Concerns over the environmental impacts of the transport sector have led to the United Kingdom (UK) Government establishing a legally binding commitment of an 80% reduction in greenhouse gas emissions by 2050 (relative to the 1990 baseline) through the Climate Change Act 2008. The decarbonisation of the transport sector by 2050 will substantially contribute towards achieving this target. Technological innovations, therefore, have an important role in supporting policy objectives. One innovation that is being developed for this purpose in the transport sector is an alternative fuel vehicle. While there are several alternative fuel vehicle technologies, the only two with zero tailpipe (exhaust) emissions are battery electric vehicles and hydrogen fuel cell vehicles. Both of these technologies are not yet at a stage in their development where they can successfully compete with conventional fuel vehicles (internal combustion engine vehicles). They face a variety of technological hurdles that include range, performance, cost, and infrastructure. Hydrogen fuel cell vehicles are not commercially available, although battery electric vehicles have been on the commercial market for several years. Uptake of alternative fuel vehicles is occurring at a slower pace than hoped by policy makers and manufacturers. The aim of this thesis is to examine the factors influencing the decision to adopt an alternative fuel vehicle, and is underpinned by Rogers (2003) Diffusion of Innovations theory. The Innovation-Decision Process from this theory posits that an individual must first know about an innovation before forming an attitude about it. Innovativeness is instrumental in determining the knowledge an individual has of an innovation and how early in the diffusion process they are likely to become an adopter. Perceptions of the innovation are influential in forming an attitude towards it. The focus of the research is on Birmingham, the UK s second largest city. The first stage of the research involves establishing the locations of individuals across the city that possess socio-demographic characteristics associated with early adopters of alternative fuel vehicles. This is achieved by applying cluster analysis to Birmingham census data, which enabled the identification of a strong spatial cluster of potential early adopters in the suburb of Sutton Coldfield. In the second stage of the research, a household questionnaire was undertaken with 413 respondents in Sutton Coldfield. The analysis of the questionnaire data firstly involves the verification of the early adopter characteristics from stage one by examining the relationship of these characteristics with innovativeness. Analysis is then undertaken of the level of knowledge and the perceptions that the respondents have of alternative fuel vehicles. The final step in the analysis is an evaluation of the characteristics of current models of electric vehicles and how well aligned they are with the driving needs and vehicle expectations of respondents. The results confirm that the knowledge of alternative fuel vehicles is limited and individual perceptions have led to the development of negative attitudes towards them. Socio-demographic characteristics were significant in influencing these factors. There were 5% (21) of respondents who have previously considered the adoption of an electric vehicle but have not yet done so. There is evidence from the survey of active rejection among a small number of respondents. The reasons largely relate to three problems: purchase price, limited range, and poor infrastructure availability. However, the majority of respondents have passively rejected alternative fuel vehicles, such that they have never given consideration to the adoption of one. This confirms that a concerted effort is required to inform the general public about alternative fuel vehicles. Opportunities for increasing adoption have been identified for policy and marketing, including education and awareness-raising campaigns.

No description available.

Intensive care delirium prevention is currently a practice improvement goal of the Society of Critical Care Medicine. Delirium increases morbidity, mortality, time mechanically ventilated, length of stay, and health care spending. The Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit (PAD guidelines) were revised and published in 2013. The ICU Delirium and Cognitive Impairment Study Group at Vanderbilt University have developed the ABCDEF Bundle protocol as a way of operationalizing the 2013 PAD guidelines. Implementation of the ABCDEF Bundle protocol has been shown to decrease occurrence and duration of delirium while improving morbidity and mortality therefore decreasing length of stay. The purpose of this project is to develop an implementation and evaluation plan of the ABCDEF Bundle for a community hospital's TSICU in Arizona. The Squire guidelines for quality improvement reporting are followed for this project. Implementation and evaluation of the ABCDEF bundle are explained in detail.

