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Improvement project in higher education institutions: A BPEP-based model
Authors: Marco Maciel-Monteon aff001; Jorge Limon-Romero aff001; Carlos Gastelum-Acosta aff001; Yolanda Baez-Lopez aff001; Diego Tlapa aff001; Manuel Iván Rodríguez Borbón aff002
Authors place of work: Facultad de Ingeniería, Arquitectura y Diseño, Universidad Autónoma de Baja California, Ensenada, Baja California, México aff001; Departamento de Ingeniería Industrial y Manufactura, Instituto de Ingeniería y Tecnología, Universidad Autónoma de Ciudad Juárez, Ciudad Juárez, Chihuahua, México aff002
Published in the journal: PLoS ONE 15(1)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0227353Summary
Improvement projects (IPs) are a fundamental element in any quality management system from any organization. In Higher Education Institutions (HEIs), IPs are constantly implemented to maintain excellence in academic and administrative processes. In this study, we propose a model for IP implementation that is based on the Baldrige Performance Excellence Program (BPEP). As a part of the model, we propose a series of research hypotheses to be tested. The data used to test the hypotheses were gathered from a questionnaire that was developed after an extensive literature review. The survey was administered to Mexican public HEIs, and more than 700 responses were collected. The data were assessed in terms of convergent and discriminant validity, obtaining satisfactory results. To test the proposed relationships between the model constructs, we utilized Structural Equation Modeling (SEM) using the software IBM SPSS Amos. The analysis confirmed the statistical validity of both the model and the hypotheses. In conclusion, our model for IP implementation is a useful tool for HEIs that seek to attain excellence in their processes through IPs.
Keywords:
Human learning – Employment – Surveys – Mexican people – Factor analysis – Research validity – Computer software – Problem solving
Introduction
Global competition forces organizations to preserve high quality in their products and services to ensure customer satisfaction. From a similar perspective, Higher Education Institutions (HEIs) must guarantee that their programs and processes allow students to become professionals with skills and competencies that current globalized environments demand. Moreover, according to Ah-Teck and Starr [1], quality educational systems are the key to the world´s economic development, the quality of a country’s higher education is one of the fundamental pillars of its development, many countries have started to take government action in this respect [2].
In order to improve, many HEIs incorporate quality management strategies[3]–such as Six Sigma (SS), Total Quality Management (TQM), Lean Six Sigma (LSS), and Kaizen–that use Improvement Projects (IPs) to increase quality and productivity in organizational processes. Regardless of the philosophy and goals that each strategy promotes, they all rely on IPs to obtain the desired results [4]. According to Juran, Gryna, and Bingham [5], quality improvement implies solving the chronic problems of processes; moreover, improvements occur project after project, not overnight. Similarly, to Gonzalez Aleu and Van Aken [6], IPs are systematic processes carried out by teams of people to improve the processes and systems of an organization with minimum investment of capital in a relatively short time. IPs are usually carried out in methodologies such as the lean manufacturing of kaizen events, the DMAIC of SS projects, in hybrid approaches of LSS projects, and in the Plan-Do-Check-Act (PDCA) technique for continuous improvement.
This research uses the Baldrige model of excellence as the structure for an IP implementation model. In the education field, the Baldrige model is internationally recognized as a management system that helps understand how education institutions work and highlights strengths and weaknesses in processes, as well as opportunities for improvement. The Baldrige Performance Excellence Program (BPEP) provides an excellent vision to diagnose and define priorities for improvement, shape a customer-oriented culture, optimize resources, and preserve the desired outcomes. According to Ruben, Russ, Smulowitz, and Connaughton [7], the Baldrige model of excellence has many advantages for HEIs. First, it applies recognized standards of organizational excellence and can be implemented in an entire organization or in specific departments or academic programs. Second, the BPEP can be adapted to academic processes, student services, and/or business units. Third, the Baldrige model creates reference measures, provides a framework for sharing effective practices, expands participation in leadership and problem solving, and complements new accreditation models. Finally, the BPEP is a useful tool to develop and manage quality systems [8], since it seeks to respond to the needs of HEIs by combining innovation and results through good practices adopted in administrative processes. As previously mentioned, the proposed model for developing IPs under the BPEP structure, was validated with information obtained from Mexican public HEIs, which cover a little more than 70% of the enrollment in higher education in this country.
Research gap
The HEIs, in addition to the globalized competition they face daily, have to locally face the demands of the productive and social sectors with respect to the relevance of their educational offerings. In the case of public HEIs, they are subject to the economic restrictions of state and federal governments, which are the main sources of their operating budgets [9]. Likewise, there is an internal requirement on the part of students, parents and employers to adjust the quality of education to the labor market [10]. Therefore, an important challenge for HEIs is the strengthening of their administrative structures through incorporating quality assurance systems to be productive and efficient with the use of resources, which may be scarce in some cases. The realization of IPs is a very useful tool for the manufacturing sector as well as for the service sector; thus, in the education sector, it should not be an exception. According to the literature, IPs have been carried out in HEIs around the world with the help of different methodologies and not under a single structure. With regard to BPEP as a framework used by organizations to guide the efforts of continuous improvement actions, as mentioned above, there are several articles in the literature that highlight their importance in HEIs; however, the literature review indicates the absence of a model that represents the way in which the critical factors of BPEP interact during the realization of IPs in HEIs. Therefore, this study proposes and validates a model based on structural equation modeling (SEM) to quantitatively represent these interactions; this model is intended to function as a guide to increase the probability of obtaining the expected results with the realization of such projects in HEIs.
