SACM - United Kingdom
Permanent URI for this collectionhttps://drepo.sdl.edu.sa/handle/20.500.14154/9667
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Item Restricted Large-System Transformation in Healthcare and the Roles of Senior Leaders: A Case Study from Saudi Arabia(University of Manchester, 2024) Bawhab, Omar; Nelson, Adrian; Coleman, Anna; Mahon, AnnThe implementation of large-system transformation in healthcare is complex and multi-faceted, requiring effective leadership at all levels, particularly from senior leaders. However, there is limited conceptual clarity around large-system transformations in healthcare and the roles senior leaders play in driving such transformations, especially in a non-Western context. This thesis addresses these knowledge gaps by exploring senior leaders' perceptions of large-system transformation and their role in its implementation in Saudi Arabia. Using a qualitative single case study design, this research gathered insights from 22 senior leaders at national and regional levels of the Saudi healthcare system through semi-structured interviews. The study employed an inductive-deductive thematic analysis approach, guided by the Health System Dynamics Framework, sensemaking theory, and systems leadership perspectives. Two conceptual frameworks were developed: one delineating ten key components of large-system transformation in healthcare, and another outlining seven critical roles of senior leaders during such transformations, six categories of enablers, and eight types of challenges. The large-system transformation framework highlights the interconnected nature of contextual triggers, climate for change, vision, leadership, governance, actors, resources, processes, social forces (e.g., resistance to change), and information flow. The senior leaders’ roles, enablers, and challenges framework emphasizes leaders' responsibilities in creating a climate for change, communicating and learning, managing resources, engaging stakeholders, setting strategic direction, managing social dynamics, and developing key leadership attributes. The framework also indicates multiple enablers and challenges relevant to the roles of senior leaders, providing a nuanced understanding of the complexities involved in healthcare system transformations. This research contributes to the theoretical understanding of large-system transformation in healthcare and senior leaders' roles, enablers, and challenges, particularly in a non-Western context. It offers practical implications for healthcare leaders and policymakers engaged in system-wide transformations. Future research directions are suggested to further validate and expand upon these findings.12 0Item Restricted Large-System Transformation in Healthcare and the Roles of Senior Leaders: A Case Study from Saudi Arabia(University of Manchester, 2024) Bawhab, Omar; Nelson, Adrian; Coleman, Anna; Mahon, AnnThe implementation of large-system transformation in healthcare is complex and multi-faceted, requiring effective leadership at all levels, particularly from senior leaders. However, there is limited conceptual clarity around large-system transformations in healthcare and the roles senior leaders play in driving such transformations, especially in a non-Western context. This thesis addresses these knowledge gaps by exploring senior leaders' perceptions of large-system transformation and their role in its implementation in Saudi Arabia. Using a qualitative single case study design, this research gathered insights from 22 senior leaders at national and regional levels of the Saudi healthcare system through semi-structured interviews. The study employed an inductive-deductive thematic analysis approach, guided by the Health System Dynamics Framework, sensemaking theory, and systems leadership perspectives. Two conceptual frameworks were developed: one delineating ten key components of large-system transformation in healthcare, and another outlining seven critical roles of senior leaders during such transformations, six categories of enablers, and eight types of challenges. The large-system transformation framework highlights the interconnected nature of contextual triggers, climate for change, vision, leadership, governance, actors, resources, processes, social forces (e.g., resistance to change), and information flow. The senior leaders’ roles, enablers, and challenges framework emphasizes leaders' responsibilities in creating a climate for change, communicating and learning, managing resources, engaging stakeholders, setting strategic direction, managing social dynamics, and developing key leadership attributes. The framework also indicates multiple enablers and challenges relevant to the roles of senior leaders, providing a nuanced understanding of the complexities involved in healthcare system transformations. This research contributes to the theoretical understanding of large-system transformation in healthcare and senior leaders' roles, enablers, and challenges, particularly in a non-Western context. It offers practical implications for healthcare leaders and policymakers engaged in system-wide transformations. Future research directions are suggested to further validate and expand upon these findings.9 0Item Restricted The effect of HRM practices on the CSR integration into organisational culture: A study of the role of HR in developing a socially responsible culture .(Saudi Digital Library, 2023-09-28) Almatrafi, Ghadeer; Ali, BaharCorporate Social Responsibility (CSR) significance in an organisation has been rapidly growing for many years, acknowledging the imperative of addressing Environmental, Social, and Governance concerns in the strategies of business. CSR integration into organisational culture is necessary for sustainable competitive advantage, societal well-being, and stakeholder trust. Human Resource Management (HRM) practices wield a profound influence on the culture, and they can share the CSR principles integration. The empirical investigation on the interaction between CSR and HRM integration is scarce. The study filled the gap by exploring how HRM practices support and contribute to the integration of CSR into organisational culture. The study investigated HR's role in nurturing a socially responsible culture, uncovering key benefits and challenges, and underscoring the importance of aligning both HRM and CSR practices. The research also underscores the HR professional vital contributions and provides insights to foster a socially responsible culture that drives social impact and sustainability, enriching strategic, practical, and academic understandings in the process.35 0Item Restricted Challenges Facing COVID-19 Vaccines Cold Chain Systems in Low-income Countries and Their Effects on COVID-19 Vaccine Inequity in Africa and Globally(Saudi Digital Library, 2022-10-03) Alfaraj, Ghaidaa; Roberts, StephenRealizing that the COVID-19 pandemic is a tremendous public health burden due to dramatically increased morbidity and mortality rates, countries undertook measures to limit the transmission of the virus. Eventually, experts and scientists met the urgency of this matter with unprecedented extensive efforts to develop safe and effective vaccines for COVID-19. Unfortunately, the COVID-19 vaccines were developed quickly, and little attention was drawn to their deployment. Therefore, it is justified to expect supply chain challenges in low-income countries, especially those related to the vaccination cold chain. This literature review dissertation aims to explore the challenges facing the COVID-19 vaccines’ cold chain systems in low-income countries and discuss what impacts these challenges have on vaccine inequity in the African region and on larger global efforts to end the pandemic. The methodology of this dissertation is a literature review that employs a qualitative research approach to address the research questions. It is conducted by referring to the six-phase framework for doing a thematic analysis by Braun and Clarke. All publication types were retrieved electronically by searching relevant databases. A total of 14 papers were included in this review. Thematic analysis resulted in four themes, including the challenges facing cold chain systems in low-income countries which are: inadequate cold chain establishment, special vaccine requirements, lack of human resources, and poor infrastructures. Findings show that low-income countries struggle to provide and maintain cold chain systems for COVID-19 vaccines, leading to difficulty deploying them where they are needed, which confirms the contribution of the COVID-19 vaccines cold chain systems’ deficiencies in low-income countries to vaccine inequity in Africa and globally. These consequences and delays in COVID-19 vaccines’ deployment cause vaccine inequity in low-income countries, further exacerbating the pandemic’s dire global effects and challenging global health’s progress towards achieving global health equity.19 0