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Papers by Kwame Adu-Gyamfi

Research paper thumbnail of Success Factors in Project Management in the Financial Sector in Ghana: Screening for Construct Items

International Business Research

This study screens for individual manifest variables that make up the critical success factors in... more This study screens for individual manifest variables that make up the critical success factors in project management in the financial services sector in Ghana. A descriptive quantitative research technique was employed. A sample of 75 project team members were selected from commercial banks, insurance companies, and non-bank financial institutions in Ghana. Data was analyzed using the Principal Component Analysis. Apart from two manifest variables of culture; thus, beliefs, and general attitudes, all other variables significantly accounted for project success in the financial services sector in Ghana. Among the 9 factors retrieved, project team competence contributes the highest level of variance on project success, with about 21.3% of the variance contributed. Management commitment contributes the second highest variance on project success, with about 16.2% of variance. Culture contributes the least amount of variance to project success, thus 5.6% of the variance contributed. Proj...

Research paper thumbnail of Influence of Community Financing Health Insurance Schemes On In-Patient Care In Ghana: The Case Of Nkoranza Scheme

Developing Country Studies, 2014

With the introduction of "cash and carry" system in the health sector in Ghana in 1985, it became... more With the introduction of "cash and carry" system in the health sector in Ghana in 1985, it became difficult for many people to afford orthodox health care. In Nkoranza district, this problem manifested itself in low attendance of in-patient care (admissions) at St. Theresa's Hospital (the only hospital in the district, a Catholic hospital). In addition, some of the patients who were hospitalised absconded after treatment because they could not afford to pay their medical bills. Consequently, in 1989, at Catholic Diocesan Health Committee (DHC) meeting at Sunyani, it was suggested that a community financing health insurance scheme be established in the district in order to reduce the hardship of the people in seeking in-patient treatment. The scheme was launched and became operational in 1992. The objectives of this study was to examine the impact of the scheme on inpatient healthcare services at the health facility in the district. It became evident from the study that insured inpatient attendance at St. Theresa's Hospital from 1992 to 1998 increased with the scheme, constituting 52% of total admissions within the period.

Research paper thumbnail of An Analysis of the Impact of Emotional Intelligence on Service Quality and Customer Satisfaction in the Telecommunication Sector in Ghana

This study examined the impact of service providers' emotional intelligence on service quality an... more This study examined the impact of service providers' emotional intelligence on service quality and customer satisfaction in the telecommunication sector of Ghana. A quantitative research technique was adopted to test hypotheses whose conclusions could be generalised over the telecommunication sector in Ghana. Probability sampling methods were used to select 384 each of customers and employees of all telecommunication firms in Ghana. Data were collected using a self-administered questionnaire. Data were analysed using Pearson's correlation test, partial correlation test, multiple linear regression and Analysis of Covariance (ANCOVA). Findings of this study indicated that emotional intelligence is highly positively related to service quality (r = .889, p = .000) and customer satisfaction (r = .573, p = .000). Also, emotional intelligence moderates the relationship between service quality and customer satisfaction. Service quality and emotional intelligence make an interactive effect on customer satisfaction. Emotional intelligence and service quality significantly predict customer satisfaction (p < .05) and account for 57.3% of variance. More importantly, emotional intelligence significantly predicts service quality (p < .05) and accounts for 79% of variance. It is concluded that emotional intelligence significantly predicts both service quality and customer satisfaction, though it predicts service quality more strongly.

Research paper thumbnail of An Empirical Study of Factors That Predict Success in Project Management in the Financial Services Sector in Ghana: From the Perspective of Controlled Project Risks

This study assesses the effect of critical factors on project success from the perspective of con... more This study assesses the effect of critical factors on project success from the perspective of controlled project risks in the financial services sector in Ghana. A descriptive quantitative research technique was employed. A sample of 63 project team members in 5 each of commercial banks, insurance companies and non-bank financial institutions in Ghana was the study's participants. Data was analysed using ordinary least square regression and partial correlation test. Each critical success factor significantly predicts project success at 5% significance level, except culture (t = 1.66, p = .103). Moreover, project success is best predicted by project team competence (t = 18.17, p = .000), with 86.5% of the variance contributed. The influence of the critical success factors on project success is rendered insignificant when the effect of controlled projects risks is controlled for. Project managers in the financial services sector must take each of the critical success factors (exce...