National culture has a significant influence on how innovations are adopted and diffuse throughout society. Existing innovation literature often employ Hofstede’s cultural difference dimensions to predict technology diffusion, which is critical to international marketers who are interested in tapping into this region. However, whilst Hofstede initially clustered the Arab nations into one region, past works have failed to compare and predict the diffusion of innovations amongst the Middle East and North African (MENA) nations. To address this research gap and to challenge Hofstede’s assumption of the MENA region as one cultural homogenous group, this study proposes to 1) measure the cultural differences of the seven nations, including Kuwait, Kingdom of Saudi Arabia, United Arab Emirates, Egypt, Iraq, Libya, and Lebanon within the MENA region and 2) explore the relationship between national culture and the diffusion of innovations amongst the seven countries. Using Hofstede’s latest national culture instrument, the Value Survey Model 2013 (VSM13), 775 survey data is collected from university students based in the seven nations to obtain new national cultural profiles on six dimensions, which are power distance, uncertainty avoidance, individualism, indulgent versus restraint, long-term orientation and masculinity femininity index. Empirical evidence shows that all seven nations differ significantly on each of Hofstede’s national culture dimensions, particularly on the power distance, uncertainty avoidance, indulgent versus restraint, and long term orientation dimension. The Bass Model is employed to estimate each of the seven nation’s diffusion patterns based on their mobile subscription data, and then correlated with their national culture ranks along with other variables such as socioeconomic indicators and telecommunication sector specific variables. The findings indicate that out of the six national culture indices, only the power distance index, indulgent versus restraint, long term orientation, and uncertainty avoidance dimensions show significant correlations with the innovation and imitations levels on the national level, suggesting that these particular cultural scales can effect and limit the innovation levels and the speed of the diffusion process of innovations. Results also indicate that literacy rate and urbanization are significantly correlated with the speed of the diffusion process and imitation levels on the national level. This research sheds new light on cross national diffusion literature by empirically revealing the innovative and imitative profiles of seven Arab States that were previously underrepresented and untested. The present study also provides fresh insights into the diffusion and national culture relationship by analysing the MENA region, which presents a theoretical contribution to cross cultural diffusion studies by advancing our understanding of the process by which Hofstede’s dimensions are associated with innovative and imitative levels. International marketing managers are thus advised to adopt a waterfall strategy when approaching the MENA region, in which innovative countries, such as Kuwait, are first targeted for introducing innovative products and services, through mass media and advertising. Whilst imitative countries, such as Egypt, are targeted for last entry, with a marketing communication plan that utilizes brand ambassadors and influencers, so as to reduce the risk and uncertainty of the innovation in question.

Implementation is a phase included in nearly all instructional development models, yet literature on instructional design and technology reveals little about implementation's nature and the special conditions that must be considered as users go beyond adoption (Ely, 1999). Ely (1990b; 1999) contends these conditions include dissatisfaction with the status quo, leadership, commitment, participation, resources, time, incentives and rewards, and knowledge and skills. When employing Ely's conditions as a framework for investigation, attention is shifted away from the innovation to the environment where the innovation has actually been adopted and utilized as a facilitating factor in implementation. The move to online and software-based environments in recent years is accompanied by a need for additional research to further validate Ely's conditions within this new context. This exploratory study identified and analyzed user pre and post-implementation perceptions regarding the relative importance of Ely's conditions for the successful implementation of an actual innovation, a product management system. An online survey, the Implementation Profile Instrument created by the founders of iphase.org, was adapted and utilized to capture user perceptions. Descriptive statistics and factor analyses revealed important differences with past innovations and contexts, and between pre and post implementer groups and pre and post-implementation stages. / Ph. D.

