Journal articles on the topic 'Resourcing'

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1

Pakulska, Teresa, and Małgorzata Poniatowska-Jaksch. "Global Resourcing." Gospodarka Narodowa 221, no. 1-2 (February 29, 2008): 17–35. http://dx.doi.org/10.33119/gn/101297.

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White, Hilary. "Sustainable resourcing." Early Years Educator 23, no. 1 (August 2, 2021): 31–33. http://dx.doi.org/10.12968/eyed.2021.23.1.31.

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Russell-Lacy, Phillip. "Rational resourcing." Health Informatics 1, no. 1 (March 1995): 29–31. http://dx.doi.org/10.1177/146045829500100108.

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4

Ballard, Paul. "Resourcing Mission." Theology 113, no. 876 (November 2010): 462–63. http://dx.doi.org/10.1177/0040571x1011300624.

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Gagliardino, JJ. "Resourcing issues." European Journal of Endocrinology 151, Suppl_2 (October 1, 2004): T9–11. http://dx.doi.org/10.1530/eje.0.151t009.

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Diabetes is a chronic, progressive disease and achieving appropriate control of glycaemia and the other associated cardiovascular risk factors is essential to prevent its long-term complications. Currently, recovery and rehabilitation from the cardiovascular complications of diabetes are the major focus of diabetes care rather than primary and secondary prevention of diabetes and its complications. This focus, coupled with limited funding and other resource issues, means that diabetes care and outcomes are generally suboptimal. More efficient and effective management strategies, primarily based upon a broad educational approach including both those with diabetes and their care-givers will be essential in reducing the cost of diabetes and diabetes-related complications. Continuous education of patients and providers increases the quality of care and improves clinical and metabolic outcomes as well as reducing the cost of care and optimising human and financial resources. Thus, education will be a key strategy in minimising the growing burden of diabetes on society. Making these changes will require the co-operation of patients, their families, the community, healthcare policy makers, national governments and the pharmaceutical industry. Medical schools must also place more emphasis on educating doctors about chronic disease management using not only recovery and rehabilitation, but also prevention strategies, emphasising the importance of helping patients to participate in the control of their disease.
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Elliott, Jody, and Mike Beeley. "Resourcing the pipeline." APPEA Journal 50, no. 2 (2010): 714. http://dx.doi.org/10.1071/aj09078.

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With more than 80 major projects in planning or already underway across the Australian resource sector, demanding some 70,000 new employees, Jody Elliott, Director of Australian resource sector careers website TheResourceChannel.com.au, will provide an overview of key projects, the number of people required and the timelines for peak people demand. Industry will be challenged to consider if enough has been done to prepare the skills required to meet this demand. Jody will discuss what is currently being done by government and industry to address the skills gap and will provide her views on what still needs to be done. Mike Beeley, CEO of Reagent Employer Marketing, will discuss why the job of engaging talent does not just belong with the HR department—it is everyone’s role in the organisation. With the demand for top mining and exploration staff about to dramatically outstrip supply, talented professionals will become far more discerning and cynical in their examination of future employers. It will not be enough to look at a few highly-scripted staff testimonials on the website, prospective staff will want to talk privately to existing company employees to see whether promises were kept and expectations met. The future of your employer brand lies in the sum of your decisions and actions as a company, not just in your HR team. The success of your operation lies in getting this balance of promise and delivery to your staff, right.
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CARVEL, J. "Resourcing the NHS." Lancet 331, no. 8584 (March 1988): 541–42. http://dx.doi.org/10.1016/s0140-6736(88)91346-3.

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Duff, Elizabeth. "Resourcing global health." Midwifery 22, no. 3 (September 2006): 200–203. http://dx.doi.org/10.1016/j.midw.2006.07.001.

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Skipper, Magdalena. "Resourcing the genome." Nature Reviews Genetics 8, no. 7 (July 2007): 494–95. http://dx.doi.org/10.1038/nrg2151.

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10

O’Halloran, Patrick J., Christian Leuprecht, Ali Ghanbar Pour Dizboni, Alexandra Green, and David Adelstein. "The terrorist resourcing model applied to Canada." Journal of Money Laundering Control 21, no. 1 (January 2, 2018): 33–46. http://dx.doi.org/10.1108/jmlc-12-2016-0050.

