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1 – 10 of 71John Ovretveit, Brian Mittman, Lisa Rubenstein and David A. Ganz
The purpose of this paper is to enable improvers to use recent knowledge from implementation science to carry out improvement changes more effectively. It also highlights the…
Abstract
Purpose
The purpose of this paper is to enable improvers to use recent knowledge from implementation science to carry out improvement changes more effectively. It also highlights the importance of converting research findings into practical tools and guidance for improvers so as to make research easier to apply in practice.
Design/methodology/approach
This study provides an illustration of how a quality improvement (QI) team project can make use of recent findings from implementation research so as to make their improvement changes more effective and sustainable. The guidance is based on a review and synthesis of improvement and implementation methods.
Findings
The paper illustrates how research can help a quality project team in the phases of problem definition and preparation, in design and planning, in implementation, and in sustaining and spreading a QI. Examples of the use of different ideas and methods are cited where they exist.
Research limitations/implications
The example is illustrative and there is little limited experimental evidence of whether using all the steps and tools in the one approach proposed do enable a quality team to be more effective. Evidence supporting individual guidance proposals is cited where it exists.
Practical implications
If the steps proposed and illustrated in the paper were followed, it is possible that quality projects could avoid waste by ensuring the conditions they need for success are in place, and sustain and spread improvement changes more effectively.
Social implications
More patients could benefit more quickly from more effective implementation of proven interventions.
Originality/value
The paper is the first to describe how improvement and implementation science can be combined in a tangible way that practical improvers can use in their projects. It shows how QI project teams can take advantage of recent advances in improvement and implementation science to make their work more effective and sustainable.
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John Ovretveit, Susanne Hempel, Jennifer L. Magnabosco, Brian S. Mittman, Lisa V. Rubenstein and David A. Ganz
– The purpose of this paper is to provide evidence based guidance to researchers and practice personnel about forming and carrying out effective research partnerships.
Abstract
Purpose
The purpose of this paper is to provide evidence based guidance to researchers and practice personnel about forming and carrying out effective research partnerships.
Design/methodology/approach
A review of the literature, interviews and discussions with colleagues in both research and practice roles, and a review of the authors' personal experiences as researchers in partnership research.
Findings
Partnership research is, in some respects, a distinct “approach” to research, but there are many different versions. An analysis of research publications and of their research experience led the authors to develop a framework for planning and assessing the partnership research process, which includes defining expected outcomes for the partners, their roles, and steps in the research process.
Practical implications
This review and analysis provides guidance that may reduce commonly-reported misunderstandings and help to plan more successful partnerships and projects. It also identifies future research which is needed to define more precisely the questions and purposes for which partnership research is most appropriate, and methods and designs for specific types of partnership research.
Originality/value
As more research moves towards increased participation of practitioners and patients in the research process, more precise and differentiated understanding of the different partnership approaches is required, and when each is most suitable. This article describes research approaches that have the potential to reduce “the research-practice gap”. It gives evidence- and experience-based guidance for choosing and establishing a partnership research process, so as to improve partnership relationship-building and more actionable research.
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Karen Powroznik, Irena Stepanikova and Karen S. Cook
This research explores how gender influences the experience of cancer care and proposes a new explanation for gender differences in posttraumatic growth among individuals who…
Abstract
Purpose
This research explores how gender influences the experience of cancer care and proposes a new explanation for gender differences in posttraumatic growth among individuals who received blood or marrow transplantation as treatment for lymphoma.
Methodology/approach
We use mixed methods, combining quantitative examination of surveys with 180 survivors with qualitative findings from semi-structured face-to-face interviews with 50 survivors. Participants were 2–25 years after transplantation. Quantitative data were analyzed using statistical modeling; qualitative data were analyzed using thematic coding.
