scholarly journals Overcoming Barriers to Walk With Ease Implementation in Community Organizations

2021 ◽  
pp. 152483992110028
Author(s):  
Leigha H. Vilen ◽  
Mary Altpeter ◽  
Leigh F. Callahan
Keyword(s):  
Structural Changes ◽  
Organizational Capacity ◽  
Community Organizations ◽  
Evidence Base ◽  
Implementation Barriers ◽  
Factors Affecting ◽  
Telephone Interviews ◽  
Leadership Support ◽  
Early Implementation ◽  
Flexibility Training

Introduction The Arthritis Foundation’s Walk With Ease (WWE) program has been shown to reduce arthritis symptoms and increase physical performance for up to 1 year. However, research on community-based WWE implementation is limited. The purpose of this study was to examine early implementation at community organizations that received 1-year WWE implementation grants from the Osteoarthritis Action Alliance. Method Program managers at five Osteoarthritis Action Alliance grantee organizations participated in 45-minute telephone interviews. Interviewees represented organizations with the highest WWE enrollment at 6 months ( n = 3, >30% of goal enrollment) and no enrollment at 6 months ( n = 2). The Planning for Sustainability framework guided qualitative analysis of factors affecting early implementation. Results All grantees were confident in WWE’s evidence base, thought it a beneficial supplement to other programming, stressed the importance of senior leadership support for WWE, and engaged community partners for marketing support and as walking sites. Implementation experiences unique to low enrollment grantees were (1) recent major structural changes within their organization, (2) difficulties in communicating logistics internally, and (3) difficulties in balancing WWE with other responsibilities. All organizations experienced barriers that required altering their original implementation plans; however, practical solutions like adapting the program to improve flexibility, training organizational staff as leaders, and utilizing community partnerships served to address multiple barriers simultaneously. Discussion Building organizational capacity by overcoming early barriers is a key element of early implementation. Our findings offer concrete solutions to early WWE implementation barriers and suggest the need for further research on adaptations to improve WWE’s flexibility in community organizations.

REMARRIAGES IN CONTEMPORARY POLAND. A DEMOGRAPHIC SKETCH

2021 ◽  
Vol 568 (7) ◽  
pp. 5-12
Author(s):  
Piotr Szukalski
Keyword(s):  
Structural Changes ◽  
Social Consequences ◽  
Important Task ◽  
Factors Affecting ◽  
Research Fields ◽  
Civil Status

A stabile number on newly contracted marriages in Poland prior 2020, hides deep structural changes defined in terms of civil status of newlyweds. In the last fifteen years a rapid increase in proportion of remarriages is observed, i.e. marriages with at least one nupturient being earlier married. An aim of the article is to describe the mentioned above changes and to explain factors affecting the trend. An important task is also to indicate missing research fields related to demographic and social consequences of the change.

scholarly journals P127: Paramedics perception of working in Nova Scotia’s collaborative emergency centres

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S121
Author(s):  
S. Whalen ◽  
J. Goldstein ◽  
R. Urquhart ◽  
A. Carter
Keyword(s):  
Health Care ◽  
Nova Scotia ◽  
Care Delivery ◽  
Analysis Data ◽  
Team Work ◽  
Healthcare Team ◽  
Telephone Interviews ◽  
Leadership Support ◽  
Data Collection And Analysis ◽  
Constant Comparative Analysis

Introduction: The Collaborative Emergency Centre (CEC) model of health care delivery was implemented in rural Nova Scotia in July 2011 without an identifiable, directly comparable precedent. It features interprofessional teams working under one roof with the goal of providing improved access to timely primary health care, and appropriate access to 24/7 emergency care. One important component of the CEC model is overnight staffing by a paramedic/registered nurse team consulting with an offsite physician via telephone. Our objective was to ascertain the attitudes, feelings and experiences of paramedics working within the CEC construct. Methods: We conducted a qualitative study, guided by the principles of grounded theory. Semi-structured telephone interviews were carried out by the principal investigator with paramedics with experience working in a CEC in the province of Nova Scotia. Interviews were recorded, transcribed and analyzed. Analysis involved an inductive and deductive grounded approach using constant comparative analysis. Data collection and analysis continued until thematic saturation was reached. Results: Fourteen paramedics participated in the study. The majority were male (n=10, 71%), with a mean age of 44 years (STD=8.8) and mean experience as a paramedic of 14 years (STD=9.7). Four major themes were identified from the data: 1) leadership support, encompassing support from Emergency Health Services and Government prior to and after implementation of the model, 2) team work and collaboration, including interprofessional relationships among members of the healthcare team, 3) value to patients and the communities, and 4) professional and personal benefits of working in CECs. Conclusion: Paramedics have found working in CECs to be both professionally and personally rewarding. They perceive the CEC model to be of great value to the patients and communities it serves. Key lessons that might help future expansion of the model in Nova Scotia and other jurisdictions across the country include the importance of building and strengthening relationships between paramedics and nurses, and the need for greater feedback and support from leadership.

