The effects of quality and environmental management on competitive advantage: A mixed methods study in the hotel industry

This paper reports results derived from a mixed methods study where 13 hotel managers were initially interviewed, followed by a quantitative study of 355 additional managers. Data were analysed using partial least squares path modelling. The research question related to the relationship between quality and environmental management and the competitive advantage sought by hotels. The results indicate that quality management and environmental management permit the improvement of competitive advantage in terms of both costs and differentiation. Moreover, hotels implementing quality programmes find fewer obstacles in implementing environmental management.

Using multilevel modeling and mixed methods to make theoretical progress in microfoundations for strategy research

The microfoundations research agenda presents an expanded theoretical perspective because it considers individuals, their characteristics, and their interactions as relevant variables to help us understand firm-level strategic issues. However, microfoundations empirical research faces unique challenges because processes take place at different levels of analysis and these multilevel processes must be considered simultaneously. We describe multilevel modeling and mixed methods as methodological approaches whose use will allow for theoretical advancements. We describe key issues regarding the use of these two types of methods and, more importantly, discuss pressing substantive questions and topics that can be addressed with each of these methodological approaches with the goal of making theoretical advancements regarding the microfoundations research agenda and strategic management studies in general.

Gender portrayals in food commercials: a content analysis of Spanish television advertisements

Content analysis of media messages from a gender perspective has a long tradition. In the particular field of advertising, most of the researches have been focused on generic samples of advertisements or on the advertising traditionally associated to a masculine or a feminine audience. However, few authors have analyzed gender contents in food advertising, in spite of the close relationship between gender structures and the social processes of food purchase and preparation. Thus, gender representations in food advertising broadcast in Spanish television are analyzed in this article. The main results obtained show clear gender differences. For example, there is a clear predominance of masculine voices over and a more balanced situation regarding protagonists. Besides, feminine protagonists are more frequently located indoors, portrayed as attractive women and connected to advertising claims related to beauty or to the healthy qualities of the product.

Applying the WHO recommendations on health-sector response to violence against women to assess the Spanish health system. A mixed methods approach

This methodological note describes the development and application of a mixed-methods protocol to assess the responsiveness of Spanish health systems to violence against women in Spain, based on the World Health Organization (WHO) recommendations. Five areas for exploration were identified based on the WHO recommendations: policy environment, protocols, training, accountability/monitoring, and prevention/promotion. Two data collection instruments were developed to assess the situation of 17 Spanish regional health systems (RHS) with respect to these areas: 1) a set of indicators to guide a systematic review of secondary sources, and 2) an interview guide to be used with 26 key informants at the regional and national levels. We found differences between RHSs in the five areas assessed. The progress of RHSs on the WHO recommendations was notable at the level of policies, moderate in terms of health service delivery, and very limited in terms of preventive actions. Using a mixed-methods approach was useful for triangulation and complementarity during instrument design, data collection and interpretation.

Certificación medioambiental, competitividad y resultado empresarial: un estudio híbrido en el sector hotelero

La Responsabilidad Social en general, y la Gestión Medioambiental en particular, pueden influir sobre el resultado y la competitividad de las empresas. El objetivo principal de este trabajo es analizar la relación entre certificación medioambiental, rendimiento medioambiental, competitividad y resultado empresarial en el sector hotelero español. Además, también se analizan y comparan los niveles alcanzados de proactividad medioambiental para el grupo de hoteles certificados y no certificados. El método de investigación utilizado es híbrido, combinando una parte cualitativa con otra cuantitativa. Los resultados indican que los hoteles que tienen certificado su sistema de Gestión Medioambiental alcanzan mayores niveles de resultado en términos de porcentaje de ocupación e ingresos por habitación disponible (RevPAR). Además, los hoteles certificados obtienen un mejor rendimiento medioambiental. Con relación a la ventaja competitiva, los hoteles certificados desarrollan una ventaja en diferenciación significativamente superior.

Attitudes towards disability in education through the SSCI (2000-2011): a topical and bibliometric analysis

Introduction. The purpose of this study is to describe and characterize the international sci-entific output relating to “attitudes towards disability in education”, using a battery of bibliometric indicators that make it possible to analyze and monitor international scientific activity. Method. This ex post facto retrospective study analyzed 925 papers published in the Social Sciences Citation Index (SSCI) database during the period 2000-2011. Results. The number of publications increased steadily between 2006 and 2010. The results reported here include the most productive authors, the journals that deal with this topic, and the articles cited most often. An analysis of research types showed a tendency toward empiri-cal studies. A total of 18 categories were identified when considering article content, and the distribution of the research studies across stages of education was found to be uneven. Discussion and Conclusion. The results reveal a topic that is highly current in today’s scien-tific community, and offer us a view of the traits that have characterized research on "attitudes towards disability in education" for the last eleven years.

