scholarly journals Five key recommendations for the implementation of Hospital Electronic Prescribing and Medicines Administration systems in Scotland

2017 ◽  
Vol 23 (4) ◽  
pp. 783
Author(s):  
Kathrin Cresswell ◽  
Ann Slee ◽  
Aziz Sheikh
Keyword(s):  
Electronic Prescribing ◽  
International Literature ◽  
Learning From Experience ◽  
Policy Makers ◽  
Deployment Strategy ◽  
Ongoing Work ◽  
Starting Point ◽  
Central Coordination ◽  
Key Aspects ◽  
Strategic Goal

NHS Scotland is about to embark on the implementation of Hospital Electronic Prescribing and Medicines Administration (HEPMA) systems. There are a number of risks associated with such ventures, thus drawing on existing experiences from other settings is crucial in informing deployment.Drawing on our previous and ongoing work in English settings as well as the international literature, we reflect on key lessons that NHS Scotland may wish to consider in going forward. These deliberations include recommendations surrounding key aspects of deployment strategy surrounding: 1) the way central coordination should be conceptualised, 2) how flexibility in can be ensured, 3) paying attention to optimising systems from the outset, 4) how expertise should be developed and centrally shared, and 5) ways in which learning from experience can be maximised.Our five recommendations will, we hope, provide a starting point for the strategic deliberations of policy makers. Throughout this journey, it is important to view the deployment of HEPMA as part of a wider strategic goal of creating integrated digital infrastructures across Scotland.

scholarly journals The Impact of the Implementation of Cohesion Policy on the Sustainable Development of EU Countries

2019 ◽  
Vol 11 (15) ◽  
pp. 4173 ◽  
Author(s):  
Ramona Pîrvu ◽  
Cristian Drăgan ◽  
Gheorghe Axinte ◽  
Sorin Dinulescu ◽  
Mihaela Lupăncescu ◽  
...  
Keyword(s):  
Sustainable Development ◽  
Cohesion Policy ◽  
Member States ◽  
Policy Makers ◽  
The Sustainable Development ◽  
Eu Countries ◽  
Starting Point ◽  
The Impact ◽  
Official Data ◽  
The Eu

The impact of implementation of cohesion policy on the sustainable development of EU countries is of great interest and presents a number of actual challenges. This research aims to evaluate the impact and the effects of the cohesion policy among the Member States using hierarchical clustering analysis in order to identify how the selected variables affect the sustainable development adopted models. The variables used in the analysis were selected on the basis of official data provided by the European Commission, SDG Index and Dashboards Reports and the EU Cohesion Monitor. The results of the research have led to the grouping of the 28 Member States in a number of six clusters, identifying performers but also those countries that have a high potential for sustainable development or which require increased attention to be sustained in recovering existing gaps. The results of the study can be a starting point for policy makers and other stakeholders involved in their efforts to support sustainable development through effective and effective policies.

Reflections on the theme issue outcomes

2016 ◽  
Vol 8 (4) ◽  
pp. 504-510
Author(s):  
Gunjan M. Sanjeev ◽  
Richard Teare
Keyword(s):  
Customer Service ◽  
Hospitality Industry ◽  
Theme Issue ◽  
Policy Makers ◽  
Content Type ◽  
Starting Point ◽  
Cost Competitiveness ◽  
Hotel Sector ◽  
Practical Implications ◽  
Selection Of

Purpose The paper aims to profile the theme issue of Worldwide Hospitality and Tourism Themes titled “How is the need for innovation being addressed by the Indian hospitality industry?” with reference to the experiences of the theme editor, contributors from the industry and academia and the theme issue outcomes. Design/methodology/approach The paper uses structured questions to enable the theme editor to reflect on the rationale for their theme issue question, the starting-point, the selection of the writing team and material and the editorial process. Findings It highlights recent innovations that have taken place in the Indian hospitality industry especially in the areas of customer service, cost competitiveness, culinary management, revenue management and technology. Practical implications As hotel sector investment in India intensifies, this theme issue will be of interest to hoteliers, policy makers, analysts and others interested in the role that innovation can play in helping to facilitate differentiation between competing hotel products and services. Originality/value There is limited literature available on industry innovations in the Indian context. All the papers in this theme issue were written after several cycles of interaction between academics and practitioners and so they incorporate real–time, relevant and contemporary data.

scholarly journals Cooperative Longevity: Why Are So Many Cooperatives So Successful?