scholarly journals Systematic review of the factors affecting cat and dog owner compliance with pharmaceutical treatment recommendations

2018 ◽  
Vol 184 (5) ◽  
pp. 154-154 ◽  
Author(s):  
Kathryn Jennifer Wareham ◽  
Marnie Louise Brennan ◽  
Rachel S Dean
Keyword(s):  
Systematic Review ◽  
Data Extraction ◽  
Relevant Literature ◽  
Evidence Base ◽  
Treatment Recommendations ◽  
Social Risk ◽  
Dosing Regimen ◽  
Pharmaceutical Treatment ◽  
Level Of Evidence ◽  
Factors Affecting

The aim of this systematic review is to describe and assess the quality of the existing evidence base concerning factors that influence the compliance of cat and dog owners to pharmaceutical and specifically polypharmacy treatment recommendations. PubMed, CAB Abstracts and Google were searched to identify relevant literature and search results were filtered according to predetermined inclusion and exclusion criteria. Standardised data extraction and critical appraisal were carried out on each included study, and a Centre for Evidence-Based Medicine level of evidence grading was applied. Of the 8589 studies, eight studies were included in the review. Majority (five of eight) of the included studies were examining compliance with short-term antimicrobial therapies and none examined polypharmacy. Multiple definitions of compliance, methods of measurement and different factors potentially affecting compliance were used. Factors reported to have affected compliance in at least one study were dosing regimen, discussion of dosing regimen in light of owners’ circumstances, consultation time, disease, month of consultation/treatment, physical risk, social risk and method of administration. The evidence available regarding factors affecting client compliance with pharmaceutical treatment recommendations in cats and dogs is scarce and of poor quality.

FEATURES OF HUMAN CAPITAL MANAGEMENT IN THE ERA OF DIGITALIZATION

2021 ◽  
Vol 4 (5) ◽  
pp. 4-11
Author(s):  
Yu. V. NIKITOCHKINA ◽  
Keyword(s):  
Human Capital ◽  
Structural Changes ◽  
Generational Cohorts ◽  
Capital Management ◽  
Human Capital Management ◽  
Factors Affecting ◽  
Economic Trends ◽  
Effective Policy ◽  
Short Time ◽  
Management Issues

In this article, human capital is considered as a set of processes of interaction of local groups of workers in the course of production activities. The study of human capital management issues in relation to the practice of Russian business is of particular interest due to the transition to the digital economy, demographic changes and structural changes in the labor market. The purpose of this article is to determine the features of human capital management, taking into account generational cohorts in the light of new economic trends. The re-search is exploratory and is aimed at studying the practice of human capital management, which includes the processes of formation, retention and development of different generational cohorts. Based on a comparative analysis of major international and domestic scientific research, various factors affecting the process of at-tracting, retaining and developing employees of different generations are identified in the work. The results of this study will allow managers to implement an effective policy of managing the corporation's human capital and in a short time create a favorable environment for the development of employees and the enterprise as a whole with minimal financial costs.

