In light of contemporary critiques of New Zealand comprehensive schooling published mainly in the popular press, it is timely to re‐examine the origins of and the rationale for…
Abstract
In light of contemporary critiques of New Zealand comprehensive schooling published mainly in the popular press, it is timely to re‐examine the origins of and the rationale for the widespread adoption of this model of education. The comprehensive schooling philosophy, it was recently alleged, has produced a situation in which ‘as many as one in five pupils in the system is failing’ and where ‘there is a large group at the bottom who are not succeeding’. This group was estimated to include some 153,000 students out of the total current New Zealand student population of 765,000. In this context, however, Chris Saunders and Mike Williams, principals of Onehunga High School and Aorere College in Auckland respectively, have noted that having underachieving students in secondary schools in particular is not a recent phenomenon. A large ‘tail’ of poor performing high school students has long been a cause of concern, Williams suggests.
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Kimberly R. Huyser, Jennifer Rockell, Charlton Wilson, Spero M. Manson and Joan O'Connell
Purpose – To examine potential sex differences among American Indian and Alaska Native peoples (AIANs) in diabetes prevalence, comorbidities, healthcare utilization, and treatment…
Abstract
Purpose – To examine potential sex differences among American Indian and Alaska Native peoples (AIANs) in diabetes prevalence, comorbidities, healthcare utilization, and treatment costs within the Indian Health Services (IHS).
Methodology/Approach – Data were drawn from the IHS Improving Healthcare Delivery Data Project with 437,608 persons in our analytical sample. We described sex and age differences in diabetes, comorbidities, healthcare utilization, and treatment costs among the adults with diabetes. We evaluated the statistical differences between men and women using confidence intervals calculated at the 95% level, with nonoverlapping confidence intervals indicating statistical significance.
Findings – The prevalence of diabetes among females was somewhat higher than that of males (10.82 vs 9.16%, respectively, p < 0.05). Among adults with diabetes, males had statistically higher prevalence of hypertension, cardiovascular disease, and substance use disorders and fewer mental health disorders compared to females. Although males had overall lower average cost of services than females, males had higher utilization for hospital inpatient services than females, and females used more outpatient services.
Research limitations/implications – We are limited to one fiscal year of data and thus cannot predict the influence of healthcare utilization patterns on the overall health of this population. Although a large sample, the findings are only generalizable to the active users of the participating IHS Service Units.
Originality/Value of Paper – This study fills a major gap in our knowledge of sex differences in diabetes prevalence, comorbidities, healthcare utilization, and treatment costs among AIANs. Differences in the comorbidities that characterized the AIAN adult males and females with diabetes in this sample have important implications for mortality and cost of care. Diabetes management that addresses such gender-specific comorbidities, particularly substance use disorders among men and mental health disorders among women, promises to reduce these comorbidities and related complications.
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Brian Sullivan, Cecelia Zhang, Kara Wegermann, Tzu-Hao Lee and David A. Leiman
Inpatient colonoscopy bowel preparation quality is frequently suboptimal. This quality improvement (QI) intervention is focused on regimenting this process to impact important…
Abstract
Purpose
Inpatient colonoscopy bowel preparation quality is frequently suboptimal. This quality improvement (QI) intervention is focused on regimenting this process to impact important outcomes.
Design/methodology/approach
Define, Measure, Analyze, Improve and Control (DMAIC) methodology was employed, including generating a root-cause analysis to identify factors associated with inpatient bowel quality. These findings motivated the creation of a standardized electronic health record (EHR)-based order set with consistent instructions and anticipatory guidance for administering providers.
Findings
There were 264 inpatient colonoscopies evaluated, including 198 procedures pre-intervention and 66 post-intervention. The intervention significantly improved the adequacy of right colon bowel preparations (75.0 percent vs 86.9 percent, p = 0.04) but not overall preparation quality (73.7 percent vs 80.3 percent, p = 0.22). The intervention led to numerical improvement in the proportion of procedures in which the preparation quality interfered with making a diagnosis (10 percent–6 percent, p = 0.29) or resulted in an aborted procedure (3.5 percent–1.5 percent, p = 0.39). After the intervention, provider satisfaction with the ordering process significantly increased (23.3 percent vs 61.1 percent, p < 0.001).
Practical implications
The QI intervention significantly reduced the number of inpatient colonoscopies with inadequate preparation in the right colon, while also modestly improving the diagnostic yield and proportion of aborted procedures. Importantly, the standardized EHR order set substantially improved provider satisfaction, which should justify broader use of such tools.
Originality/value
Novel clinical outcomes such as ability to answer diagnostic questions were improved using this intervention. The results align with strategic goals to enhance provider experience and continuously improve quality of patient care.