2018 ◽  
Vol 10 (10) ◽  
pp. 3449 ◽  
Author(s):  
Constantine Iliopoulos ◽  
Vladislav Valentinov
Keyword(s):  
Research Effort ◽  
Fundamental Solutions ◽  
100Th Anniversary ◽  
Agricultural Cooperatives ◽  
Scholarly Work ◽  
Special Issue ◽  
Policy Makers ◽  
Bridging Social Capital ◽  
Long Period ◽  
Key Aspects

Despite popular misconceptions, cooperatives present a very successful organizational form worldwide. A recent study found that in the U.S., for example, 134 agricultural cooperatives celebrated their 100th anniversary in 2014. This observation on cooperative longevity is not matched by a corresponding research effort on what makes cooperatives so successful. Most of the extant research seems to focus on intra-cooperative problems that posit significant challenges to cooperatives. This special issue of Sustainability bridges the considerable gap between scholarly work and reality. By focusing on what makes cooperatives so successful for such a long period of time, this issue sheds light on key aspects of cooperative longevity. Bridging social capital, fundamental solutions to excessive heterogeneity-induced high ownership costs, tinkering, cooperative genius, and superior capacity to adapt to shocks and changes are among the factors identified to explain extended cooperative longevity. The insights thereby gained are useful to students of cooperatives, practitioners, and policy makers.

Stigma, decriminalisation, and violence against street-based sex workers: Changing the narrative

Sexualities ◽  
2018 ◽  
Vol 22 (7-8) ◽  
pp. 1288-1308 ◽  
Author(s):  
Lynzi Armstrong
Keyword(s):  
New Zealand ◽  
Sex Work ◽  
Sex Workers ◽  
Negative Impact ◽  
Worker Safety ◽  
Worker Rights ◽  
Sex Worker ◽  
Multiple Risks ◽  
Ongoing Work ◽  
Starting Point

It is well documented that sex workers manage risks in their work – such as the potential for violence and the multiple risks associated with stigma. While sex workers are commonly understood to be a stigmatised population, few studies have considered in depth how stigma operates in different legislative contexts, how it relates to sex-worker safety, and how it may be reduced. Stigma is understood to be exacerbated by the criminalisation of sex work, which defines sex workers as deviant others and consequently renders them more vulnerable to violence. However, as full decriminalisation of sex work is still relatively rare, there has been little in-depth exploration into the relationship between this legislative approach, risks of violence, and stigma. Drawing on the findings of in-depth interviews with street-based sex workers and sex-worker rights advocates, in this article I explore the links between stigma and violence, and discuss the challenges of reducing stigma associated with sex work in New Zealand, post-decriminalisation. I argue that while decriminalisation has undoubtedly benefited sex workers in New Zealand, stigma continues to have a negative impact – particularly for street-based sex workers. Decriminalisation should therefore be considered an essential starting point. However, ongoing work must focus on countering stigmatising narratives, to enable a safer society for all sex workers.

scholarly journals An investigation of professional development among educational policy-makers, institutional leaders and teachers

2018 ◽  
Vol 33 (1) ◽  
pp. 32-36 ◽  
Author(s):  
Huu Cuong Nguyen
Keyword(s):  
Professional Development ◽  
Educational Policy ◽  
Macro Level ◽  
Educational Institutions ◽  
Policy Makers ◽  
Meso Level ◽  
Key Aspects

This study investigates professional development among educational policy-makers, institutional leaders and teachers. Through a synthesis of associated literature, this study identified a large number of articles focusing on professional development among teachers and lecturers. However, only a few studies on professional development among leaders and managers of educational institutions were ascertained, and research on professional development for educational policy-makers is also limited. This article first presents key aspects of professional development. It then reviews professional development theories and practices for policy-makers, institutional leaders and teachers. Finally, a discussion and recommendations are provided. This article contributes to the limited literature on professional development at the meso-level for institutional leaders, and at the macro-level for policy-makers.