New Trends in the Professional Training of Young People in the Modern Conditions

2021 ◽  
Vol 2 (60) ◽  
Author(s):  
Saule Kaliyeva ◽  
Elvira Buitek ◽  
Marziya Мeldakhanova
Keyword(s):  
Labor Market ◽  
Professional Training ◽  
Structural Changes ◽  
Technological Factor ◽  
Theoretical Research ◽  
Vocational Education And Training ◽  
Statistical Tool ◽  
Factors Affecting ◽  
The Republic ◽  
Labor Resources

The transformation of the importance of vocational education and training, the determining the development trajectories occur due to the structural changes that are under the influence of technological factor changes. Especially, digitalization, automation, robotics, the artificial intelligence, the transition to industry 4.0, the changing nature of consumer demand directly affect the restructuring of the labor market. The listed factors accelerate the development of new professions in demanded areas and the disappearance of outdated ones, they stimulate the improvement of needed skills and meet the modern requirements from employers for educationalщl programs. The purpose of research paper is to identify the new trends in the training of competitive young employees, taking into account the conditions of digitalization of economy The research methodology includes general scientific and theoretical research methods. Methods of tabular representation of data is used as statistical tool. Originality of the research is that It is relevant and necessary to develop new model of training young specialists, involving the implementation of educational, research, innovative and entrepreneurial, spiritual and moral activities that meet modern trends. Authors carried out the analysis of the level and quality of training of national personnel in terms of ensuring the future needs of the labor market of the Republic of Kazakhstan in the conditions of digitalization of economy. It includes the factors affecting the reproduction of competitive national personnel and their provision with high-quality jobs, identifying new trends in the training and retraining of professional personnel and improving their skills, examining the features of training competitive national personnel in the system of ensuring the balance of labor resources and jobs.  The paper was prepared within the grant project of the Ministry of Education and Science of the Republic of Kazakhstan AP09260584 «Employment restructuration in Kazakhstan in terms of social and economic tensions».

scholarly journals Skill-mix change in general practice: a qualitative comparison of three ‘new’ non-medical roles in English primary care

2019 ◽  
Vol 69 (684) ◽  
pp. e489-e498 ◽  
Author(s):  
Pauline A Nelson ◽  
Fay Bradley ◽  
Anne-Marie Martindale ◽  
Anne McBride ◽  
Damian Hodgson
Keyword(s):  
General Practice ◽  
Unintended Consequences ◽  
Structured Interviews ◽  
Implementation Barriers ◽  
Qualitative Comparison ◽  
Factors Affecting ◽  
Skill Mix ◽  
Final Sample ◽  
Advanced Practitioner ◽  
Training Schemes

BackgroundGeneral practice is currently facing a significant workforce challenge. Changing the general practice skill mix by introducing new non-medical roles is recommended as one solution; the literature highlights that organisational and/or operational difficulties are associated with skill-mix changes.AimTo compare how three non-medical roles were being established in general practice, understand common implementation barriers, and identify measurable impacts or unintended consequences.Design and settingIn-depth qualitative comparison of three role initiatives in general practices in one area of Greater Manchester, England; that is, advanced practitioner and physician associate training schemes, and a locally commissioned practice pharmacist service.MethodSemi-structured interviews and focus groups with a purposive sample of stakeholders involved in the implementation of each role initiative were conducted. Template analysis enabled the production of pre-determined and researcher-generated codes, categories, and themes.ResultsThe final sample contained 38 stakeholders comprising training/service leads, role holders, and host practice staff. Three key themes captured participants’ perspectives: purpose and place of new roles in general practice, involving unclear role definition and tension at professional boundaries; transition of new roles into general practice, involving risk management, closing training–practice gaps and managing expectations; and future of new roles in general practice, involving demonstrating impact and questions about sustainability.ConclusionThis in-depth, in-context comparative study highlights that introducing new roles to general practice is not a simple process. Recognition of factors affecting the assimilation of roles may help to better align them with the goals of general practice and harness the commitment of individual practices to enable role sustainability.

Social customer relationship management factors and business benefits

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sheshadri Chatterjee ◽  
Ranjan Chaudhuri ◽  
Demetris Vrontis ◽  
Alkis Thrassou ◽  
Soumya Kanti Ghosh ◽  
...  
Keyword(s):  
Customer Relationship Management ◽  
Positive Impact ◽  
Empirical Studies ◽  
Relationship Management ◽  
Customer Relationship ◽  
Content Type ◽  
Factors Affecting ◽  
Leadership Support ◽  
Proposed Model ◽  
Actual Use