Literature review
Over the years, the quality of goods produced in the manufacturing sector has become a critical point that must be controlled. IPs are implemented to improve processes and to lead organizations or companies into a cycle of continuous improvement, seeking from the beginning not only to maintain but to improve the quality of their processes, products or services. For example, [11] demonstrated in their study the empirical application of DMAIC projects to reduce the failure rate in high voltage tests of one of the most critical products. On the other hand, the main lean practices that the manufacturing industries implement are those related to waste disposal or quality improvement [12]. Thus, projects with different structures are conducted but are focused on improving productivity and customer satisfaction in industries [13–16].
The previous paragraph mentions the realization of different IPs in the manufacturing industry. Likewise, in recent years, it has been noted how organizations belonging to the service sector have joined the continuous search for the improvement of the quality of services offered to their customers, applying methodologies or strategies that were initially exclusive to the manufacturing sector. An example is the government sector, where [17] present a theoretical and practical guide that can serve as a basis for local governments seeking to implement kaizen in administrative management. Similarly, IPs are carried out in financial institutions to improve service quality and guarantee customer satisfaction [18]. They have also been mentioned in sectors such as aquaculture [19] and irrigation [20] to make better use of resources. Another sector in which the application of these strategies has become popular is related to the administration of hospitals, where it has been shown that the IPs that have been implemented and tested have shown positive results is this area [21–24]. There are even hospitals that have undergone a whole transformation by adopting Lean HealthCare as part of their policies to achieve continuous improvement of their processes. According to Antony et al. [25], the benefits reported in hospitals are as follows: improved operational efficiencies; reduced error rate, waste and operational losses; reduced delay and improved cycle times; improved service quality; positive change in culture, eliminated unnecessary or non-value-added steps in the process; improved customer or patient satisfaction; and reduced operational costs.
The education sector is also interested in achieving continuous improvement in its processes, so they have decided to examine what is being done in other sectors. Continuous quality improvement is attained when organizations apply problem solving and problem mitigation strategies [26]. IPs comprise these strategies, as they encompass systematic improvement actions that can be executed through different methodologies. For instance, IPs are conducted as a part of SS projects for university libraries [27,28] or within LSS programs for planning processes and holding kaizen events [3]. Additionally, IPs have been implemented as a part of university LSS programs [29] and SS projects [30]. The literature and success cases of IPs indicate a recent trend of promoting the aforementioned continuous improvement methodologies—which are typically implemented in other sectors—among HEIs [31,32]. However, a model for IP implementation in the education field has not yet been developed.
The Baldrige Performance Excellence Program (BPEP)
The BPEP is recognized in the international community as an integral and systematic framework for evaluating excellence in performance and guiding quality improvement efforts [1]. The seven dimensions of the BPEP are strongly interrelated and cover all aspects of an organization or HEI [33]; they can be listed as follows:
Leadership
Strategy
Customers
Workforce
Operations
Measurement, Analysis, and Knowledge Management (MAKM)
Results
The Baldrige Excellence Framework: A Systems Approach to Improving Your Organization's Performance (Education), published by the National Institute of Standards and Technology (NIST) [33], is depicted in Fig 1. BPEP's general theory claims that "leadership drives the system that creates results" and suggests that performance relationships are recursive [34]. In a recursive model, constructs do not have arrows in both directions [35]. As can be seen in Fig 1, the core of the BPEP model is integration, which implies that the model sees all its elements as interrelated components. The horizontal arrowheads in the center of the figure show the critical link between the leadership group–formed by Leadership, Strategy, and Customers–and the results group–composed of Workforce, Operations, and Results. Finally, the vertical arrowheads at the center of the figure point to and from the base of the system, which provides information and feedback on key processes and the organizational environment.
Fig. 1. Baldrige Education criteria for the performance excellence model. The Leadership dimension of the Baldrige model seeks to evaluate the actions of institutional leaders to attain the strategic goals of education institutions [36]. Leadership is a critical factor in the implementation of quality systems, such as TQM and ISO series, or models of excellence, including the European Framework for Quality Management (EFQM). As for the Strategy dimension, it questions how organizations develop strategic objectives and action plans, implement them, modify them if required, and measure progress [33]. In this sense, authors [36] emphasize on the importance of understanding customer needs to establish appropriate strategies. As regards the Customers dimension of the BPEP model, it involves university students, teachers, and administrative staff for long-term market success. This category listens to the voice of the client (i.e. the student) and uses the information to improve and identify opportunities for innovation [33]. In their work [8], highlight the importance of measuring student satisfaction through indicators and by listening to them to respond to opinions and complaints.
According to the NIST [33] and Badri et al. [8], MAKM examines the organization of a system for the collection, processing, storage, analysis, and distribution of information and knowledge assets in order to support decision-making in operational management and generate better results. On the other hand, the Workforce dimension of the BPEP model emphasizes on the need for human resource planning to attain organizational goals. Moreover, it helps organizations see how they assess the capacity needs of the workforce and how they can create an environment propitious to high performance [33]. For authors [37], workforce enables quality in organizations; the best way to achieve success is to continuously work with, train, and motivate people.
