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Article
Publication date: 24 May 2011

Stephen Walston and Ann F. Chou

Increased competition and resource scarcity have caused hospitals to seek internal efficiencies by restructuring their structures and processes. The purpose of this paper is to…

1513

Abstract

Purpose

Increased competition and resource scarcity have caused hospitals to seek internal efficiencies by restructuring their structures and processes. The purpose of this paper is to examine the effects of an organization's orientation toward control and learning and the use of process facilitators on perceived organizational consensus on outcomes related to cost, quality, and the ability to sustain implemented changes following a major hospital restructuring.

Design/methodology/approach

Data from 263 hospitals from across the USA were collected. Factor analysis was employed to develop scales measuring the organization's emphasis on learning, controls, and processes. Regression analysis then examined their relationship to the consensus on restructured outcomes.

Findings

The findings suggest a positive relationship between a learning orientation and processes with improved perceived agreement on restructuring outcomes. Hospitals with control orientations have a negative relationship with perceived organizational consensus.

Research limitations/implications

The research has some limitations. The primary data for both the CEOs' and employees' perspectives comes from hospital CEOs. Also, the study is a cross‐sectional study and lacks longitudinal information. It also includes mostly not‐for‐profit hospitals, with 100 or more beds, in urban areas.

Practical implications

Hospitals will continue to feel pressures for the need to restructure and change. The findings suggest that hospitals achieve better results if they foster a learning orientation and put in place processes to facilitate the challenges of change. Although control systems are important, executives should realize that they might impede organizational efforts during organizational change. Hospitals may succeed in their change efforts by balancing adequate control and learning that are supported by processes to facilitate restructuring efforts.

Originality/value

The work provides an original study on the effects of an organization's orientation of learning and controls and change processes on the perceived consensus of restructuring outcomes. The dichotomy of learning and controls has not been applied to hospital consensus on outcomes. The research suggests that hospitals can improve their change efforts by implementing appropriate processes and greater learning mechanisms. During times of stress and change hospitals often become more control oriented, which may create greater misalignments and ineffective change. Managers should learn from the research that appropriate processes and learning will provide better consensus and more effective change.

Details

Journal of Health Organization and Management, vol. 25 no. 2
Type: Research Article
ISSN: 1477-7266

Keywords

Book part
Publication date: 19 December 2013

Abstract

Details

Annual Review of Health Care Management: Revisiting The Evolution of Health Systems Organization
Type: Book
ISBN: 978-1-78350-715-3

Book part
Publication date: 31 July 2013

Abstract

Details

Leading in Health Care Organizations: Improving Safety, Satisfaction and Financial Performance
Type: Book
ISBN: 978-1-78190-633-0

Book part
Publication date: 5 October 2018

Nima Gerami Seresht, Rodolfo Lourenzutti, Ahmad Salah and Aminah Robinson Fayek

Due to the increasing size and complexity of construction projects, construction engineering and management involves the coordination of many complex and dynamic processes and…

Abstract

Due to the increasing size and complexity of construction projects, construction engineering and management involves the coordination of many complex and dynamic processes and relies on the analysis of uncertain, imprecise and incomplete information, including subjective and linguistically expressed information. Various modelling and computing techniques have been used by construction researchers and applied to practical construction problems in order to overcome these challenges, including fuzzy hybrid techniques. Fuzzy hybrid techniques combine the human-like reasoning capabilities of fuzzy logic with the capabilities of other techniques, such as optimization, machine learning, multi-criteria decision-making (MCDM) and simulation, to capitalise on their strengths and overcome their limitations. Based on a review of construction literature, this chapter identifies the most common types of fuzzy hybrid techniques applied to construction problems and reviews selected papers in each category of fuzzy hybrid technique to illustrate their capabilities for addressing construction challenges. Finally, this chapter discusses areas for future development of fuzzy hybrid techniques that will increase their capabilities for solving construction-related problems. The contributions of this chapter are threefold: (1) the limitations of some standard techniques for solving construction problems are discussed, as are the ways that fuzzy methods have been hybridized with these techniques in order to address their limitations; (2) a review of existing applications of fuzzy hybrid techniques in construction is provided in order to illustrate the capabilities of these techniques for solving a variety of construction problems and (3) potential improvements in each category of fuzzy hybrid technique in construction are provided, as areas for future research.

