scholarly journals Key components influencing the sustainability of a multi-professional obstetric emergencies training programme in a middle-income setting: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kiren Ghag ◽  
Rachna Bahl ◽  
Cathy Winter ◽  
Mary Lynch ◽  
Nayda Bautista ◽  
...  
Keyword(s):  
Focus Groups ◽  
Professional Training ◽  
Implementation Process ◽  
Training Programme ◽  
The Philippines ◽  
Successful Implementation ◽  
Middle Income ◽  
Policy Makers ◽  
Obstetric Emergencies ◽  
Training Programmes

Abstract Background Multi-professional obstetric emergencies training is one promising strategy to improve maternity care. Sustaining training programmes following successful implementation remains a challenge. Understanding, and incorporating, key components within the implementation process can embed interventions within healthcare systems, thereby enhancing sustainability. This study aimed to identify key components influencing sustainability of PRactical Obstetric Multi-Professional Training (PROMPT) in the Philippines, a middle-income setting. Methods Three hospitals were purposively sampled to represent private, public and teaching hospital settings. Two focus groups, one comprising local trainers and one comprising training participants, were conducted in each hospital using a semi-structured topic guide. Focus groups were audio recorded. Data were analysed using thematic analysis. Three researchers independently coded transcripts to ensure interpretation consistency. Results Three themes influencing sustainability were identified; attributes of local champions, multi-level organisational involvement and addressing organisational challenges. Conclusions These themes, including potential barriers to sustainability, should be considered when designing and implementing training programmes in middle-income settings. When ‘scaling-up’, local clinicians should be actively involved in selecting influential implementation champions to identify challenges and strategies specific to their organisation. Network meetings could enable shared learning and sustain enthusiasm amongst local training teams. Policy makers should be engaged early, to support funding and align training with national priorities.

scholarly journals TRANSLATORS’ TRAINING: UKRAINIAN EXPERIENCE

2021 ◽  
Vol 25 (2) ◽  
pp. 112-135
Author(s):  
Ольга ЛЕМЕШКО ◽  
Валентина ГАПОНОВА
Keyword(s):  
Professional Training ◽  
Main Idea ◽  
Professional Activity ◽  
Successful Implementation ◽  
Main Task ◽  
Professional Programs ◽  
Translator Training ◽  
Training Programmes ◽  
High Level ◽  
Educational Professional

The main task of the higher educational establishment is to prepare graduates for modern dynamic national and international labour markets that demands to find the way into teaching practices, which can respond to the created expectations. Nowadays reality of the translation market reveals problems in translator training. Ukrainian teachers and scientists will have to re-think existing translator training programmes in terms of present-day market demands to professionals and to work out comprehensive educational professional programs. They should look for ways how to manage limitations caused by changes in the global situation taking into account that the profession of translator requires profound knowledge in various spheres of life. The successful implementation of future translators depends on their professional training that includes forming of communicative competence and also allows them to perform all the functional responsibilities provided for their profession. The main idea for this article is the relationship between the training process and the profession. The characteristics of today’s translation market have been examined and the issues that are addressed in modern translator training have been analysed. The definition of the term translation has been presented. Characteristics of translator’s professional activity have been distinguished and components of comprehensive educational professional programs were investigated. The requirements for a professional translator should be an integral part of the standard, as they are the subject of further elaboration. In international practice among the most important are the requirements of maintaining a high level of their own professional skills and knowledge, the ability to solve translation problems of a new type, the ability to translate and summarize texts in one language from another, regularly improve their skills. The content of the requirement, the characteristics of professional activity, the necessary knowledge and skills have been determined in the articles.

scholarly journals Implementering av PICC-line – en kvalitativ studie av anestesisykepleieres erfaringer

2019 ◽  
Vol 14 (2) ◽  
Author(s):  
Stine Thorvaldsen Smith ◽  
Kristin Haraldstad
Keyword(s):  
Central Venous Catheter ◽  
Focus Groups ◽  
Implementation Process ◽  
Venous Catheter ◽  
Nurse Anesthetists ◽  
Successful Implementation ◽  
Central Venous ◽  
Hermeneutic Approach ◽  
Picc Line ◽  
Good Organization

PICC-line, a peripherally inserted central venous catheter has been implemented by several Norwegian hospitals in recent years. Nurse Anesthetists play an important role in this process, and have been given new tasks as a result of PICC-line implementation. This study aimed to describe Nurse Anesthetists’ experiences with implementation of PICC-line in hospital. A qualitative design, the data are based on three focus groups interviews with fifteen nurse anesthetists. The interviews were analyzed using a hermeneutic approach. Being a PICC-line nurse led to a feeling of competence, independence, motivation and meaningfulness. The implementation required good structure and organization, as well as enthusiasm. Collaboration and support influenced the implementation process. Good organization and enough available personnel, as well as good collaboration and support from the Anesthesiologists and the management are essential for a successful implementation.