The Operations dimension seeks the efficient and effective management of learning and support processes that create value for stakeholders, evaluators, continuous improvement, and organizational learning [8]. In other words, operations seek to improve operational efficiency to offer value to students and other customers [33]. Finally, the Results dimension of the BPEP model is based on the comparison of an organization with its direct competitors and organizations with similar educational offers and services. The results category covers the areas of teaching and student learning outcomes, workforce performance, and budgetary, financial, and market results [33].
Research hypotheses and conceptual framework
The BPEP model has been theoretically validated in the manufacturing and services industries [38,39]. In the following paragraphs we review the works that have reported these validations, as well as relevant literature reported in the education field. Then, we discuss our research hypotheses (Fig 2).
Fig. 2. Research model and hypotheses. Researchers [40] claim that, in academic environments, leadership plays the role of a quality controller. Similarly, research has found that leadership has a direct relationship with the other dimensions of the BPEP model, including Strategy, MAKM, Customers, and Results [1,8,38,41,42]. In this sense, it is possible to formulate the hypotheses shown in the Table 1.
Tab. 1. Hypotheses considering the effect of leadership on other BPEP dimensions. The MAKM dimension is fundamental for effective organization management, performance, and competitiveness, whereas MAKM indicators ensure that a system is agile and based on facts and knowledge. MAKM also has a direct influence on all the other dimensions of the BPEP model [33], since it provides information and feedback on key processes and the organizational environment [1,8,38,40,42]. Considering these arguments, the next five hypotheses can be proposed as shown in Table 2:
Tab. 2. Hypotheses considering the effect of MAKM on other BPEP dimensions. There is a critical relationship between Strategy and Customers–from the Leadership triad–and Workforce and Operations–from the Results triad [33]. Universities have exhibited their commitment to student satisfaction through mission statements, goals/objectives, marketing strategies, and promotional themes[43]. Moreover, research has found that the four dimensions are interrelated [1,8,38–42]. Following these findings, it is possible to propose the hypotheses shown in the Table 3.
Tab. 3. Hypotheses considering the relationships among Strategy, workforce, operations and customers. Since every action leads to a result [33], our model considers the Results dimension as the dependent variable. Moreover, the unidirectional arrows are used to explore the relationships between the BPEP dimensions [1]. According to the literature, workforce and operations have a direct impact on the results of an organization, whereas the remaining dimensions (i.e. leadership, strategy, customers, and MAKM) have a rather indirect effect [8,38–42]. Following this discussion, the last three hypotheses can be formulated as shown in Table 4.
Tab. 4. Hypotheses considering the relationships from customer, workforce and operations on Results. Research methodology
This section describes the steps taken to attain our research goals. Our research methodology comprises four main stages: survey development, survey administration, survey validation and model assessment. The first two stages are explained in the following paragraphs in this same section. On the other hand, to carry out the remaining two stages, the steps mentioned below (Fig 3) and whose analyses were performed at each stage are explained in detail in the data analysis and results section that followed.
Fig. 3. Steps followed to carry out the stages survey validation and model assessment. It is worth mentioning that to verify the hypotheses raised by fitting the structural model, the two phases proposed by Hair et al. [35] were followed, where it is stated that the measurement model must first be validated, which represents the theory showing how measured variables (items) come together to represent constructs and later validate the structural model, which in turn shows how constructs are associated with each other because only when the measurement model is validated and achieves acceptable model fit indices can we turn our attention to testing the proposed structural relationships.
Survey development
As the research instrument, the survey allowed us to collect the necessary data and test and validate our model. The seven BPEP dimensions were operationalized through survey items that captured the key elements of the BPEP Education Criteria application guide. To develop the instrument, we relied on the works of [3,8,44–49]. The final survey comprised five sections; the first three aimed at introducing the survey, collecting general information on the surveyed HEIs, and analyzing the quality tools used in IP implementation, respectively. On the other hand, the goal of the fourth section was to assess the seven BPEP dimensions during a typical IP implementation process. Finally, the fifth section sought to gather data on the benefits that HEIs by implementing IPs.
Sampling procedure
To ensure a more comprehensive study, the research was conducted among Mexican public HEIs, which represent more than 70% of national enrollments in higher education [50]. The survey was administered online to quality coordinators and personnel with experience in IP implementation. In total, we collected 743 surveys from 318 public HEIs.
Ethics statement
The survey contained a cover page stating responses were anonymous and voluntary. By responding to the questions, the subjects agreed to participate in the research. All study participants were informed about the anonymity and confidentiality of their responses; the online platform to request the answers was set to maintain the data anonymous. The research conforms to the provisions of the Declaration of Helsinki (revised in Fortaleza, Brazil 2013) [51], and all ethical guidelines were followed as required for conducting human research, including adherence to the legal requirements of Mexico. This procedure was approved by the Head of the Faculty of Engineering, Architecture and Design of the Autonomous University of Baja California.
Data analysis and results
According to Hair et al. [35] and Kline [52], four important issues must be considered before the SEM analysis is performed: outliers, univariate and multivariate normality assumptions, and multicollinearity. Table 5 summarizes the analysis results. As can be observed, the basic assumptions of the SEM analysis were not violated after outliers elimination.
