Increasing Disability Inclusion in Health Programming Using NCHPAD's inclusive Community Implementation Process: a Case Study

So far, China’s particulate pollution control is principally focused on primary particles and sulfur dioxide from coal combustion. The contribution of ammonia emissions to particulate matter with an aerodynamic equivalent diameter of less than or equal to 2.5 microns (PM2.5) has been increasingly emphasized. As a world-famous agricultural country with 523 million farmers (2017, National Bureau of Statistics of China), approximately 70.0–90.0% of China’s ammonia emissions come from agriculture. With such a huge population, agriculture industrialization (socioeconomic policies and technology upgrades to reduce ammonia emissions from fertilizers and livestock) has a large potential but is more vulnerable to costs compared to other industries. We need a solution involving both economic benefits and environmental protection. For this purpose, we sent out an anonymous questionnaire consisting of 16 questions to 420 farmers and conducted a field visit survey in a rural area of Jiangsu Province. Through statistical analysis, we found that the use of nitrogen fertilizers in agriculture, which are an important source of ammonia through volatilization, is normal (200/420 × 100% = 47.62% of farmers use such fertilizers). Among the 420 farmers surveyed, 90.71% of them have knowledge of air pollution from agricultural activities and 92.15% of them have certain understanding of agricultural industrialization policies, indicating that coordinated control of ammonia emissions can be achieved together with policy propaganda. Through factor analysis and correlation analysis, we find that the early propaganda of policies can help farmers to be more willing to accept the policies. The correlation coefficient between awareness of pollution and policy approval is 0.94, and that between policy publicity and policy approval is 0.95. Generally speaking, the promotion of policies is worth carrying out during the implementation process.

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A mixed methods multiple case study to evaluate the implementation of a care pathway for colorectal cancer surgery using extended normalization process theory

BMC Health Services Research ◽

10.1186/s12913-020-06011-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

R. van Zelm ◽

E. Coeckelberghs ◽

W. Sermeus ◽

A. Wolthuis ◽

L. Bruyneel ◽

...

Keyword(s):

Colorectal Cancer ◽

Healthcare Professionals ◽

Care Pathway ◽

Implementation Process ◽

Colorectal Cancer Surgery ◽

Protocol Adherence ◽

Multiple Case ◽

Specific Factors ◽

Normalization Process

Abstract Background Specific factors that facilitate or prevent the implementation of enhanced recovery protocols for colorectal cancer surgery have been described in previous qualitative studies. This study aims to perform a concurrent qualitative and quantitative evaluation of factors associated with successful implementation of a care pathway (CP) for patients undergoing surgery for colorectal cancer. Methods This comparative mixed methods multiple case study was based on a sample of 10 hospitals in 4 European countries that implemented a specific CP and performed pre- and post-implementation measurements. In-depth post-implementation interviews were conducted with healthcare professionals who were directly involved. Primary outcomes included protocol adherence and improvement rate. Secondary outcomes included length of stay (LOS) and self-rated protocol adherence. The hospitals were ranked based on these quantitative findings, and those with the highest and lowest scores were included in this study. Qualitative data were summarized on a per-case basis using extended Normalization Process Theory (eNPT) as theoretical framework. The data were then combined and analyzed using joint display methodology. Results Data from 381 patients and 30 healthcare professionals were included. Mean protocol adherence rate increased from 56 to 62% and mean LOS decreased by 2.1 days. Both measures varied greatly between hospitals. The two highest-ranking hospitals and the three lowest-ranking hospitals were included as cases. Factors which could explain the differences in pre- and post-implementation performance included the degree to which the CP was integrated into daily practice, the level of experience and support for CP methodology provided to the improvement team, the intrinsic motivation of the team, shared goals and the degree of management support, alignment of CP development and hospital strategy, and participation of relevant disciplines, most notably, physicians. Conclusions Overall improvement was achieved but was highly variable among the 5 hospitals evaluated. Specific factors involved in the implementation process that may be contributing to these differences were conceptualized using eNPT. Multidisciplinary teams intending to implement a CP should invest in shared goals and teamwork and focus on integration of the CP into daily processes. Support from hospital management directed specifically at quality improvement including audit may likewise facilitate the implementation process. Trial registration NCT02965794. US National Library of Medicine, ClinicalTrials.gov. Registered 4 August 2014.

