Working in the 21st Century. The Coronavirus Crisis: A Driver of Digitalisation, Teleworking, and Innovation, with Unintended Social Consequences

Digital Online Patient Informed Consent for Anesthesia before Elective Surgery-Recent Practice in Europe

BACKGROUND

Digitalization in the health system is a topic that is rapidly gaining popularity, and not only because of the current pandemic. As in many areas of daily life, digitalization is becoming increasingly important in the medical field amid the exponential rise in the use of computers and smartphones. This opens up new possibilities for optimizing patient education in the context of anesthesia. The main aim of this study was to assess the implementation of remote consent in Europe.

METHODS

An online survey entitled "Digital online Patient Informed Consent for Anesthesia before Elective Surgery. Recent practice in Europe," with a total of 27 questions, was sent by the European Society of Anesthesiology and Intensive Care (ESAIC) to their members in 47 European countries. To assess the effect of the economy on digitalization and legal status with regard to anesthesia consent, data were stratified based on gross domestic product per capita (GDPPC).

RESULTS

In total, 23.1% and 37.2% of the 930 participants indicated that it was possible to obtain consent online or via telephone, respectively. This observation was more often reported in countries with high GDPPC levels than in countries with low GDPPC levels. Furthermore, 27.3% of the responses for simple anesthesia, 18.7% of the responses for complex anesthesia, and 32.2% of the responses for repeated anesthesia indicated that remote consent was in accordance with the law, and this was especially prevalent in countries with high GDPPC. Concerning the timing of consent, patients were informed at least one day before in 67.1% of cases for simple procedures and in 85.2% of cases for complex procedures.

CONCLUSION

Even European countries with high GDPPC use remote informed consent only in a minority of cases, and most of the time for repeated anesthetic procedures. This might reflect the inconsistent legal situation and inhomogeneous medical technical structures across Europe.

Is Smart Working Beneficial for Workers' Wellbeing? A Longitudinal Investigation of Smart Working, Workload, and Hair Cortisol/Dehydroepiandrosterone Sulfate during the COVID-19 Pandemic

Building on the job demands-resources (JD-R) and allostatic load (AL) models, in the present study we examined the role of smart working (SW) in the longitudinal association between workload/job autonomy (JA) and a possible biomarker of work-related stress (WRS) in the hair-namely, the cortisol-dehydroepiandrosterone sulfate (DHEA(S)) ratio-during the COVID-19 pandemic. Overall, 124 workers completed a self-report questionnaire (i.e., psychological data) at Time 1 (T1) and provided a strand of hair (i.e., biological data) three months later (Time 2, T2). Results from moderated multiple regression analysis showed that SW at T1 was negatively associated with the hair cortisol/DHEA(S) ratio at T2. Additionally, the interaction between workload and SW was significant, with workload at T1 being positively associated with the hair cortisol/DHEA(S) ratio at T2 among smart workers. Overall, this study indicates that SW is a double-edged sword, with both positive and negative consequences on employee wellbeing. Furthermore, our findings suggest that the hair cortisol/DHEA(S) ratio is a promising biomarker of WRS. Practical implications that organizations and practitioners can adopt to prevent WRS and promote organizational wellbeing are discussed.

Workers’ perspectives on the effects of telework during the COVID-19 pandemic on their well-being: A qualitative study in Canada

BACKGROUND: The COVID-19 pandemic caused an unprecedented health emergency across the world. Public health measures aimed at slowing the spread of the virus impose measures concerning physical distancing that citizens must observe. Thousands of workers quickly found themselves having to telework, with no preparation by their organizations. The literature reports the positive effects of teleworking on certain indicators of well-being, as well as best teleworking practices in a normal context. The urgent and unplanned nature of the switch to teleworking in a crisis may have changed the relationship between teleworking and well-being. OBJECTIVE: This study aimed to explore workers’ perspectives on teleworking in the context of the COVID-19 pandemic, regarding its effects on their well-being. METHODS: Following a descriptive interpretive research design, we collected qualitative data from 15 teleworkers via focus groups and individual interviews. Two researchers used a thematic analysis strategy to analyze the data. RESULTS: Data analysis led to identifying 16 factors that participants cited as influencing the well-being of teleworkers. These form eight categories: delays related to uncertainty, manager practices, organizational practices, social interactions, job characteristics, teleworking space, personal realities and personal practices. The results show the influence of interactions between work demands, control and social support on the well-being of workers. CONCLUSION: Because of its many advantages, organizations and their workers will increasingly engage in telework. The influences of telework on people’s well-being call for implementing concrete “best practices” that are applicable and that consider workers’ perspectives.