Research paper thumbnail of Construction of a Scale Assessing Patients' Perceptions Regarding Sanitation and Hygiene in a Clinical Setting

Frank Frimpong Opuni, 2022

Objective: This study develops a scale, hereby called HYGIENICCARE, that assesses patients' perce... more Objective: This study develops a scale, hereby called HYGIENICCARE, that assesses patients' perceptions regarding sanitation and hygiene in a healthcare environment. It evaluated the relationship between the new measure and a previously validated scale measuring healthcare quality. Methods: The study was a psychometric test in which we constructed a new survey and administered the survey to patients in wards and the outpatient departments of 5 hospitals in Accra North. A robust procedure, including a review of selected questions by an expert panel, was followed to determine the original bank of items of the instrument. Principal component analysis with varimax rotation was used to select items for the scale, whereas confirmatory factor analysis was used to assess construct validity. Multiple linear regression was used to examine the association between the new scale and an existing measure of healthcare quality. Results: A bank of 10 items was determined through a systematic review of the literature and the engagement of 7 expert reviewers. Through principal component analysis, the items were reduced to 9. Principal component analysis yielded 2 factors: "environment and equipment" and "personnel and process," which both explained 82% of the total variance and produced Cronbach α coefficients of 0.912 and 0.86, respectively. Confirmatory factor analysis confirmed the 2-factor solution and produced satisfactory discriminant validity and convergent validity indicators. The 2 domains of the new scale were highly correlated with all dimensions of a scale measuring healthcare quality called HEALTHQUAL (r ≥ 0.76, P < 0.001). In multiple linear regression, each of the 2 domains of HYGIENICCARE explained a total variance of 41% or greater in all domains of HEALTHQUAL (P < 0.001). Conclusions: We developed a brief scale measuring hospital hygiene and sanitation that correlated well with an existing measure of healthcare quality. This effort shows that the new tool is a valid measure of patient-perceived hospital hygiene and sanitation.

Research paper thumbnail of Psychometric Properties of a Scale Measuring Patients' Perceptions Regarding Physical Activity Counseling by Physicians

Hospital topics, 2021

This study developed a scale measuring patients' perceptions regarding physical activity (PA)... more This study developed a scale measuring patients' perceptions regarding physical activity (PA) counseling by physicians. Confirmatory factor analysis and multiple linear regression analysis were used to assess psychometric properties. The first factor extracted was "PA recommendation," which accounted for a variance of 45.1% out of total variance of 76.3% and comprises 5 items. The final scale yielded satisfactory psychometric properties including internal consistency (Cronbach's α = 0.75), convergent validity, discriminant validity, and predictive validity. Nine (9) items that makeup two factors (i.e., PA recommendation and follow-up) are potential measures of patients' perceptions regarding PA counseling by physicians in healthcare.

Research paper thumbnail of An Empirical Study of Factors That Predict Success in Project Management in the Financial Services Sector in Ghana: From the Perspective of Controlled Project Risks

This study assesses the effect of critical factors on project success from the perspective of con... more This study assesses the effect of critical factors on project success from the perspective of controlled project risks in the financial services sector in Ghana. A descriptive quantitative research technique was employed. A sample of 63 project team members in 5 each of commercial banks, insurance companies and non-bank financial institutions in Ghana was the study's participants. Data was analysed using ordinary least square regression and partial correlation test. Each critical success factor significantly predicts project success at 5% significance level, except culture (t = 1.66, p = .103). Moreover, project success is best predicted by project team competence (t = 18.17, p = .000), with 86.5% of the variance contributed. The influence of the critical success factors on project success is rendered insignificant when the effect of controlled projects risks is controlled for. Project managers in the financial services sector must take each of the critical success factors (exce...