Staff Training Aimed at Reducing Rearrest: Probation officer attitudes and experiences

2020 ◽  
Vol 12 (3) ◽  
pp. 238-264
Author(s):  
Jill Viglione ◽  
Lucas M Alward ◽  
DeCarlos L Sheppard
Keyword(s):  
Staff Training ◽  
Implementation Process ◽  
Probation Officer ◽  
Community Supervision ◽  
Successful Implementation ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Facilitators And Barriers ◽  
Training Programmes ◽  
Officer Attitudes

Community correction organisations have recognised the importance of implementing evidence-based practices to improve probation practice and reduce recidivism rates. Research finds when probation agencies implement evidence-based practices in line with the Risk, Need, Responsivity model with fidelity, reductions in recidivism are possible. However, challenges of implementation persist. To assist in the translation of evidence-based practices to real-world practice, researchers and practitioners developed community supervision officer training programmes. Using qualitative interview data of trained federal probation officers, this study examined the implementation of the Staff Training Aimed at Reducing Rearrest. This study explored (1) probation officer attitudes and perceptions of Staff Training Aimed at Reducing Rearrest, training and implementation process; (2) how users and coaches implement key components of Staff Training Aimed at Reducing Rearrest; and (3) the organisational facilitators and barriers associated with Staff Training Aimed at Reducing Rearrest implementation. Findings suggest positive attitudes towards Staff Training Aimed at Reducing Rearrest for improving supervision process and highlight key facilitators and barriers that can be addressed to support successful implementation efforts.

scholarly journals Evaluating a training programme for executive coaches

2012 ◽  
Vol 10 (2) ◽  
Author(s):  
Karolyne Beets ◽  
Suki Goodman
Keyword(s):  
South Africa ◽  
Training Programme ◽  
Systematic Evaluation ◽  
Successful Implementation ◽  
Executive Coach ◽  
Executive Coaches ◽  
Managerial Implications ◽  
Hr Managers ◽  
Training Programmes ◽  
Coach Training

Orientation: The evaluation of training programmes provides methodological and logistical challenges to evaluators and human resource (HR) managers. The training of executive coaches is no exception in this regard. Research purpose: The study aimed to investigate one particular aspect of the results of an executive coach training programme, and the extent to which knowledge, skills and attitudes acquired during the programme were applied in practical settings.Motivation for the study: Too little is known in South Africa about the effectiveness of training programmes, including executive coach training programmes. There is a need to demonstrate methodological approaches that would provide valid and reliable data.Research design, approach and method: The success case method (SCM) was used to guide the study, consisting first of a survey of 80 participants in the training programme, followed by eight interviews to compare successful with less successful cases of skills transfer.Main findings: All six successful coaches were applying the proximal outcomes from the training with good results, with several valuable consequences resulting from the training. Barriers to successful implementation included personal circumstances and unfulfilled expectations of the programme content.Practical/managerial implications: Aspects of the training programme that could be improved included: the buddy selection system, more individualised feedback about self-development, closer supervision, and more support from programme managers.Contribution/value-add: This evaluation contributes to the evaluation literature by providing a documented exploration of a systematic application of the SCM. It also contributes to the coach training literature by providing a systematic evaluation of a coach training intervention in South Africa.

Challenges of attracting construction workers to skill development and training programmes

2019 ◽  
Vol 27 (2) ◽  
pp. 321-340 ◽  
Author(s):  
Sparsh Johari ◽  
Kumar Neeraj Jha
Keyword(s):  
Construction Industry ◽  
Skill Development ◽  
Skill Training ◽  
Training Programme ◽  
Construction Workers ◽  
Successful Implementation ◽  
Content Type ◽  
Inhibiting Factors ◽  
Group Brainstorming ◽  
Training Programmes

Purpose The purpose of this paper is to investigate the factors that discourage construction workers from undergoing skill development training, and to suggest steps for making the training programmes more attractive to them. Design/methodology/approach The research used an exploratory approach of unstructured interviews with construction workers (bottom-up approach), and the guided group brainstorming technique with the help of experienced industry professionals (top-down approach). Findings From the unstructured interviews, five inhibiting factors were identified which discourage construction workers from undergoing training. Furthermore, to recognise the causes of the inhibiting factors, 13 possible causal attributes (PCAs) were identified from the brainstorming approach. Subsequently, these PCAs were classified into five possible causal factors (PCFs) on the basis of those concerned stakeholder(s) that are most closely involved and most responsible for fixing them. Research limitations/implications The research provides recommendations to practitioners for pragmatic and permanent resolution of each of the PCFs, which serves as a framework for the construction industry to reduce the scarcity of trained workers in the industry. Also, the results may serve as a model for the planning and successful implementation of any new skill-training programme for the construction workers in any developing economy, such as India. Originality/value This research contributes to the literature by highlighting the views of construction workers on the training establishments, which very few studies have considered in the past. Also, the research provides a detailed process of brainstorming approach, which will help the research community to appreciate its use in studies related to the construction industry.

