Search Results (406)

Healthcare Information Systems (HISs) are essential for improving care quality, managing chronic diseases, and supporting clinical decision-making. Despite significant investments, HIS implementations often fail due to the complexity of healthcare environments. Maturity Models (MMs) have emerged as tools to guide organizational improvement by assessing readiness, process efficiency, technology adoption, and interoperability. This study presents a comprehensive literature review identifying 45 Maturity Models used across various healthcare domains, including telemedicine, analytics, business intelligence, and electronic medical records. These models, often based on Capability Maturity Model Integration (CMMI), vary in structure, scope, and maturity stages. The findings demonstrate that structured maturity assessments help healthcare organizations plan, implement, and optimize HIS more effectively, leading to enhanced clinical and operational performance. This review contributes to an understanding of how different MMs can support healthcare digital transformation and provides a resource for selecting appropriate models based on specific organizational goals and technological contexts. Full article

Background: Although improving the patient experience with care is being framed as part of value-based care, the economic and provider well-being impact of interventions for improving the patient experience has not been established. We aimed to synthesize the contemporary (2015–2024) empirical literature on the economic (e.g., costs, revenue) and other value-based impacts (e.g., provider well-being) of patient-experience improvement interventions. Methods: Systematic review using six databases of scientific literature (PubMed, EconLit, CINAHL, PsycINFO, DOAJ, and Scopus) supplemented by journal-specific and snowball searches following a registered study protocol (PROSPERO: CRD42022358337). Two independent reviewers performed eligibility decisions and quality appraisals of the study methods and economic assessments, when applicable; the latter was conducted using the Joanna Briggs Institute’s checklist for economic evaluations. Results: Out of 1317 unique references, nine were included. Four studies assessed the effectiveness of patient experience improvement interventions (e.g., provider communication training, discharge or transitional support) coupled with economic evaluations; these found statistically significant positive outcomes for both patient experience and economic dimensions—including reduced costs, improved revenue, or additional costs offset by increased revenue. Three additional studies on provider communication training also found statistically significant positive impacts on provider well-being (i.e., reduced burnout) and patient experience improvements. Conclusion: These findings shed light on the overall synergistic value of and business case for investments into developing patient experience improvement programs or activities. However, there is room for strengthening this body of knowledge in scope, volume, and method quality, including the need to study the impact on patient experience, provider well-being, health outcomes, and costs (i.e., the quadruple aim) in tandem. Full article

Despite increasing interest in workplace mental health, limited attention has been paid to the role of industry-based intermediary organisations in delivering mental health support. This scoping review addresses this gap by examining the mental health-related activities of industry intermediaries in Australia. A systematic search of the peer-reviewed and grey literature from 2010 to 2023, supported by expert consultation and conducted in accordance with the PRISMA-ScR guidelines, identified 35 relevant records. Interventions were categorised using the WHO Guidelines on Mental Health at Work and evaluation activities coded according to the Conceptual Framework for Implementation Research. Organisational-level interventions were the most common (54%), followed by individual psychosocial support for distressed workers (40%). Mental health-specific intermediaries offered more WHO-recommended interventions and were more likely to evaluate their programs. Although evaluations suggested improvements in mental health literacy and high program acceptability, evidence of impact on worker health and organisational outcomes was limited. The findings suggest that intermediary organisations—including unions, business associations, and professional bodies—are well positioned to support tailored mental health strategies. However, the current lack of robust evaluations limits the understanding of their effectiveness. Future efforts should prioritise industry–research collaborations to strengthen the evidence base and inform sustainable investment in workplace mental health initiatives. Full article

The readiness of businesses to address global climate change is pivotal for achieving sustainable development. However, the dynamics of business development remain underexplored, thereby limiting the depth and scope of research in this area. To this aim, the study examines the relationship between CO₂ emissions and new business density (NBD) in the top 14 countries with the highest NBD (Hong Kong, Cyprus, New Zealand, Estonia, Malta, United Kingdom, Australia, Botswana, Iceland, Latvia, Mauritius, Norway, Sweden, and Georgia) from 2006 to 2020, within the framework of Schumpeter’s theory and the environmental Kuznets curve (EKC) hypothesis, incorporating control variables such as renewable energy consumption (REC) and population size. To estimate the relationships between variables, we employ the novel Method of Moments Quantile Regression (MMQR) approach. The findings suggest that higher NBD is associated with increased CO₂ emissions. The results support the EKC hypothesis, positing an inverted U-shaped relationship between economic growth and environmental degradation, and highlight the mitigating effects of REC and population growth on CO₂ emissions. These findings emphasize the need for countries to align labor legislation with sustainable development objectives and to promote strategies grounded in environmental principles, green economic practices, and eco-friendly technologies. Full article