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Purpose This paper aims to examine whether the money laundering/terrorist financing (ML/TF) model excludes important aspects of terrorist resourcing and whether the terrorist resourcing model (TRM) provides a more comprehensive framework for analysis. Design/methodology/approach Research consisted of case studies of resourcing activities of four listed terrorist organizations between 2001 and 2015: the Liberation Tigers of Tamil Eelam (LTTE), Hamas, a grouping of Al Qaeda-inspired individuals and entities under the heading “Al Qaeda inspired” and Hezbollah. Findings The most prevalent resourcing actors observed were non-profit organizations/associations, and the most prevalent form of resourcing was fundraising that targeted individual cash donations of small amounts. Funds were pooled, often passed through layers of charitable organizations and transmitted through chartered banks. The TRM is indeed found to provide a more comprehensive framework for identifying sources of resourcing and points of intervention. However, it does not in itself recommend effective means of response but it has implications for counter-resourcing strategies because it identifies resourcing actors and nodes where counter-resourcing could occur. Originality/value This paper advances the state of knowledge of terrorist resourcing activities in Canada and about the value of doing so through the analytical lens of the TRM as opposed to the predominant ML/TF model.
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11

Goddard, Charlotte. "A guide to… resourcing." Nursery World 2019, Sup13 (June 23, 2019): 13–15. http://dx.doi.org/10.12968/nuwa.2019.sup13.13.

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12

Helms, Ronald, Ricky S. Gutierrez, and Debra Reeves-Gutierrez. "Jail Mental Health Resourcing." International Journal of Offender Therapy and Comparative Criminology 60, no. 9 (March 10, 2015): 1036–63. http://dx.doi.org/10.1177/0306624x15572864.

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13

Ridgway, Maranda. "Brexit: human resourcing implications." Employee Relations: The International Journal 41, no. 5 (August 2, 2019): 1033–45. http://dx.doi.org/10.1108/er-11-2018-0310.

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Purpose Three years on from the Brexit vote, while it remains a central topic for debate in the media, there has been limited discussion about the human resource (HR) implications. The purpose of this paper is to provide theoretical evaluation and informed discussion, distilled into four interconnected propositions, on how employee resourcing as a HR practice may be impacted following actual Brexit decisions. Design/methodology/approach Drawing on the employee resourcing literature, the paper adopts a discursive approach which examines how the UK’s decision to exit the European Union will affect HR practice. The paper draws comparison with the global recession since 2008, a similarly unprecedented development in its discussion of employee resourcing practices and draws parallels which may help to inform the future of HR practices in the UK, because of Brexit. Findings This paper offers a set of propositions; the flow of talent into the UK may become more restricted and reinvigorate the “war for talent” that followed the effects of the global financial crisis on the UK. To attract and retain workers in relatively lower-skilled roles, employers may be faced with a need to re-skill such roles and adopt more flexible working arrangements. Finally, to meet skilled employment requirements, removal of restrictions to recruit from within the European Economic Area may trigger increased global migration of skilled workers. Originality/value This paper contributes to the discussions regarding the implications of Brexit for HR practice by offering propositions to shape future research agendas.
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14

Avis, Paul. "Editorial: Resourcing Episcopal Ministry." Ecclesiology 10, no. 2 (May 5, 2014): 153–57. http://dx.doi.org/10.1163/17455316-01002002.

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15

Caswell, Jo, and Kate Peach. "Being critical about resourcing." Early Years Educator 23, no. 18 (January 2, 2023): 29–33. http://dx.doi.org/10.12968/eyed.2023.23.18.29.

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Resourcing in early years is a debatable subject, from neutral colours to food play. Consultants Jo Caswell and Kate Peach give insight into both their own practice as well as their work with early years settings across the UK around this subject. They urge us to be reflective and critical when it comes to resourcing our provision.
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16

Rogers, Beth, and Padmali Rodrigo. "An exploratory study of factors influencing make-or-buy of sales activities." Strategic Outsourcing: An International Journal 8, no. 2/3 (June 15, 2015): 229–61. http://dx.doi.org/10.1108/so-07-2015-0016.