Tab. 5. Assumptions results. Results of the Exploratory Factor Analysis (EFA)
To determine the adequacy of the sample, we performed Kaiser Meyer Olkin (KMO) and Bartlett’s sphericity test. Kaiser and Rice [58] recommend KMO values greater than 0.9, whereas the p value from Bartlett’s sphericity test must be lower than 0.01. The values obtained in this research were KMO = 0.98 and p <0.0, and they thus confirmed the feasibility of the factor analysis. After performing the exploratory factor analysis (EFA), seven constructs and 46 measured variables with significant loadings were consolidated. The results are displayed in Table 6.
Tab. 6. EFA and CFA results. Results of the Confirmatory Factor Analysis (CFA)
The validity of a measurement model depends on establishing acceptable levels of goodness of fit and finding specific evidence of construct validity. Hair et al. [35] and Kline [52] claim that the use of three to four indices usually provides adequate evidence of model fit. Some of these indices include the χ2 statistic, the root mean square error of approximation (RMSEA) index, the comparative fit index (CFI) or the Tucker-Lewis index (TLI), and the standardized root mean residual (SRMR) index. The Confirmatory Factor Analysis (CFA) was performed on software program SPSS Amos® 23. As Table 7 displays, we computed 12 indices, nine of which showed acceptable values.
Tab. 7. Goodness of fit tests and results. Construct validity
Construct validity comprises convergent validity and discriminant validity. Convergent validity determines the degree to which multiple items coincide to measure the same concept [63]. To measure convergent validity, we calculated the Average Variance Extracted (AVE) of each construct and compared it with that construct’s correlation with the other constructs. In cases when the AVE was greater than the construct’s correlation with the other constructs, convergent validity was confirmed. In this sense, AVE values greater than 0.5 are usually indicators of good convergent validity [35]. Table 6 lists the AVE value of each construct, and since all the values are greater than 0.5, we concluded that the theoretical model has enough convergent validity.
Discriminant validity measures whether one construct is different from another construct [64]. We measured discriminant validity as suggested by Fornell and Larcker [65]; that is, if the square root of the AVE of a construct was greater than its correlation coefficient with another construct, the two constructs were considered to be different from each other. To ensure discriminant validity in our data, we removed some items from the analysis, thus making the values of the correlation coefficients lower than the square root of the AVEs. The results of the discriminant validity test are summarized in Table 8 and indicate that all the constructs have discriminant validity.
Tab. 8. Bivariate correlation between constructs and square root of AVEs. Model assessment and hypothesis testing
SEM is a statistical technique rather confirmatory in testing research hypotheses representing relationships between latent variables or constructs [61]. In addition, SEM allows for the simultaneous analysis of a series of causal relationships between multiple constructs [63]. We tested the model depicted in Fig 2 using the Maximum Likelihood estimation method and software program IBM SPSS Amos 23. The results from the model fit test are summarized in Table 7 and confirm that the model fits the data well. Therefore, the hypotheses can be analyzed.
Evaluating hypothesized relationships using SEM
Table 9 lists the results from the hypotheses test, including the standardized regression coefficients, the critical ratio (CR), and the probability value (P). Kline [52] claims that CR values greater than 1.96 indicate statistical significance in relationships. Thus, according to our results, 14 of the 18 hypotheses represent statistically significant relationships. The non-significant relationships comprised Leadership-Customers, Workforce-Customers, MAKM-Operations, and Customers-Operations.
Tab. 9. Hypothesis test results. Fig 4 depicts the final model, once the four non-significant hypotheses were removed. The model fit indices of the final model are listed in Table 7.
Fig. 4. Final structural model. Discussions
This work explores and tests the relationships among the constructs of leadership, strategy, clients, MAKM, workforce, and operations to propose a model that serves as the basis for conducting IPs in Mexican public HEIs. In the field of education, the BPEP is internationally recognized as a tool for attaining excellence. It is a program with a solid structure, where top management initiates any improvement action, and it is followed by the other organizational elements and factors, which together interact and pursue a common outcome. According to our findings, leadership has a positive impact—either direct or indirect—on all the other constructs, thus making it possible to obtain the expected benefits from the implemented IPs. This finding is consistent with the general theory that "leadership drives the system which creates results" [34]. Likewise, it coincides with what was reported by Lu, Laux and Antony [66], who said that an adaptive leadership structure can guarantee a successful adoption of the techniques as the basis for this continuous improvement and help foster an environment that recognizes and maintains the achievements. In other words, HEIs willing to implement IPs must focus on managerial leadership, since it is the quality promoter and controller. According to Flynn and Saladin [38], senior management must create an adequate infrastructure for quality management. Thus, the benefits of IPs would apply to all those involved in the organization, such as students, professors, and society in general.
This study demonstrates that senior management at all levels is responsible for initiating IPs. As Badri et al. [8] point out, HEI leaders have the ability and significant influence to make changes in the educational system; hence, they must guide each strategy that seeks to achieve excellence in their institutions. Likewise, [39] concludes that leadership is the force that leads to all the elements of the quality management system. This does not mean that the other system dimensions are not important but rather that leadership guides their development so that each of them contributes with an essential part to reach the desired results. Leadership focuses on developing strategic goals, implementing a suitable information and communication system, integrating the workforce, and improving processes to meet customer needs and attain the desired outcomes. Finally, our model found that leadership has the strongest impact (i.e., 0.722) on MAKM, which is consistent with what Badri et al.[8] showed. Such results imply that the surveyed leaders recognize that a solid information system is important for objective decision making. In the same way, MAKM has a positive effect on strategies, customers, workforce and operations. This result is consistent with that obtained by Winn and Cameron [40], in which the information system is necessary for strategic planning involving human resources, operations and the client. Likewise,[67] conclude that the information system plays a critical role in the quality management system, since we are in the information age.