Driving hospitality and tourism to foster sustainable innovation: A systematic review of COVID-19-related studies and practical implications in the digital era

Sustainable innovation is a solution for the hospitality and tourism (H&T) industries to cope with the COVID-19 crisis, build resilience, and ensure survival post-pandemic. The primary aim of our review is to systematically identify and critically review the literature on sustainable innovation in H&T amid COVID-19 (conducted in 2020 and 2021), in order to synthesize and classify prevalent types, antecedents, and outcomes of sustainable innovation. The authors present a comprehensive review of the 58 articles on sustainable innovation in H&T through the Web of Science (WoS) database, spanning over 2 years (2020–2021). This review demonstrates that since the beginning of COVID-19, H&T have strongly mobilized network technologies (especially social media and digital platforms) and data-processing technologies (especially Artificial Intelligence (AI) and Machine Learning (ML)) in comparison with physical-digital interface technologies (especially Virtual Reality (VR)), while physical-digital process technologies remain very limited in these industries. Several relevant antecedents of the adoption of sustainable innovation, more specifically digital technologies, have been identified at multiple levels of analysis, including the organizational, managerial, and stakeholder levels. Our research also reveals several consequences of the adoption of sustainable innovation in H&T. These consequences were congregated according to the three main dimensions related to sustainability in economic, social, and environmental outcomes. This study provides important practical implications for the H&T sectors in the digital era and post-pandemic. The current research is the first study to systematically and critically review sustainable innovation in an H&T context.

Leadership decisions for company SurVIRval: evidence from organizations in Poland during the first Covid-19 lockdown

Purpose

The purpose of this paper is to analyze the leadership decisions taken during the crisis and their influence on the goals recognized by managers as crucial for surviving.

Design/methodology/approach

During the survey, conducted in April 2020 (one month after the first economic lockdown in Poland), as part of a research project called Sur(VIR)val – Survival during the virus, data was collected from 178 leaders from randomly selected companies from Poland using the CAWI method. Ordered logistic regression modeling was used to examine the impact of the decisions taken by company leaders on the goals seen by leaders as most important for company survival.

Findings

The results obtained in the study show that during the first Covid-19 lockdown in 2020, leaders made decisions that can be seen as oriented toward survival and continuity. Changing to remote working, extending payment deadlines for customers, as well as selective employment reduction turned out to have the greatest influence on strategic support for maintaining current production levels and retaining competent employees in order to survive the crisis.

Research limitations/implications

This study has certain limitations. First, the list of leadership decisions and company goals used as dependent variables is not exhaustive. Second, the selection of business goals oriented toward survival may not derive directly from the lockdown situation. Third, our study did not measure the actual accomplishment of the company goals, but the managerial perceptions as to which ones are crucial for company survival during crises, and which of them should be given strategic support respectively. Fourth, the research sample was randomly constructed and covered only business organizations in Poland. Fifth, the hypotheses were formulated in a way that treated leadership decisions as one construct. Finally, we used survey, with a scale measuring managerial perceptions.

Practical implications

Leaders should ensure that proper IT tools are developed within the organization, and that the skill level of employees is high enough for fast shifting employees on to remote working. At the same time, it is important to maintain IT infrastructure at a high level. In terms of general recommendations for leaders, they should make quick decisions, maintain the most valuable resources of the company (human resources and cash flow) and take actions aimed at taking advantage of opportunities (R&D) during and after the crisis.

Social implications

Additionally, due to the key importance of human resources for the survival of the organization, leaders should respond quickly by making flexible decisions about sending employees on leave and downtime. As human resources are the most valuable assets of the company from the point of view of its survival, decisions concerning employment reduction should be taken carefully. Leaders who acted in panic after the first lockdown and made employees redundant, later on had problems recruiting skilled employees back and strived to return to full organizational capacity.

Originality/value

Although scholars have investigated leadership decisions and actions taken during economic crises, little is known about how leaders behave when taken by surprise, and what decisions they make when the duration of a crisis is difficult to predict. The results of this study show which leadership decisions during the first Covid-19 lockdown in 2020 influenced prioritizing critical company goals oriented toward survival.

Working Conditions and Work Engagement by Gender and Digital Work Intensity

Telework and other flexible working arrangements, which have exponentially expanded with new advancements in digitalization and the impact of COVID-19, are modifying working conditions and workers’ engagement. Using the ‘job demands-resources’ model, we applied multivariate techniques to examine the different ways in which telework intensity impacts working conditions by gender. Increased intensity of remote working was positively associated with better skills and discretion and work engagement, while it was negatively associated with the other dimensions of job quality (particularly with working time quality). Even though women usually score higher than men in work intensity or working time quality, high intense female teleworkers experience a downturn with respect to these two items. Low and medium intensities of teleworking were positively associated with skills and discretion, working time quality, improved physical environment, and especially with better prospects and earnings. In conclusion, the intensity of teleworking and gender affect job quality and work engagement in different degrees, highlighting the importance of including these multiple effects on the design of flexible working arrangements.