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Purpose – This paper aims to explore how sales managers make resourcing decisions with particular focus on their perceptions of outsourcing. Design/methodology/approach – This paper is based on in-depth interviews with 29 senior sales managers from a variety of industry sectors based in the UK. All had more than five years’ experience of making resourcing decisions. Findings – The findings are that resourcing decisions are prompted by cost pressure, the need to access skills or to improve flexibility. Outsourcing preferences are strongly moderated by perceived reputational risk. Availability of suitable suppliers and the ability to manage outsourcing are also practical moderators. Research limitations/implications – The sample was purposeful in identifying and accessing senior respondents in substantial companies with extensive experience, but it was not random. Practical implications – Respondents reported a lack of information available when making resourcing decisions; the model proposed provides a framework by which sales managers can identify the factors which should be taken into account and the information they need to make objective evaluations of resourcing options. Originality/value – It has been acknowledged in prior literature that there is relatively little outsourcing of sales activities. This is the first exploratory study of the perceptions of sales managers about resourcing options and the first conceptualisation of how sales resourcing decisions are made.
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17

Cardy, Don, and Paul Crisp. "Resourcing Accountability - A Systematic Approach to Resourcing Colleges of Further and Higher Education." Educational Management & Administration 15, no. 3 (January 1987): 171–81. http://dx.doi.org/10.1177/174114328701500303.

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18

Somasudari, Dr K. Meenatchi. "People Resourcing Practices in Thermal Power Generating Units." Alinteri Journal of Agriculture Sciences 36, no. 2 (July 15, 2021): 140–43. http://dx.doi.org/10.47059/alinteri/v36i2/ajas21126.

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A major challenge for business people in the field of globalisation is how to understand human resource management practices. It’s an obvious view that people are the assets of business entity irrespective of business. Managing people is not an easy task, since psychological factors speaks louder. Generally, the labour cum machine intensive industry should promptly set the people resourcing policies and practices. The thermal power generation units also need to frame the people resourcing practices in genuine. Accessing the opinion of employees about the people resourcing practices, in the select thermal power generation units of Tuticorin and satisfaction level of employees about the people resourcing practices are the core objectives. Analysis is done using Mann-Whitney test and Kruskal Wallis test. The researcher culminated that it is imperative for the thermal power generating units to realize the significance and intensity of people resourcing practices and ameliorate in all paths of work life.
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19

Weale, Albert. "Resourcing the National Health Service." Journal of Law and Society 17, no. 1 (1990): 140. http://dx.doi.org/10.2307/1409960.

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20

Balayan, G. "Targeted resourcing of innovative projects." MIR [World] (Modernization Innovation Research) 6, no. 4-2 (January 1, 2015): 294–302. http://dx.doi.org/10.18184/2079-4665.2015.6.4.294.302.

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21

Weinstein, Nicole. "A guide to… EYFS resourcing." Nursery World 2018, Sup11 (May 27, 2018): 13–16. http://dx.doi.org/10.12968/nuwa.2018.sup11.13.

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22

Hogle, Linda F. "Data-intensive resourcing in healthcare." BioSocieties 11, no. 3 (August 30, 2016): 372–93. http://dx.doi.org/10.1057/s41292-016-0004-5.

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23

Kerr, Christine. "Human resourcing following a merger." International Journal of Career Management 7, no. 2 (April 1995): 7–9. http://dx.doi.org/10.1108/09556219510083826.

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24

Chowdhury, Aparajita. "Family Resourcing for Sustainable Living." Journal of Social Sciences 14, no. 2 (March 2007): 135–36. http://dx.doi.org/10.1080/09718923.2007.11978364.

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25

Anderson, Michelle, and Simone White. "Resourcing Change in Small Schools." Australian Journal of Education 55, no. 1 (August 2011): 50–61. http://dx.doi.org/10.1177/000494411105500106.

