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1.
European Journal of Innovation Management ; 26(4):1034-1053, 2023.
Article in English | ProQuest Central | ID: covidwho-20245456

ABSTRACT

PurposeThe purpose of this paper is to study enterprise innovation in the perspective of external supplier relationship. On this purpose, this paper examines the impact of supplier change on enterprise innovation with the moderating role of market competition.Design/methodology/approachUsing 2012–2020 empirical data of Chinese listed manufacturing enterprises, this paper investigates the relationship among supplier change, market competition and enterprise innovation through a two-way interaction model.FindingsThe results show that supplier change has a negative impact on enterprise innovation. And market competition intensifies the negative relationship between supplier change and enterprise innovation. Additional analyses indicate that the main effect and the moderating effect are more significant when the enterprise is non-state-owned or has lower ownership concentration.Originality/valueThis paper studies enterprise innovation from the perspective of external stakeholders. It focuses on supplier relationship in a dynamic variation view, instead of the traditional static ones. Moreover, this paper explores the contingency effect of market competition and gives practical implications for managers to adjust innovation strategy flexibly.

2.
Sustainability ; 15(11):8783, 2023.
Article in English | ProQuest Central | ID: covidwho-20245411

ABSTRACT

The development of financial technology has promoted the innovation and digital transformation of commercial banks. Through digital transformation, commercial banks can improve bank efficiency and operational capabilities. Through empirical analysis, this study explored the relationship between digital bank transformation and commercial bank operating capabilities and how COVID-19, bank categories, and enterprise life cycles affect the relationship between digital bank transformation and commercial bank operating capabilities. This study selected data from China's commercial banks from 2011 to 2021 and used the regression method of fixed effects to conduct an empirical analysis. The research results show that the digital transformation of banks has improved the operational capabilities of commercial banks. Further analysis showed that the emergence of COVID-19 has negatively affected their relationship. At the same time, compared with rural commercial banks and commercial banks in the recession and phase-out periods, non-rural commercial banks and commercial banks in the growth and maturity stages play a more vital moderating role in the impact of the digital transformation of banks on the financial performance of commercial banks. The main research object of this study is Chinese commercial banks, and this study examines the results of banks' digital transformation and enriches the research on digital transformation. At the same time, this study is helpful to investors who like investment banks and has good practical significance.