scholarly journals Views of health care professionals and policy-makers on the use of surveillance data to combat antimicrobial resistance

2020 ◽  
Author(s):  
Mustafa Al-Haboubi ◽  
Andrew Trathen ◽  
Nick Black ◽  
Elizabeth Eastmure ◽  
Nicholas Mays
Keyword(s):  
Health Care ◽  
Antimicrobial Resistance ◽  
Health Care Professionals ◽  
Secondary Care ◽  
Local Level ◽  
Surveillance Data ◽  
Data Availability ◽  
Electronic Prescribing ◽  
Data Systems ◽  
Policy Makers

Abstract Background Providing healthcare professionals with health surveillance data aims to support professional and organisational behaviour change. The UK Five Year Antimicrobial Resistance (AMR) Strategy 2013 to 2018 identified better access to and use of surveillance data as a key component. Our aim was to determine the extent to which data on antimicrobial use and resistance met the perceived needs of health care professionals and policy-makers at national, regional and local levels, and how provision could be improved. Methods We conducted 41 semi-structured interviews with national policy makers in the four Devolved Administrations and 71 interviews with health care professionals in six locations across the United Kingdom selected to achieve maximum variation in terms of population and health system characteristics. Transcripts were analysed thematically using a mix of a priori reasoning guided by the main topics in the interview guide together with themes emerging inductively from the data. Views were considered at three levels - primary care, secondary care and national - and in terms of availability of data, current uses, benefits, gaps and potential improvements. Results Respondents described a range of uses for prescribing and resistance data. The principal gaps identified were prescribing in private practice, internet prescribing and secondary care (where some hospitals did not have electronic prescribing systems). Some respondents under-estimated the range of data available. There was a perception that the responsibility for collecting and analysing data often rests with a few individuals who may lack sufficient time and appropriate skills. Conclusions There is a need to raise awareness of data availability and the potential value of these data, and to ensure that data systems are more accessible. Any skills gap at local level in how to process and use data needs to be addressed. This requires an identification of the best methods to improve support and education relating to AMR data systems.

scholarly journals From "Real Rape" to Real Justice? Reflections on the Efficacy of More Than 35 years of Feminism, Activism and Law Reform

2014 ◽  
Vol 45 (3) ◽  
pp. 487 ◽  
Author(s):  
Elisabeth McDonald
Keyword(s):  
Sexual Offending ◽  
Sexual Experience ◽  
Law Reform ◽  
Criminal Case ◽  
Policy Makers ◽  
Trial Process ◽  
Specific Focus ◽  
Starting Point ◽  
Real Change ◽  
The University

In this article, the author develops her observations made during the 2012 Suffrage Lecture at the University of Otago. Using the lecture as the starting point, the article considers what law reform over more than 35 years has actually achieved, with a specific focus on the admissibility of evidence about a complainant's previous sexual experience in a criminal case involving rape allegations. It concludes that although policy makers and legislators have been responsive to the concerns expressed by complainants about their treatment in the trial process, little real change to that experience has occurred. More fundamental work needs to be done by way of preventative education, challenging rape mythology and developing new processes to resolve allegations of sexual offending. These are the challenges for the next 35 years. 

Cultural Diversity in Psychiatry

2017 ◽  
Author(s):  
Joanna Chambers ◽  
Mary Guerriero Austrom ◽  
Ryan Harris ◽  
Danielle Patterson
Keyword(s):  
Mental Health ◽  
Cultural Identity ◽  
Cultural Diversity ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Key Words Aging ◽  
Health Providers ◽  
Manage Care ◽  
Starting Point ◽  
Key Aspects