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When Scientific Knowledge and Ignorance Make It Difficult to Improve Occupational Health: A French and European Perspective

NEW SOLUTIONS A Journal of Environmental and Occupational Health Policy ◽

10.1177/10482911211019135 ◽

2021 ◽

pp. 104829112110191

Author(s):

Émilie Counil ◽

Emmanuel Henry

Keyword(s):

Occupational Health ◽

Trade Unions ◽

Public Health Intervention ◽

Implementation Process ◽

Health Issues ◽

Political Debate ◽

Exposure Limits ◽

Attributable Fractions ◽

Blind Spots

This article analyzes the consequences of the increasing reference to scientific expertise in the decision and implementation process of occupational health policy. Based on examples (exposure limits and attributable fractions) taken from an interdisciplinary seminar conducted in 2014 to 2015 in France, it shows how the measurement or regulation of a problem through biomedicine-based tools produces blind spots. It also uses a case study to show the contradictions between scientific and academic aims and public health intervention. Other indirect implications are also examined, such as the limitation of trade unions’ scope for action. Finally, the article suggests launching a broad political debate accessible to nonspecialists about collective occupational health issues—a dialogue made difficult by the rise of the afore-mentioned techno-scientific perspective.

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Success Drivers for Implementing Circular Economy: A Case Study from the Building Sector in Colombia

Sustainability ◽

10.3390/su13031350 ◽

2021 ◽

Vol 13 (3) ◽

pp. 1350

Author(s):

Luz Elba Torres-Guevara ◽

Vanessa Prieto-Sandoval ◽

Andres Mejia-Villa

Keyword(s):

Circular Economy ◽

Small And Medium Enterprises ◽

Implementation Process ◽

Construction Sector ◽

Direct Communication ◽

Management Commitment ◽

Medium Enterprises ◽

Large Building ◽

Do So

This paper contributes to the circular economy (CE) literature by investigating the drivers of success of the CE implementation in the construction sector and how those drivers can complement any implementation process in small and medium enterprises (SMEs). To do so, we analyzed the case of TECMO Estructuras Metálicas, using the methodology proposed by Jaca and colleagues to implement the CE in SMEs. It is a Colombian company with more than five decades of experience in the manufacture and installation of steel and aluminum structures for small and large building and infrastructure projects. The data were collected between August 2019 and November 2020 through direct communication with the company via workshops, meetings, and company reports. This research found that five drivers are relevant for implementing CE in the construction sector: fertile ecosystem, management commitment, identification of valuable materials, green teams, and CE intermediaries. Moreover, this study also contributes to teaching the implementation of the CE in companies, since it shows that through the methodology presented, implementation projects can be developed in postgraduate classes.

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Improving public housing policies that target low-income households: The value of adding proximity to discretion

Environment and Planning C Politics and Space ◽

10.1177/23996544211041119 ◽

2021 ◽

pp. 239965442110411

Author(s):

Lauro Gonzalez ◽

Fernanda Lima-Silva ◽

Marlei Pozzebon

Keyword(s):

Public Housing ◽

Low Income ◽

Implementation Process ◽

Positive Influence ◽

Housing Policies ◽

Collective Case Study ◽

Street Level ◽

Leading Role

Research on street-level bureaucrats has examined the various ways in which these professionals have implemented public policies in areas such as healthcare, education, and security, often emphasizing the role played by discretion in the implementation process. Despite its importance, the concept of street-level bureaucracy has scarcely been approached by housing studies. This study focuses on the role of street-level workers in the delivery of public housing to the lower-income population. We affirm the value of complementing street-level discretion with the concept of proximity, a premise borrowed from the microfinance literature, to increase the understanding of the interactions and relationships established between street-level workers and policy recipients during the implementation process. Such complementarity may contribute to a more accurate understanding of the housing policy implementation dynamics on the street-level and the possible adjustments to meet local needs. To explore this issue, we used a theoretical lens inspired by Goffman’s frame analysis that points to the importance of relational mechanisms that characterize the interactions between street-level workers and beneficiaries. These lenses were applied to a collective case study of Minha Casa Minha Vida-Entidades, a Brazilian subprogram in which street-level workers linked to social housing movements assume a leading role in the planning and execution of interventions. The results indicate that the combination of proximity and discretion has a positive influence on the implementation of housing policies. Our analysis shows the existence of nonprofit-oriented arrangements that may present different features and nuances at the implementation (micro) level and contribute to the (macro) debate on housing policies.

