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The purpose of this paper is to present findings from a study of factors that affect continuous improvement (CI) project success in hospitals.

Quantitative regression analysis was performed on Likert scale survey responses. Qualitative thematic analysis was performed on open-ended survey responses and written reports on CI projects.

The paper identifies managerial and employee factors that affect project success. These factors include managerial support, communication, and affective commitment. Affective commitment is the extent to which employees perceive the change as being needed or necessary.

The results highlight how managerial decisions, approaches to communication – including communication before, during and after CI projects affect project success. The results also show that success depends on the way employees perceive proposed changes. This suggests the need for a more individualized approach to CI, lean, and broader change initiatives.

This research is the first to fuse project success and sustainability theory to CI projects, beyond Kaizen events, in healthcare environments. The research is particularly important at a time when healthcare organizations are required to make rapid changes with limited resources as they work toward outcome-based assessment and reimbursement rules.

This paper aims to provide an introductory overview and selected annotated bibliography of recent resources on library instruction and information literacy across all library types.

It introduces and annotates English-language periodical articles, monographs, dissertations and other materials on library instruction and information literacy published in 2014.

It provides information about each source, discusses the characteristics of current scholarship and highlights sources that contain unique or significant scholarly contributions.

The information may be used by librarians and interested parties as a quick reference to literature on library instruction and information literacy.

The purpose of this study was to explore the well-being of school principals and the job-embedded demands responsible for challenging their adoption of healthy self-care practices.

Drawing upon a multidisciplinary theoretical framework that included contributions from the fields of neurobiology and psychology, three tiers of self-care needs were established to inform the study: basic physiological needs such as sleep, hydration, and nutrition; active self-care practices such as exercise, relaxation, and stress relief; and higher order needs such as belongingness and love addressed through work-life balance, volunteerism, and relational belonging. A 45-question survey containing Likert scale items and open-ended questions was returned from 473 practicing building administrators (a 24.4% response rate).

Findings from this study, compared to estimates from the literature, indicate that school leaders work longer hours, are more sleep deprived, more dehydrated, have poorer diet practices, exercise less regularly, and spend less time with their friends and family than the general population. Administrators struggled to find ways within their control to improve their self-care behavior and offered suggestions regarding how the structure of the job itself might be changed to facilitate improving the health of school leaders.

This work offers insight into the current well-being of school principals, and by better understanding administrators’ self-care practices, this study can inform the field in developing supports, practices, and expectations, which promote the health and well-being of building-level leaders. Unhealthy self-care practices may influence their effectiveness, happiness, and possibly their longevity within the profession. Data collected through this study informed ideas about policies and procedures that could promote greater opportunities for healthier, more effective leaders within schools.