The strategy dimension is a management activity that establishes goals considering customer demands, staff training, and continuous improvement [8,36]; hence, it has direct effects on an organization’s operations, workforce, and customers. Process quality improvement is achieved through a workforce that follows the HEI’s strategies, thus maintaining a high-performance workplace focused on the students, which justifies the direct relationship with both operations and results. These findings are consistent with those of [68], who concluded that when the university establishes a quality control-oriented workplace, it is more likely that academic staff will be satisfied and therefore work constructively for the cause of organizational success.
On the other hand, the customer dimension prioritizes the measurement of the satisfaction of students, staff, and society in general, and it listens to them through result indicators, which is consistent with the findings reported by Antony et al. [69], such that in HEIs, it is important to change the way customers are cared for to provide a world-class experience. For the operations criterion, it is the means through which an HEI develops the strategies responding to the clients' requirements to obtain the planned results. Similarly, [67] consider in their findings that an important factor in service organizations such as HEIs is that the customer is extremely important. The strategy criterion does not have a direct effect on the results; however, it indirectly contributes to obtaining the results of HEIs because it directly and positively impacts workforce and operations, which have a direct effect on the results. The motivation for employees to participate in quality planning helps them to perform their tasks better [70]. In addition, the participation of employees in the operationalization of the strategies creates the necessary conditions for the continuous improvement of the processes [71,72]. Our proposed model shows that excellent results are obtained through the relationships among the other dimensions together.
Conclusions
In summary, the main contributions of the study are highlighted. First, the results of the EFA confirm the feasibility of the factor analysis, since the results shown in Table 6 meet the indicators recommended in the literature (the KMO value must be greater than 0.90, and the p-value for Bartlett’s sphericity test must be lower than 0.01). Subsequently, the results of the CFA validate the measurement model, and Table 7 shows the values of the model adjustment indices that satisfy the values recommended by the literature. Finally, in the structural model, 18 hypotheses were verified that were related to the interrelations between the quality dimensions of the BPEP model and to explain the effects of these quality dimensions on the results. Ultimately, only four proposed relationships were not significant.
Our findings indicate that leadership is the starting point for conducting IPs and obtaining the planned results. Strong leadership promotes the participation and integration of those involved in each model dimension. In addition, our model reaffirms the importance of information systems, which are the means of collecting and analyzing information to be shared across the dimensions and used to predict problems and make improvement decisions. The role of the strategy, workforce, and operations dimensions is to plan and make all the improvements to turn them into favorable results, with customer satisfaction as the ultimate goal. Finally, we also found that the strongest relationships in the model include leadership-MAKM (0.722) and workforce-operations (0.547). Hence, HEI leaders must pay close attention to these relations when implementing IPs. Therefore, it can be said that the BPEP is a model that has well-defined criteria, and the findings highlight the significant relationships among these criteria, as well as the role they play in improving the quality of the processes. Then, it can be concluded that to increase the chances of obtaining favorable results, there must be a form of leadership committed to improvement, a well-established measurement system in the institution, a clearly defined strategy and a workforce responsible for the execution of IPs.
HEIs face intense competition every day due to the globalization of the business world, which demands that quality knowledge and skills meet the challenges demanded by employers, as well as detect and meet unmet needs through the entrepreneurship of their own business. Considering the need for and importance of improving the quality of administrative processes, in addition to teaching and learning, this research was conducted to propose a model that provides a structure for the realization of IP in the IES based on BPEP structure. We relied on the SEM technique to validate the model and found that the model can serve as a guide for all HEIs interested in improving the quality of their processes through IPs. This is the main contribution of our research to the literature on continuous improvement in educational institutions. Moreover, it is worth mentioning that similar research in the Latin American region is scarce; hence, the contribution is greater.
Limitations and future research
This study has some limitations that may direct future research. Mainly, potential confounding variables (including different departments, faculties and schools, etc.) were not controlled for in our study and from this fact some limitations and possible future work emerge. First, the model was developed and tested with data gathered from Mexican universities. Second, our model was purposely designed for public universities and may not be suitable for private universities in its original version. Third, the study is cross-sectional, which means that the data were analyzed at specific points in time. With the previous information, future work can be developed to overcome each of the limitations. For the first limitation, a line of future research may be the validation of the model in other countries, which implies that its applications must be preceded by a thorough review of the literature to address cultural and regional idiosyncrasies. A second line of future research that corresponds to the second limitation may be the application of the model in private universities to examine whether the model fits its operations, which would provide additional validation of the model proposed in this study, since, as mentioned by [73], public and private universities can learn from each other regarding different types of organizational culture. As a third line of future work, a longitudinal study would be advisable to compare the different stages of IP adoption over a period of time. In addition, a line of future research could be the application of the model at different levels of education, with respect to the necessary adjustments, to adapt the model to the organizational structures of these institutions.
From the ideas expressed in the previous paragraph, it should be emphasized that although the authors of the present work consider that the resultant model could be applied in other countries and probably, even in the context of other service organizations outside the education sector, some cautions should be exercised before the generalization of the results reported here and greater care in the applicability of this model should be taken when the situation becomes more different from the conditions and the environment in which this model was validated.