Research paper thumbnail of Development of a Scale Measuring Nurses’ Physical Activity Counseling in a Primary Care Facility: Implications for Healthcare Quality

Research paper thumbnail of The Effect of Relationship Marketing on Service Quality and Customer Satisfaction without Service Providers' Emotional Intelligence: The Case of the Insurance Industry in Ghana

World Academy of Science, Engineering and Technology, International Journal of Economics and Management Engineering, 2016

Research paper thumbnail of The Impact of Social Networking Sites on the Purchasing Behaviours of Online Travel Community Members

The social networking websites have become quite popular in recent times. Millions of people have... more The social networking websites have become quite popular in recent times. Millions of people have grasped the concept and embedded their lives in the interactions on these websites. Academics and businesses have begun to study how information that spreads through these loose associations and the way in which some people become particularly important disseminators of information with their regular postings perhaps would be replacing the traditional marketing communication channels. The purpose of this study is to investigate how the interactions on these websites impact on the decision making process of participants. Through content analysis of fifty (50) individual cases reported on TripAdvisor travel review websites at Greece forums of Tripadvisor.com. The study finds that the online travel community has members that come to the site to search and share travel information and these postings has influenced on community members in their decision making process on planning, purchas...

Research paper thumbnail of Influence of Community Financing Health Insurance Schemes On In-Patient Care In Ghana: The Case Of Nkoranza Scheme

With the introduction of “cash and carry” system in the health sector in Ghana in 1985, it became... more With the introduction of “cash and carry” system in the health sector in Ghana in 1985, it became difficult for many people to afford orthodox health care. In Nkoranza district, this problem manifested itself in low attendance of in-patient care (admissions) at St. Theresa’s Hospital (the only hospital in the district, a Catholic hospital). In addition, some of the patients who were hospitalised absconded after treatment because they could not afford to pay their medical bills. Consequently, in 1989, at Catholic Diocesan Health Committee (DHC) meeting at Sunyani, it was suggested that a community financing health insurance scheme be established in the district in order to reduce the hardship of the people in seeking in-patient treatment. The scheme was launched and became operational in 1992. The objectives of this study was to examine the impact of the scheme on in-patient healthcare services at the health facility in the district. It became evident from the study that insure...

Research paper thumbnail of Construction of a Scale Assessing Patients’ Perceptions Regarding Sanitation and Hygiene in a Clinical Setting

Journal of Patient Safety

Research paper thumbnail of ADAPTED SERVQUAL: A Health Service Quality Scale Incorporating Indicators of Sanitation and Hygiene

Quality Management in Health Care

Background and Objectives: Many scales have been developed to measure health care quality over th... more Background and Objectives: Many scales have been developed to measure health care quality over the years, but no scale available today incorporates all important indicators of sanitation and hygiene in health care. This study therefore assessed the psychometric properties of an adapted scale, hereby called ADAPTED SERVQUAL, in an attempt to provide a scale that includes relevant indicators of hospital hygiene and sanitation. Methods: The setting of the study was low-and medium-capacity hospitals in the Greater Accra Region of Ghana. Patients in wards and outpatient departments in the hospitals participated in the study. We used relevant statistical tools to estimate the psychometric properties of ADAPTED SERVQUAL. To understand the relative importance of the new scale, we compared and related it to a recent scale, HEALTHQUAL. Results: Principal component analysis yielded 6 factors: &quot;tangibles,&quot; &quot;reliability,&quot; &quot;responsiveness,&quot; &quot;assurance,&quot; &quot;empathy,&quot; and &quot;sanitation and hygiene,&quot; which explained 84% of the total variance. ADAPTED SERVQUAL has a good internal consistency (Cronbach α = 0.96). Confirmatory factor analysis confirmed the 6-factor solution and produced satisfactory discriminant validity and convergent validity indicators. The adapted scale was highly correlated with all dimensions of HEALTHQUAL, including continuous quality improvement (r ≥0.75, P &lt; .001). In multiple linear regression, the 5 domains of HEALTHQUAL explained 59% of the variance in ADAPTED SERVQUAL (P &lt; .001). Conclusions: The study concluded that 8 items that make up a single factor (ie, sanitation and hygiene) and contribute most of the total variance satisfactorily fit into the SERVQUAL scale as additional indicators of health care quality.

