scholarly journals Sustaining implementation facilitation: a model for facilitator resilience

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Tanya T. Olmos-Ochoa ◽  
David A. Ganz ◽  
Jenny M. Barnard ◽  
Lauren Penney ◽  
Erin P. Finley ◽  
...  

Abstract Background Implementation facilitators enable healthcare staff to effectively implement change, yet little is known about their affective (e.g., emotional, mental, physical) experiences of facilitation. We propose an expansion to the Integrated Promoting Action on Research in Health Services (i-PARIHS) framework that introduces facilitation intensity and facilitator resilience to better assess facilitators’ affective experiences. Methods We used an instrumental case study and facilitator data (logged reflections and debrief session notes) from the Coordination Toolkit and Coaching initiative to conceptualize facilitation intensity and facilitator resilience and to better understand the psychological impact of the facilitation process on facilitator effectiveness and implementation success. Results We define facilitation intensity as both the quantitative and/or qualitative measure of the volume of tasks and activities needed to engage and motivate recipients in implementation, and the psychological impact on the facilitator of conducting facilitation tasks and activities. We define facilitator resilience as the ability to cope with and adapt to the complexities of facilitation in order to effectively engage and motivate staff, while nurturing and sustaining hope, self-efficacy, and adaptive coping behaviors in oneself. Conclusions Facilitators’ affective experience may help to identify potential relationships between the facilitation factors we propose (facilitation intensity and facilitator resilience). Future studies should test ways of reliably measuring facilitation intensity and facilitator resilience and specify their relationships in greater detail. By supporting facilitator resilience, healthcare delivery systems may help sustain the skilled facilitator workforce necessary for continued practice improvement. Trial registration The project was registered with ClinicalTrials.gov (NCT03063294) on February 24, 2017.

Author(s):  
Pia Liv Russell

This interdisciplinary case study explores information literacy policy in Ontario’s public education system. Using interviews with policy makers and a rhetorical analysis of information literacy policy documents, it finds Ontario’s current information literacy policy inadequate to the task of providing equitable student access to opportunities for information literacy development.Une étude cas interdisciplinaire explore la politique de littératie informationnelle du système d’éducation publique de l’Ontario. En utilisant des entrevues avec les décideurs et une analyse rhétorique des documents sur la politique de littératie informationnelle, il est démontré que la politique de littératie informationnelle actuelle de l’Ontario est inappropriée pour la mission qui vise à offrir aux étudiants un accès équitable aux possibilités de développement de la littératie informationnelle. 


2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Ellen Soward ◽  
Jianling Li

AbstractMost cities in the United States rely on zoning to address important planning-related issues within their jurisdictions. Planners often use GIS tools to analyze these issues in a spatial context. ESRI’s ArcGIS Urban software seeks to provide the planning profession with a GIS-based solution for various challenges, including zoning’s impacts on the built environment and housing capacity.This research explores the use of ArcGIS Urban for assessing the existing zoning and comprehensive plans in meeting the projected residential growth in the near future using the City of Arlington, Texas as a case study. The exploration provides examples and lessons for how ArcGIS Urban might be used by planners to accomplish their tasks and highlights the capabilities and limitations of ArcGIS Urban in its current stand. The paper is concluded with some suggestions for future studies.


2021 ◽  
Vol 13 (5) ◽  
pp. 873
Author(s):  
Dimitra Konsta ◽  
Alexandra Tsekeri ◽  
Stavros Solomos ◽  
Nikolaos Siomos ◽  
Anna Gialitaki ◽  
...  

We use the Generalized Retrieval of Aerosol Surface Properties algorithm (GRASP) to compare with dust concentration profiles derived from the NMME-DREAM model for a specific dust episode. The GRASP algorithm provides the possibility of deriving columnar and vertically-resolved aerosol properties from a combination of lidar and sun-photometer observations. Herein, we apply GRASP for analysis of a Saharan dust outburst observed during the “PREparatory: does dust TriboElectrification affect our ClimaTe” campaign (PreTECT) that took place at the North coast of Crete, at the Finokalia ACTRIS station. GRASP provides column-averaged and vertically resolved microphysical and optical properties of the particles. The retrieved dust concentration profiles are compared with modeled concentration profiles derived from the NMME-DREAM dust model. To strengthen the results, we use dust concentration profiles from the POlarization-LIdar PHOtometer Networking method (POLIPHON). A strong underestimation of the maximum dust concentration is observed from the NMME-DREAM model. The reported differences between the retrievals and the model indicate a high potential of the GRASP algorithm for future studies of dust model evaluation.