Cloud computing provides an answer to the increasing costs of managing information technology (IT), and has become a model that aligns IT services with an organization's business strategies. However, concerns and uncertainties associated with cloud computing are deterring IT decision makers from making sound decisions regarding the adoption of the technology. The purpose of this online survey study was to examine the relationship between relative advantage, compatibility, organizational size, top management support, organizational readiness, mimetic pressure, normative pressures, coercive pressure, and the IT decision makers' intent to adopt cloud computing. The theoretical framework incorporated the diffusion of innovations theory, a technology-organization-environment framework, and institutional theory. The survey participants were 136 IT decision makers from different U.S. industries. The Pearson's coefficient analysis indicated a significant correlation between the dependent variable (intent to adopt) and all independent variables except organizational size. The regression model was a statistically significant predictor of the dependent variable and accounted for approximately 74% of the variance in the dependent variable, primarily predicted by top management support, normative pressure, relative advantage, and organization readiness. The implications for positive social change include the potential of implementing innovations that would augment technology efficiency, decrease workplace personnel issues, and create a more desirable and flexible workplace. Flexibility at work enables employees to be able to participate in other nonwork roles such as family, child, and elder care, or education.

(略) / Service-oriented Architecture (SOA) paradigm is an emerging architectural blueprint which enables flexible process-oriented application systems. While more and more enterprises plan to adopt SOA to increase reusability and flexibility of their business processes, the readiness of this technology becomes important to enterprises. However, previous SOA studies focus mainly on the technical issues but ignore the organizational or managerial issues. To fill this gap, this research aims to explore the factors of adopting SOA. Developed upon institutional theory and diffusion of innovation theory, we not only consider the technical factors with SOA adoption, but also pay attention to factors related with organizations and IT innovations. Furthermore, a content analysis of online Webs, blogs, and forums is taken to verify our research framework, and research findings indicate the relative advantage of SOA, compatibility of SOA, the characteristics of decision makers, culture, IT capability, and SOA socioeconomic characteristics are the most important drivers for SOA adoption. The contribution is summarized in two folds: (1) enterprises can use this framework as a reference to diagnose their organization conditions and then make a decision to adopting SOA; and (2) researchers can develop their study upon the constructs of this framework.

The National Center for Complementary and Integrated Health, National Institutes of Health, U.S. Department of Health and Human Services, has highlighted a need for research to better understand the usage of complementary and alternative medicine practices. The purpose of this study was to investigate the flow of complementary and alternative medicine information among yoga practitioners. The study consisted of 51 yoga practitioners from 7 yoga studio locations. This mixed-methods study used interviews, surveys, and field notes to collect data. Content and social network analyses provided supporting evidence for Rogers' diffusion of innovations theory and Granovetter's strength of weak ties theory. Key findings included a preference for face-to-face communications, students having both strong and weak relationship ties to directors and instructors, and yoga being the top recommended practice. The study suggested that yoga practitioners related to complementary and alternative medicine information through the lens of their friends and relatives, sought information from trusted sources, and used this information to determine which practices were right for them to pursue.

There is currently an effort within the European Union and Sweden to make data produced by government agencies available for reuse to citizens and organizations. While Sweden has had a long history of sharing information with its citizens the country is currently behind its northern neighboring countries when it comes to publishing government data openly. In this study, the author seeks to find if there are types of governmental agencies whose work makes it easier or harder to make it available for reuse. This was done in two phases; in the first phase, the author identified overrepresented and underrepresented agency types on Sweden’s open data portal. In the second phase, the author interviewed two agencies from an overrepresented agency type and two agencies from an underrepresented agency type, to learn what has enabled the overrepresented agencies and what has prevented the underrepresented agencies to publish data openly. The results show that agencies that have sensitive data, in general, had a harder time publishing their data openly than those which did not. The agencies that were underrepresented on the Swedish data portal also had decentralized data generation methods and ways of storage that negatively impacted their ability to publish data openly. What enabled the overrepresented agencies to publish data, beyond having a low amount of sensitive data was the tangible benefits of publishing data openly and the organizational willingness that came with these benefits.

No description available.