3.
Professional Geographer ; 75(3):396-414, 2023.
Article in English | Academic Search Complete | ID: covidwho-20245344

ABSTRACT

The COVID-19 pandemic presented new challenges for scholars and government officials to predict people's evacuation decisions under a conflicting natural disaster. In this study, we examined households' evacuation and shelter intentions given the potential conflicts between the perceived risks from a hurricane and the coexisting public health crisis. We surveyed households living inside hurricane evacuation zones in Florida during the 2020 hurricane season. Data were first used to examine the evacuation and shelter intentions before and during the pandemic. We then measured respondents' hurricane and COVID-19 risk perception, respectively. The impacts of both risk perceptions on respondents' hurricane evacuation intentions were explored. We found that when people felt unsafe to stay home for a Category 2, 3, or 4 hurricane, their intended evacuation was about the same before and during the pandemic regardless of their COVID-19 risk perception. The COVID-19 risk perception, however, significantly lowered the evacuation intention for a Category 1 hurricane. It also significantly influenced evacuees' preference for nontraditional shelters such as government-contracted hotels. The results of our study have practical implications for emergency management and public health governance. Our study also provides insights into decision-making under the conflict between natural hazards and infectious diseases. (English) [ FROM AUTHOR] La pandemia del COVID-19 planteó nuevos retos a los eruditos y funcionarios gubernamentales para predecir las decisiones de evacuación de la gente sometida a un desastre natural conflictivo. En este estudio, examinamos la evacuación e intenciones de albergue de familias teniendo en cuenta potenciales conflictos entre los riesgos percibidos de un huracán y las crisis coexistentes en la salud pública. Encuestamos a las familias que residían en las zonas de evacuación por huracanes de la Florida durante la temporada de huracanes del 2020. Los datos se usaron primero para examinar las intenciones de evacuación y de refugio antes y durante la pandemia. Después, medimos la percepción del riesgo de afectaciones por huracanes y COVID-19 de los encuestados, respectivamente. Se exploraron los impactos de ambos tipos de percepciones de riesgo en las intenciones de evacuación, por encuestado. Hallamos que cuando la gente se siente insegura de permanecer en casa frente a huracanes de las categorías 2, 3 y 4, su evacuación intencionada era más o menos la misma de antes y durante la pandemia, sin importar la percepción del riesgo de COVID-19. No obstante, la percepción del riesgo de COVID-19 redujo de manera significativa la evaluación de la intención de evacuación para un huracán de categoría 1. Eso también influyó significativamente en la preferencia de los evacuados por refugios no tradicionales, como los hoteles contratados por el gobierno. Los resultados de nuestro estudio tienen implicaciones prácticas en el manejo de las emergencias y la gobernanza de la salud pública. También proporciona nuestro estudio nuevas visiones en lo que concierne a toma de decisiones bajo condiciones de conflicto entre las catástrofes naturales y la enfermedades contagiosas. (Spanish) [ FROM AUTHOR] 新冠肺炎流行病与其它自然灾害相互冲突, 给专家和政府预测人群的疏散决定提出了新的挑战。我们探讨了家庭疏散和避难的意愿, 考虑了飓风的感知风险与公共卫生危机之间的潜在冲突。我们调查了2020年飓风季节美国佛罗里达州飓风疏散区内的家庭。首先, 基于数据探讨了流行病之前和期间的疏散和避难意愿。然后, 我们分别度量了受访者对飓风和新冠肺炎的风险感知。探讨了这两种风险感知对受访者飓风疏散意愿的影响。我们发现, 在2、3或4级飓风中, 当人们认为居家危险时, 不管如何感知新冠肺炎风险, 人们在新冠肺炎流行之前和期间的疏散意愿大致相同。然而, 新冠肺炎风险感知显著降低了1级飓风的撤离意愿。它还显著影响了疏散者对非传统庇护所(如, 政府指定酒店)的偏好。我们的研究结果, 对应急管理和公共卫生治理具有实际意义。我们的研究, 还为自然灾害和传染病相互冲突情况下的决策提供了见解。 (Chinese) [ FROM AUTHOR] Copyright of Professional Geographer is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

4.
Social Science Computer Review ; 41(3):790-811, 2023.
Article in English | Academic Search Complete | ID: covidwho-20245295

ABSTRACT

The U.S. confronts an unprecedented public health crisis, the COVID-19 pandemic, in the presidential election year in 2020. In such a compound situation, a real-time dynamic examination of how the general public ascribe the crisis responsibilities taking account to their political ideologies is helpful for developing effective strategies to manage the crisis and diminish hostility toward particular groups caused by polarization. Social media, such as Twitter, provide platforms for the public's COVID-related discourse to form, accumulate, and visibly present. Meanwhile, those features also make social media a window to monitor the public responses in real-time. This research conducted a computational text analysis of 2,918,376 tweets sent by 829,686 different U.S. users regarding COVID-19 from January 24 to May 25, 2020. Results indicate that the public's crisis attribution and attitude toward governmental crisis responses are driven by their political identities. One crisis factor identified by this study (i.e., threat level) also affects the public's attribution and attitude polarization. Additionally, we note that pandemic fatigue was identified in our findings as early as in March 2020. This study has theoretical, practical, and methodological implications informing further health communication in a heated political environment. [ FROM AUTHOR] Copyright of Social Science Computer Review is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

5.
Journal of Water Resource and Protection ; 14(4):305-317, 2022.
Article in English | CAB Abstracts | ID: covidwho-20245288

ABSTRACT

This paper aims to analyze the research on the current situation of water-saving agriculture development in Europe. Water-saving agriculture in Europe started early, governments and farmers in various countries have a strong awareness of water-saving in agriculture and have achieved certain results. Due to the global spread of the COVID-19 pandemic, the lack of up-to-date field research, the complexity of various agricultural disciplines and categories, and the lack of information sharing, the current cognition of recent progress in the development of water-saving agriculture in Europe is not comprehensive enough. This paper selects four representative European countries: Spain, Germany, Italy, and Denmark as the research objects. Based on the existing research of Chinese and Western scholars, this paper analyzes and studies the current situation of water-saving agriculture in Europe. It has far-reaching significance for other countries in the world to have further development in water-saving agriculture and to protect water resources.