Mapping and exploring health systems' response to intimate partner violence in Spain

Background: For a comprehensive health sector response to intimate partner violence (IPV), interventions should target individual and health facility levels, along with the broader health systems level which includes issues of governance, financing, planning, service delivery, monitoring and evaluation, and demand generation. This study aims to map and explore the integration of IPV response in the Spanish national health system. Methods: Information was collected on five key areas based on WHO recommendations: policy environment, protocols, training, monitoring and prevention. A systematic review of public documents was conducted to assess 39 indicators in each of Spain’s 17 regional health systems. In addition, we performed qualitative content analysis of 26 individual interviews with key informants responsible for coordinating the health sector response to IPV in Spain. Results: In 88% of the 17 autonomous regions, the laws concerning IPV included the health sector response, but the integration of IPV in regional health plans was just 41%. Despite the existence of a supportive national structure, responding to IPV still relies strongly on the will of health professionals. All seventeen regions had published comprehensive protocols to guide the health sector response to IPV, but participants recognized that responding to IPV was more complex than merely following the steps of a protocol. Published training plans existed in 43% of the regional health systems, but none had institutionalized IPV training in medical and nursing schools. Only 12% of regional health systems collected information on the quality of the IPV response, and there are many limitations to collecting information on IPV within health services, for example underreporting, fears about confidentiality, and underuse of data for monitoring purposes. Finally, preventive activities that were considered essential were not institutionalized anywhere. Conclusions: Within the Spanish health system, differences exist in terms of achievements both between regions and between the areas assessed. Progress towards integration of IPV has been notable at the level of policy, less outstanding regarding health service delivery, and very limited in terms of preventive actions.

The conversation on political issues on Twitter: an analysis of the participation and frames in the debate on the 'Wert law' and evictions in Spain

The aim of this study is to determine which social agents are involved in the political debate on Twitter and whether the interpretive hegemony of actors that have traditionally been the most prominent is tempered by the challenge of framing shared with audiences. The relationship between the interpretations expressed and the profiles of participants is analyzed in comparison with the frames used by mainstream media. The chosen methodology combines content analysis and discourse analysis techniques on a sample of 1,504 relevant tweets posted on two political issues –the approval of the education law LOMCE and the evictions caused by the crisis, which have also been studied in the front pages of four leading newspapers in Spain. The results show a correlation between political issue singularities, frames and the type of discussion depending on the participants.

Madres y enfermeras: el modelo de cuidados a la infancia en la colección «Al servicio de España y del niño español» (1938-1964)

Objetivos: El estudio se plantea profundizar en el análisis del discurso del régimen franquista que se dirigió a la población femenina, especialmente a las madres y a las enfermeras, en relación con los cuidados a la infancia. Métodos: Se analizó la colección «Al Servicio de España y del Niño Español» (1938-1964), publicada por el Ministerio de Gobernación, mediante un análisis del contenido de las monografías que se ocupaban del los cuidados a la infancia. Discusión y conclusiones: El régimen franquista condenó el trabajo fuera del hogar de las mujeres y promovió una política pronatalista. Las mujeres fueron consideradas ignorantes y por tanto culpables de la elevada mortalidad infantil. Su acción se orientó a capacitar a todas las mujeres (que algún día llegarían a ser madres) en el cuidado de los niños. Fue obligatoria la enseñanza de la puericultura a las niñas en todos los niveles. Se fomento la lactancia materna con un discurso culpabilizador (la mujer que no lacta es una semimadre). Con todo, a pesar de todas estas iniciativas pronatalistas, la realidad social se impuso y la natalidad disminuyó, y también lo hizo la mortalidad infantil debido a la mejora de las condiciones de vida, al mismo tiempo que se produjo un fuerte aumento del uso del biberón y del trabajo femenino fuera del hogar.

Impact of simultaneous pancreas-kidney transplantation: patients' perspectives

Background: Few qualitative studies of simultaneous pancreas-kidney transplantation (SPK Tx) have been published. The aims of this study were to explore from the perspective of patients, the experience of living with diabetes mellitus type 1 (T1DM), suffering from complications, and undergoing SPK Tx with good outcome; and to determine the impact of SPK Tx on patients and their social and cultural environment. Methods: We performed a focused ethnographic study. Twenty patients were interviewed. Data were analyzed using content analysis and constant comparison following the method proposed by Miles and Huberman. Results: A functioning SPK Tx allowed renal replacement therapy and insulin to be discontinued. To describe their new situation, patients used words and phrases such as "miracle", "being reborn" or "coming back to life". Although the complications of T1DM, its surgery and treatment, and associated psychological problems did not disappear after SPK Tx, these were minimized when compared with the pretransplantation situation. Conclusion: For patients, SPK Tx represents a recovery of their health and autonomy despite remaining problems associated with the complications of T1DM and SPK Tx. The understanding of patients' existential framework and their experience of disease are key factors for planning new intervention and improvement strategies.