In response to escalating societal and environmental expectations, corporate social responsibility (CSR) has evolved into a strategic imperative rather than a voluntary or peripheral activity. This study investigates the effect of employees’ CSR perceptions on job performance, with corporate reputation (CR) examined as a mediating variable. Drawing on Social Identity and Social Exchange Theories, the research explores how CSR, as an element of business innovation and sustainable organizational practices, fosters internal stakeholder engagement and performance enhancement. Data were collected from five-star hotel employees in İstanbul/Türkiye, a service sector context where customer satisfaction is highly dependent on frontline employee behavior. Using PROCESS Macro for SPSS 27, the findings reveal that CSR perceptions significantly and positively influence employee performance both directly and indirectly through the enhancement of CR. This mediating effect underscores the role of CSR not only as an ethical framework but also as an internal mechanism that strengthens employee commitment and output. The study contributes to CSR and the organizational behavior literature by empirically validating that internal CSR perceptions shape strategic outcomes such as employee performance, especially within high-contact service environments. Theoretical implications emphasize CSR’s integrative function in reputation-building and performance systems, while practical insights recommend embedding socially responsible practices into HR and internal communication strategies to achieve sustainable outcomes and societal well-being. These findings offer meaningful contributions to the scope of business innovation by linking CSR with strategic performance indicators in labor-intensive industries. Full article

The clothing industry greatly impacts the global economy by producing billions of pieces of clothing and employing millions. However, it negatively impacts the environment, as it is one of the most polluting sectors in the world. This bibliometric review aims to identify influential authors and affiliations, journals, productive and cited countries, emerging and recent themes, and future research directions focusing on the dynamics of clothing brands’ sustainability practices. A comprehensive dataset from Scopus and the Web of Science contains 612 articles, and Biblioshiny and VOSviewer were used to analyze the data. Findings reveal that sustainability is not just a concern for developed countries but is also gaining attention in emerging economies like India. This bibliometric analysis presents its relationship with sustainable development goals (SDGs), combines performance analysis and science mapping of clothing brands’ sustainability practices, and evaluates thematic clusters to highlight future research scopes to fill the literature gap for further concentration on behavioral aspects, advanced supply chains, effective communication, and promoting the usage of sustainable technologies, which can help to align with business models for sustainability and resilience. Therefore, clothing brands’ sustainability practices should focus on smart and functional clothing through eco-friendly manufacturing and designing long-lasting clothes to enrich clothing performance. They should adopt innovative technologies for resource utilization, recycling, waste management, supply chain, and also emphasize communication with the consumers to encourage them to purchase eco-friendly and long-lasting clothes. Full article

The purpose of this study was to detect from the literature the roles of the Government, investors, and regulators in ESG implementation in South Africa from 2002 to 2022. ESG implementation in South Africa ensures sustainable business practices are adopted by firms operating within the country. The study used a scoping review methodology, with only articles in the English language being considered. A pilot search was carried out to identify key search phrases to be included in the search strategy. A total of 208 articles were identified and only 34 articles were eligible for the study. The results show an increase in ESG implementation by institutional investors, although investor activism is still low in South Africa. The South African Government actively enacted laws and regulations that supported ESG implementation after the global financial crisis of 2007–8. However, in recent years, there has been a lack of hard laws to support the non-legislative ESG rules that dominate ESG reporting. The study shows that the South African Government should improve its ESG laws for effective ESG adoption and avoid relying on the JSE, which enforces the King Code as a mandatory listing requirement to monitor ESG implementation. Training, capacity building, and active Government participation are critical for effective ESG implementation in South Africa. Full article

Today, businesses operate to maintain their assets sustainably and profitably, but they face resource scarcity and environmental problems. In order to overcome this problem, businesses should focus on environmental, social, and economic development while considering the environment. In this context, green human resource practices and sustainable leadership, which have emerged from green management philosophy, increase the environmental awareness of businesses and support them in protecting resources while also positively affecting many human resource metrics, such as performance and commitment at the business level. In recent years, definitions have been established, and scales have been developed within the scope of green human resource and sustainability leadership research, which has been a subject of interest in the relevant literature. Because studies measuring the effects of green human resource management (HRM) and sustainable leadership at the business level are rare, this work is important as it provides resources for further research. In this context, this research aimed to analyze the effects of green human resource management practices and sustainable leadership on employee commitment. In order to reach a general judgment about a system consisting of a large number of people and find answers to the research questions, the general screening model, which allows for single or relational screenings over the entire system or a group of samples to be taken from it, was selected. The correlational model, a type of quantitative research model, was used to examine the relationships between the variables within the scope of this research. According to the results, the effects of green HRM practices on organizational commitment change significantly through the mediation of sustainable leadership. The findings reveal that, for organizations seeking to foster a sustainable business culture, merely implementing green policies is insufficient; leaders must also embody these practices and motivate their workforce. Such an integrated strategy enhances both ecological sustainability and employee commitment, thereby securing a lasting competitive edge. Full article