6.
International Journal of Contemporary Hospitality Management ; 35(7):2496-2526, 2023.
Article in English | ProQuest Central | ID: covidwho-20245285

ABSTRACT

PurposeThis study aims to propose a systematic knowledge management model to explore the causal links leading to the organizational crisis preparedness (OCP) level of integrated resorts (IRs) during the COVID-19 pandemic based on the intangible capital of organizational climate, dynamic capability, substantive capability and commitment.Design/methodology/approachThe authors use data obtained from IRs in Macau. The Wuli–Shili–Renli (WSR) approach underpins the study. Structural equation modeling following fuzzy-set qualitative comparative analysis (fsQCA) was used for data processing.FindingsThe results showed that organizational climate has an essential role in IRs preparedness for crises and affects their dynamic capacity, substantive capacity and commitment. The fsQCA results revealed that the relationships between conditions with a higher level of dynamic and substantive capability lead to higher OCP scores.Practical implicationsExecutives should develop systemic thinking regarding organization preparedness in IRs for crisis management. A comprehensive understanding of the IRs' business environment and crises is necessary, as they will require different factor constellations to allow the organization to perform well in a crisis. Financial support for employees could ensure their assistance when dealing with such situations. Rapid response teams should be set up for daily operations and marketing implementation of each level of the IRs management systems.Originality/valueThis study contributes to the extant literature on IRs crisis management in the OCP aspect. The authors constructed a systematic composite picture of organization executives' knowledge management through the three layers of intangible capitals in WSR. Moreover, the authors explored causal links of WSR from symmetric and asymmetric perspectives.

7.
Journal of Frontiers of Computer Science and Technology ; 17(5):1049-1056, 2023.
Article in Chinese | Scopus | ID: covidwho-20245250

ABSTRACT

The molecular docking-based virtual screening technique evaluates the binding abilities between multiple ligand compounds and receptors to screen for the active compounds. In the context of the global spread of the COVID-19 pandemic, large-scale and rapid drug virtual screening is crucial for identifying potential drug molecules from massive datasets of ligand structures. The powerful computing power of supercomputer provides hardware guarantee for drug virtual screening, but the super large-scale drug virtual screening still faces many challenges that affects the effective execution of the calculation. Based on the analysis of the challenges, this paper proposes a centralized task distribution scheme with a central database, and designs a multi-level task distribution framework. The challenges are effectively solved through multi-level intelligent scheduling, multi-level compression processing of massive small molecule files, dynamic load balancing and high error tolerance management technology. An easy-touse"tree”multi-level task distribution system is implemented. A fast, efficient and stable drug virtual screening task distribution, calculation and result analysis function is realized, and the computing efficiency is nearly linear. Then, heterogeneous computing technology is used to complete the drug virtual screening of more than 2 billion compounds, for two different active sites for COVID-19, on the domestic super computing system, which provides a powerful computing guarantee for the super large-scale rapid virtual screening of explosive malignant infectious diseases. © 2023, Journal of Computer Engineering and Applications Beijing Co., Ltd.;Science Press. All rights reserved.

8.
Educational Gerontology ; 49(6):477-490, 2023.
Article in English | CINAHL | ID: covidwho-20245243

ABSTRACT

Inclusive digital financial services should welcome older populations and make them beneficiaries of the digital and financial revolution. To understand older adults' experience of using digital financial tools, we conducted an online survey of 268 older internet users aged 60 or above from urban areas of 14 Chinese provinces after China's nationwide COVID-19 lockdown in 2021. Our results revealed that older internet surfers were active in digital financial activities and engaged most with activities that were highly compatible with their lifestyles. Active users significantly differed from inactive users in sociodemographics, confirming that a digital divide related to social stratification exists among older internet users. Digital finance active users were also distinguished from inactive users' attitudes and perceptions toward digital finance. Logistic regression results indicated that perceived usefulness, access to proper devices for digital finance, risk perceptions, and perceived exclusion if not using technology were associated with their adoption of these advanced tools. Older adults reported the perceived inconvenience of in-person financial services during the lockdown. They also expressed a willingness to participate in relevant training if provided. The findings of this study could help aging-related practitioners to understand older adults' engagement in digital finance and guide policy and project design in the area of financial inclusion of the aging population.

