Estimating the time involved in managing the 'unoccupied bed:' a time and motion study

Occupied bed days are often used as a demand indicator when calculating the number of nurses required to provide safe care. However, such calculations fail to take into account the amount of nursing time consumed by the "unoccupied bed." This study used direct observation time-and-motion methods to estimate the time and costs associated with a bed that is unoccupied. The average time taken to complete all of the activities associated with a bed that was unoccupied due to an internal transfer was 8.65 minutes, for a patient discharge 26.27 minutes, and for a patient admission 37.7 minutes. An average daily cost for activities surrounding these patient movements was approximately $386/day (AUD) in registered/enrolled nursing salaries alone. The unoccupied bed is not resource neutral and time associated with its maintenance should be considered when calculating nursing requirements to provide safe care.     

The role of attitudinal loyalty in the development of customer relationship management strategy within service firms

To facilitate the management of customer relationships, software manufacturers have developed customer relationship management (CRM) systems. These are enterprise-wide applications that can provide a single view of any customer's interactions with the company by tracking communications from both sides, recording purchases and thus developing an understanding of each customer's preferences. The need to generate behavioural loyalty has been identified as one of the major drivers for implementing CRM systems. There is relatively little research on attitudinal loyalty and CRM, however, with the bulk of the research conducted so far being focused on behavioural loyalty. The emphasis on behavioural loyalty has led to CRM being used to develop behavioural loyalty strategies. Generally speaking these strategies involve creating loyalty programmes, where incentives are offered to generate repeat purchase, or to sell more of the organisation's products and services to existing customers. The purpose of this research is to investigate the objectives and strategies of CRM in the finance industry and to compare these with the CRM objectives and strategies found in other service industries. The authors investigate to what degree the development of attitudinal loyalty is a factor in the creation of CRM strategy. This study is a qualitative study made up of 25 one-hour interviews with marketing and CRM managers. These 25 interviews consist of 11 interviews from the finance industry and 14 interviews from other industries as comparators. The results will be presented and contributions, limitations and suggestions for further research discussed.     

Using local injury surveillance for community-based injury prevention: an analysis of scandinavian WHO safe community and canadian safe community foundation programmes

Injury surveillance is widely recognized as a critical prerequisite for effective injury prevention, yet few studies have investigated its use by community-based injury prevention programmes. This study examined the extent to which local injury data were collected, documented, analysed, linked to injury prevention action and used for evaluation among WHO Safe Communities in Scandinavia (25 programmes) and the Canadian Safe Community Foundation (SCF) network (16 programmes). For each programme, a key informant with relevant local knowledge was selected to respond to an emailed questionnaire. The study demonstrates that community-based injury prevention programmes experience difficulties accessing and effectively utilizing local injury surveillance data. The findings suggest that the responding SCF programmes approach injury prevention more scientifically than the Scandinavian WHO-designated Safe Community programmes, by making greater use of injury surveillance for assessment, integration into prevention strategies and measures, and evaluation. Despite study limitations, such as the low response rate among Canadian programmes and a large number of non-responses to two questions, the results highlight the importance of, and need for, greater use of local injury surveillance.     

Environmental Determinants of Organizational Ethical Climate: A Community Perspective

This paper examines the role of community norms and values in determining employees' ethical perceptions. The local community is viewed as a microculture which contributes to the ethical framework within which firms operate. Research findings indicate the existence of a community-based microculture that potentially moderates an organization's ability to create homogenous organizational ethical cultures in various geographical locations.     

US imperialism in action: An audit-based appraisal of the Coalition Provisional Authority in Iraq

This paper drawing from audit reports reflects upon the post-Iraq war administration the Coalition Provisional Authority (CPA). It argues that the CPA's compliance with basic levels of decent public administration were akin to Guantanamo's compliance with basic levels of natural justice. The audit reports demonstrate that the CPA was a chaotic administration which spent billions without proper controls or procedures and left precious Iraqi oil revenues open to fraudulent acts. The CPA failed to comply with its obligations under UN resolutions. It identifies the geopolitical/economic implications of the US government which was partly motivated by economic concerns but it was also motivated by political concerns—the imposition of US hegemony. It then turns to the broader economic imperatives of the falling rate of profit and the imposition of neoliberalism (market fundamentalism).     

Challenging epistemologies: Exploring knowledge practices in Palikur astronomy

Attempts to resolve the duality of ‘indigenous knowledge’ and ‘Science’ raises the problem of the tenability of knowledges. Arguing that multiculturalist approaches to knowledge are inadequate because knowledge cannot be based solely on consensus within a community, the article explores ways in which indigenous knowledges might be evaluated in relation to science. Using the example of a Palikur (Amapá, Brazil) narrative of an astronomical seasonal cycle, the author draws on current thinking in the field of epistemology to describe ways in which these specific cognitive practices are compatible with those in the sciences, while the moral economy in terms of which the narrative makes sense offers a way of understanding an alternative socio-cultural basis for framing rationality. One of the futures of ‘indigenous knowledge’, it is argued, is that in breaking down the duality in which it is strung in relation to the sciences, there is the possibility of broadening the range of acceptable epistemic practices, and admitting alternative moral economies into the sciences.     

Delphi and the image of the future

Although the Delphi technique is classified as an “intuitive” method of forecasting, the nature of the intuition which informs the forecasts of the panelists has not been adequately explored. This article attempts to demonstrate that the psychological context within which forecasts are generated is, basically, a highly abstract and simplified image of the future which is explicable in terms of the current world view held by the forecaster. The implications of this for the validity of Delphi predictions are examined.