The integration of artificial intelligence (AI) technologies is reshaping diverse domains of human activity, including natural resource management, urban and rural planning, agri-food systems, industry, energy, education, and healthcare. However, the impact of AI on the sustainability of local ecosystems remains insufficiently systematized. This highlights the need for a comprehensive review that considers spatial, sectoral, and socio-economic characteristics of regions, as well as interdisciplinary approaches to sustainable development. This study presents a scoping review of 198 peer-reviewed publications published between 2010 and March 2025, focusing on applied cases of AI deployment in local contexts. Special attention is given to the role of AI in monitoring water, forest, and agricultural ecosystems, facilitating the digital transformation of businesses and territories, assessing ecosystem services, managing energy systems, and supporting educational and social sustainability. The review includes case studies from Africa, Asia, Europe, and Latin America, covering a wide range of technologies—from machine learning and digital twins to IoT and large language models. Findings indicate that AI holds significant potential for enhancing the efficiency and adaptability of local systems. Nevertheless, its implementation is accompanied by notable risks, including socio-economic disparities, technological inequality, and institutional limitations. The review concludes by outlining research priorities for the sustainable integration of AI into local ecosystems, emphasizing the importance of cross-sectoral collaboration and scientific support for regional digital transformations. Full article

Workplace psychological safety (PS) has been recognized as crucial in mitigating organizational stressors and enhancing positive workplace outcomes, particularly in high-risk occupations such as healthcare and public safety. This scoping review aims to synthesize the existing literature on psychological safety in high-risk workplaces to identify key antecedents, workplace enhancements, and research gaps. A systematic search of studies published between 2010 and January 2025 was conducted across multiple databases, including CINAHL, Medline, ERIC, JSTOR, PsycInfo, Business Source Ultimate, and Sociological Abstract. Inclusion criteria focused on adult workers in high-risk workplace environments. Following screening and eligibility assessments, 16 studies from six countries were selected for analysis. Data were extracted and thematically analyzed based on leadership styles, organizational structures, and workplace culture related to psychological safety. The review identified three primary antecedents of psychological safety in high-risk workplaces: (1) inclusive and transformational leadership styles, (2) hierarchical structures and power dynamics, and (3) workplace climate and communication culture. Studies consistently found that inclusive leadership, ethical integrity, and transformational leadership were strongly associated with higher psychological safety levels. While hierarchical structures provided the necessary organization, overly rigid hierarchies often suppressed employee voice and innovation. A workplace culture characterized by trust, transparency, and open communication fosters greater psychological safety and improved teamwork and well-being. Full article

When students choose their own learning strategies, they often rely on ineffective methods, such as rereading and cramming, which have limited long-term benefits. To improve learning outcomes, previous interventions have utilized explicit instruction about effective strategies and direct experience with those strategies, though with mixed success. Yüksel et al. demonstrated that combining both approaches could foster initial improvements in students’ understanding and use of effective learning strategies. In Study 1, we examined the long-term effects of this combined intervention by contacting participants six months later to assess the stability of outcomes. In Study 2, we extended the scope by surveying all students who had enrolled in the intervention section over the past five years. Participants were asked about their use and perceived effectiveness of various strategies. In both studies, quantitative measures were complemented with open-ended questions to gain deeper insights into study behaviors and obstacles to adopting effective strategies. While students retained an understanding of the effectiveness of various strategies and reported using ineffective strategies less frequently, the adoption of more effective strategies did not show a significant increase. However, compared to the business-as-usual group, the intervention group did not experience a decline in their use of effective strategies. These results suggest that while explicit instruction and experience can enhance knowledge, long-term behavior change remains difficult. Reported obstacles—such as time constraints, limited resources, procrastination, and prioritizing short-term gains—align with metacognitive theories of desirable difficulties and help explain why students still favor less effortful strategies, despite knowing more effective ones that require greater effort and delayed rewards. Full article