What do older people understand by mobility-related difficulties?

Despite the centrality of the difficulty concept in the study of disability, there has been little research on its significance from the point of view of people with functional limitations. The main objective of this study was to describe what older people understand when asked about difficulty in undertaking mobility activities. As a secondary objective, we considered whether there are any differences depending on the type of activities, according to the International Classification of Functioning (ICF) mobility domains. Methods: Seventeen community-dwelling men and women aged 70 years old or over were interviewed by means of a questionnaire containing 55 items covering the ICF mobility domains. The participants responded to the items while thinking aloud, saying what led them to give a specific answer about their level of difficulty. Inductive content analysis was conducted and categories, subthemes and themes were identified. Results: Causes of difficulty (pathologies, impairments, symptoms) and accommodations (task modifications and use of aids) were the two themes identified; and their importance (and that of the subthemes included) varied across the types of activity. All the participants said that they had no difficulty in at least one task, despite mentioning changes in the way they performed them. Conclusions: Older people's opinions were consistent with theoretical models of disability and with the standard practice of measuring functional limitations by asking about the degree of difficulty; however, the design of these measures needs to be improved in order to detect perceptions of no difficulty in the presence of task modification.

Reacciones comunitarias a la crisis económica y social en España

Introducción. En un contexto de incremento de las desigualdades y de la pobreza en la sociedad española, donde el desmantelamiento del Estado de Bienestar reduce la posibilidad de encontrar recursos e implementar políticas públicas de reducción de estos efectos; la Sociedad Civil y la ciudadanía desarrollan prácticas resilientes orientadas a satisfacer las necesidades de las comunidades más afectadas por el desempleo y el recorte de servicios sociales. Material y métodos. a) Datos secundarios estadísticos procedentes de organismos y fundaciones; y webs de organizaciones resilientes; b) datos primarios producidos a partir de entrevistas y grupos de discusión. Metodología de análisis de contenido y análisis de discurso. Resultados y discusión. las prácticas resilientes como satisfactores de necesidades, son estructuradas a partir de dos dimensiones adaptación/transformación; dependencia/autonomía. Se observa que estas prácticas cuanto más abstracción presentan (de las necesidades concretas relacionadas con la subsistencia, a las necesidades más intangibles relacionadas con cuestiones simbólicas e identitarias), mayor complejidad en su diseño y organización, y mayor potencia como satisfactor.

Percepción de las trabajadoras inmigrantes del servicio doméstico sobre los efectos de la regulación del sector en España

Objetivo: Explorar las percepciones de las mujeres inmigrantes trabajadoras del servicio doméstico sobre la puesta en vigor en España del Real Decreto 1620/2011, que regula la relación laboral del servicio del hogar familiar, y su efecto en sus condiciones de empleo. Métodos: Estudio exploratorio mediante análisis de contenido cualitativo. Se realizaron tres grupos de discusión con mujeres inmigrantes (colombianas, ecuatorianas y marroquíes). Resultados: A pesar de valorar positivamente los beneficios teóricos de la nueva normativa, las mujeres inmigrantes han identificado barreras legales y económicas para conseguir un contrato, ser dadas de alta en la seguridad social y que las personas empleadoras asuman su coste, en especial en el caso de las trabajadoras contratadas por horas. Estas dificultades influyen en la posibilidad de legalizar su situación. La confluencia con la crisis económica ha emergido como un problema que dificulta su cumplimiento. Conclusiones: Aunque el nuevo régimen ha favorecido la creación de puestos de trabajo con mayores derechos laborales en el sector, las mujeres inmigrantes perciben que su puesta en marcha en el actual contexto de crisis económica no ha contribuido a mejorar sus condiciones de empleo.

Racionalización cultural de adicciones mediante representación narrativa del trauma poscolonial en reservas indígenas canadienses

Este artículo examina cómo discursos de salud mental, producidos dentro de un movimiento social de revitalización indígena, proporcionan una racionalidad cultural para la construcción contemporánea de la identidad. El diseño de la investigación ha sido cualitativo, realizándose un estudio de caso etnográfico y utilizando un muestreo intencional. Para la recolección del material empírico se utilizaron técnicas basadas en la entrevista y observación participante. Estrategias de análisis del contenido y del discurso han coadyuvado en la obtención de unos resultados que revelan cómo la concepción de la salud mental en reservas indígenas ha llegado a ser un dominio simbólico para crear y recrear la noción del yo indígena y para afrontar su posición marginal en el contexto poscolonial y sociopolítico canadiense. Las conclusiones de este estudio señalan cómo los problemas psicosociales en el contexto de las reservas indígenas trascienden el fenómeno epidemiológico para convertirlo en un fenómeno político, reflexivo y moral.