Changes in the Innovation- and Marketing-Habits of Family SMEs in the Foodstuffs Industry, Caused by the Coronavirus Pandemic in Hungary

The economic specialties caused by the global coronavirus pandemic completely changed everyday life regarding certain sectors. For the small and medium enterprises, processing during the pandemic held several significant challenges, such as: cost-efficient operations, hardship of keeping employees, efficient management of innovation and various corporate activities, keeping the customers, etc. Many enterprises saw severe damages indirectly from the coronavirus pandemic, as society itself had its habits significantly changed, thereby necessitating changes in strategy for small and medium enterprises, most notably for local service providers and producers that have no delivery service. In order to solve the issue at hand, several governments tried applying a variety of solutions—mostly by financing the enterprises in question. The goal of the authors is to understand the current operation of innovation initiatives that small and medium enterprises have post-COVID-19, and to obtain a clear view on changes in marketing habits. Furthermore, the analysis concentrates on the following: the state of family SMEs dealing in foodstuffs, and how to create a future view for such members of the sector by identifying best practices. Using data collected during 2020 and 2021, and employing descriptive statistics and a conjoint analysis, the authors wished to see how the coronavirus pandemic affected SMEs, detect the changes in their marketing and innovation policy due to the pandemic, and help them create core business strategy via consumer feedback. Authors found that SMEs had to innovate by 2021 beyond their 2019 expectations, and that customers had partially validated their endeavors through their answers.

Teleworking Experience of Education Professionals vs. Management Staff: Challenges Following Job Innovation

The article deals with the problem of teleworking. Due to the constraints of the pandemic, the education sector has undergone a dramatic change, with teachers and students en masse moved to work from home. In the past, digital solutions have gradually penetrated the education sector, but the pandemic has turned the process into social innovation in the broad sense and performance innovation in the narrow sense. The latter aspect is addressed in this article. The paper aims to reveal the effect of the transition to teleworking on employees in the education sector. Based on the survey results, the study reports experiences of higher education and college professors, secondary schools and vocational schools' teachers and managerial staff in terms of personal well-being, management quality, and performance. The paper is novel in terms of the scope of the study: it analyses the teleworking issue in different educational institutions. In addition, the study compares the experiences of education staff and managers. There is a lack of such research in the scientific literature in the education sector. The research confirms that telecommuting managers experienced less shock and fatigue than professors and teachers. In addition, university professors proved to be the best prepared to work in innovative ways, but they also rated the performance of their managers' management work the worst among all educational institutions. Meanwhile, while teachers in secondary schools rated telework the most negatively, they rated the ability of their leaders to lead the team in extraordinary conditions the best. The research results can be useful for education leaders and policymakers as well as for researchers dealing with the topics of teleworking, teachers' job performance, employee fatigue, and leadership competencies.

Using Neural Networks in Order to Analyze Telework Adaptability across the European Union Countries: A Case Study of the Most Relevant Scenarios to Occur in Romania

Our study addresses the issue of telework adoption by countries in the European Union and draws up a few feasible scenarios aimed at improving telework’s degree of adaptability in Romania. We employed the dataset from the 2020 Eurofound survey on Living, Working and COVID-19 (Round 2) in order to extract ten relevant determinants of teleworking on the basis of 24,123 valid answers provided by respondents aged 18 and over: the availability of work equipment; the degree of satisfaction with the experience of working from home; the risks related to potential contamination with SARS-CoV-2 virus; the employees’ openness to adhering to working-from-home patterns; the possibility of maintaining work–life balance objectives while teleworking; the level of satisfaction on the amount and the quality of work submitted, etc. Our methodology entailed the employment of SAS Enterprise Guide software to perform a cluster analysis resulting in a preliminary classification of the EU countries with respect to the degree that they have been able to adapt to telework. Further on, in order to refine this taxonomy, a multilayer perceptron neural network with ten input variables in the initial layer, six neurons in the intermediate layer, and three neurons in the final layer was successfully trained. The results of our research demonstrate the existence of significant disparities in terms of telework adaptability, such as: low to moderate levels of adaptability (detected in countries such as Greece, Croatia, Portugal, Spain, Lithuania, Latvia, Poland, Italy); fair levels of adaptability (encountered in France, Slovakia, the Czech Republic, Hungary, Slovenia, or Romania); and high levels of adaptability (exhibited by intensely digitalized economies such Denmark, Sweden, Finland, Germany, Ireland, the Netherlands, Belgium, etc.).