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Like many of his generation George George, the director of Auckland’s Seddon Memorial Technical College (1902‐22), considered marriage and motherhood as women’s true vocation and…
Abstract
Like many of his generation George George, the director of Auckland’s Seddon Memorial Technical College (1902‐22), considered marriage and motherhood as women’s true vocation and believed in separate but equal education for girls that included some domestic training. In this regard, New Zealand historians often cite him as an advocate for the cult of domesticity, a prescriptive ideology that came to be reflected in the government’s education policy during this period. But as Joanne Scott, Catherine Manathunga and Noeline Kyle have demonstrated with regard to technical education in Queensland, rhetoric does not always match institutional practice. Other factors, most notably student demand, but also more pragmatic concerns such as the availability of accommodation, staffing and specialist equipment, can shape the curriculum. Closer scrutiny of surviving institutional records such as prospectuses, enrolment data and the director’s reports to the Department of Education, allow us to explore more fully who was given access to particular kinds of knowledge and resources, how long a particular course might take, the choices students made, what was commonplace and what was unusual, and what students might expect once they completed their studies.
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This chapter sought to overcome the current theoretical lack of understanding of the memorable tourism experiences (MTEs) phenomena and provide a conceptual framework for guiding…
Abstract
Purpose
This chapter sought to overcome the current theoretical lack of understanding of the memorable tourism experiences (MTEs) phenomena and provide a conceptual framework for guiding destination managers who seek to design and deliver memorable experiences appropriate to their particular destination.
Methodology/approach
This chapter employed literature-based research methods. More specifically, it sought to (1) summarize the understanding of MTEs gained from a review of others’ work, and conduct a retrospective examination of my own empirical research on the topic; and (2) convey the insights I have formulated regarding the implications for destination managers of this understanding for designing, delivering, and evaluating programs, which may increase the probability a visitor will return home with truly memorable experiences.
Findings
The literature review and the content analysis and synthesis identified seven conceptual and theoretical components of MTEs, such as hedonism, refreshment, novelty, local culture, meaningfulness, knowledge, and adverse feelings.
Practical implications
The current study suggested what characteristics of tourism experiences lead to strong memorability and how to measure each component of MTEs. Thus, the findings provide important implications for destination managers to develop tourism programs that last long in visitors’ memories.
Originality/value
Previous researchers suggested some practical strategies to prepare environments and design experiences. However, a comprehensive, theoretically sound understanding of the fundamental factors of MTEs was left out. This study investigated tourism experiential factors that enable and facilitate MTEs. It also tried to demonstrate the managerial importance of these theoretical components to the design of “on the ground” destination programs, which initially create excitement and anticipation among potential visitors (within the context of a highly competitive marketplace), to the point where a given destination is selected over a multitude of others and where it subsequently delivers the kind of high-quality “truly memorable” experiences that fully meet the inflated expectations initially “promised” by the destination brand.
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Geoffrey Sherington and Julia Horne
From the mid‐nineteenth to the early twentieth century universities and colleges were founded throughout Australia and New Zealand in the context of the expanding British Empire…
Abstract
From the mid‐nineteenth to the early twentieth century universities and colleges were founded throughout Australia and New Zealand in the context of the expanding British Empire. This article provides an analytical framework to understand the engagement between changing ideas of higher education at the centre of Empire and within the settler societies in the Antipodes. Imperial influences remained significant, but so was locality in association with the role of the emerging state, while the idea of the public purpose of higher education helped to widen social access forming and sustaining the basis of middle class professions.
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Howard Thomas, Michelle Lee, Lynne Thomas and Alexander Wilson
This chapter complements the one that appeared as “History of the AIB Fellows: 1975–2008” in Volume 14 of this series (International Business Scholarship: AIB Fellows on the First…
Abstract
This chapter complements the one that appeared as “History of the AIB Fellows: 1975–2008” in Volume 14 of this series (International Business Scholarship: AIB Fellows on the First 50 Years and Beyond, Jean J. Boddewyn, Editor). It traces what happened under the deanship of Alan Rugman (2011–2014) who took many initiatives reported here while his death in July 2014 generated trenchant, funny, and loving comments from more than half of the AIB Fellows. The lives and contributions of many other major international business scholars who passed away from 2008 to 2014 are also evoked here: Endel Kolde, Lee Nehrt, Howard Perlmutter, Stefan Robock, John Ryans, Vern Terpstra, and Daniel Van Den Bulcke.
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Mustafa Hilal, Tayyab Maqsood and Amir Abdekhodaee
The purpose of this paper is to develop a hybrid conceptual model for building information modelling (BIM) adoption in facilities management (FM) through the integration of the…
Abstract
Purpose
The purpose of this paper is to develop a hybrid conceptual model for building information modelling (BIM) adoption in facilities management (FM) through the integration of the technology task fit (TTF) and the unified theory of acceptance and use of technology (UTAUT) theories. The study also aims to identify the influence factors of BIM adoption and usage in FM and identify gaps in the existing literature and to provide a holistic picture of recent research in technology acceptance and adoption in the construction industry and FM sector.
Design/methodology/approach
The research methodology was to first review the literature to determine how users come to accept new technologies and what leads to adoption of BIM in the construction industry and in FM and to identify gaps as the starting point for developing a conceptual framework for greater adoption of BIM in FM. Using the results from the literature review, the conceptual framework for BIM adoption in FM has been formulated.
Findings
The resulting model of the current research is expected to improve our understanding of the acceptance and adoption of BIM by FM.
Research limitations/implications
The research hypotheses need to be tested for validation. Future works includes survey and experts’ interviews for model validation.
Originality/value
This paper fulfils an identified need to study how FM come to accept and adopt BIM through the integration of TTF and UTAUT.