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26

Mathews, Mary Beth. "Resourcing Nursing Education Through Collaboration." Journal of Continuing Education in Nursing 34, no. 6 (November 1, 2003): 251–57. http://dx.doi.org/10.3928/0022-0124-20031101-07.

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Michaelowa, Katharina. "Resourcing International Organisations: So What?" Global Policy 8 (July 25, 2017): 113–23. http://dx.doi.org/10.1111/1758-5899.12471.

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28

Skeggs, B. "Uneasy Alignments, Resourcing Respectable Subjectivity." GLQ: A Journal of Lesbian and Gay Studies 10, no. 2 (January 1, 2004): 291–98. http://dx.doi.org/10.1215/10642684-10-2-291.

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29

Coimbra, Carlos F. M. "Best practices in renewable energy resourcing and integration." Journal of Renewable and Sustainable Energy 14, no. 3 (May 2022): 030402. http://dx.doi.org/10.1063/5.0098482.

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Renewable energy resourcing and forecasting are enabling technologies for low-cost integration of increasingly higher market penetration of low-carbon power generation into the grid. The “Best Practices in Renewable Energy Resourcing and Integration” Special Collection Issue in the Journal of Renewable and Sustainable Energy covers best practices in solar and wind forecasting for renewable energy integration and includes datasets for testing, development, and for the augmented reproducibility of methods and results. This Special Collection focuses on manuscripts containing methodologies that substantially advance the state-of-the-art in renewable resourcing and forecasting.
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Zhang, Rongbin, Yizhou Liu, Shuangping Liu, and Jian Mao. "The Existing Recovery Approaches of the Huangjiu Lees and the Future Prospects: A Mini Review." Bioengineering 9, no. 11 (November 16, 2022): 695. http://dx.doi.org/10.3390/bioengineering9110695.

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Huangjiu lees (HL) is a byproduct in Chinese Huangjiu production with various nutrient and biological functional components. Without efficient treatment, it could cause environmental issues and bioresource wasting. Existing dominant recovery approaches focus on large-scale disposal, but they ignore the application of high-value components. This study discusses the advantages and limitations of existing resourcing approaches, such as feed, food and biogas biological production, considering the efficiency and value of HL resourcing. The extraction of functional components as a suggestion for HL cascade utilization is pointed out. This study is expected to promote the application of HL resourcing.
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Mutua, Mbithi. "Linking Human Capital Resourcing Practices and Performance of Financial Cooperatives in Kenya: Does Presence of Formal Human Resource Department Matter?" Management and Labour Studies 44, no. 2 (February 7, 2019): 148–67. http://dx.doi.org/10.1177/0258042x18820685.

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Financial cooperatives are collectively one of the key drivers of Kenyan economy. Thus, this research sought to investigate the relationship between human capital (HC) resourcing practices and performance of these organizations. Performance as the dependent variable was conceptualized to have two dimensions, financial and non-financial. Data was collected from 340 financial cooperatives within Nairobi County. Simple random sampling technique was used in selecting organizations from where data was collected. Both interview and questionnaire methods were used to collect qualitative and quantitative data, respectively. The findings indicated that presence of formal HR department within an organization leads to better HC resourcing practices as compared to a situation where there is no formal HRM department. The study found a significant relationship between HC resourcing practices and performance of financial cooperatives. Further, the study recommends those organizations without formal HRM departments to create them. Additionally, so as to enjoy higher levels of performance and reduce labour turnover, financial cooperatives need to improve their HC resourcing practices.
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Edih, University Ovuokeroye, Okiemute Agboro Dbright, and Nyanayon David Faghawari. "Incidence of Job Advert on Manpower Resourcing in the Public Sector." Politehnika 6, no. 2 (December 23, 2022): 34–42. http://dx.doi.org/10.36978/cte.6.2.3.