Details

Fuzzy Hybrid Computing in Construction Engineering and Management
Type: Book
ISBN: 978-1-78743-868-2

Keywords

Article
Publication date: 1 August 1998

Jaroslav Mackerle

This paper gives a review of the finite element techniques (FE) applied in the area of material processing. The latest trends in metal forming, non‐metal forming, powder…

4532

Abstract

This paper gives a review of the finite element techniques (FE) applied in the area of material processing. The latest trends in metal forming, non‐metal forming, powder metallurgy and composite material processing are briefly discussed. The range of applications of finite elements on these subjects is extremely wide and cannot be presented in a single paper; therefore the aim of the paper is to give FE researchers/users only an encyclopaedic view of the different possibilities that exist today in the various fields mentioned above. An appendix included at the end of the paper presents a bibliography on finite element applications in material processing for 1994‐1996, where 1,370 references are listed. This bibliography is an updating of the paper written by Brannberg and Mackerle which has been published in Engineering Computations, Vol. 11 No. 5, 1994, pp. 413‐55.

Details

Engineering Computations, vol. 15 no. 5
Type: Research Article
ISSN: 0264-4401

Keywords

Article
Publication date: 27 December 2022

Bright Awuku, Eric Asa, Edmund Baffoe-Twum and Adikie Essegbey

Challenges associated with ensuring the accuracy and reliability of cost estimation of highway construction bid items are of significant interest to state highway transportation…

Abstract

Purpose

Challenges associated with ensuring the accuracy and reliability of cost estimation of highway construction bid items are of significant interest to state highway transportation agencies. Even with the existing research undertaken on the subject, the problem of inaccurate estimation of highway bid items still exists. This paper aims to assess the accuracy of the cost estimation methods employed in the selected studies to provide insights into how well they perform empirically. Additionally, this research seeks to identify, synthesize and assess the impact of the factors affecting highway unit prices because they affect the total cost of highway construction costs.

Design/methodology/approach

This paper systematically searched, selected and reviewed 105 papers from Scopus, Google Scholar, American Society of Civil Engineers (ASCE), Transportation Research Board (TRB) and Science Direct (SD) on conceptual cost estimation of highway bid items. This study used content and nonparametric statistical analyses to determine research trends, identify, categorize the factors influencing highway unit prices and assess the combined performance of conceptual cost prediction models.

Findings

Findings from the trend analysis showed that between 1983 and 2019 North America, Asia, Europe and the Middle East contributed the most to improving highway cost estimation research. Aggregating the quantitative results and weighting the findings using each study's sample size revealed that the average error between the actual and the estimated project costs of Monte-Carlo simulation models (5.49%) performed better compared to the Bayesian model (5.95%), support vector machines (6.03%), case-based reasoning (11.69%), artificial neural networks (12.62%) and regression models (13.96%). This paper identified 41 factors and was grouped into three categories, namely: (1) factors relating to project characteristics; (2) organizational factors and (3) estimate factors based on the common classification used in the selected papers. The mean ranking analysis showed that most of the selected papers used project-specific factors more when estimating highway construction bid items than the other factors.

Originality/value

This paper contributes to the body of knowledge by analyzing and comparing the performance of highway cost estimation models, identifying and categorizing a comprehensive list of cost drivers to stimulate future studies in improving highway construction cost estimates.