Findings
A quantitative examination indicates that compared to men, women report greater posttraumatic growth and more positive impacts of cancer despite having lower physical health. These gender differences are robust even after controlling for physical and emotional well-being, life satisfaction, and social support. Qualitative findings from in-depth interviews show that gender norms and expectations about masculinity and femininity shape how individuals experience illness and perform the role of patient and survivor. Expectations about being a good patient and survivor are more aligned with expectations about femininity and tend to conflict with expectations about masculinity. Gender norms discourage men from reporting personal growth from cancer and encourage women to overemphasize the positive aspects of having had cancer.
Research limitations/implications
This study was conducted two or more years after treatment had ended; therefore, potential for recall bias existed. Nevertheless, the findings suggest that viewing cancer as transformative is part of a gender performance that limits opportunities for individuals to experience and express a diverse range of reactions which, at times, increases the emotional burden on individuals.
Originality/value
By combining survey data with in-depth interviews, the study offers new insights into the causes of gender differences in the reporting of patient outcomes after illness.
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David Ganz, Austin Troy and David Saah
Community-based fire management (CBFiM) integrates community action with the standard elements of fire management and mitigation, such as prescribed fire (managed beneficial fires…
Abstract
Community-based fire management (CBFiM) integrates community action with the standard elements of fire management and mitigation, such as prescribed fire (managed beneficial fires for reducing hazardous fuel loads, controlling weeds, preparing land for cultivation, reducing the impact of pests and diseases, etc.), mechanical fuel treatment, defensible space planning, wildfire awareness and prevention, preparedness planning, and suppression of wildfires. In developed examples of CBFiM, communities are empowered to have effective input into land and fire management and problem solving and to self regulate to respond to fire and other emergencies. Its premise is that local people usually have most at stake in the event of a harmful fire, so they should clearly be involved in mitigating these unwanted events.
The national immigrant rights campaign of 2006 stands as one of the largest mobilizations by people of color in US history, yet less scholarly attention has been given to…
Abstract
The national immigrant rights campaign of 2006 stands as one of the largest mobilizations by people of color in US history, yet less scholarly attention has been given to systematically comparing these mobilizations at the local level. To develop an understanding of what led to sustained mobilization, a comparative case study analysis of seven cities in California's San Joaquin Valley is employed. The empirical evidence is based on interviews with key organizers and participants, newspaper documentation of protest events, census data, and other secondary sources. I find that the presence and size of policy threats explained the initial protest during the spring of 2006 in all localities, but cities with elaborate resource infrastructures (preexisting organizations, histories of community organizing, and coalitions) had more enduring levels of collective action.
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Die Redeweise von der «touristischen Explosion» in der jüngsten Gegenwart gehört ins «Wörterbuch des Unmenschen». Sie kennzeichnet aber drastisch einen Vorgang, dem eine…
Abstract
Die Redeweise von der «touristischen Explosion» in der jüngsten Gegenwart gehört ins «Wörterbuch des Unmenschen». Sie kennzeichnet aber drastisch einen Vorgang, dem eine Sprengwirkung nicht ganz abgesprochen werden kann. Jahrtausendalte Gewohnheiten der Sesshaftigkeit wurden seit rund 20 Jahren durch den Tourismus in einem früher unvorstellbaren Ausmass aufgebrochen. Die Erschütterung erfasste auch die Jugend. Das Beben pflanzt sich fort, zeitlich und räumlich, nicht etwa sich verebbend wie bei einem einzigen Erdstoss. Einmal in Schwung gesetzt, wurde der Tourismus allgemein, somit auch jener der Jugend, zu einem perpetuum mobile.
Mobilization by diaspora activists against illiberalism in their country of origin and by immigrants for equality in their country of settlement has received widespread attention…
Abstract
Mobilization by diaspora activists against illiberalism in their country of origin and by immigrants for equality in their country of settlement has received widespread attention in political science and sociology, respectively. However, because extant studies treat these mobilizations as distinct types, little is known about the relationship between diaspora and immigrant mobilization. This chapter addresses this theoretical gap using 167 interviews with Syrian and Yemeni activists in the United States and Britain. The findings demonstrate how Syrian and Yemeni diaspora mobilization in support of the 2011 Arab Spring revolutions facilitated their visibility and voice as immigrants. Syrians built an organizational field with the capacity to contest host-country discrimination and local extremism; Yemenis instituted protests and brokerage that shaped the context of reception for home-country elites and challenged intragroup inequality. At the same time, economic disparities between national groups shaped their capacities to diversify tactics and sustain efforts over time. My chief claim is that diaspora mobilization facilitates immigrant voice and visibility but is mitigated in important ways by group-wise resources. The chapter concludes by emphasizing the importance of voice and visibility among marginalized groups subjected to intersecting repressions.
