Purpose: This review mainly aims to identify the lean practice conducted in hospitals, determining what problems lean practice can be helpful to solve in the hospitals. Data sources: Four electronic databases (Scopus, Web of science, Medline, and PubMed) were conducted for searching related literature in this review. Study selection: These studies in the hospitals that related lean healthcare practice and contained outcome variables were included. Data extraction: Related information such as research design, countries, lean tools, outcome variables, results were extracted. Results of data synthesis: 20 eligible articles were identified in this review. There was 20% lean practice being conducted in emergency department of hospitals in this review. Six cases have implemented lean in Brazilian hospitals. There were 12 cases implemented lean practice through Value Stream Mapping. Conclusion: Lean practices were highly valued in Brazilian hospitals, and it was frequently implemented in hospital emergency department. Value Stream Mapping and process mapping were the most commonly used lean tool. Waiting time, lead time and Length of Hospital Stay (LOS) were the primary indicators reflecting improvements in this review.

Modern technologies have intensified innovations and necessitated changes in public service processes and operations. Continuous employee learning development (CELD) is one means of the molecule-atom that keep employees motivated and sustain competitiveness. The study explored the efficacy of CELD in relation to modern technology in the South African (SA) public service departments between 2014 to 2023 era. Departments are faced with challenge of equipping their employees with adequate professional and technical skills for both the present and the future in order to deliver specific government priorities. Data for the study were gathered utilizing a qualitative semi-structured e-questionnaire. The study sample consisted of 677 human capital development practitioners from national and provincial government departments in SA. The inefficacy CELD and the inadequacy of technological infrastructure and service delivery can be attributed to the failure by executive management and senior managers to invest in CELD to prepare employees for digital world. It is recommended that departments should use Ruggles’s knowledge management, Kirkpatrick’s training, and Becker and Schultz’s human capital models as sound measurement tools in order to gain a true return on investment. The study adds pragmatic insight into the value of CELD in the new technological environment in public service departments.

This study was conducted to comprehensively explore personal assistants for people with disabilities experiences and the current status of client behavioral issues during vocational activities, aiming to seek strategies for advancing worker health protection. The study included 8 participants (Personal assistants for people with disabilities) selected through voluntary convenience sampling method. Qualitative research methods, specifically in-depth interviews, were conducted from August 31 to September 1, 2023. The study categorized client behavioral issues into ‘unreasonable demands,’ ‘verbal and physical abuse,’ and ‘sexual harassment,’ causing stress among workers. Fear of unemployment and job change hindered emotional expression, leading to significant emotional exhaustion and job stress. Furthermore, it was revealed that there are no management policies, management departments, or management systems within the institution to address client problem behavior. To address these issues, the study suggests the establishment of emotional labor management systems and support structures. Furthermore, it emphasizes the need for systematic internal systems and the development of health protection manuals for client interaction.

Climate change is the most important environmental problem of the 21st century. Severe climate changes are caused by changes in the average temperature and rainfall can affect economic sectors. On the other hand, the impact of climate change on countries varies depending on their level of development. Therefore, the aim of this paper is to investigate the relationship between climate changes and economic sectors in developed and developing countries for the period 1990–2021. For this purpose, a novel approach based on wavelet analysis and SUR model has been used. In this case, first all variables are decomposed into different frequencies (short, medium and long terms) using wavelet decomposition and then a SUR model is applied for the examination of climate change effects on agriculture, industry and services sectors in developed and developing countries. The findings indicate that temperature and rainfall have a significant negative and positive relationship with the agriculture, industry and services sectors in developed and developing countries, respectively. But severity of the negative effects is greater in the agricultural and industrial sectors in all frequencies (short, medium and long terms) compared to service sector. Furthermore, the severity of the positive effects is greater in the agricultural sector in all frequencies of developing countries compared to the industrial and services sectors. Finally, developing countries are more vulnerable to climate change in all sectors compared to developed countries.

Current study examines the intervening role of team creativity for the relationship of four kinds of KM practice with innovation and the moderating effect of proactiveness in IT companies based on a Knowledge-Based View (KBV). Data was collected from 316 employees of IT companies who engage in software development in teams with the help of a simple random sampling method. Results indicate that KM practices have a positive impact on innovation. Also, team creativity plays mediating role in the relation of two KM practices i.e., knowledge sharing and knowledge application with innovation. Whereas proactiveness plays a positive moderating role in the relation of knowledge application and knowledge generation with innovation. Moreover, it plays a negative moderating role in relation of Knowledge sharing with innovation. This research adds to the body of literature by suggesting a framework of knowledge diffusion, knowledge storage, knowledge generation, knowledge application, team creativity, proactiveness, and innovation in a single model. This research also adds to the body of literature by proposing the intervening role of team creativity in the relationships of knowledge diffusion, knowledge storage, knowledge generation, and knowledge application, with innovation. The results of this research help the managers to use the team creativity concept to intervene in relation of knowledge diffusion, knowledge storage, knowledge generation, and knowledge application, with innovation. The results of the current study also give valuable insights to managers into why they can use the proactiveness to moderate the relations of knowledge diffusion, knowledge storage, knowledge generation, and knowledge application, with innovation. Current study adds in the body of literature by proposing the entire manuscript on the basis of two theories i.e., Knowledge-Based View (KBV) builds on and expands the RBV.