Disclosure statement
The authors declare no potential conflicts of interest with respect to the publication of this research.
Supporting information
S1 Table [xlsx]
Correlations matrix.S2 Table [xlsx]
Collinearity statistics.S3 Table [xlsx]
Assessment of normality.
Zdroje
1. Ah‐Teck JC, Starr K. Principals’ perceptions of “quality” in Mauritian schools using the Baldrige framework. J Educ Adm. 2013;51 : 680–704. doi: 10.1108/JEA-02-2012-0022
2. Lavalle C, de Nicolas VL. Peru and its new challenge in higher education: Towards a research university. PLOS ONE. 2017;12: e0182631. doi: 10.1371/journal.pone.0182631 28787463
3. Sunder MV. Constructs of quality in higher education services. Int J Product Perform Manag. 2016;65 : 1091–1111. doi: 10.1108/IJPPM-05-2015-0079
4. Vicencio-Ortiz JC, Kolarik WJ. The Assessment of the Impacts of Improvement Projects in the Interrelated Processes: A Cross-Case Study. Qual Manag J. 2012;19 : 38–50. doi: 10.1080/10686967.2012.11918072
5. Juran JM, Gryna FM, Bingham RS. Quality Control Handbook. New York: McGraw-Hill; 1974.
6. Gonzalez Aleu F, Van Aken EM. Continuous improvement projects: an authorship bibliometric analysis. Int J Health Care Qual Assur. 2017;30 : 467–476. doi: 10.1108/IJHCQA-07-2016-0105 28574324
7. Ruben BD, Russ T, Smulowitz SM, Connaughton SL. Evaluating the impact of organizational self‐assessment in higher education: The Malcolm Baldrige/Excellence in Higher Education framework. Leadersh Organ Dev J. 2007;28 : 230–250. doi: 10.1108/01437730710739657
8. Badri MA, Selim H, Alshare K, Grandon EE, Younis H, Abdulla M. The Baldrige Education Criteria for Performance Excellence Framework: Empirical test and validation. Int J Qual Reliab Manag. 2006;23 : 1118–1157. doi: 10.1108/02656710610704249
9. Gastelum-Acosta C, Limon-Romero J, Maciel-Monteon M, Baez-Lopez Y. Seis Sigma en Instituciones de Educación Superior en México. Inf Tecnológica. 2018;29 : 91–100. doi: 10.4067/S0718-07642018000500091
10. Ramasubramanian P. Six Sigma in Educational Institutions. Int J Eng Pract Res. 2012;1 : 1–5.
11. Desai DA, Shaikh AJA. Reducing failure rate at high voltage (HV) testing of insulator using Six Sigma methodology. Int J Product Perform Manag. 2018;67 : 791–808. doi: 10.1108/IJPPM-11-2016-0235
12. Panwar A, Jain R, Rathore APS. Lean implementation in Indian process industries–some empirical evidence. J Manuf Technol Manag. 2015;26 : 131–160. doi: 10.1108/JMTM-05-2013-0049
13. Dave Y, Sohani N. Improving productivity through Lean practices in central India-based manufacturing industries. Int J Lean Six Sigma. 2019;10 : 601–621. doi: 10.1108/IJLSS-10-2017-0115
14. Goshime Y, Kitaw D, Jilcha K. Lean manufacturing as a vehicle for improving productivity and customer satisfaction: A literature review on metals and engineering industries. Int J Lean Six Sigma. 2019;10 : 691–714. doi: 10.1108/IJLSS-06-2017-0063
15. Ullah F, Thaheem MJ, Siddiqui SQ, Khurshid MB. Influence of Six Sigma on project success in construction industry of Pakistan. TQM J. 2017;29 : 276–309. doi: 10.1108/TQM-11-2015-0136
16. Vo B, Kongar E, Suárez Barraza MF. Kaizen event approach: a case study in the packaging industry. Int J Product Perform Manag. 2019; IJPPM-07-2018-0282. doi: 10.1108/IJPPM-07-2018-0282
17. Suárez-Barraza M, Miguel-Dávila J. Assessing the design, management and improvement of Kaizen projects in local governments. Bus Process Manag J. 2014;20 : 392–411. doi: 10.1108/BPMJ-03-2013-0040
18. Lokkerbol J, Does R, de Mast J, Schoonhoven M. Improving processes in financial service organizations: where to begin? Int J Qual Reliab Manag. 2012;29 : 981–999. doi: 10.1108/02656711211272881
19. Bottema MJM. Institutionalizing area-level risk management: Limitations faced by the private sector in aquaculture improvement projects. Aquaculture. 2019;512 : 734310. doi: 10.1016/j.aquaculture.2019.734310
20. Molle F, Rap E, Al-Agha DE, El Hassan WA, Freeg M. Irrigation improvement projects in the Nile Delta: Promises, challenges, surprises. Agric Water Manag. 2019;216 : 425–435. doi: 10.1016/j.agwat.2019.02.013
21. Gonzalez-Aleu F, Van Aken EM, Cross J, Glover WJ. Continuous improvement project within Kaizen: critical success factors in hospitals. TQM J. 2018;30 : 335–355. doi: 10.1108/TQM-12-2017-0175
22. Johnson AM, Howell DM. Mobility bridges a gap in care: Findings from an early mobilisation quality improvement project in acute care. J Clin Nurs. 2019; jocn.14986. doi: 10.1111/jocn.14986 31264747
23. Laureani A, Brady M, Antony J. Applications of Lean Six Sigma in an Irish hospital. Leadersh Health Serv. 2013;26 : 322–337. doi: 10.1108/LHS-01-2012-0002
24. McWilliams D, Snelson C, Goddard H, Attwood B. Introducing early and structured rehabilitation in critical care: A quality improvement project. Intensive Crit Care Nurs. 2019;53 : 79–83. doi: 10.1016/j.iccn.2019.04.006 31056235