Allogeneic hematopoietic stem cell transplant (allo-HSCT) is an expensive and resource intensive procedure. This study aims to review the literature pertaining to healthcare resource utilization (HRU) and costs associated with allo-HSCT complications. The review followed the Joanna Briggs Institute methodology for scoping reviews. The PubMed, EMBASE, and Health Business Elite were searched in addition to the grey literature. Eligibility criteria included studies that reported HRU and/or costs associated with adult (≥18 years) allo-HSCT. Studies were categorized according to complications of allo-HSCT including graft-versus-host disease (acute and chronic GVHD) and infections (fungal, cytomegalovirus, virus-associated hemorrhagic cystitis, and acute respiratory tract infection). Commonly reported HRU and cost measures were extracted, including those associated with the direct management of allo-HSCT complications and intensive care unit (ICU) admissions. Reported costs were standardized to 2022 United States Dollars. Patients who experienced GVHD or infection post-transplant had an overall greater HRU including higher rates of hospitalization, hospital readmission, ICU admission, and longer length of stay compared to those patients who did not. Patients with severe or refractory GVHD and/or infection following allo-HSCT required greater healthcare intervention. This scoping review synthesizes the current literature on HRU and costs associated with post allo-HSCT complications. Patients who experienced post allo-HSCT complications had higher HRU and incurred higher costs overall, noting the variability across studies in their clinical context, reporting of HRU, and cost measures. Full article

The rise of solo self-employment in Germany calls for an examination of its consequences for well-being and psychological factors. This study examines the role of voluntariness in self-employment with the aim of shedding light on its influence on self-fulfillment and precariousness amidst the diverse research findings. Using a quota sampling strategy based on a preliminary typology of the solo self-employed derived from a large-scale survey, we analyzed 29 small business owners. The thematic analysis revealed nuanced patterns that led to a model that illustrated the interaction among voluntarism, insecurity, and self-fulfillment. A high degree of insecurity often forces the individual to be independent and stands in contrast to the pull of self-actualization. Partial voluntariness increases the opportunities for self-fulfillment. This study also identified the influence of the scope of action factors and social support. These results provide a basis for future quantitative research and enable the formulation of concrete hypotheses. By emphasizing the central role of voluntariness, the study argues for tailored interventions such as career counseling to support individuals who are coerced into entrepreneurship. Such efforts aim to cultivate healthier, sustainable pathways to self-employment that benefit individuals and society. Full article

The environmental, social, and governance (ESG) framework is critical for promoting sustainability in industries with substantial environmental impacts, such as the paint industry. Despite its significant contribution to Indonesia’s gross domestic product (GDP), the paint industry faces challenges in adopting ESG principles, including dependency on hazardous materials, reliance on imported raw materials, and limited participation in sustainability initiatives. This study develops an ESG-oriented business model by examining the influence of governance, environmental, and social dimensions on economic performance within Indonesia’s paint industry supply chain. Using structural equation modeling—partial least squares (SEM-PLS) and data from 170 stakeholders, the findings confirm that all three ESG dimensions positively and significantly impact economic outcomes. This model underscores the necessity of integrating ESG principles to enhance resilience, adaptability, and social responsibility while mitigating environmental risks. The study provides actionable insights for policymakers and industry stakeholders to implement ESG-driven strategies that align sustainability goals with economic growth. However, limitations such as geographical scope, short-term analysis, and broad coverage of supply chain activities highlight the need for further research to ensure generalizability and long-term applicability. Full article

Improving the green total factor productivity (GTFP) of publicly listed companies in the livestock sector is essential for achieving sustainable and high-quality development in China’s agricultural industry. This study proposes an integrated analysis framework for the advancement of GTFP, focusing on internal resource allocation and external business environment configurations. Using panel data from 32 publicly listed companies in China’s livestock sector covering the period 2016 to 2021, we apply the dynamic qualitative comparative analysis (QCA) and necessary condition analysis (NCA) methodologies to explore the configuration pathways for multiple factors that influence GTFP, aiming to identify the mechanisms that drive these pathways in publicly listed livestock companies. The findings reveal that individual antecedent conditions are not essential for achieving high green total factor productivity (GTFP) in firms. Rather, internal and external factors jointly facilitate GTFP enhancement, resulting in three distinct configurational pathways that share the equivalence of “diverse configuration pathways leading to the same objective”. Over time, the consistency level of each configuration pathway fluctuates above 0.94, demonstrating their stability over the study period. In terms of individual companies, the explanatory power of each configuration remains uniform across enterprises, exhibiting no significant differences. This study expands the scope of GTFP-related research and advances the application of the dynamic QCA method. It also provides enlightenment for policymakers to refine sectoral regulations and for companies seeking strategies to improve GTFP. Full article