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The artistic object is born from an initial moment or state that triggers a creative or creation process. This beginning is described by many as a fleeting moment during which a…
Abstract
The artistic object is born from an initial moment or state that triggers a creative or creation process. This beginning is described by many as a fleeting moment during which a creative idea suddenly arises. I consider here that a creative vision is something that occurs in a very similar way, being able to capture a unified all like the finished artistic object, even if it amounts to a micro instant. This phenomenon uncovers a new form of capturing time and, therefore, a way to face temporality; the past, present and future are united and blend to originate new meanings.
The ‘vision of death’ is a concept that I explored in a musical composition, more specifically in the work Death Vision (On a January Day), in which performance becomes its possibility for representation and materialisation. The composition of the work arises from a personal vision of death, yet, to the performer, it is a construction of his or her own vision through musical interpretation. Be it in ‘vision’ as in ‘death’, some musical aspects connected with time stand out and communicate between themselves in a subtle manner. I will identify these moments through some examples of performances and representations in a cinematographic context, such as Wings of Desire by Wim Wenders (1987), Scena by Tomás Maia and André Maranha (2008) and Vai-e-vem by João César Monteiro (2003), where the visual plan is preponderant.
I will conclude that vision brings with it the possibility to intersect the real and give time back to what it has been missing: its unity. On the other hand, the vision of death in the musical performance finds its moment of fruition in linear time – in the possibility of openness and positivity that time itself gives.
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David Brody and Avigail Friedman
Kindergarten teachers are increasingly being called on to deal with emotionally laden topics in their classrooms. Little is known about effective means of supporting early…
Abstract
Kindergarten teachers are increasingly being called on to deal with emotionally laden topics in their classrooms. Little is known about effective means of supporting early childhood educators in their professional development to cope with these issues effectively. This study examines the utility of the Community of Practice (COP) model to address this need. A two-year COP was established among veteran and novice Israeli kindergarten teachers focused on teaching the Holocaust in their classrooms, which is a culturally mandated topic in preschools and kindergartens in their country. Six teachers were interviewed, and the data was analyzed using grounded theory. Findings show the COP to support teachers in learning more about the subject matter and thinking deeply about its teaching in the early childhood classroom. In addition the COP provided a community of peers that encouraged meaningful feedback in a safe environment, which served to break professional isolation. The COP format was also found to be an effective tool for professional growth due to its support of cooperative learning, professional assurance, empowerment, mindfulness, and a disposition for focusing on the child's needs rather than the demands of the curriculum.
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Organizations, especially youth organizations, often use media and communication tools to engage participants and achieve their goals. While these tools have the potential to…
Abstract
Organizations, especially youth organizations, often use media and communication tools to engage participants and achieve their goals. While these tools have the potential to benefit organizations, it is unclear whether using media tools influences effectiveness and how their use compares to traditional engagement practices. In this chapter, I examine the impact of both media tools and participant inclusion on organizational efficacy, controlling for various organizational characteristics. I use originally collected survey data from paid staff youth nonprofit civic organizations in the Raleigh, North Carolina area. I find that using Twitter increases organizational efficacy, but the effect is ameliorated by the inclusion of organizational characteristics. I also find that media tools tend to be used by organizations in a one-directional manner, which may help explain their limited impact. Using media tools is not sufficient to increase efficacy since the way they are used also matters. Including youth in daily decision-making processes, however, increases organizational efficacy and the relationship is robust to including organizational characteristics.
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