Research paper thumbnail of Development of a Scale Measuring Nurses’ Physical Activity Counseling in a Primary Care Facility: Implications for Healthcare Quality

Research paper thumbnail of Climate Change as an Emerging Component of Project Risk in the Agriculture Sector: An Empirical Assessment

International Business Research, 2016

<p class="1main-text">Conditions of climate change are increasingly affecting pro... more <p class="1main-text">Conditions of climate change are increasingly affecting projects, especially Agriculture projects, across the world. In this situation, climate change could pose a major risk factor in sectors such as the Agriculture sector. This paper empirically examines climate change indicators as a correlated factor of traditional risk factors. A self-reported questionnaire was used to collect data from 265 farmers affiliated to manufacturing organizations in Accra. Factor Analysis (Principal Components) and Pearson’s correlation test were used to present findings. We found that all indicators of the traditional and climate change factor produced a communality value of not less than 0.50. Moreover the climatic factor significantly correlates with the traditional factors at 5% significance level. It is therefore concluded that climate change is an emerging component of project risks.</p>

Research paper thumbnail of Climate Change as an Emerging Component of Project Risk in the Agriculture Sector: An Empirical Assessment

International Business Research, 2016

<p class="1main-text">Conditions of climate change are increasingly affecting pro... more <p class="1main-text">Conditions of climate change are increasingly affecting projects, especially Agriculture projects, across the world. In this situation, climate change could pose a major risk factor in sectors such as the Agriculture sector. This paper empirically examines climate change indicators as a correlated factor of traditional risk factors. A self-reported questionnaire was used to collect data from 265 farmers affiliated to manufacturing organizations in Accra. Factor Analysis (Principal Components) and Pearson’s correlation test were used to present findings. We found that all indicators of the traditional and climate change factor produced a communality value of not less than 0.50. Moreover the climatic factor significantly correlates with the traditional factors at 5% significance level. It is therefore concluded that climate change is an emerging component of project risks.</p>

Research paper thumbnail of Climate Change as an Emerging Component of Project Risk in the Agriculture Sector: An Empirical Assessment

International Business Research, 2016

<p class="1main-text">Conditions of climate change are increasingly affecting pro... more <p class="1main-text">Conditions of climate change are increasingly affecting projects, especially Agriculture projects, across the world. In this situation, climate change could pose a major risk factor in sectors such as the Agriculture sector. This paper empirically examines climate change indicators as a correlated factor of traditional risk factors. A self-reported questionnaire was used to collect data from 265 farmers affiliated to manufacturing organizations in Accra. Factor Analysis (Principal Components) and Pearson’s correlation test were used to present findings. We found that all indicators of the traditional and climate change factor produced a communality value of not less than 0.50. Moreover the climatic factor significantly correlates with the traditional factors at 5% significance level. It is therefore concluded that climate change is an emerging component of project risks.</p>

Research paper thumbnail of Climate Change as an Emerging Component of Project Risk in the Agriculture Sector: An Empirical Assessment

International Business Research, 2016

<p class="1main-text">Conditions of climate change are increasingly affecting pro... more <p class="1main-text">Conditions of climate change are increasingly affecting projects, especially Agriculture projects, across the world. In this situation, climate change could pose a major risk factor in sectors such as the Agriculture sector. This paper empirically examines climate change indicators as a correlated factor of traditional risk factors. A self-reported questionnaire was used to collect data from 265 farmers affiliated to manufacturing organizations in Accra. Factor Analysis (Principal Components) and Pearson’s correlation test were used to present findings. We found that all indicators of the traditional and climate change factor produced a communality value of not less than 0.50. Moreover the climatic factor significantly correlates with the traditional factors at 5% significance level. It is therefore concluded that climate change is an emerging component of project risks.</p>

Research paper thumbnail of Climate Change as an Emerging Component of Project Risk in the Agriculture Sector: An Empirical Assessment

International Business Research, 2016

<p class="1main-text">Conditions of climate change are increasingly affecting pro... more <p class="1main-text">Conditions of climate change are increasingly affecting projects, especially Agriculture projects, across the world. In this situation, climate change could pose a major risk factor in sectors such as the Agriculture sector. This paper empirically examines climate change indicators as a correlated factor of traditional risk factors. A self-reported questionnaire was used to collect data from 265 farmers affiliated to manufacturing organizations in Accra. Factor Analysis (Principal Components) and Pearson’s correlation test were used to present findings. We found that all indicators of the traditional and climate change factor produced a communality value of not less than 0.50. Moreover the climatic factor significantly correlates with the traditional factors at 5% significance level. It is therefore concluded that climate change is an emerging component of project risks.</p>

