What every nurse executive should know about staffing and scheduling technology initiatives

Staffing in hospitals has a history of being based in opinion and tradition, not evidence. In recent years, for many, staffing practices have spun out of control creating chaos in overtime, the use of incentives, entitlement behaviors, dissatisfaction and frustration among nurses, and has opened doors for such things as staffing ratio legislation. Unprecedented pressures around budgets and financial performance have no doubt compounded this situation. We are in a new day, where technology can help us more than ever in a move towards staffing excellence and staffing practices based on evidence. Highly successful implementations of new technologies are the result of good leadership. The effectiveness of staffing and scheduling has significant business, safety, and quality implications that sit at the heart of the nurse executive's role.     

'The environment matters' and 'designing toward the whole'

A nurse/health care executive/architecture specialist and an artist/designer offer insights to creating environments that effectively support the delivery of care, the wellbeing of patients and their families, and the well-being of the health care workforce. The care environment is more than bricks, mortar, doors, windows, walls, and flooring. It is a sanctuary where healing can take place, where the spirit can be released, and where the provision of care, often fairly intimate, can happen through the connection between patient and care providers. Evidence-based design has brought forth the kind of inquiry and solutions that begin to address what an environment for healing requires. The interaction of built environment, staff, patients, families, and doctors is an overlapping ebb and flow that relies at its heart on the ability to hold all the parts as having equal priority.     

Using FTE and RVU performance measures to assess financial viability of academic nurse-managed centers

Financial performance measures are essential to improve the fiscal management of academic nurse-managed centers (ANMCs). Measures are compared among six ANMCs in a consortium and against an external, self-sustainable, profitable ANMC and national data for family practice physicians. Performance measures help identify a center's strengths and weaknesses facilitating the development of strategies aimed at a variety of targets (business practices related to revenue and costs) to improve financial viability. Using a variety of financial performance measures to inform decision making will aid ANMCs in keeping their doors open for business.     

Key institutions in business and management education research

The authors investigate institutional productivity in business and management education (BME) research based on the analysis of 4,464 articles published by 7,210 authors across 17 BME journals over a 10-year period, involving approximately 1,900 schools worldwide. Departing from traditional disciplinary silos, they examine the BME research field as a whole by including all traditional business disciplinary areas and producing two top 100 rankings, one based on raw number of author publications and the other based on weighted scores reflecting journal quality and coauthorship.     

Strengthening the weak link in strategic executive development: Integrating individual development and global business strategy

The global business environment of the 1990s provides both challenge and opportunity to human resource development to become an integral player in helping implement business strategy. The results of two best practice studies suggest that some leading firms such as 3M and Motorola are doing just that. At these companies current strategic business issues are the drivers of flexible and opportunistic executive development activities. Naturally occurring on-the-job experiences are consciously utilized in such a way that helping executives to develop becomes an integral part of conducting business. The implications of linking executive development to business strategy for practice and for future research are discussed. © 1995 by John Wiley & Sons, Inc.     

B2C e-Commerce 2000 2010: What Experts Predict

This article reports on a series of annual surveys of how a panel of experts expect usage of online channels to develop between now and 2010 in Europe and North America. The bursting of the internet bubble is not expected to reduce consumer usage of the Web for e-commerce. Indeed, in the latest survey, the experts again revise upwards their earlier predictions of European online adoption and usage in the home. The survey covers the following: online access at home; consumer choice of access channels; volume of e-commerce and each channel's relative importance; the impact of mobile; barriers to B2C e-commerce; and regional differences.     

The value of project management to organizations in Canada and Germany,or do values add value? Five case studies

Five case studies have been conducted: four in Canada and one in Germany. The authors of this article were particularly interested in understanding the value of values and meaning in the context of project management implementation and project environments. The article first summarizes the authors' particular approach. It then discusses the five case studies and their findings. These findings will be grouped around the concepts of value of project management and meaningful work. In conclusion, the findings of this study will be summarized across all five case studies and based on a comparative content analysis.     

Paradigm,paradox, paralysis: An epistemic process

The potential of the transformative capacity of education requires critique of a dominant paradigm, in order to apprehend the unconscious acceptance of capital markets as solutions to societies’ woes. We engaged with media texts as practicum which advocated carbon markets to mitigate carbon pollution: a contemporary issues in society. We found that although we critique the dominant paradigms upheld by the media texts which we chose, our engagement had the potential to reinforce the status quo. Once this paradox is evident, it precipitates a paralysis of the educative process. However, this is not an end state but the struggle to overcome the paralysis mobilises a reconsideration of the paradigm and opens new possibilities. We argue that the collision of the concepts of paradigm, paradox and paralysis demonstrates an epistemic process which has emancipatory possibilities.     

HR practices and commitment to change: an employee‐level analysis

This article explores the relationship between HR practices and commitment to change in three health service organisations in Ireland. The research focuses on employee views of HR practices and resulting employee‐level consequences including commitment to change, perceptions of the industrial relations climate and the psychological contract, and work–life balance. The findings indicate that the HR practices valued by employees, and which are related to a range of employee‐related consequences, are very different from the lists of sophisticated HR practices that appear in the high performance literature. The research suggests that organisations need to ensure that attention is still paid to the basics of the employment relationship and that these are not lost in the rush to introduce more sophisticated approaches to managing employees.     

Estimating demand with distance functions: Parameterization in the primal and dual

Our purpose is to investigate the ability of different parametric forms to ‘correctly’ estimate consumer demands based on distance functions using Monte Carlo methods. Our approach combines economic theory, econometrics and quadratic approximation. We begin by deriving parameterizations for transformed quadratic functions which are linear in parameters and characterized by either homogeneity or which satisfy the translation property. Homogeneity is typical of Shephard distance functions and expenditure functions, whereas translation is characteristic of benefit/shortage or directional distance functions. The functional forms which satisfy these conditions and include both first- and second-order terms are the translog and quadratic forms, respectively. We then derive a primal characterization which is homogeneous and parameterized as translog and a dual model which satisfies the translation property and is specified as quadratic. We assess functional form performance by focusing on empirical violations of the regularity conditions. Our analysis corroborates results from earlier Monte Carlo studies on the production side suggesting that the quadratic form more closely approximates the ‘true’ technology or in our context consumer preferences than the translog.