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Business, Enterprise & Management

Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/5

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Author: search.filters.author.Paladini, StefaniaHas files: No

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    The role of leadership and cultural barriers in the adoption of lean six sigma in clinical pharmacy practice and medicine waste reduction. The case of NHS-UK
    (Emerald, 2024-06-28) Saha, Krishnendu; Bhavesh Patel; Paladini, Stefania
    Purpose This study investigates the role of leadership and cultural transformation in facilitating Lean Six Sigma (LSS) practices in clinical pharmacy settings to reduce medicine waste within the UK National Health Services (NHS). Design/methodology/approach A systematic literature review on Lean Six Sigma in health care was conducted to develop an analytical framework. This was followed by a qualitative case study of an English NHS trust to test the framework, exploring pharmacists' adoption of LSS practices and their impact on staff behaviour, focussing on leadership decisions and organisational culture. Findings The research highlights the significance of leadership’s prioritisation in waste reduction efforts and its influence on staff engagement. It also examines the intricate relationship between leadership decisions, education and training, resource allocation, and the prevailing clinical culture, which shapes pharmacists' behaviours and attitudes towards LSS practices and waste reduction. Research limitations/implications The study’s focus on a single NHS trust limits the generalisability of the findings, suggesting the need for further research across different healthcare settings. Practical implications The study recommends a cultural transformation, earlier training, and reformation in service strategy to enhance the adoption of LSS practices and contribute to a more sustainable future for the wider health services. Social implications Effective medicine waste management prevents harm and helps address the current NHS medicine shortage. The NHS can allocate resources efficiently, ensure timely treatment, and prepare for future disruptions by implementing the proposed framework. Originality/value We developed a leadership model for the NHS to reduce medicine waste, offering a novel approach to addressing the challenge of medicine waste through leadership and cultural transformation.
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    The relationship between periodontal disease and cancer: Insights from a Systematic Literature Network Analysis
    (Elsevier, 2024-06-14) Villar, Alice; Mendes, Bruna; Viègas, Mirna; de Aquino Alexandre, Ana Léa; Paladini, Stefania; Cossatis, João
    This paper investigates the relationship between periodontal disease and various cancer types. It provides a comprehensive overview of the existing knowledge about the interaction between periodontal disease and carcinogenesis, explores the underlying biological mechanisms of this connection, and consider the impact of these findings on healthcare practices and future research directions. Utilizing Systematic Literature Network Analysis, which combines bibliometric analysis with Systematic Literature Review, this study analyzes 164 documents from 2000 to 2023. Focus is placed on the 38 most globally cited papers, enabling a targeted and comprehensive analysis of the predominant research within this scope. This review highlights that colorectal, oral, pancreatic, lung, and gastrointestinal cancers have consistent associations with periodontal disease. On the other hand, hematological, breast and prostate cancers show associations with periodontal disease, but these links are less pronounced and more variable, indicating the need for targeted research in these domains. These insights emphasize the necessity for a multidisciplinary healthcare approach, recognizing the systemic implications of periodontal disease. © 2024 Elsevier Ltd
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    Innovation intermediaries and emerging digital technologies [Editorial]
    (Elsevier, 2024-04-30) Colovic, Ana; Caloffi, Annalisa; Rossi, Federica; Paladini, Stefania; Bagherzadeh, Mehdi
    Digital technologies have brought about fundamental changes to innovation intermediaries’ business models, and the ways in which they facilitate innovation and the adoption of these technologies. Digital technologies have also stimulated the emergence of non-human intermediaries such as crowdsourcing platforms. Yet knowledge is lacking on how intermediaries and intermediation are changing under the influence of digital technologies. The special issue on Innovation intermediaries and emerging digital technologies was designed to contribute to filling this gap. In this editorial, we reflect on these major developments and introduce the articles published in this special issue, which advance knowledge on how intermediaries contribute to the adoption of digital technologies, how they respond to technological change, and how they support intermediation for innovation. Building on the insights from this special issue, we suggest several avenues for future research.
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    Evaluating Water Security in the Asia-Pacific Region: A New Approach Based on Vulnerability Indices
    (Taylor and Francis Group, 2013) Paladini, Stefania
    A specialist in non-traditional security issues in China and Southeast Asia outlines a new approach to investigating the emerging issue of water security in East Asia. The author develops a composite vulnerability index linking water availability with economic and social conditions, and applies the index to assess the effects of water supply constraints on 26 countries in the Asia-Pacific region. The paper demonstrates that the index provides useful insights for further analyses, although additional work is needed before it can be considered fully reliable for forecasting purposes.
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    Environmental threats and its effects on the innovation landscape in thailand: toward a quintuple helix?
    (2015) Paladini, Stefania; Anoyrkati, Eleni; Walter, C.; Sinkakis, S
    Several “helices multiple models” have been proposed for analyzing and to a certain extent for predicting innovation pattern in the twenty-first century. While the basic triple helix stresses the university-industry-government relation, the quadruple model embeds a technological-savvy civil society in this equation. However, other important factors have emerged to be especially sensitive in affecting—positively and adversely—societal conditions for innovation, and environment is certainly a key one. Both doctrine (Carayannis et al. 2012) and institutions have been discussing, directly or indirectly, about a quintuple helix, including ecology in its wider meaning. In the specific geographic and institutional framework of Southeast Asia, environmental conditions, and the unique challenges they present, constitute essential components to analyze and predict innovation forces. It is important to remember that environmental security has emerged as one of the most relevant non-traditional security issues in the region, and that migration, climate changes, and environmental hazards have always affected countries of this area in a measure even more significant than in other parts of the planet. It is not accidental that one of the first and most renowned centers of non-traditional security is hosted in Singapore—that is, RSIS Centre for Non-Traditional Security Studies—as a leading research center in the field for the last 15 years.