Reframing implementation as an organisational behaviour problem

2015 ◽  
Vol 29 (6) ◽  
pp. 670-683 ◽  
Author(s):  
Robyn Clay-Williams ◽  
Jeffrey Braithwaite
Keyword(s):  
Resource Constraints ◽  
Controlled Trial ◽  
Implementation Process ◽  
Team Training ◽  
Barriers And Facilitators ◽  
Successful Implementation ◽  
Behaviour Problem ◽  
Content Type ◽  
Randomised Controlled ◽  
Training Programmes

Purpose – The purpose of this paper is to report on a process evaluation of a randomised controlled trial (RCT) intervention study that tested the effectiveness of classroom- and simulation-based crew resource management courses, alone and in combination, and identifies organisational barriers and facilitators to implementation of team training programmes in healthcare. Design/methodology/approach – The RCT design consisted of a before and after study with a team training intervention. Quantitative data were gathered on utility and affective reactions to training, and on teamwork knowledge, attitudes, and behaviours of the learners. A sample of participants was interviewed at the conclusion of the study. Interview responses were analysed, alongside qualitative elements of the classroom course critique, to search for evidence, context, and facilitation clues to the implementation process. Findings – The RCT method provided scientifically robust data that supported the benefits of classroom training. Qualitative data identified a number of facilitators to implementation of team training, and shed light on some of the ways that learning was diffused throughout the organisation. Barriers to successful implementation were also identified, including hospital time and resource constraints and poor organisational communication. Originality/value – Quantitative randomised methods have intermittently been used to evaluate team training interventions in healthcare. Despite two decades of team training trials, however, the authors do not know as well as the authors would like what goes on inside the “black box” of such RCTs. While results are usually centred on outcomes, this study also provides insight into the context and mechanisms associated with those outcomes and identifies barriers and facilitators to successful intervention implementation.

scholarly journals Aiming Higher: Advancing Public Social Insurance for Longterm Care to Meet the Global Aging Challenge Comment on "Financing Long-term Care: Lessons From Japan"

2019 ◽  
Author(s):  
Zhanlian Feng ◽  
Elena Glinskaya
Keyword(s):  
Social Insurance ◽  
Long Term Care ◽  
Model Building ◽  
Lessons Learned ◽  
Successful Implementation ◽  
Term Care ◽  
Middle Income ◽  
Policy Makers ◽  
Insurance Model

Globally, aging populations are driving the demand for long-term care (LTC) services for a growing number of older people with disabilities or chronic illnesses. A key challenge for policy-makers in all countries is to find a comprehensive solution to financing LTC services to make them widely accessible, affordable, and equitable for all in need. In this commentary, we make a case for LTC policy-makers and reformers across countries to take a long-term vision toward establishing a public, mandatory social insurance model of LTC financing. We first take a hard look at the LTC financing problems and the limitations of existing financing options. We then argue for a public social insurance approach to LTC financing and offer insights into several top-level insurance design features that are key to successful implementation of a public social insurance model, building on the experiences and lessons learned from Japan and other countries that have already "gotten there." We conclude with additional thoughts on the future of public LTC insurance in a global context, including the prospect of spreading this model to middle-income countries.

Health and Education Officials’ Perspectives on the Impact of Typhoon Haiyan on Mass Drug Administration for Soil-Transmitted Helminth Infections in the Philippines

2020 ◽  
pp. 1-5
Author(s):  
Eva Chernoff ◽  
Gina Silverstein ◽  
John Paul Caesar R delos Trinos ◽  
Peter Veldkamp ◽  
Judy C Chang ◽  
...  
Keyword(s):  
Drug Administration ◽  
Mass Drug Administration ◽  
Simple Procedure ◽  
Health Department ◽  
The Philippines ◽  
School Age Children ◽  
Successful Implementation ◽  
Local Health ◽  
Middle Income ◽  
The Impact

