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Item type:Publication, 5R and hospital sustainability: Our contribution in the climate emergency. Part II. Rethink and research(Sociedad de Anestesiologia de Chile, 2022-01-01)Introduction: Climate change is a health problem and, at the same time, health systems are important contributors. Hospitals stand out due to their high rates of energy consumption, resources and waste generation. The purpose of the study is to know and identify the determinants of sanitary waste and the measures that can be implemented that allow reducing the production of hospital waste, seeking to achieve a general and updated appreciation of this phenomenon and taking into account hospital sustainability. Method: A bibliographic search was carried out in pubmed that included keywords related to the concepts of carbon footprint, recycling and hospital waste. The screening yielded a total of 37 articles and later 12 publications founded from references (or that were previously known by the authors) were added. Results: The results are presented into 5 points known as the “5 Rs”, named below. “Reduce” (through adequate segregation of waste, correct management of effluents and energy, significant reduction of excesses and automatic administration of anesthetic gases), “Reuse” (through device reprocessing, reusable material and donation), “Recycle”, “Rethink” (with examples such as selection of less polluting gases, selective use of containers, staff education) and “Investigate” through different models. Discussion: Several of the recognized measures could have an application in many hospital areas despite the fact that most of the available evidence refers to the operating room. The organization and education of the personnel is important in order to implement the measures found.1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, 5R and hospital sustainability: Our contribution in the climate emergency. Part I. Reduce, reuse and recycle(Sociedad de Anestesiologia de Chile, 2022-01-01)Introduction: Climate change is a health problem and, at the same time, health systems are important contributors. Hospitals stand out due to their high rates of energy consumption, resources and waste generation. The purpose of the study is to know and identify the determinants of sanitary waste and the measures that can be implemented that allow reducing the production of hospital waste, seeking to achieve a general and updated appreciation of this phenomenon and taking into account hospital sustainability. Method: A bibliographic search was carried out in pubmed that included keywords related to the concepts of carbon footprint, recycling and hospital waste. The screening yielded a total of 37 articles and later 12 publications founded from references (or that were previously known by the authors) were added. Results: The results are presented into 5 points known as the “5 Rs”, named below. “Reduce” (through adequate segregation of waste, correct management of effluents and energy, significant reduction of excesses and automatic administration of anesthetic gases), “Reuse” (through device reprocessing, reusable material and donation), “Recycle”, “Rethink” (with examples such as selection of less polluting gases, selective use of containers, staff education) and “Investigate” through different models. Discussion: Several of the recognized measures could have an application in many hospital areas despite the fact that most of the available evidence refers to the operating room. The organization and education of the personnel is important in order to implement the measures found.1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Live Like an Ant to Eat Sugar: Nurses’ Engagement in Extreme Work Conditions and Their Perceptions of Its Ethicality(Routledge, 2023-07-22)Based on recent research on extreme work and social exchange theory, this paper presents a pioneering study focussed on public hospital nurses’ engagement in extreme work conditions and its associated ethical aspects. The empirical part comprises of 32 in-depth interviews conducted with nurses in four public hospitals in Egypt. Our findings highlight how a misunderstanding of religion, gender inequality, average education, and staff shortages are the main reasons of nurses’ engagement in intensive jobs. Moreover, poor physical and mental health, lack of time for personal commitments, and a sense of coercion emerged as aspects that raise questions regarding the (un)ethicality of nurses engaging in extreme work. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Public Value Creation Amid Geopolitical Challenges: the Necessity of Robotizing Nurses' Administrative Tasks in the Public Healthcare Context(Springer Science+Business Media, 2025-09-01)This qualitative study explores the extent to which the integration of robots in Egyptian public hospitals might alleviate nurses' administrative tasks and contribute to the creation of public value, as well as the reasons behind these potential effects. Analysis of interviews reveals that nurses do not believe replacing them with robots for administrative tasks would significantly reduce their workload or enhance public value. The nurses identify three primary challenges contributing to this belief: patient-focused, nurse-focused, and contextual challenges.2 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Ambivalent identification: the role of job performance in strengthening organizational identification in healthcare settings(Emerald Publishing Limited, 2025-11-10)PURPOSE: This study examines the direct impact of job performance on organizational identification and the mediating role of ambivalent identification among hospital employees. The aim is to provide a deeper understanding of how high-performing employees influence organizational identification, integrating both positive and negative experiences. DESIGN/METHODOLOGY/APPROACH: Data were collected from employees across three hospitals in Colombia and Argentina. The research utilized regression analysis and structural equation modelling (SEM) to test the proposed relationships between job performance, ambivalent identification and organizational identification. Multigroup SEM was used to assess differences by control variables. FINDINGS: The study reveals that job performance significantly influences organizational identification, a relationship scarcely explored in prior research. Ambivalent identification serves as a crucial mediator, offering a novel perspective on how employees' mixed feelings towards their organization impact their overall identification. This dual role of ambivalent identification highlights the complex interplay between job performance and organizational outcomes, emphasizing the importance of managing both positive and negative employee experiences. Including ambivalent identification as a mediator increases explained variance in organizational identification by 18%. ORIGINALITY/VALUE: This research breaks new ground by investigating the relatively unexplored pathway from job performance on organizational identification, incorporating ambivalent identification as a mediating variable. The use of the JD-R model to frame this relationship offers a comprehensive understanding of the dynamics involved, demonstrating the dual effects of job demands and resources on organizational outcomes. This study not only expands the theoretical understanding of these constructs but also provides practical implications for managing employee performance and organizational identification in the healthcare sector.2