Details

Engineering, Construction and Architectural Management, vol. 31 no. 3
Type: Research Article
ISSN: 0969-9988

Keywords

Article
Publication date: 11 April 2023

Maria Ijaz Baig, Elaheh Yadegaridehkordi and Mohd Hairul Nizam Bin Md Nasir

This research aimed to analyze and prioritize the factors affecting sustainable marketing (SM) and sustainable operation (SO) of manufacturing small and medium-sized enterprises…

Abstract

Purpose

This research aimed to analyze and prioritize the factors affecting sustainable marketing (SM) and sustainable operation (SO) of manufacturing small and medium-sized enterprises SMEs through big data adoption (BDA).

Design/methodology/approach

The technology-organization-environment (TOE) framework was used as a theoretical base and data were gathered from manufacturing SMEs in Malaysia. The 159 questionnaire replies of chief executive officer (CEO)/managers were analyzed using a hybrid approach of structural equation modeling-artificial neural network (SEM-ANN).

Findings

The findings of this study showed that perceived benefits (PB), technological complexity (TC), organization's resources (OR), organization's management support (OMS) and government legislation (GL) are the factors that influence BDA and promote SM and SO. The findings of ANN showed that a perceived benefit is the most important factor, followed by OMS.

Practical implications

The findings of this study can assist SMEs managers in making strategic decisions and improving sustainable performance and thus contribute to overall economic development.

Originality/value

The manufacturing industry is under immense pressure to integrate sustainable practices for long-term success. BDA can assist industries in aligning industries' operational capabilities. The majority of the current research have mainly emphasized on BDA in corporations. However, the associations between BDA and sustainable performance of manufacturing SMEs have been less explored. To address this issue, this study developed a theoretical model and examined the influence of BDA on SM and SO of manufacturing SMEs. Meanwhile, the hybrid methodological approach can help to uncover both linear and non-linear relationships better.

Details

Management Decision, vol. 61 no. 7
Type: Research Article
ISSN: 0025-1747

Keywords

Article
Publication date: 1 February 2022

Yasser Mater, Mohamed Kamel, Ahmed Karam and Emad Bakhoum

Utilization of sustainable materials is a global demand in the construction industry. Hence, this study aims to integrate waste management and artificial intelligence by…

Abstract

Purpose

Utilization of sustainable materials is a global demand in the construction industry. Hence, this study aims to integrate waste management and artificial intelligence by developing an artificial neural network (ANN) model to predict the compressive strength of green concrete. The proposed model allows the use of recycled coarse aggregate (RCA), recycled fine aggregate (RFA) and fly ash (FA) as partial replacements of concrete constituents.

Design/methodology/approach

The model is constructed, trained and validated using python through a set of experimental data collected from the literature. The model’s architecture comprises an input layer containing seven neurons representing concrete constituents and two neurons as the output layer to represent the 7- and 28-days compressive strength. The model showed high performance through multiple metrics, including mean squared error (MSE) of 2.41 and 2.00 for training and testing data sets, respectively.

Findings

Results showed that cement replacement with 10% FA causes a slight reduction up to 9% in the compressive strength, especially at early ages. Moreover, a decrease of nearly 40% in the 28-days compressive strength was noticed when replacing fine aggregate with 25% RFA.

Research limitations/implications

The research is limited to normal compressive strength of green concrete with a range of 25 to 40 MPa.

Practical implications

The developed model is designed in a flexible and user-friendly manner to be able to contribute to the sustainable development of the construction industry by saving time, effort and cost consumed in the experimental testing of materials.

Social implications

Green concrete containing wastes can solve several environmental problems, such as waste disposal problems, depletion of natural resources and energy consumption.

Originality/value

This research proposes a machine learning prediction model using the Python programming language to estimate the compressive strength of a green concrete mix that includes construction and demolition waste and FA. The ANN model is used to create three guidance charts through a parametric study to obtain the compressive strength of green concrete using RCA, RFA and FA replacements.