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The study examined the incidence of job advert on manpower resourcing in the public sector, perspective of Nigerian Maritime Administration and Safety Agency. The objective of the study is to evaluate the effect of job advert on manpower resourcing in public organization. Data were collected through structured questionnaire administered to 350 sample population. Correlation and multiple regressions analyses were used to analyse the relationships among variables and test the hypothesis respectively. The study revealed that job advert has a positive and significant effect on manpower resourcing in Nigerian Maritime Administration and Safety Agency. It thus concludes that job adverts through television, radio, newspapers, persons-to-persons and the internet channels affect manpower resourcing and employee's performance. The study recommends that organizations should develop a job advert communication model that identifies and attracts pool of applicants to apply for the vacant jobs since it leads to high recruitment intensity and the employment of capable and experienced manpower.
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Melhuish, Susan. "Patways of presentce: Being and resourcing." ANZTLA EJournal, no. 48 (April 26, 2019): 44–45. http://dx.doi.org/10.31046/anztla.v0i48.1191.

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34

Dawson, Chris. "The Accounting Approach to Employee Resourcing." Management Decision 26, no. 5 (May 1988): 31–36. http://dx.doi.org/10.1108/eb001515.

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35

Wilson, Frances. "Meeting the challenges of global resourcing." Strategic HR Review 7, no. 2 (February 22, 2008): 5–10. http://dx.doi.org/10.1108/14754390810853101.

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36

Nolan, Terry, and Richard J. Varey. "Towards transition: resourcing socially learned decisions." International Journal of Sustainable Development 17, no. 2 (2014): 208. http://dx.doi.org/10.1504/ijsd.2014.061782.

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Li, Linbo, Yu Deng, Zimeng Li, Zanpei Zhang, Xinya Gao, Xiaodong Geng, and Dangquan Zhang. "Resourcing potential of olive oil pomace." Thermal Science 24, no. 3 Part A (2020): 1761–68. http://dx.doi.org/10.2298/tsci190603049l.

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Olive oil is a kind of high-quality edible oil obtained by quick extraction from the fresh olive fruit. It has rich biological activity and positive effect on human health which leads to the increase of the demand for olive oil. Olive pomace is a by-product of olive oil during processing which is also rich in biologically active ingredients. But it is often treated as waste, not only causes environmental pollution but also a great waste of resources. In order to explore the high value utilization of olive oil by-products, the extract components of olive oil pomace by benzene, ethanol and acetone were analyzed by gas chromatography-mass spectrometry. The results showed that there were 109, 70, and 71 components which identified in benzene, ethanol and acetone extracts of olive oil pomade respectively. Many of these components can be resourced in industries of biomedicine, bioenergy, spices, and food additives.
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Rogers, Kevin. "Resourcing music technology in secondary schools." British Journal of Music Education 14, no. 02 (July 1997): 129. http://dx.doi.org/10.1017/s0265051700003570.

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Standish, Paul. "Food for thought: resourcing moral education." Ethics and Education 4, no. 1 (March 2009): 31–42. http://dx.doi.org/10.1080/17449640902816350.

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40

Raiden, Ani Birgit, Andrew R. J. Dainty, and Richard H. Neale. "Understanding employee resourcing in construction organizations." Construction Management and Economics 26, no. 11 (November 2008): 1133–43. http://dx.doi.org/10.1080/01446190802422153.

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41

Yarnit, Martin. "Resourcing Sheffield Schools: Theory and Practice." Educational Management & Administration 22, no. 2 (April 1994): 113–22. http://dx.doi.org/10.1177/0263211x9402200206.

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42

Hart, Steven E., and Robert E. Connors. "Resourcing Decision Model for Military Hospitals." Military Medicine 161, no. 9 (September 1, 1996): 552–56. http://dx.doi.org/10.1093/milmed/161.9.552.

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43

Şensoy, Murat, Wamberto W. Vasconcelos, Timothy J. Norman, and Katia Sycara. "Reasoning support for flexible task resourcing." Expert Systems with Applications 39, no. 2 (February 2012): 1998–2010. http://dx.doi.org/10.1016/j.eswa.2011.08.041.

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44

ŠAFRÁNKOVÁ, Jana Marie, Martin ŠIKÝŘ, and Renata SKÝPALOVÁ. "Managing teacher turnover in regional schools." ADMINISTRATIE SI MANAGEMENT PUBLIC, no. 37 (November 29, 2021): 103–16. http://dx.doi.org/10.24818/amp/2021.37-07.