Children ◽  
2020 ◽  
Vol 7 (11) ◽  
pp. 195
Author(s):  
Emma Woolley ◽  
Shirley Wyver

The World Health Organization (WHO) recommends exclusive breastfeeding for six months and continuation of breastfeeding for up to two years. Formal child care has an important role in supporting breastfeeding, as many Australian infants commence care before two years of age. Currently, little is known about support or barriers in child care contexts. The present qualitative instrumental case study explores practices which protect, promote and support breastfeeding at a child care centre located in the Australian Capital Territory’s outer suburbs. Extending from a previously published collective case study, a cultural-institutional focus of analysis was used to explore the roles of proximity, flexibility and communication in supporting breastfeeding within a child care centre located close to an infant’s home. Interviews with centre staff and mothers, triangulated with observations of the centre environment and policy documents provide insight into the environment. Affirming the roles of flexibility in routine and staff rostering and two-way communication, findings suggest longer-term benefits may be derived from selecting a child care centre close to an infant’s home, provided mothers can overcome barriers to breastmilk expression in the workplace. The study recognises the role of non-lactating caregivers in the transition to formal child care, and of the support culture for educators who breastfeed. This study extends the knowledge base of breastfeeding support interventions in the child care setting to inform future research and policy.


IAWA Journal ◽  
2016 ◽  
Vol 37 (3) ◽  
pp. 459-488 ◽  
Author(s):  
Dimitra Mantzouka ◽  
Vasileios Karakitsios ◽  
Jakub Sakala ◽  
Elisabeth A. Wheeler

Several specimens of Lauraceae fossil wood from the Cenozoic of Greece (southern part of Lesbos), the Czech Republic (Kadaň-Zadní Vrch Hill and Jáchymov), and Hungary (Ipolytarnóc) were studied. When considering whether they belonged to the speciose fossil wood genus Laurinoxylon, we reviewed the literature and data from InsideWood on fossil and modern woods. As a result, we propose criteria for excluding a fossil Lauraceae wood from Laurinoxylon and list the species that should be excluded from this genus. The criteria (filters) proposed to exclude a genus from having relationships with Laurinoxylon are: A. Axial parenchyma features: A1. Marginal axial parenchyma, A2. Aliform to aliform-confluent paratracheal parenchyma. B. Ray features: B1. Rays higher than 1 mm, B2. Exclusively homocellular rays, B3. Rays more than 5 cells wide, B4. Rays storied. C. Porosity features: Ring-porous. D. Idioblasts: Absence of idioblasts. Based on the distribution of idioblasts, we recognize four groups in Laurinoxylon (Type 1 - with idioblasts associated only with ray parenchyma cells, Type 2a - with idioblasts associated with both ray and axial parenchyma, Type 2b - with idioblasts associated both with rays and present among the fibres, and Type 3 - with idioblasts associated with ray and axial parenchyma and also among the fibres) and list the extant genera with features of those groups. Such grouping helps with interpreting the relationships of fossil lauraceous woods with extant genera. We discuss the Oligocene–Miocene European species that belong to these Laurinoxylon groups, noting that some warrant reassignment to different genera or even families. Future studies are needed to determine whether new genera should be established to accommodate these species. We propose the new combination Cinnamomoxylon variabile (Privé-Gill & Pelletier) Mantzouka, Karakitsios, Sakala & Wheeler.


2021 ◽  
Vol 26 (2) ◽  
Author(s):  
Sandeep Konam ◽  
Shivdev Rao

In this brief case study, we describe an approach to structuring and summarizing information from one of the largest untapped sources of data in healthcare delivery -- spoken conversations. Abridge’s mission is to shift agency to the people and families at the center of those spoken conversations, using bleeding-edge machine learning and human-centered design. The space of conversation understanding is largely untapped and we will discuss our scientific approaches to business challenges that map to the company’s mission of helping everyone better understand and follow through on their healthcare conversations.


2018 ◽  
Vol 9 (2) ◽  
pp. 197-212 ◽  
Author(s):  
Isabelle Skakni

Purpose This study aims to examine how PhD students with diverse profiles, intentions and expectations manage to navigate their doctoral paths within the same academic context under similar institutional conditions. Drawing on Giddens’ theory of structuration, this study explores how their primary reasons, motives and motivations for engaging in doctoral studies influence what they perceive as facilitating or constraining to progress, their strategies to face the challenges they encounter and their expectations regarding supervision. Design/methodology/approach Using a qualitative design, the analysis was conducted on a data subset from an instrumental case study (Stake, 2013) about PhD students’ persistence and progression. The focus is placed on semi-structured interviews carried out with 36 PhD students from six faculties in humanities and social sciences fields at a large Canadian university. Findings The analysis reveals three distinct scenarios regarding how these PhD students navigate their doctoral paths: the quest for the self; the intellectual quest; and the professional quest. Depending on their quest type, the nature and intensity of PhD students’ concerns and challenges, as well as their strategies and the support they expected, differed. Originality/value This study contributes to the discussion about PhD students’ challenges and persistence by offering a unique portrait of how diverse students’ profiles, intentions and expectations can concretely shape a doctoral experience.


Sign in / Sign up

Export Citation Format

Share Document