Details

Construction Innovation , vol. 23 no. 2
Type: Research Article
ISSN: 1471-4175

Keywords

Article
Publication date: 29 April 2021

Hei-Fong Ho

This study is to propose a more effective and efficient analytic methodology based on within-site clickstream associated with path visualization to explore the channel dependence…

Abstract

Purpose

This study is to propose a more effective and efficient analytic methodology based on within-site clickstream associated with path visualization to explore the channel dependence of consumers' latent shopping intent and the related behaviors, with which in turn to gain insight concerning the interactivity between webpages.

Design/methodology/approach

The primary intention of the research is to design and develop a more effective and efficient approach for exploring the consumers' latent shopping intent and the related behaviors from the clickstream data. The proposed methodology is to use text-mining package, consisting of the combination of hierarchical recurrent neural networks and Hopfield-like neural network equipped with Laplacian-based graph visualization to visualize the consumers' browsing patterns. Based on the observed interactivity between webpages, consumers' latent shopping intent and the related behaviors can be understood.

Findings

The key finding is to evidence that consumers' latent shopping intent and related behaviors within website depend on channels the consumers click through. The accessing consumers through channels of paid search and display advertising are identified and categorized as goal-directed and exploratory modes, respectively. The results also indicate that the effect of the content of webpage on the consumer's purchase intent varies with channels. This implies that website optimization and attribution of online advertising should also be channel-dependent.

Practical implications

This is important for the managerial and theoretical implications: First, to uncover the channel dependence of consumer's latent shopping intent and browsing behaviors would be helpful to the attribution of the online advertising for the sales promotion. Second, in the past, webmasters did not understand users' preferences and make decisions of reorganization purely on the user's browsing path (sequential page view) without appraising psychological perspective, that is, user's latent shopping intent.

Originality/value

This study is the first to explore the channel dependences of consumer's latent shopping intent and the related browsing behaviors through within-site clickstream associated with path visualization. The findings are helpful to the attribution of the online advertising for the sales promotion and useful for webmasters to optimize the effectiveness and usability of their websites and in turn promote the purchase decision.

Details

Data Technologies and Applications, vol. 55 no. 5
Type: Research Article
ISSN: 2514-9288

Keywords

Article
Publication date: 5 September 2016

Min Wu and Xiangyu Su

Because of the complexity of relationship between surface tension and its decisive factors, such as temperature, concentration, electronic density, molar atomic volume and…

Abstract

Purpose

Because of the complexity of relationship between surface tension and its decisive factors, such as temperature, concentration, electronic density, molar atomic volume and electro-negativity, a reasonable predicting model of surface tension of Sn-based solder alloys has not been developed yet. The paper aims to address the surface tension issue that has to be considered if the new lead free solder will be applied for electronics.

Design/methodology/approach

Using an artificial neural network (ANN) model with back-propagation (BP) algorithm, the surface tension for Sn-based binary solder alloys was simulated, and the comparison between the simulating results and data from experiments and literatures was analyzed as well. In addition, the relationship between surface tension and its decisive factors would be discussed based on the ANN and orthogonal design methods.

Findings

It is shown that the predicting model of surface tension of Sn-based solder alloys is constructed according to the BP–ANN theory, and the predicted value from the BP–ANN is in excellent agreement with the experimental results. The surface tension of Sn-based solders is determined by five factors, i.e. temperature, concentration, electronic density, molar atomic volume and electro-negativity. Among of the factors, molar atomic volume is major factor, and the order of degree of influence on surface tension is molar atomic volume > electro-negativity > electronic > density > concentration > temperature. Moreover, a simply reasonable equation is proposed to estimate the surface tension for Sn-based solders.

Originality/value

The five decisive factors of surface tension for Sn-based binary solder alloys have been analyzed theoretically, and a reasonable model of surface tension for Sn-based binary solder alloys is proposed as well. It is shown that ANN theory will be applied well to simulate the surface tension of Sn-based lead free solder.

Details

Soldering & Surface Mount Technology, vol. 28 no. 4
Type: Research Article
ISSN: 0954-0911

Keywords

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