25. Antony J, Sunder M. V, Sreedharan R, Chakraborty A, Gunasekaran A. A systematic review of Lean in healthcare: a global prospective. Int J Qual Reliab Manag. 2019; IJQRM-12-2018-0346. doi: 10.1108/IJQRM-12-2018-0346
26. Bhuiyan N, Baghel A. An overview of continuous improvement: from the past to the present. Manag Decis. 2005;43 : 761–771. doi: 10.1108/00251740510597761
27. Kumi S, Morrow J. Improving self service the six sigma way at Newcastle University Library. Program. 2006;40 : 123–136. doi: 10.1108/00330330610669253
28. Voyles JF, Dols L, Knight E. Interlibrary Loan Meets Six Sigma: The University of Arizona Library’s Success Applying Process Improvement. J Interlibrary LoanDocument Deliv Electron Reserve. 2008;19 : 75–94. doi: 10.1080/10723030802533911
29. Svensson C, Antony J, Ba-Essa M, Bakhsh M, Albliwi S. A Lean Six Sigma program in higher education. Int J Qual Reliab Manag. 2015;32 : 951–969. doi: 10.1108/IJQRM-09-2014-0141
30. Antony J, Ghadge A, Ashby SA, Cudney EA. Lean Six Sigma journey in a UK higher education institute: a case study. Int J Qual Reliab Manag. 2018;35 : 510–526. doi: 10.1108/IJQRM-01-2017-0005
31. Jenicke LO, Kumar A, Holmes MC. A framework for applying six sigma improvement methodology in an academic environment. TQM J. 2008;20 : 453–462. doi: 10.1108/17542730810898421
32. Sunder MV, Antony J. A conceptual Lean Six Sigma framework for quality excellence in higher education institutions. Int J Qual Reliab Manag. 2018;35 : 857–874. doi: 10.1108/IJQRM-01-2017-0002
33. NIST. Baldrige Excellence Framework (Education). Gaithersburg, MD: National Institute of Standards and Technology, United States Department of Commerce; 2017.
34. Meyer SM, Collier DA. An empirical test of the causal relationships in the Baldrige Health Care Pilot Criteria. J Oper Manag. 2001;19 : 403–426. doi: 10.1016/S0272-6963(01)00053-5
35. Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate data analysis. 7th ed. Harlow: Pearson; 2014.
36. Djordjevic P, Panic M, Arsic S, Zivkovic Z. Impact of leadership on strategic planning of quality. Total Qual Manag Bus Excell. 2018; 1–15. doi: 10.1080/14783363.2018.1490176
37. Tarí JJ, Molina JF, Castejón JL. The relationship between quality management practices and their effects on quality outcomes. Eur J Oper Res. 2007;183 : 483–501. doi: 10.1016/j.ejor.2006.10.016
38. Flynn BB, Saladin B. Further evidence on the validity of the theoretical models underlying the Baldrige criteria. J Oper Manag. 2001;19 : 617–652. doi: 10.1016/S0272-6963(01)00072-9
39. Pannirselvam GP, Ferguson LA. A study of the relationships between the Baldrige categories. Int J Qual Reliab Manag. 2001;18 : 14–37. doi: 10.1108/02656710110364468
40. Winn BA, Cameron KS. ORGANIZATIONAL QUALITY: An Examination of the Malcolm Baldrige National Quality Framework. Res High Educ. 1998;39 : 491–512.
41. Peng X, Prybutok V. Relative effectiveness of the Malcolm Baldrige National Quality Award categories. Int J Prod Res. 2015;53 : 629–647. doi: 10.1080/00207543.2014.961207
42. Wilson DD, Collier DA. An Empirical Investigation of the Malcolm Baldrige National Quality Award Causal Model. Decis Sci. 2000;31 : 361–383. doi: 10.1111/j.1540-5915.2000.tb01627.x
43. Shahsavar T, Sudzina F. Student satisfaction and loyalty in Denmark: Application of EPSI methodology. PLOS ONE. 2017;12: e0189576. doi: 10.1371/journal.pone.0189576 29240801
44. Antony J. Readiness factors for the Lean Six Sigma journey in the higher education sector. Int J Product Perform Manag. 2014;63 : 257–264. doi: 10.1108/IJPPM-04-2013-0077
45. Cudney EA, Elrod CC, Stanley SM. A systematic literature review of Six Sigma practices in education. Int J Six Sigma Compet Advant. 2014;8 : 163–175. doi: 10.1504/IJSSCA.2014.067552
46. Desai DA, Antony J, Patel MB. An assessment of the critical success factors for Six Sigma implementation in Indian industries. Int J Product Perform Manag. 2012;61 : 426–444. doi: 10.1108/17410401211212670
47. Furst-Bowe JA, Bauer RA. Application of the Baldrige model for innovation in higher education. New Dir High Educ. 2007;2007 : 5–14. doi: 10.1002/he.242
48. Ho Y-C, Chang O-C, Wang W-B. An empirical study of key success factors for Six Sigma Green Belt projects at an Asian MRO company. J Air Transp Manag. 2008;14 : 263–269. doi: 10.1016/j.jairtraman.2008.05.002
49. Holmes MC, Jenicke LO, Hempel JL. A framework for Six Sigma project selection in higher educational institutions, using a weighted scorecard approach. Qual Assur Educ. 2015;23 : 30–46. doi: 10.1108/QAE-04-2014-0014
50. SEP. Sistema Educativo de los Estados Unidos Mexicanos, Principales Cifras 2016–2017. México: Dirección General de Planeación, Programación y Estadística Educativa Secretaría de Educación Pública; 2018.