9.
Public Administration Review ; 2023.
Article in English | Web of Science | ID: covidwho-20245216

ABSTRACT

The ongoing COVID-19 pandemic has exacerbated cracks in the United States' healthcare systems-along with its deathcare systems. The pandemic as an ongoing mass fatality incident highlights the need to understand the public servants engaged in deathcare work, as they are a vital part of the emergency response equation. This exploratory, descriptive study focuses on the ways in which medical examiners and coroners (ME/Cs) in the United States provide core emergency management services to communities, relying on findings from interviews with 18 ME/Cs throughout the country. Findings indicate how COVID-19 cases are counted is difficult, the pandemic changed how ME/Cs operate in response, and burnout is eminent for these public servants.

10.
2023 11th International Conference on Information and Education Technology, ICIET 2023 ; : 395-399, 2023.
Article in English | Scopus | ID: covidwho-20245158

ABSTRACT

This paper discusses the performance analysis of learner behavior through online learning using Learning Management System (LMS). The analysis is performed based on the survey of lecturers and students activities. The parameters of survey consist of the problems discussion which arise in the online learning, the level of student absorption of lecture material, the level of student attendance, and the feedback on lecturer performance carried out by students. Problems that arise in the online learning include lecturers are not being able to control as much as 37%, network disturbances are as much as 22%, students having difficulty understanding lecture material are as much as 19% which are indicated by students with D score of 10%, C score of 60%, and B score of 30%. Meanwhile 17% of students use LMS and the remaining 5% have no problems with the online learning. On the other hand, students have difficulty obtaining connection for online learning of 45%, do not have a quota of 28%, and lazy of 17%. Lecturer performance feedback carried out by students based on competency parameters of pedagogic, personality, professionalism, and social shows very good score. © 2023 IEEE.

11.
ACM International Conference Proceeding Series ; : 51-58, 2022.
Article in English | Scopus | ID: covidwho-20245106

ABSTRACT

This study aimed to examine the effect of distance education on the level of educational achievement of children during the Corona period in ten primary schools in the Emirate of Dubai. To achieve the objectives of the study the researchers adopted the descriptive analytical approach. The quantitative method of data collection had been applied using the electronic questionnaire tool consisted of four main axes for data collection and had been distributed to the study sample consisted of 190 students' parents and administrators selected by using simple random techniques. The results of the study indicated that the participation of students in the educational process, and in the establishment of appropriate educational programs and applications for the transmission to distance learning have contributed to reducing the negative effects of the process of shifting from traditional education / face-to-face education classroom teaching to virtual classroom (ZOOM).The study recommended the need for strengthening distance education mechanisms, which contribute in developing the student's interests, tendencies, attitudes, concentrating on the study material, and using of safe and secured electronic devices to increase the search for additional information to reach the correct knowledge. Also, the school administration should have good e-learning plan ahead with required financial credits that will help in overcoming the crisis and mange distance learning processes to reach future objectives successfully. © 2022 Owner/Author.

12.
Value in Health ; 26(6 Supplement):S232-S233, 2023.
Article in English | EMBASE | ID: covidwho-20245087

ABSTRACT

Objectives: COVID 19 and increasing unmet needs of health technology had accelerated an adoption of digital health globally and the major categories are mobile-health, health information technology, telemedicine. Digital health interventions have various benefit on clinical efficacy, quality of care and reducing healthcare costs. The objective of the study is to identify new reimbursement policy trend of digital health medical devices in South Korea. Method(s): Official announcements published in national bodies and supplementary secondary research were used to capture policies, frameworks and currently approved products since 2019. Result(s): With policy development, several digital health devices and AI software have been introduced as non-reimbursement by utilizing new Health Technology Assessment (nHTA) pathway including grace period of nHTA and innovative medical devices integrated assessment pathway. AI based cardiac arrest risk management software (DeepCARS) and electroceutical device for major depressive disorders (MINDD STIM) have been approved as non-reimbursement use for about 3 years. Two digital therapeutics for insomnia and AI software for diagnosis of cerebral infarction were approved as the first innovative medical devices under new integrated assessment system, and they could be treated in the market. In addition, there is remote patient monitoring (RPM) reimbursement service fee. Continuous glucose monitoring devices have been reimbursed for type 1 diabetes patients by the National Health Insurance Service (NHIS) since January 2019. Homecare RPM service for peritoneal dialysis patients with cloud platform (Sharesource) has been reimbursed since December 2019, and long-term continuous ECG monitoring service fee for wearable ECG monitoring devices (ATpatch, MEMO) became reimbursement since January 2022. Conclusion(s): Although Korean government has been developed guidelines for digital health actively, only few products had been reimbursed. To introduce new technologies for improved patient centric treatment, novel value-based assessment and new pricing guideline of digital health medical devices are quite required.Copyright © 2023