This research aims to determine and analyze the extent of the influence of community empowerment and sustainability-oriented innovation on sustainable performance through coworking spaces in the city of Bandung. To achieve the research objectives, a deductive approach is employed, intending to test a hypothesis to strengthen or reject existing hypotheses. Therefore, this research is also categorized as explanatory research. The research method used is the survey research method. The research sample is determined based on proportional stratified random sampling. This study focuses on business groups in coworking spaces in the 28 districts of Bandung City, with a total of 408 business operators. The sample selected consists of 208 business operators. Based on the research results, several conclusions are drawn, as follows: (1) Community empowerment has a significantly positive influence on sustainability performance, with a contribution of 84.5%; (2) Sustainability-oriented innovation has a significantly positive influence on sustainability performance, with a contribution of 69.2%; (3) Community empowerment has a significantly positive influence on Coworking Space, with a contribution of 93.6%; (4) Sustainability-oriented innovation has a significantly positive influence on Coworking Space, with a contribution of 36%; (5) Community empowerment has a significantly positive influence on sustainability-oriented innovation, with a contribution of 90.6%; (6) Coworking Space has a significantly positive influence on sustainability performance, with a contribution of 34%; (7) Community empowerment has a significantly positive influence on sustainability performance through Coworking Space, with a contribution of 20.7%; and (8) Sustainability oriented innovation has a significantly positive influence on sustainability performance through Coworking Space, with a contribution of 12.2%.

Introduction: In contemporary healthcare education, the integration of technology has emerged as an essential factor in enhancing the efficiency and efficacy of training methodologies. Particularly within the domain of cardiopulmonary resuscitation (CPR) training, the adoption of technology-driven approaches holds considerable potential for enriching the skills and proficiencies of healthcare practitioners. Through the utilization of innovative technologies, such as simulation software and leveraging smartphones as primary tools, CPR training programs can be customized to provide immersive, interactive, and authentic learning experiences. This study aims to validate a comprehensive CPR training module tailored explicitly for healthcare professionals, to integrate it into smartphones as a medium for delivering CPR training. Methods: Two validity tests, namely content validity and face validity were conducted to evaluate the validity of the Smart-CPR training module. A self-constructed measurement scale was utilized to assess four parameters: consistency, representativeness, clarity, and relevancy. Content validity employed the content validity ratio, with scores ranging between 1 and −1, indicating the level of consensus among experts regarding the significance of each item. Face validity was assessed using two indices: the item face validity index and the scale face validity index. Ratings of 3 or 4 were given a score of 1, while ratings of 1 or 2 received a score of 0. Result: The content validity shows that CVI values for ‘consistency’ and ‘representativeness’ were 0.99 for the module and questionnaire, and 0.96 and 0.97, respectively. ‘Clarity’ scored 0.99 for the module and 0.96 for the questionnaire, while ‘relevance’ achieved 0.99 for both. All 44 items exceeded the 0.83 threshold for face validity. The Lawshe’s content validity ratio (CVR) and content validity index (CVI) value were used to evaluate the content validity of both the CRSTP module and questionnaire, with CVR values result ranging from 0.80 to 0.99 across dimensions. These findings demonstrate robust content validity. Additionally, high CVI scores, mostly exceeding 0.95, suggest favorable outcomes and indicate no need for revisions. In face validity method, all 44 items surpassed the minimum threshold of 0.83, signifying a favourable outcome. Thus, all items were deemed acceptable. Conclusion: The Smart-CPR training module and questionnaires were meticulously developed to meet both face and content validity standards. All 44 items demonstrated appropriate levels of validity, ensuring they effectively enhance and maintain CPR competency among healthcare providers and potentially benefit the broader community. The positive results of the Smart-CPR training module confirm the high validity of the CPR competency assessment. Content validity, evaluated by experts, received a perfect score, demonstrating agreement on the relevance of each module component. Similarly, face validity, assessed by healthcare professionals, also received a flawless score, indicating consensus on the module’s clarity and relevance. These findings validate the module’s effectiveness in teaching CPR techniques to a diverse audience and ensuring compliance with established standards. With such strong validity, digitizing the module becomes more straightforward, facilitating easier sharing and use across digital platforms. Ultimately, the module’s high validity facilitates its integration into digital platforms, thereby enhancing CPR education and improving outcomes during real emergencies.

Telecommunications markets have a giant impact on countries’ economies. An example of this is the great potential offered by the internet service, which allows growth in various aspects such as productivity, education, health, and connectivity. A few companies dominate telecommunications markets, so there is a high market concentrations risk. In that sense, the state has to generate strong regulation in the sector. Models for measuring competition in telecommunications markets allow the state to monitor the concentration performance in these markets. The prediction of competition in the telecommunications market based on artificial intelligence techniques would allow the state to anticipate the necessary controls to regulate the market and avoid monopolies and oligopolies. This work’s added value and the main objective is to measure the current concentration level in the Colombian telecommunications market, this allows for competitive analysis in order to propose effective strategies and methodologies to improve competition in the future of Colombian telecommunications services operators. The main result obtained in the research is the existence of concentration in the Colombian telecommunications market.