51. World Medical Association. WMA—The World Medical Association-WMA Declaration of Helsinki–Ethical Principles for Medical Research Involving Human Subjects. [cited 1 May 2019]. Available: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/
52. Kline RB. Principles and practice of structural equation modeling. 4th ed. New York: The Guilford Press; 2016.
53. Decarlo LT. On the meaning and use of kurtosis. Psychol Methods. 1997; 292–307.
54. Curran PJ, West SG, Finch JF. The Robustness of Test Statistics to Nonnormality and Specification Error in Confirmatory Factor Analysis. Psychol Methods. 1996;1 : 16–29.
55. Mardia KV. Measures of multivariate skewness and kurtosis with applications. Biometrika. 1970;57 : 519–530. doi: 10.1093/biomet/57.3.519
56. Mardia KV. Applications of Some Measures of Multivariate Skewness and Kurtosis in Testing Normality and Robustness Studies. Sankhyā Indian J Stat Ser B 1960–2002. 1974;36 : 115–128.
57. Khine MS. Application of Structural Equation Modeling in Educational Research and Practice. Rotterdam: SensePublishers; 2013.
58. Kaiser HF, Rice J. Little Jiffy, Mark Iv. Educ Psychol Meas. 1974;34 : 111–117. doi: 10.1177/001316447403400115
59. Bollen KA. Structural equations with latent variables. New York: Wiley; 1989.
60. Schumacker RE, Lomax RG. A beginner’s guide to structural equation modeling. 4th ed. New York, NY: Routledge; 2016.
61. Byrne BM. Structural equation modeling with Amos: basic concepts, applications, and programming. 3rd ed. New York: Routledge, Taylor & Francis Group; 2016.
62. Browne MW, Cudeck R. Alternative ways of assessing model fit. In: Bollen KA, Long SJ, editors. Testing structural equation models. Newbury Park, CA: Sage; 1993.
63. Khan BA, Naeem H. Measuring the impact of soft and hard quality practices on service innovation and organisational performance. Total Qual Manag Bus Excell. 2018;29 : 1402–1426. doi: 10.1080/14783363.2016.1263543
64. Kharub M, Sharma R. An integrated structural model of QMPs, QMS and firm’s performance for competitive positioning in MSMEs. Total Qual Manag Bus Excell. 2018; 1–30. doi: 10.1080/14783363.2018.1427500
65. Fornell C, Larcker DF. Evaluating Structural Equation Models with Unobservable Variables and Measurement Error. J Mark Res. 1981;18 : 39–50. doi: 10.2307/3151312
66. Lu J, Laux C, Antony J. Lean Six Sigma leadership in higher education institutions. Int J Product Perform Manag. 2017;66 : 638–650. doi: 10.1108/IJPPM-09-2016-0195
67. Mai F, Ford MW, Evans JR. An empirical investigation of the Baldrige framework using applicant scoring data. Int J Qual Reliab Manag. 2018;35 : 1599–1616. doi: 10.1108/IJQRM-12-2016-0215
68. Ali HM, Musah MB. Investigation of Malaysian higher education quality culture and workforce performance. Qual Assur Educ. 2012;20 : 289–309. doi: 10.1108/09684881211240330
69. Antony J, Krishan N, Cullen D, Kumar M. Lean Six Sigma for higher education institutions (HEIs): Challenges, barriers, success factors, tools/techniques. Int J Product Perform Manag. 2012;61 : 940–948. doi: 10.1108/17410401211277165
70. Sáenz MJ, Revilla E, Knoppen D. Absorptive Capacity in Buyer-supplier Relationships: Empirical Evidence of Its Mediating Role. J Supply Chain Manag. 2014;50 : 18–40. doi: 10.1111/jscm.12020
71. Kingir S, Mesci M. Factors that affect hotel employees motivation, the case of Bodrum. Serbian J Manag. 2010;5 : 59–76.
72. Yan T, Dooley K. Buyer-Supplier Collaboration Quality in New Product Development Projects. J Supply Chain Manag. 2014;50 : 59–83. doi: 10.1111/jscm.12032
73. Ramachandran DS, Chong SC, Ismail H. Organisational culture: An exploratory study comparing faculties’ perspectives within public and private universities in Malaysia. Int J Educ Manag. 2011;25 : 615–634. doi: 10.1108/09513541111159086
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Najčítanejšie v tomto čísle- Psychometric validation of Czech version of the Sport Motivation Scale
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