13.
Maritime Policy and Management ; 50(6):818-832, 2023.
Article in English | ProQuest Central | ID: covidwho-20245069

ABSTRACT

Due to the COVID-19 pandemic, the international shipping market has been highly volatile, posing a serious threat to the survival and development of many maritime start-ups. With the development of the digital economy, digital transformation is affecting the evolution and upgrading of many traditional enterprises, including maritime enterprises. In the post-COVID-19 era, start-up small and medium-sized enterprises will need to consider the importance of enterprise risk management to achieve transformation and upgrading. The purpose of this study is to provide guidance for the establishment and upgrading of risk management systems for start-ups based on the identification of risk management strategies of maritime enterprises and the evaluation of their performance. The fuzzy analytic hierarchy process and importance-performance analysis methods were used to rank the operational risk, financial risk, market risk, innovation risk, and disaster risk according to sub-items and screen out the risk management schemes for priority improvements. Through empirical research, it was found that the financial risk and market risk response schemes have the lowest performance and need to be prioritised for improvement. This study argues that start-ups can appropriately challenge their risk management strategies to meet potential risk management needs based on their own circumstances.

14.
International Transactions in Operational Research ; 2023.
Article in English | Web of Science | ID: covidwho-20244979

ABSTRACT

This paper investigates a government's subsidy strategy for motivating a manufacturer to set up a flexible production line for emergency supplies. Four subsidy strategies are proposed to ensure a desired service level in case of an emergency: zero subsidy, a fixed subsidy, a marginal subsidy, and a hybrid subsidy. We develop a game theoretical model to examine how the government can induce a manufacturer to set up a flexible production line that can respond promptly to an emergency, based on the manufacturer's cost structure (fixed and marginal costs). We find that when the marginal profit of an emergency product is higher than that of the manufacturer's regular product, a fixed (marginal) subsidy is the dominant strategy if the manufacturer's fixed (marginal) cost is high, while a hybrid subsidy strategy is dominant if both costs are high. When the marginal profit of an emergency product is lower than that of the manufacturer's regular product, neither a fixed subsidy nor a zero subsidy will be the dominant strategy. We also find that a marginal subsidy can ensure the effectiveness of the strategy, while a fixed subsidy helps improve strategy efficiency. We use government subsidy strategies implemented for Chinese COVID-19 emergency supplies as examples to demonstrate the effectiveness and efficiency of the subsidy strategies under the proposed framework. We also extend the discussion by considering the manufacturer's social consciousness.

15.
Chinese Journal of Zoology ; 57(6):951-962, 2022.
Article in Chinese | CAB Abstracts | ID: covidwho-20244972

ABSTRACT

Many zoonotic diseases are found in wild animals and present a serious risk to human health, in particularly the virus carried by birds flying freely around the world is hard to control. There are three main bird migration routes which cover the most areas of China. It is important to investigate and fully understand the types of avian transmitted diseases in key areas on the bird migration routines and its impacts on both birds and human health. However, no literature is available in how about the risk of virus carried by migrating birds, and how to predict and reduce this risk of virus spreading to human being so far. In this paper, we first reviewed the main pathogen types carried by birds, including coronaviruses, influenza viruses, parasites, Newcastle disease virus (NDV), etc., and then discussed the spread risk of avian viruses to human being and animals in key areas of biosafety prevention. We also analyzed and discussed the risk of cross-spread of diseases among different bird species in nature reserves located on bird migration routes which provide sufficient food sources for migratory birds and attract numerous birds. Diseases transmitted by wild birds pose a serious threat to poultry farms, where high density of poultry may become avian influenza virus (AIV) reservoirs, cause a risk of avian influenza outbreaks. Airports are mostly built in suburban areas or remote areas with good ecological environment. There are important transit places for bird migration and densely populated areas, which have serious risk of disease transmission. Finally, this paper puts forward the following prevention suggestions from three aspects. First, establish and improve the monitoring and prediction mechanism of migratory birds, and use laser technology to prevent contact between wild birds and poultry. Second, examine and identify virus types carried by birds in their habitats and carry out vaccination. Third, protect the ecological environment of bird habitat, and keep wild birds in their natural habitat, so as to reduce the contact between wild birds and human and poultry, and thus reduce the risk of virus transmission.