Purpose This study aims to identify the business benefit of and factors affecting the use of social customer relationship management (SCRM) in Indian organizations. Design/methodology/approach Building on theoretical foundations, a conceptual model of factors affecting SCRM in Indian organizations is developed and empirically tested through a survey and corresponding analysis using SPSS and AMOS software. Findings The study presents empirical evidence that technological competence, environmental characteristics and organizational environment positively impact the actual use of SCRM on Indian organizations. Additionally, leadership support of organizations impacts positively the actual use of SCRM in organizations, while the trust factor insignificantly impacts the latter. The actual use of SCRM in organizations was found to have a positive impact on their business benefits. Research limitations/implications The theoretical model is built on the constructs of the technology, environment and organizational framework. It has added new factors, such as leadership support and trust, and thereby identified the business benefits of organizations using SCRM mediating through the organizations’ actual use of SCRM. The proposed model is simple, implementable and has a high explanative power of 81 per cent. Practical implications The study provides practitioners with evidence and practicable knowledge regarding the means and impact/benefits of SCRM use in Indian organizations. Originality/value The study is one of few empirical studies on the topic and contributes valuable knowledge to extant works through additional factors, theoretical conceptualization and empirical scientific findings of both scholarly and executive worth.

Cancer Prevention Through Scaling-Up the Process of Evidence-Based Decision-Making in a State Health Department

2018 ◽  
Author(s):  
Peg M. Allen ◽  
Linda J. Ahrendt ◽  
Kiley A. Hump ◽  
Ross C. Brownson
Keyword(s):  
Decision Making ◽  
Organizational Climate ◽  
Cancer Prevention ◽  
Management Practices ◽  
Scale Up ◽  
Organizational Capacity ◽  
Health Agency ◽  
Evidence Based ◽  
Leadership Support ◽  
Evidence Based Decision Making

This case study provides an example of a collaboration between a university and a public health agency to build organizational capacity to spread data-driven decision-making, implementation, and evaluation of evidence-based cancer prevention strategies. The Office of Chronic Disease Prevention and Health Promotion at the South Dakota Department of Health provided the key management practices for scale-up of evidence-based decision-making (EBDM): leadership support, training, a supportive organizational climate and culture, inclusion of partners, and outcomes-based contracting with partnering organizations. A pre–post survey showed increased use of research evidence for several job tasks, including selection of interventions and evaluation. Perceived work unit access to skills in prioritization and adapting interventions also increased. The 16 staff and partners interviewed perceived leadership support, federal funding requirements, and an initial multi-day training as the key facilitators for spreading EBDM.

scholarly journals The novel role of paramedics in collaborative emergency centres aligns with their professional identity: A qualitative analysis

CJEM ◽  
2018 ◽  
Vol 20 (4) ◽  
pp. 518-522 ◽  
Author(s):  
Stewart Whalen ◽  
Judah Goldstein ◽  
Robin Urquhart ◽  
Alix J.E. Carter
Keyword(s):  
Professional Identity ◽  
Analysis Data ◽  
The Novel ◽  
Model Of Care ◽  
Telephone Interviews ◽  
Leadership Support ◽  
Data Collection And Analysis ◽  
Front Line Workers ◽  
Constant Comparative Analysis

ABSTRACTObjectiveThe Collaborative Emergency Centre (CEC) model of care was implemented in Nova Scotia without an identifiable, directly comparable precedent. It features interprofessional teams working towards the goal of providing improved access to primary health care, and appropriate access to 24/7 emergency care. One important component of CEC functioning is overnight staffing by a paramedic and registered nurse (RN) team consulting with an off-site physician. Our objective was to ascertain the attitudes, feelings and experiences of paramedics working within Nova Scotia’s CECs.MethodsWe conducted a qualitative study informed by the principles of grounded theory. Semi-structured telephone interviews were conducted with paramedics with experience working in a CEC. Analysis involved an inductive grounded approach using constant comparative analysis. Data collection and analysis continued until thematic saturation was reached.ResultsFourteen paramedics participated in the study. The majority were male (n=10, 71%) with a mean age of 44 years and mean paramedic experience of 14 years. Four major themes were identified: 1) interprofessional relationships, 2) leadership support, 3) value to community and 4) paramedic identity.ConclusionsParamedics report largely positive interprofessional relationships in Nova Scotia’s CECs. They expressed enjoyment working in these centres and believe this work aligns with their professional identity. High levels of patient and community satisfaction were reported. Paramedics believe future expansion of the model would benefit from development of continuing education and improved communication between leadership and front-line workers.

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