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Penyusunan Laporan Keuangan dan Perancangan Aplikasi Keuangan Untuk Usaha Kecil Menengah Studi Kasus pada D’Haus Cake

Akuntansi dan Manajemen ◽

10.30630/jam.v15i2.19 ◽

2020 ◽

Vol 15 (2) ◽

pp. 90-96

Author(s):

Fitra Oliyan ◽

Elfitri Santi ◽

Eka Rosalina

Keyword(s):

Implementation Process ◽

Financial Statements ◽

Transaction Processing ◽

Development Stage ◽

User Needs ◽

Application Development ◽

Financial Position ◽

Microsoft Access ◽

System Requirements

This study aims to design accounting applications for the preparation of financial statements at D'Haus Cake's business. The approach used in this research is a case study. The design process begins with studying the transactions and reports that D'Haus Cake’s business needs in the form of purchase and sale transaction forms, and general journals. The required reports are in the form of all transaction journal records, ledgers, trial balances, profit and loss reports, and statements of financial position. After studying the system requirements, then proceed to the application development stage using Microsoft Access 2013 software. The next stage is to test the application to obtain adequate confidence in transaction processing by comparing the results of processing with manual calculations carried out. The implementation process is carried out by converting the initial data on the conversion date and making input transactions up to the company's operating date. After implementing and converting, the final stage is to carry out training for users and carry out a process of improvement and adjustment to the application based on the feedback received from users. The process of designing and implementing the application has been considered successful after the user states that the application has met all user needs and operates well.

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Manufatura enxuta em um fabricante de produtos hospitalares: implantação e avaliação na percepção dos gestores

Revista de Administração da UFSM ◽

10.5902/1983465917638 ◽

2019 ◽

Vol 12 (1) ◽

pp. 88

Author(s):

Rogério Da Silva Nunes ◽

Alessandra De Linhares Jacobsen ◽

Rodrigo Dos Santos Cardoso

Keyword(s):

Change Management ◽

Behavioral Change ◽

Lean Manufacturing ◽

Implementation Process ◽

Readiness For Change ◽

Current Case ◽

Medical Products ◽

Increase Productivity ◽

A Company

The use of lean production in organizations, which aims to broaden your results using fewer resources, that is, to increase productivity producing essentially necessary and eliminating what does not add value to clients, requires actions that include mapping of success environments and organization's readiness for change management. Hence we have the current case study, descriptive, which presents the implementation of lean manufacturing in the textile plant in Blumenau (Santa Catarina) that manufactures medical products from a company with three manufacturing units. Next, there were interviews with thirteen managers and staff who participated in the lean manufacturing implementation process in the unit in focus. As a result, we identified that the requirements and preparations for the deployment mentioned are directed to a behavioral change that includes preparation of leadership, aligned with the organization's strategy, which needs to be deployed to all areas. Also featured are the stages of implementation and attempts to institutionalize the environment provided by the principles of lean manufacturing. It concludes with the identification of categories of analysis for the changes arising from the aforementioned deployment.

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The Role of Narratives in Collaborative Innovation – Transitions towards Relational Forms of Dementia Care

Journal of Innovation Management ◽

10.24840/2183-0606_008.003_0004 ◽

2020 ◽

Vol 8 (3) ◽

pp. 28-47

Author(s):

Maria Taivalsaari Røhnebæk

Keyword(s):

Science And Technology Studies ◽

Elderly Care ◽

Innovation Process ◽

Implementation Process ◽

Organizational Studies ◽

Narrative Approach ◽

Narrative Approaches ◽

Collaborative Innovation ◽

Managerial Implications

This article advances the relevance of a narrative approach in studies of collaborative innovation. The narrative approach outlined is based in translation theory, developed within science and technology studies (STS) and organizational studies. The research is based in a case study of an innovation initiative in municipal elderly care in Norway. The case study follows the implementation processes of the initiative in three elderly care institutions. Various forms of resistance were encountered in the implementation process, and the analysis shows how narrative strategies worked as brokering mechanisms in negotiations of this resistance. The article explores how a collaborative innovation process evolves through interplays between strategic narratives and counter narratives and contributes by demonstrating how narratives may work as important brokering mechanisms in collaborative innovation processes. The article discusses finally how and why narrative approaches may contribute to research on collaborative innovation, and it outlines managerial implications.

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