16.
Journal of Industrial and Management Optimization ; 19(6):4663, 2023.
Article in English | ProQuest Central | ID: covidwho-20244967

ABSTRACT

Disasters such as earthquakes, typhoons, floods and COVID-19 continue to threaten the lives of people in all countries. In order to cover the basic needs of the victims, emergency logistics should be implemented in time. Location-routing problem (LRP) tackles facility location problem and vehicle routing problem simultaneously to obtain the overall optimization. In response to the shortage of relief materials in the early post-disaster stage, a multi-objective model for the LRP considering fairness is constructed by evaluating the urgency coefficients of all demand points. The objectives are the lowest cost, delivery time and degree of dissatisfaction. Since LRP is a NP-hard problem, a hybrid metaheuristic algorithm of Discrete Particle Swarm Optimization (DPSO) and Harris Hawks Optimization (HHO) is designed to solve the model. In addition, three improvement strategies, namely elite-opposition learning, nonlinear escaping energy, multi-probability random walk, are introduced to enhance its execution efficiency. Finally, the effectiveness and performance of the LRP model and the hybrid metaheuristic algorithm are verified by a case study of COVID-19 in Wuhan. It demonstrates that the hybrid metaheuristic algorithm is more competitive with higher accuracy and the ability to jump out of the local optimum than other metaheuristic algorithms.

17.
Management Research Review ; 46(7):1016-1042, 2023.
Article in English | ProQuest Central | ID: covidwho-20244942

ABSTRACT

PurposeThis study aims to investigate the impact of environmental scanning on organizational resilience through the mediation of organizational learning and innovation based on organizational information processing theory (OIPT) within Egyptian small and medium enterprises (SMEs) during the COVID-19 pandemic.Design/methodology/approachThis study adopted a cross-sectional design to collect the data used to carry out mediation analysis. A self-administered questionnaire was used to collect data from a sample consisting of 249 Egyptian SMEs. The smart partial least square structural equation modeling (PLS-SEM) technique was adopted to test the hypotheses.FindingsEnvironmental scanning does not have a direct effect on organizational resilience. However, organizational learning and innovation fully mediate the relationship between environmental scanning and organizational resilience.Research limitations/implicationsThe sample size was small, covering only Egyptian manufacturing SMEs. The results may differ in the service sector and other countries. The study was cross-sectional which is limited to tracing the long-term effects of environmental scanning, organizational learning and innovation on organizational resilience. Accordingly, a longitudinal study may be undertaken.Practical implicationsManagers in Egyptian SMEs should use signals from environmental scanning activities as input for learning and transforming business processes through innovation to develop organizational resilience.Originality/valueThis study is the first to investigate the role of environmental scanning in building organizational resilience through organizational learning and innovation based on the perspective of OIPT within Egyptian SMEs during the COVID-19 crisis.

18.
Journal of the Intensive Care Society ; 24(1 Supplement):69-70, 2023.
Article in English | EMBASE | ID: covidwho-20244683