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Employee resourcing comprising employment activities such as human resource planning, employee recruitment, selection, and adaptation, or retention planning and managing employee turnover seems to be a critical function of school management. It enables school managers to ensure the school has quality teachers and other employees it needs to achieve the expected objectives of the school. The biggest challenges of school managers in employee resourcing involve retaining teachers and dealing with teacher turnover. Based on the example of Czech regional schools, the article aims to discuss the current challenges of school managers in employee resourcing in regional schools and define possible ways to deal with the issue of retaining teachers and teacher turnover. The article applies findings of the authors' questionnaire survey on the practice of employee resourcing in Czech regional schools with the focus on the teachers' adaptation as a critical tool for retaining teachers. The authors' questionnaire survey was carried out in the second half of the school year 2018/2019 and in the first half of the school year 2019/2020. The respondents included managers of Czech preschools, elementary schools, and high schools. The answers were obtained from 19% of schools (116 out of 600 addressed schools). The findings show that surveyed regional schools can successfully deal with the challenges in employee resourcing, however, they should apply a more systematic approach, especially to the teachers' adaptation that could help them to deal with the challenge in retaining teachers and reducing the teacher turnover.
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O’Hara, Susan, Joanne Bookmyer, Robin Martin, and Renee Newton. "Theory of action for resourcing professional growth." Journal of Professional Capital and Community 4, no. 1 (January 21, 2019): 52–65. http://dx.doi.org/10.1108/jpcc-02-2018-0006.

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Purpose Organizational characteristics and systemic structures that prioritize and resource teacher professional growth and collaboration are central to the role of districts in developing the ongoing professional growth of teachers. Yet, a key challenge facing districts is a lack of existing systemic structures to support professional growth to foster large-scale instructional improvement. The purpose of this paper is to explore how an organizational resourcing model might be used to build districts’ collective capacity to implement the cornerstones of a professional growth system. Design/methodology/approach An explanatory case study, in the context of a partnership between a university-based intermediary and three California school districts, is used to illustrate how districts applied a theory of resourcing as a sustainable capacity-building approach. Findings The findings of this paper demonstrate that, to varying degrees, participating districts were able to enact elements of professional growth systems through a recursive interaction of schema shifts, resource use, and intentional actions, supporting a practice-based theory of organizational resourcing. While university intermediaries can both mediate and enable the success of locally designed professional growth systems through a supported resourcing model, the key to sustaining change efforts are cross-role organizational schema shifts and actions taken to operationalize underutilized existing, latent resources. Research limitations/implications Case studies do have limitations including not being able to make generalizations from the findings and conclusions. Originality/value The corpus of research on educational reform and organizational learning in educational research situates the school as the organizational unit of change. This study contributes to the research by elevating districts as the lever of organizational change for resourcing teacher professional growth systems.
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46

Saleh, Nour, Adnan Enshassi, and Matthias Sundermeier. "Challenges Hindering the Resourcing for Post-Disaster Housing Reconstruction in Gaza." Journal of Construction in Developing Countries 26, no. 2 (December 8, 2021): 183–210. http://dx.doi.org/10.21315/jcdc2021.26.2.9.

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Resourcing post-disaster housing reconstruction (PDHR) entails many drawbacks creating bottlenecks to reconstruction projects. Understanding these vulnerable issues is of utmost to identify the appropriate interventions to mitigate their effects. The devastating aggression in 2014 in Gaza Strip served as a typical example of resources hampers. Based on the quantitative approach, the research employed a self-administrated questionnaire survey to identify the most significant challenges hindering the resourcing for post-2014 aggression housing reconstruction. The questionnaire targeted 55 of the key people in the implementing agencies of post-2014 aggression housing reconstruction. The data collected was analysed using descriptive statistics, through frequency distribution and effect index (EI); and using inferential statistics through one sample Wilcoxon signed rank test. Findings indicated that the challenges related to political issues have the most significant effect on resourcing the PDHR. The main key challenges are: (1) Difficulties to obtain permits from the Israeli side to flow the reconstruction materials into the Gaza Strip, (2) Insufficient funds for reconstruction efforts and (3) Refusal of the international community to contact the local de facto government. This research fills the knowledge gap relating to Gaza and provides the basis for more research on resourcing problems. This research has also extended, updated and confirmed the current knowledge regarding challenges hindering the resourcing for PDHR. The results draw attention of the implementing agencies in Gaza to the factors that creating bottlenecks to resource the reconstruction projects in order to overcome them and to mitigate their negative effects.
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47

