Nursing leadership: championing quality and patient safety in the boardroom

OBJECTIVE: Identify the extent to which hospital boards of trustees, CEOs, and CNOs are engaged in quality and safety at the leadership and governance level and how CNOs can support board engagement in quality and safety. BACKGROUND: Although research is emerging, still relatively little is known about the impact and interface of hospital boards of trustees, CEOs, and nursing executives related to improving quality and patient safety. METHODS: 73 telephone interviews were conducted with hospital board chairs, CEOs, and CNOs from a convenience sample of 63 U.S. hospitals. The interviews (22 of which were with CNOs) lasted 30 to 45 minutes and were supplemented by a focus group of five nursing executives. RESULTS: There are significant differences in the perceptions of CNOs versus those of board chairs and CEOs. CNOs reported a greater familiarity of landmark reports on quality and patient safety than board chairs. CEOs and board chairs gave substantially higher ratings to integration of quality planning. Boards have limited comprehension of salient nursing quality issues. CONCLUSION: CNOs have a critical role as boardroom champions of patient safety and quality improvement.     

Nationalism,governance and policymaking in Scotland: The Scottish National Party (SNP) in power

This article explores policy development under the Scottish National Party (SNP) government, focusing on education policy. As a minority government the SNP needs to govern on the basis of co-operation and consensus. It has presented itself as a party with capacity for government but limited by the restricted autonomy of devolution. The ability to pass large amounts of legislation is more challenging for a minority government. Building new relationships with partners has been a key part of the SNP's approach to governing. This marks a shift in governing style in Scotland highlighting the importance of ‘discourse’ where texts (including speech) are used to promote policy aims and agendas.     

Developing Accounting Students' Listening Skills: Barriers,Opportunities and an Integrated Stakeholder Approach

Accountants and employers of accounting graduates consider listening to be among the most important communication skills that graduates possess. However, accounting education practices that develop students' listening skills are uncommon. Further, in the case of listening development, the current approach of prescribing that educators do more to rectify students' skill deficiencies overlooks barriers that prevent greater incorporation of listening instruction in the accounting curriculum. An alternative integrated stakeholder approach to develop students' listening skills is proposed. Informed by a broad range of education literature, the approach identifies cross-disciplinary listening development best practice and barriers to the widespread implementation of such practices in the typical accounting programme, before determining and assigning interrelated listening development roles to key stakeholders who will benefit from improved student listening. While student listening development is feasible under the proposed approach, shared contributions by accounting students, the profession and educators are needed to achieve enhanced skills outcomes.     

Scatters and clusters in time and space: implications for delivering integrated and inclusive transport

This paper calls for a refinement in the literature on social exclusion/inclusion, and an alteration in the counterpart policy practices, in order to take account of ‘scatter’ and ‘cluster’ dimensions in the patterning of transport deprivation. Disaggregating social exclusion and inclusion data to enable the identification of scatters and clusters is key to the development of appropriate transport planning strategies. The degree to which lack of mobility is scattered or clustered can have profound implications for the ways in which time and space are treated by policy.     

Effects of inter-organizational compatibility on supply chain capabilities: Exploring the mediating role of inter-organizational information systems (IOIS) integration

Growing globalization and environmental uncertainty have increased the challenges managers face in delivering services or products to the customer. Integration of information systems across partnering organizations has become the backbone of supply chain management, as amalgamation facilitates the sharing of information required to enhance organizational flexibility and responsiveness while minimizing risk and inventory costs. Using data from the Australian retailing sectors, this study investigates the mediating role of inter-organizational information system (IOIS) integration on the relationships between inter-organizational compatibility and supply chain capabilities. The results indicate that inter-organizational compatibility of technical, strategic, and cultural inter-organizational dimensions facilitate IOIS integration and supply chain capabilities. To maximize benefits for all chain members, IOIS integration needs to be embedded in the strategies and goals of partnering organizations. Business-to-business and industrial marketing managers need to be aware that IOIS integration processes require support of top managers of the partnering organizations and should be embedded in the organizations' strategic goals.     

Regulating Audit beyond the Crisis: A Critical Discussion of the EU Green Paper

With the European Commission making global leadership claims in the field of audit regulation, the content of its 2010 Green Paper on ‘Audit Policy: Lessons from the Crisis’ warrants careful scrutiny. Important issues raised in the Green Paper include regulatory oversight, competition in the audit market, the dangers of having very few firms with the capacity to audit global transnational corporations, professional judgement, innovative audit practices and, last but not least, social responsibility. This article analyses the principal perspectives and assumptions underpinning the construction of the Green Paper. The aims are threefold: to enhance understanding of the contemporary regulatory mindset of the European Commission, contribute to policy debate and inspire future research.     

Competition,Transparency, and Reciprocity: A Comparative Study of Auctions and Negotiations

The paper discusses experiments aimed at comparing multi-attribute reverse auctions and multi-bilateral negotiations for procuring goods with multiple attributes. Both exchange mechanisms involve a buyer purchasing from one of several sellers. Two types of negotiations are considered: verifiable and non-verifiable. They differ in the sellers’ knowledge of the current best offer on the table; in verifiable negotiations the best offer is automatically shown to every participant, which makes it similar to auctions. Online auctions and negotiation systems were used to study auction and negotiation processes, and the mechanisms’ efficiency. The results show that buyers did best using auctions, followed by non-verifiable and verifiable negotiations. We also looked into the differences between auctions and negotiations in terms of their duration, sellers’ and buyers’ involvement, and efficiency and conclude that the behavior of buyers and sellers cannot be explained solely on the grounds of traditional economics. It can, however, be explained on the grounds of social exchange theory and behavioral economics. In multi-bilateral negotiations competition and social behavior coexist. When transparency is introduced the social effect becomes stronger, weakening the impact of competition.     

Aspects of environmental quality of life that affect neighbourhood satisfaction in disadvantaged and advantaged Johannesburg communities

To ascertain which aspects of environmental quality of life affect neighbourhood satisfaction, a study was conducted with 303 tenure allocated residents of an informal settlement in Soweto, 160 residents of a squatter camp in the same informal settlement, and 375 black and 358 white residents of a middle-class Johannesburg suburb. Respondents rated their satisfaction with housing, public schools, public clinics, public transport, roads, personal safety, street lighting, household refuse removal, jobs, local government and the neighbourhood. Black suburbanites tended to be more satisfied than the other three groups with most of these aspects. Stepwise multiple regression analyses revealed that housing and personal safety accounted for 45 per cent (informal settlement), 21 per cent (squatter camp), 33 per cent (black suburbanites), and 28 per cent (white suburbanites) of the variance in neighbourhood satisfaction. The findings substantiated the importance of housing and personal safety in both disadvantaged and advantaged communities.