servicescape, particularly in hedonic service environments such as malls, hotels, and restaurants, but a limited research has been conducted on the role of emotions in utilitarian service settings such as healthcare services. This study draws from the environmental psychology and service marketing literature to investigate the effects of signage and emotions on satisfaction with the servicescape in the hospital setting. In addition, it explores the moderating effect of emotions on the relationship between signage and satisfaction with the servicescape. The findings show that signage has a positive and significant effect on satisfaction with the servicescape. Negative emotions have a significant negative effect on satisfaction, while positive emotions have no significant effect. Differently from what was expected, emotions do not moderate the relationship between signage and satisfaction. Managerial implications are provided for service managers who wish to design a utilitarian service setting to effectively increase user satisfaction with the servicescape.     

Participant crowding and physical contact rates of whale shark tours on Isla Holbox,Mexico

Whale shark tourism is a growing niche market within the marine wildlife tourism sector. Increased visitation and declining whale shark numbers at some tourism sites worldwide raise questions over the long-term sustainability of this industry. This study examines the social and potential biological impacts of “swim-with” whale shark tourism on Isla Holbox, Mexico. A total of 397 tour participants completed a self-administered questionnaire regarding perceived crowding, reported encounters and encounter norms, as well as self-reported physical contact rates with whale sharks. Relatively high physical contact rates suggest that tourism may cause some harm to sharks. Users who encountered more swimmers than their norm felt significantly more crowded and were more likely to perceive the industry as having a negative impact on the sharks and surrounding environment. However, the results suggest that the number of boats in the whale shark viewing area may have a greater influence on crowding than number of swimmers. Management interventions to improve the sustainability of the industry include improved interpretation and guide intervention, achieving higher compliance with existing guidelines, and limiting the number of boats allowed in the whale shark viewing area.     

CRM in Data-Rich Multichannel Retailing Environments: A Review and Future Research Directions

Many retailers have collected large amounts of customer data using, for example, loyalty programs. We provide an overview of the extant literature on customer relationship management (CRM), with a specific focus on retailing. We discuss how retailers can gather customer data and how they can analyze these data to gain useful customer insights. We provide an overview of the methods predicting customer responses and behavior over time. We also discuss the existing knowledge on the application of marketing actions in a CRM context, while providing an in-depth discussion on CRM and firm value. We outline future research directions based on the literature review and retail practice insights.     

Ethical Issues in Electronic Commerce

This article reviews the incredible growth of electronic commerce (e-commerce) and presents ethical issues that have emerged. Security concerns, spamming, Web sites that do not carry an "advertising" label, cybersquatters, online marketing to children, conflicts of interest, manufacturers competing with intermediaries online, and "dinosaurs" are discussed. The power of the Internet to spotlight issues is noted as a significant force in providing a kind of self-regulation that supports an ethical e-commerce environment.     

How well do fundraisers communicate with their donors?

Fundraising charities invest substantial resources in producing and distributing an ever-growing range of publications. As part of a major research study into how donors view the results of these endeavours the authors set out to evaluate how the major charities respond to general enquiries from the public, and to see how charities plan the publications they produce.