Research paper thumbnail of Success Factors in Project Management in the Financial Sector in Ghana: Screening for Construct Items

International Business Research

This study screens for individual manifest variables that make up the critical success factors in... more This study screens for individual manifest variables that make up the critical success factors in project management in the financial services sector in Ghana. A descriptive quantitative research technique was employed. A sample of 75 project team members were selected from commercial banks, insurance companies, and non-bank financial institutions in Ghana. Data was analyzed using the Principal Component Analysis. Apart from two manifest variables of culture; thus, beliefs, and general attitudes, all other variables significantly accounted for project success in the financial services sector in Ghana. Among the 9 factors retrieved, project team competence contributes the highest level of variance on project success, with about 21.3% of the variance contributed. Management commitment contributes the second highest variance on project success, with about 16.2% of variance. Culture contributes the least amount of variance to project success, thus 5.6% of the variance contributed. Proj...

Research paper thumbnail of Influence of Community Financing Health Insurance Schemes On In-Patient Care In Ghana: The Case Of Nkoranza Scheme

Developing Country Studies, 2014

With the introduction of "cash and carry" system in the health sector in Ghana in 1985, it became... more With the introduction of "cash and carry" system in the health sector in Ghana in 1985, it became difficult for many people to afford orthodox health care. In Nkoranza district, this problem manifested itself in low attendance of in-patient care (admissions) at St. Theresa's Hospital (the only hospital in the district, a Catholic hospital). In addition, some of the patients who were hospitalised absconded after treatment because they could not afford to pay their medical bills. Consequently, in 1989, at Catholic Diocesan Health Committee (DHC) meeting at Sunyani, it was suggested that a community financing health insurance scheme be established in the district in order to reduce the hardship of the people in seeking in-patient treatment. The scheme was launched and became operational in 1992. The objectives of this study was to examine the impact of the scheme on inpatient healthcare services at the health facility in the district. It became evident from the study that insured inpatient attendance at St. Theresa's Hospital from 1992 to 1998 increased with the scheme, constituting 52% of total admissions within the period.

Research paper thumbnail of An Analysis of the Impact of Emotional Intelligence on Service Quality and Customer Satisfaction in the Telecommunication Sector in Ghana

This study examined the impact of service providers' emotional intelligence on service quality an... more This study examined the impact of service providers' emotional intelligence on service quality and customer satisfaction in the telecommunication sector of Ghana. A quantitative research technique was adopted to test hypotheses whose conclusions could be generalised over the telecommunication sector in Ghana. Probability sampling methods were used to select 384 each of customers and employees of all telecommunication firms in Ghana. Data were collected using a self-administered questionnaire. Data were analysed using Pearson's correlation test, partial correlation test, multiple linear regression and Analysis of Covariance (ANCOVA). Findings of this study indicated that emotional intelligence is highly positively related to service quality (r = .889, p = .000) and customer satisfaction (r = .573, p = .000). Also, emotional intelligence moderates the relationship between service quality and customer satisfaction. Service quality and emotional intelligence make an interactive effect on customer satisfaction. Emotional intelligence and service quality significantly predict customer satisfaction (p < .05) and account for 57.3% of variance. More importantly, emotional intelligence significantly predicts service quality (p < .05) and accounts for 79% of variance. It is concluded that emotional intelligence significantly predicts both service quality and customer satisfaction, though it predicts service quality more strongly.

Research paper thumbnail of An Empirical Study of Factors That Predict Success in Project Management in the Financial Services Sector in Ghana: From the Perspective of Controlled Project Risks

This study assesses the effect of critical factors on project success from the perspective of con... more This study assesses the effect of critical factors on project success from the perspective of controlled project risks in the financial services sector in Ghana. A descriptive quantitative research technique was employed. A sample of 63 project team members in 5 each of commercial banks, insurance companies and non-bank financial institutions in Ghana was the study's participants. Data was analysed using ordinary least square regression and partial correlation test. Each critical success factor significantly predicts project success at 5% significance level, except culture (t = 1.66, p = .103). Moreover, project success is best predicted by project team competence (t = 18.17, p = .000), with 86.5% of the variance contributed. The influence of the critical success factors on project success is rendered insignificant when the effect of controlled projects risks is controlled for. Project managers in the financial services sector must take each of the critical success factors (exce...

