Registered nurse-managed anticoagulation clinic: improving patient outcomes

Anticoagulation therapy is essential in the prevention of thromboembolic events in a variety of patient groups, but has a high risk/benefit profile. Patient adherence and careful control of therapeutic levels of medication require frequent monitoring and good communication. An emerging model of care is nurse-managed anticoagulation clinics, which provide a focused and organized approach. This institution found that registered nurses were successful in providing consistent patient education and relationship-based care, which appear to improve compliance and minimize complications. The patient group that received the care of the nurse-managed anticoagulation clinic had outcomes that were better than those of patients managed by the previous model. More randomized controlled studies are needed to validate and enhance improved patient outcomes.     

Exploring the experience value of museum visitors as a co-creation process

Museums’ visitors can play an active role both during and after the visit that will allow them to shape a significant experience. The present work explores this role of the visitor as co-creator of experiences. Prior knowledge and interest enable visitors to participate and interact during the visit, all of which basically allows them to build a more intense experience in those areas that require their involvement. It is these more active experiences, and only these, which drive the individual’s intention to continue participating actively after the visit, seeking information and revisiting the museum, following it on social networks and making recommendations on opinion pages.     

Hotel performance and knowledge sources in Spanish tourism districts

The present paper brings together two of the research lines which have proved most relevant in the field of strategic management during the last few years: the importance of knowledge as a source of competitive advantage; and the ease of access to that resource within clusters and/or industrial districts. More specifically, our work focuses on the tourism sector, analysing the extent to which the profitability of Spanish vacation hotels located along the Mediterranean coastline depends on internal and external knowledge, that is, on the knowledge resources generated at each destination. A multiple linear regression is designed for the empirical analysis. The evidence supports the hypothesis that the external knowledge generated at each destination is statistically significant, even though internal knowledge turns out to be more relevant in terms of hotel profitability.     

Consumer Insights and the Importance of Competitiveness Factors for Mature and Developing Destinations

This article aims to understand the importance of various destination attributes to the competitiveness of tourism destinations from a consumer perspective, while at the same time contrasting these in a mature versus developing destination. A sample of Australian-based domestic tourists were surveyed to assess the relative importance of tourism destination competitiveness (TDC) attributes in the context of developing and mature destinations. This research firstly appears to verify that the importance of many TDC elements, highlighted by consumers, is not dissimilar from other stakeholder-based TDC studies. Furthermore, this research effort established that in terms of attribute performance, relative destination immaturity may well constrain a developing destination’s ability to satisfy the needs of consumers.     

Concern for Fairness and Incentives in Water Negotiations

This paper focuses on transboundary water resources and investigates the presence of incentives to cooperate in investment projects for improving water availability. Investments over transboundary water cannot be always protected by suitable contractual arrangements because countries’ actions cannot be monitored and enforced by a third party. In such a case, the traditional literature predicts that cooperation rarely emerges due to the risk of ex-post opportunistic behaviours by the parties. This prediction does not provide a satisfactory representation of many real-world situations in which riparian countries have demonstrated a remarkable ability to cooperate over their shared water resources. This paper shows that it is possible to reconcile the empirical evidence with the theoretical approach if one assumes that countries display some concern for ‘fairness’ when negotiating, which depends on their initial level of investment. Within the proposed framework, the incentives to cooperate turn out to be higher than traditional literature predicts because, by engaging in the investment project, countries do not only increase the amount of water effectively available, but also—through their concern for fairness—the share of water obtainable at the bargaining table.     

金融危机的后震荡波

对由二战以后暴发的历次重大金融危机而引起的经济衰退持续时间和深度进行研究发现,由危机引起的资产市场的跌落过程是漫长的,从经济周期峰值到谷底,房地产价格平均下降35%,需要花6年时间才能触底;证券跌到谷底的时间略短,约3年半,但市值将大幅缩水约55%。金融危机还会造成实体经济中产出的下降和失业率上升,失业率平均会上升7%,几乎花4年时间,产出下降幅度将超过9%。对过去金融危机余波的分析可以为预测本次金融危机的影响提供一些借鉴。     

Marketing capabilities, stakeholders’ satisfaction, and performance

This study shows that the relationship between marketing capabilities and firm financial performance can be better understood when it is drawn using stakeholder satisfaction as an additional variable, in the context of the service industry. Results from 152 Spanish service organizations indicate that superior marketing capabilities lead to higher levels of stakeholder satisfaction, which consequently improves financial firm performance. Results complement previous research which found a strong relationship between marketing capabilities and performance when the latter includes financial and nonfinancial indicators. Marketing capabilities improve not only customer satisfaction but also employee fulfillment which, in turn, may increase financial indicators.     

What Does Objective Mean in a Dirichlet‐multinomial Process?

The Dirichlet‐multinomial process can be seen as the generalisation of the binomial model with beta prior distribution when the number of categories is larger than two. In such a scenario, setting informative prior distributions when the number of categories is great becomes difficult, so the need for an objective approach arises. However, what does objective mean in the Dirichlet‐multinomial process? To deal with this question, we study the sensitivity of the posterior distribution to the choice of an objective Dirichlet prior from those presented in the available literature. We illustrate the impact of the selection of the prior distribution in several scenarios and discuss the most sensible ones.     

Developing effective social media messages: Insights from an exploratory study of industry experts

As consumers are increasingly utilizing the social network and media platforms for prepurchase information, managers are confronted with producing effective social media messages that can favorably influence buyers’ attitudes and behavioral intentions towards brands. A qualitative, in‐depth, elite interview investigation with social media marketing experts was undertaken to develop awareness of the factors influencing the effectiveness of social media marketing. Adopting a thematic analysis approach, this study establishes the three overriding themes of interactivity, credibility, and infotainment as being valuable in determining how social media marketing can enhance brand performance. Attitude theory and the hierarchy‐of‐effects model is utilized to support understanding and explain the decision making of social media users in this context. Overall, this study provides managers with a thorough explanation of the effects of the identified core themes on social media attitudes and intentions. Implications for social media marketing theory and practice are presented based upon the depth and breadth of knowledge attained from the analysis of the expert interview data.     

Looking into global value chains: influence of foreign services on export performance

Using data from the OECD Inter-Country Input–Output database, we explore the impact of foreign services value added content of exports on export performance, specifically on duration of trade. Our data show that the share of foreign services content in manufacturing exports grows from 1995 to 2011, in a way similar to foreign goods content, and in contrast to the decreasing share of domestic services. Moreover, the share of foreign services value added content is larger for developing and emerging countries than for advanced countries. Our econometric findings confirm that foreign services value added embodied in manufacturing exports contribute positively to more resilient exports relationships, a positive effect which occurs for the three groups of manufacturing industries (high, medium and low technology industries) and, for each group, it is more pronounced for developing and emerging economies.