Auschra, Carolin, and Joerg Sydow. "Resourcing Inter-Organizational Networks: A Process View." Academy of Management Proceedings 2018, no. 1 (August 2018): 15910. http://dx.doi.org/10.5465/ambpp.2018.15910abstract.

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48

Martineau, Jeremy. "Resourcing Rural Ministry: Practical Insights for Mission." Rural Theology 15, no. 1 (October 3, 2016): 55–56. http://dx.doi.org/10.1080/14704994.2016.1235315.

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49

Bakal, Vitalii. "RESOURCING OF POLICEMEN: EUROPEAN EXPERIENCE FOR UKRAINE." NAUKA I PRAVOOKHORONA, no. 1 (2020): 43–51. http://dx.doi.org/10.36486/np.2020.1(47).5.

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50

Baghbanian, Abdolvahab, and Ghazal Torkfar. "Economics and resourcing of complex healthcare systems." Australian Health Review 36, no. 4 (2012): 394. http://dx.doi.org/10.1071/ah11041.

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With rapid increases in healthcare spending over recent years, health economic evaluation might be thought to be increasing in importance to decision-makers. Such evaluations are designed to inform the efficient management of healthcare resources. However, research into health policy decisions often report, at best, moderate use of economic evaluation information, especially at the local level of administration. Little attention seems to have been given to the question of why economic evaluations have been underused and why they may yield different results in different contexts. There are many barriers to applying economic evaluations in situations which combine complexity with uncertainty. These barriers call for innovative and creative responses to economic evaluation of healthcare interventions. One response is to view economic evaluations in the context of complex adaptive systems theory. Such theory offers a conceptual framework that takes into account contextual factors, multiple input and output, multiple perspectives and uncertainty involved in healthcare interventions. This article illustrates how complexity theory can enrich and broaden policy-makers’ understanding of why economic evaluations have not always been as successful as health economists would have hoped. It argues for health economists to emphasise contextual knowledge and relativist understanding of decision contexts rather than seeking more technically sound evidence-based reviews including economic evaluations. What is known about the topic? Although it is widely acknowledged that economic evaluation, as presently constituted, is underused in its influence on allocation decisions in healthcare, previous research often ignores the ways multiple factors influence economic evaluations at several inter-related levels of the healthcare systems. Our topic is novel in its application of complexity theory to economic evaluation and attempts to show how allocation decisions reflect concern for economic efficiency in complex situations. What does this paper add? This paper shows that, although there has been a dense body of literature on the theoretical use of economic evaluations in allocation decisions around the world, evidence of successful uptake is limited. The paper shows that current economic evaluation practices oversimplify complex allocation decisions. They often ignore, marginalise or devalue the context and modifying conceptual factors that underlie explanation, meaning, sense making and values of real world contingencies. They insufficiently take notice of contextual factors and relationships in multi-objective, multi-stakeholder resource management situations. One approach is to view economic evaluations through the lens of complex adaptive systems theory, which rarely has been informed by current research. This study is innovative in its approach to using complex adaptive systems theory to investigate economic evaluation in a complex environment. The paper describes a vital step for greater acceptance of economic evaluation through understanding the underlying features of complex adaptive systems theory. It supports a shift away from equilibrium and reductionist thinking into the complex behaviour of natural and social systems. It argues for health economists to emphasise contextual knowledge and relativist understanding of the decision contexts, rather than seeking more and more ‘technically sound’ economic evaluations. What are the implications for practitioners? This study should be of interest to a broad readership, including those interested in health economics, public health policy, healthcare delivery, healthcare resource allocation and decision-making. The paper creates a dialogue about how researchers can better respond to the needs of those making resource allocation decisions in healthcare.
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