Research paper thumbnail of Construction of a Scale Assessing Patients' Perceptions Regarding Sanitation and Hygiene in a Clinical Setting

Frank Frimpong Opuni, 2022

Objective: This study develops a scale, hereby called HYGIENICCARE, that assesses patients' perce... more Objective: This study develops a scale, hereby called HYGIENICCARE, that assesses patients' perceptions regarding sanitation and hygiene in a healthcare environment. It evaluated the relationship between the new measure and a previously validated scale measuring healthcare quality. Methods: The study was a psychometric test in which we constructed a new survey and administered the survey to patients in wards and the outpatient departments of 5 hospitals in Accra North. A robust procedure, including a review of selected questions by an expert panel, was followed to determine the original bank of items of the instrument. Principal component analysis with varimax rotation was used to select items for the scale, whereas confirmatory factor analysis was used to assess construct validity. Multiple linear regression was used to examine the association between the new scale and an existing measure of healthcare quality. Results: A bank of 10 items was determined through a systematic review of the literature and the engagement of 7 expert reviewers. Through principal component analysis, the items were reduced to 9. Principal component analysis yielded 2 factors: "environment and equipment" and "personnel and process," which both explained 82% of the total variance and produced Cronbach α coefficients of 0.912 and 0.86, respectively. Confirmatory factor analysis confirmed the 2-factor solution and produced satisfactory discriminant validity and convergent validity indicators. The 2 domains of the new scale were highly correlated with all dimensions of a scale measuring healthcare quality called HEALTHQUAL (r ≥ 0.76, P < 0.001). In multiple linear regression, each of the 2 domains of HYGIENICCARE explained a total variance of 41% or greater in all domains of HEALTHQUAL (P < 0.001). Conclusions: We developed a brief scale measuring hospital hygiene and sanitation that correlated well with an existing measure of healthcare quality. This effort shows that the new tool is a valid measure of patient-perceived hospital hygiene and sanitation.

Research paper thumbnail of Psychometric Properties of a Scale Measuring Patients' Perceptions Regarding Physical Activity Counseling by Physicians

Hospital topics, 2021

This study developed a scale measuring patients' perceptions regarding physical activity (PA)... more This study developed a scale measuring patients' perceptions regarding physical activity (PA) counseling by physicians. Confirmatory factor analysis and multiple linear regression analysis were used to assess psychometric properties. The first factor extracted was "PA recommendation," which accounted for a variance of 45.1% out of total variance of 76.3% and comprises 5 items. The final scale yielded satisfactory psychometric properties including internal consistency (Cronbach's α = 0.75), convergent validity, discriminant validity, and predictive validity. Nine (9) items that makeup two factors (i.e., PA recommendation and follow-up) are potential measures of patients' perceptions regarding PA counseling by physicians in healthcare.

Research paper thumbnail of An Empirical Study of Factors That Predict Success in Project Management in the Financial Services Sector in Ghana: From the Perspective of Controlled Project Risks

This study assesses the effect of critical factors on project success from the perspective of con... more This study assesses the effect of critical factors on project success from the perspective of controlled project risks in the financial services sector in Ghana. A descriptive quantitative research technique was employed. A sample of 63 project team members in 5 each of commercial banks, insurance companies and non-bank financial institutions in Ghana was the study's participants. Data was analysed using ordinary least square regression and partial correlation test. Each critical success factor significantly predicts project success at 5% significance level, except culture (t = 1.66, p = .103). Moreover, project success is best predicted by project team competence (t = 18.17, p = .000), with 86.5% of the variance contributed. The influence of the critical success factors on project success is rendered insignificant when the effect of controlled projects risks is controlled for. Project managers in the financial services sector must take each of the critical success factors (exce...