ABSTRACT

Introduction: Arterial lines are used within our intensive care unit to allow invasive blood pressure monitoring and regular blood gas analysis. Inadvertent use of dextrose containing fluids in the flush have been associated with falsely high glucose readings. When these are acted on with insulin, it can cause devastating hypoglycaemic brain injury. There have been a number of deaths and other incidents relating to the wrong fluid being used in arterial line set up reported within the UK in recent years. In 2014 the AAGBI released a safety guideline on the use of arterial lines specifically to reduce to the risk of hypoglycaemic brain injury. Objective(s): Our objective was to ensure that 100% of arterial lines in use within Royal Victoria Hospital's intensive care unit were compliant with our trust policy on the management of arterial lines. Method(s): We audited our intensive care unit's compliance with our trust policy and found that we were 80% compliant. We formed a multi-disciplinary arterial line working group in order to tackle the problem. Our quality improvement project consisted of two main approaches: 1. To educate staff on how to manage arterial lines correctly. We divided the management of arterial lines into S.A.L.T steps (a 7 step bundle on "Setting up an Arterial Line Transducer") and SUGAR checks ( a series of red flag moments to prompt staff to review the patient prior to starting or increasing insulin administration).We developed educational posters for key areas in ICU and presented our findings at departmental meetings. 2. To change the system, in order to make it easier to do the right thing. We developed a Universal Adult Arterial Pack (UAAP) containing key components in the setup of an arterial line. This also included aide memoires for the S.A.L.T steps and SUGAR checks. In order to measure the effect of these changes, we: 1. Audited compliance on a regular basis. 2. Monitored serious bundle breaches ( for example no label, wrong fluid used) 3. Assessed usage of the UAAP. Result(s): 1. Bundle compliance improved during the first half of 2021, however then reduced in the second half with the number of serious bundle breaches increasing. This coincided with COVID surge 4 - associated with reduced nursing ratios and staff redeployment. 2. UAAP usage increased throughout the project, from an average of 6 to 9 per day. 86% of staff found the packs useful and 85% thought that they reduced the potential for error. Conclusion(s): The presence of a policy does not ensure that staff will know about it or adhere to it. Although we have not yet achieved our target of 100% compliance, we have seen evidence of how our project has the potential to do so in the near future. We aim to roll out our new e-learning module for staff education, manufacture our UAAP on a bigger scale, and disseminate the project to other departments within the trust.

19.
Calitatea ; 24(194):166-176, 2023.
Article in English | ProQuest Central | ID: covidwho-20244678

ABSTRACT

The purpose of this study is to examine and analyze the influence of mental workload and person-organization fit on turnover intention, using basic psychological needs frustration (BPNF) as the intervening variable in the hospital in Daerah Istimewa Yogyakarta. The sample of this study is vocational nurse in the hospital in Daerah Istimewa Yogyakarta. The sample is carried out through survey from 153 respondents, which is processed using Structural Equation Modeling (SEM) method. This study finds that mental workload does not have direct influence on turnover intention, but it is mediated (full mediation) by need for competence frustration and need for relatedness frustration. Person-organization fit has a positive influence on need for autonomy frustration. However, person-organization fit does not have an influence on turnover intention, and basic psychological needs does not mediate the relationship of these variables. This study also found that the category of mental workload is quite low, person-organization fit is low, basic psychological needs frustration is quite low, and turnover intention is low. Nurse has the extrinsic motivation of identified regulation, thus hospital leaders should bring their motivation from identified regulation to intrinsic motivation, through internalization by establishing supportive work environment, namely Islamic spiritual workplace (ISW), with basic psychological needs supporting in each of its dimension. This study is expected to be a reference for practitioners in human resource management, especially regarding human resource retention function through the implementation of ISW. ISW contributes to lower mental workload, the increase of person-organization fit, establishment of basic psychological need satisfaction, as well as the decrease of basic psychological needs frustration and turnover intention.

20.
European Journal of Engineering Education ; 2023.
Article in English | Web of Science | ID: covidwho-20244581

ABSTRACT

In spite of the sudden onset of the COVID-19 pandemic, many instructors who used team-based pedagogies shifted them online rather than suspending them entirely, but with limited time and resources. To examine the difference in team dynamics and outcomes for courses in Spring 2019 and Spring 2020 of over 1500 first-year engineering students per semester, Wilcoxon signed-rank tests and random forests method were used. Results show that students reported less improvement in team-member effectiveness, lower psychological safety, and less satisfaction in the semester with the emergency transition. However, students also reported lower conflict. The most important factor predicting project grades shifted from 'Interacting with teammates' to 'Having relevant knowledge, skills, and abilities' amid the emergency shift, accompanied by a reduction in team interdependence. In spite of the collection of data during an emergency transition, the foundation of face-to-face interaction before moving to virtual cooperation represents a useful contribution to research that has focused exclusively on virtual learning circumstances.

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