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The Total Quality Management (TQM) system is known to have a beneficial impact on sustainability. This study aimed to elucidate the achievement of hospital sustainability by analyzing the relationship between the implementation of TQM practices (leadership of management, decision making, continuous improvement, customer focus, employee involvement, process management, and relations with suppliers), and their impact on the financial and operational performance of hospitals. The gathered data underwent analysis using structural equation modeling (SEM) to empirically investigate the impact of TQM methods on the financial and operational performance of hospitals. A total of 1069 surveys were completed in 6 privately-owned and 26 publicly-owned hospitals located in the Marmara region of Turkey. This study contributes significantly by addressing gaps in the existing literature. There is a lack of empirical research that has examined the potential correlation between TQM, operational success, and financial performance in both public and private hospitals. Especially in developing nations like Turkey, the focus is on the early phases of implementing TQM principles, with a primary emphasis on continuous improvement and sustainable performance. The results demonstrate that Total Quality Management (TQM) exerts a substantial impact on the financial and operational performance of hospitals in the service industry. [ABSTRACT FROM AUTHOR]

The energy crisis caused by global structural changes in the political and economic sphere is the reason for the change in Russia's energy strategy based on the concept of sustainable development. The presented study is intended to test the hypothesis about the stimulating effect of economic sanctions on the traditional energy sector and is intended to examine the assumption about the implementation in Russia of the concept of the diversification of energy resources in terms of the use of coal fuel using a systematic approach. The object of empirical research is the Russian Federation in comparison with the leading countries in reserves, exports, and imports of coal raw materials in the period 2010–2021. The tools of scientific research used are based on methods of comparative, economic and statistical analysis, and technologies of consensus expert assessments. The integrated methodological approach applied in the study allows us to present the relationship between energy policy and the government's strategy in achieving the goals of sustainable energy production and the transition to transformational models of using traditional energy sources. This article identifies new opportunities for academic research and discussion of the potential of demand management, the dynamics of consumption and production of traditional energy resources based on the use of avant-garde technologies, and the design of scenarios for the implementation of the energy transition, taking into account various options for economic development and geopolitical changes. [ABSTRACT FROM AUTHOR]

No previous studies in the literature have investigated the serial mediation impact of innovation capability and product innovation on the influence of market orientation on firm performance. The focus in this research is on the role of the combination of innovation capability and product innovation in the influence of market orientation on firm performance. To that end, it is aimed to examine the direct and indirect impacts of market orientation on firm performance (through innovation capability and product innovation, respectively). The data collected from 739 small and medium-sized enterprises (SMEs) in Turkey by employing the online survey method were tested using the SmartPLS 3 analysis programme. Pieces of empirical evidence have revealed that both market orientation and innovation capability act as important antecedents of product innovation. Moreover, mediation analysis demonstrates that innovation capability and product innovation in turn mediate the connection between market orientation and firm performance. Consequently, this research provides pieces of evidence showing that SMEs can increase their firm performance with innovations they can make in their products by improving their innovation capability with a market-oriented approach so that they can open up to foreign markets in theory and practice. [ABSTRACT FROM AUTHOR]