Research paper thumbnail of Development of a Scale Measuring Nurses’ Physical Activity Counseling in a Primary Care Facility: Implications for Healthcare Quality

Research paper thumbnail of The Effect of Relationship Marketing on Service Quality and Customer Satisfaction without Service Providers' Emotional Intelligence: The Case of the Insurance Industry in Ghana

World Academy of Science, Engineering and Technology, International Journal of Economics and Management Engineering, 2016

Research paper thumbnail of The Impact of Social Networking Sites on the Purchasing Behaviours of Online Travel Community Members

The social networking websites have become quite popular in recent times. Millions of people have... more The social networking websites have become quite popular in recent times. Millions of people have grasped the concept and embedded their lives in the interactions on these websites. Academics and businesses have begun to study how information that spreads through these loose associations and the way in which some people become particularly important disseminators of information with their regular postings perhaps would be replacing the traditional marketing communication channels. The purpose of this study is to investigate how the interactions on these websites impact on the decision making process of participants. Through content analysis of fifty (50) individual cases reported on TripAdvisor travel review websites at Greece forums of Tripadvisor.com. The study finds that the online travel community has members that come to the site to search and share travel information and these postings has influenced on community members in their decision making process on planning, purchas...

Research paper thumbnail of Influence of Community Financing Health Insurance Schemes On In-Patient Care In Ghana: The Case Of Nkoranza Scheme

With the introduction of “cash and carry” system in the health sector in Ghana in 1985, it became... more With the introduction of “cash and carry” system in the health sector in Ghana in 1985, it became difficult for many people to afford orthodox health care. In Nkoranza district, this problem manifested itself in low attendance of in-patient care (admissions) at St. Theresa’s Hospital (the only hospital in the district, a Catholic hospital). In addition, some of the patients who were hospitalised absconded after treatment because they could not afford to pay their medical bills. Consequently, in 1989, at Catholic Diocesan Health Committee (DHC) meeting at Sunyani, it was suggested that a community financing health insurance scheme be established in the district in order to reduce the hardship of the people in seeking in-patient treatment. The scheme was launched and became operational in 1992. The objectives of this study was to examine the impact of the scheme on in-patient healthcare services at the health facility in the district. It became evident from the study that insure...

Research paper thumbnail of Construction of a Scale Assessing Patients’ Perceptions Regarding Sanitation and Hygiene in a Clinical Setting

Journal of Patient Safety

Research paper thumbnail of ADAPTED SERVQUAL: A Health Service Quality Scale Incorporating Indicators of Sanitation and Hygiene

Quality Management in Health Care

Background and Objectives: Many scales have been developed to measure health care quality over th... more Background and Objectives: Many scales have been developed to measure health care quality over the years, but no scale available today incorporates all important indicators of sanitation and hygiene in health care. This study therefore assessed the psychometric properties of an adapted scale, hereby called ADAPTED SERVQUAL, in an attempt to provide a scale that includes relevant indicators of hospital hygiene and sanitation. Methods: The setting of the study was low-and medium-capacity hospitals in the Greater Accra Region of Ghana. Patients in wards and outpatient departments in the hospitals participated in the study. We used relevant statistical tools to estimate the psychometric properties of ADAPTED SERVQUAL. To understand the relative importance of the new scale, we compared and related it to a recent scale, HEALTHQUAL. Results: Principal component analysis yielded 6 factors: &quot;tangibles,&quot; &quot;reliability,&quot; &quot;responsiveness,&quot; &quot;assurance,&quot; &quot;empathy,&quot; and &quot;sanitation and hygiene,&quot; which explained 84% of the total variance. ADAPTED SERVQUAL has a good internal consistency (Cronbach α = 0.96). Confirmatory factor analysis confirmed the 6-factor solution and produced satisfactory discriminant validity and convergent validity indicators. The adapted scale was highly correlated with all dimensions of HEALTHQUAL, including continuous quality improvement (r ≥0.75, P &lt; .001). In multiple linear regression, the 5 domains of HEALTHQUAL explained 59% of the variance in ADAPTED SERVQUAL (P &lt; .001). Conclusions: The study concluded that 8 items that make up a single factor (ie, sanitation and hygiene) and contribute most of the total variance satisfactorily fit into the SERVQUAL scale as additional indicators of health care quality.