ABSTRACT Objectives: In the Philippines, morbidity control of soil-transmitted helminth (STH) infections is done through mass drug administration (MDA) of anthelmintics to school-age children (SAC). In 2013, the Philippines was devastated by the deadliest cyclone ever recorded, Typhoon Haiyan. The study aimed to understand the impact of Typhoon Haiyan on the MDA of anthelmintics to SAC in the provinces of Capiz and Iloilo in the Philippines from the perspectives of local health and education officials. Methods: The study was conducted in the municipalities of Panay and Pilar in Capiz and the municipalities of Estancia and Sara in Iloilo, areas that were devastated by Typhoon Haiyan. Qualitative, semi-structured key informant interviews were conducted with 16 total participants, which included officials of the Department of Health, Department of Education, and concerned local government units. All interviews were transcribed verbatim and coded in an open, iterative manner. Codes were reviewed to identify patterns and themes. Results: Participants described the following themes: (1) their perception that the typhoon had no effect on the MDA program or on resources necessary to complete the program; (2) the program’s simple design allowed for 1-time administration to a pre-assembled population; (3) the program allowed a sense of community cohesiveness; (4) the program served as a vehicle for altruism, particularly regarding helping needy children, in this time of calamity. Conclusions: Our informants perceived that the MDA program in Region VI was not affected by Typhoon Haiyan. They attributed the resilience to the program’s simple procedure, attitudes of altruism, program importance, and community cohesiveness. Despite Typhoon Haiyan’s mass destruction of infrastructure and livelihood leading to incredible challenges, mobilization of the community allowed for the continuation and successful implementation of the MDA program. The experience of Region VI may serve as a model for other low- and middle-income countries prone to natural disasters.

scholarly journals The United Kingdom Field Epidemiology Training Programme: meeting programme objectives

2019 ◽  
Vol 24 (36) ◽  
Author(s):  
Paola Dey ◽  
Jeremy Brown ◽  
John Sandars ◽  
Yvonne Young ◽  
Ruth Ruggles ◽  
...  
Keyword(s):  
United Kingdom ◽  
Focus Groups ◽  
Online Survey ◽  
Good Practice ◽  
Training Programme ◽  
Process Measures ◽  
Field Epidemiology ◽  
The United Kingdom ◽  
Wide Range ◽  
Training Programmes

Introduction Most evaluations of field epidemiology training programmes (FETP) are limited to process measures, but stakeholders may need evidence of impact. Objective To ascertain if the United Kingdom (UK) FETP met its objectives to: (i) strengthen capacity and provision of national epidemiology services, (ii) develop a network of highly skilled field epidemiologists with a shared sense of purpose working to common standards and (iii) raise the profile of field epidemiology through embedding it into everyday health protection practice. Methods The evaluation consisted of: (i) focus groups with training site staff, (ii) individual interviews with stakeholders and (iii) an online survey of FETP fellows and graduates. Findings were synthesised and triangulated across the three evaluation components to identify cross-cutting themes and subthemes. Findings Eight focus groups were undertaken with 38 staff, ten stakeholders were interviewed and 28 (76%) graduates and fellows responded to the survey. Three themes emerged: confidence, application and rigour. FETP was perceived to have contributed to the development, directly and indirectly, of a skilled workforce in field epidemiology, increasing stakeholders’ confidence in the service. Graduates applied their learning in practice, collaborating with a wide range of disciplines. Fellows and graduates demonstrated rigour by introducing innovations, supporting service improvements and helping supervisors maintain their skills and share good practice. Conclusion The UK FETP appears to have met its three key objectives, and also had wider organisational impact. FETPs should systematically and prospectively collect information on how they have influenced changes to field epidemiology practice.

scholarly journals Encouraging older people to engage in resistance training: a multi-stakeholder perspective

2018 ◽  
Vol 39 (8) ◽  
pp. 1806-1825 ◽  
Author(s):  
SIMONE PETTIGREW ◽  
ELISSA BURTON ◽  
KAELA FARRIER ◽  
ANNE-MARIE HILL ◽  
LIZ BAINBRIDGE ◽  
...  
Keyword(s):  
Resistance Training ◽  
Older People ◽  
Later Life ◽  
Training Programme ◽  
Policy Makers ◽  
Individual Interviews ◽  
Stakeholder Perspective ◽  
Multi Stakeholder ◽  
Training Programmes ◽  
Motivation To Participate

AbstractResistance training is an important aspect of healthy ageing, yet participation rates are especially low among older people. Strategies are needed to ensure resistance training programmes are attractive to and appropriate for this target group. To inform the development of such strategies, individual interviews (N = 42) and focus groups (four groups, N = 37) were conducted with 79 Western Australians representing four stakeholder groups: instructors who deliver resistance training programmes to older people, health practitioners, policy makers and seniors. Results indicate that the need for personalised attention in the establishment and maintenance phases of a resistance training programme can constitute both a positive and negative aspect of older people's experiences. The negative aspects were identified as a series of tensions between the need for personalised attention and (a) the desire to participate in physical activity within social groups, (b) a preference for activity variation, (c) a dislike for large centres where personalised guidance is often available yet the surroundings can be considered unappealing, (d) cost issues and (e) the need for flexibility in attendance. Recommended strategies for overcoming these tensions include disseminating information about the benefits of resistance training in later life to increase motivation to participate, identifying additional methods of integrating resistance training into group exercise formats, making gyms more attractive to older people and providing non-gym alternatives for resistance training.

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