Research paper thumbnail of Development of a Scale Measuring Nurses’ Physical Activity Counseling in a Primary Care Facility: Implications for Healthcare Quality

Research paper thumbnail of Climate Change as an Emerging Component of Project Risk in the Agriculture Sector: An Empirical Assessment

International Business Research, 2016

<p class="1main-text">Conditions of climate change are increasingly affecting pro... more <p class="1main-text">Conditions of climate change are increasingly affecting projects, especially Agriculture projects, across the world. In this situation, climate change could pose a major risk factor in sectors such as the Agriculture sector. This paper empirically examines climate change indicators as a correlated factor of traditional risk factors. A self-reported questionnaire was used to collect data from 265 farmers affiliated to manufacturing organizations in Accra. Factor Analysis (Principal Components) and Pearson’s correlation test were used to present findings. We found that all indicators of the traditional and climate change factor produced a communality value of not less than 0.50. Moreover the climatic factor significantly correlates with the traditional factors at 5% significance level. It is therefore concluded that climate change is an emerging component of project risks.</p>

Research paper thumbnail of Climate Change as an Emerging Component of Project Risk in the Agriculture Sector: An Empirical Assessment

International Business Research, 2016

<p class="1main-text">Conditions of climate change are increasingly affecting pro... more <p class="1main-text">Conditions of climate change are increasingly affecting projects, especially Agriculture projects, across the world. In this situation, climate change could pose a major risk factor in sectors such as the Agriculture sector. This paper empirically examines climate change indicators as a correlated factor of traditional risk factors. A self-reported questionnaire was used to collect data from 265 farmers affiliated to manufacturing organizations in Accra. Factor Analysis (Principal Components) and Pearson’s correlation test were used to present findings. We found that all indicators of the traditional and climate change factor produced a communality value of not less than 0.50. Moreover the climatic factor significantly correlates with the traditional factors at 5% significance level. It is therefore concluded that climate change is an emerging component of project risks.</p>

Research paper thumbnail of Climate Change as an Emerging Component of Project Risk in the Agriculture Sector: An Empirical Assessment

International Business Research, 2016

<p class="1main-text">Conditions of climate change are increasingly affecting pro... more <p class="1main-text">Conditions of climate change are increasingly affecting projects, especially Agriculture projects, across the world. In this situation, climate change could pose a major risk factor in sectors such as the Agriculture sector. This paper empirically examines climate change indicators as a correlated factor of traditional risk factors. A self-reported questionnaire was used to collect data from 265 farmers affiliated to manufacturing organizations in Accra. Factor Analysis (Principal Components) and Pearson’s correlation test were used to present findings. We found that all indicators of the traditional and climate change factor produced a communality value of not less than 0.50. Moreover the climatic factor significantly correlates with the traditional factors at 5% significance level. It is therefore concluded that climate change is an emerging component of project risks.</p>

Research paper thumbnail of Climate Change as an Emerging Component of Project Risk in the Agriculture Sector: An Empirical Assessment

International Business Research, 2016

<p class="1main-text">Conditions of climate change are increasingly affecting pro... more <p class="1main-text">Conditions of climate change are increasingly affecting projects, especially Agriculture projects, across the world. In this situation, climate change could pose a major risk factor in sectors such as the Agriculture sector. This paper empirically examines climate change indicators as a correlated factor of traditional risk factors. A self-reported questionnaire was used to collect data from 265 farmers affiliated to manufacturing organizations in Accra. Factor Analysis (Principal Components) and Pearson’s correlation test were used to present findings. We found that all indicators of the traditional and climate change factor produced a communality value of not less than 0.50. Moreover the climatic factor significantly correlates with the traditional factors at 5% significance level. It is therefore concluded that climate change is an emerging component of project risks.</p>

Research paper thumbnail of Climate Change as an Emerging Component of Project Risk in the Agriculture Sector: An Empirical Assessment

International Business Research, 2016

<p class="1main-text">Conditions of climate change are increasingly affecting pro... more <p class="1main-text">Conditions of climate change are increasingly affecting projects, especially Agriculture projects, across the world. In this situation, climate change could pose a major risk factor in sectors such as the Agriculture sector. This paper empirically examines climate change indicators as a correlated factor of traditional risk factors. A self-reported questionnaire was used to collect data from 265 farmers affiliated to manufacturing organizations in Accra. Factor Analysis (Principal Components) and Pearson’s correlation test were used to present findings. We found that all indicators of the traditional and climate change factor produced a communality value of not less than 0.50. Moreover the climatic factor significantly correlates with the traditional factors at 5% significance level. It is therefore concluded that climate change is an emerging component of project risks.</p>