This purpose of this review is to provide general guidelines to practicing psychiatrists and psychologists on cultural diversity in the discipline. Diversity and mental health is a complex topic in a complex discipline, and our goal is to contribute to an understanding of how cultural identity affects our work. This review does not explicitly state how to treat any one cultural group. Rather, it is a tool for psychiatrists and other mental health providers to begin a sensitive and helpful conversation with patients of all backgrounds and a way to explore their own cultural identities. As our nation becomes increasingly diverse, providers are expected to understand how a patient’s cultural identity impacts the presenting problem and, ultimately, treatment. In addition, an ever-present opportunity remains for mental health professionals to explore their own cultural identity and how it may be involved in conscious and unconscious biases, which, in turn, also impact how they interpret, treat, and manage care. We explore key aspects of diversity with the goal of cultivating a deeper level of insight and awareness among psychiatrists in training and those currently in practice when caring for patients with diverse backgrounds. The guidelines offer a starting point toward delivering culturally competent care and, coupled with a commitment to lifelong learning from psychiatrists and other mental health professionals, can help minimize the stigma of traditionally marginalized groups.  This review contains 7 tables, and 67 references.  Key words: aging, diversity, LGBTQ, psychiatry, race, religion 

A Theory for Enterprise Coherence Governance

2014 ◽  
pp. 150-191 ◽  
Author(s):  
Roel Wagter ◽  
Henderik A. Proper ◽  
Dirk Witte
Keyword(s):  
Enterprise Architecture ◽  
Business Processes ◽  
Design Science ◽  
Research Programme ◽  
Product Portfolio ◽  
Starting Point ◽  
Project Failures ◽  
It Support ◽  
Key Aspects

In this chapter, the authors pose a theory for the governance of enterprise coherence. The proposed theory consists of three key ingredients: an Enterprise Coherence-governance Assessment (ECA), an Enterprise Coherence Framework (ECF), and an Enterprise Coherence Governance (ECG) approach. The ECA provides an explicit indication of the degree at which an organisation governs its coherence, while also providing a base to achieve a shared understanding of the level of coherence, and actions needed to improve it. The ECF is a practice-based framework that enables enterprises to make the coherence between key aspects, such as business, finance, culture, IT, etc. explicit. The ECG approach offers the instruments to guard/improve the level of coherence in enterprises during transformations. An important trigger to develop this new theory was the observation that many transformation projects fail. These failures even included projects that used an explicit enterprise architecture to steer the transformation. The theory was developed as part of the GEA (General Enterprise Architecting) research programme, involving twenty client organizations. Based on a survey of the possible causes for the project failures, the requirements for the research programme are identified. In developing the theory on enterprise coherence, the following hypothesis is used as a starting point: the overall performance of an enterprise is positively influenced by a strong coherence among the key aspects of the enterprise, including business processes, organizational culture, product portfolio, human resources, information systems, IT support, etc. The research programme uses a combination of design science-based iterations and case study-based research to develop and iterate the theory for enterprise coherence governance. In this chapter, the authors also discuss one of the conducted (real world) case studies, showing the application of the enterprise coherence theory.

scholarly journals Re-Framing Exploitation Creep to Fight Human Trafficking: A Response to Janie Chuang

AJIL Unbound ◽  
2014 ◽  
Vol 108 ◽  
pp. 264-267
Author(s):  
Clifford Bob
Keyword(s):  
Civil Society ◽  
Human Trafficking ◽  
Sexual Exploitation ◽  
Forced Labor ◽  
Policy Makers ◽  
Obama Administration ◽  
American Policy ◽  
Definition Of ◽  
Key Aspects ◽  
The Way

Janie Chuang discusses important shifts in the way that American policy makers and activists have defined and fought human trafficking. As she shows, key aspects of the 2000 UN Protocol’s definition of trafficking have been whiplashed by changing political winds emanating from the Bush and Obama administrations. In the Bush years, a strange bedfellows network of feminists, evangelicals, and neo-conservatives directed American trafficking policy primarily toward sexual exploitation, pushing for prohibitions not only on forced but also on voluntary prostitution. Other types of trafficking were neglected. The Obama administration and its own set of civil society associates gusted other ways. Among other moves, it reduced the focus on sex, dropped the view that voluntary prostitution constituted trafficking, enlarged the trafficking concept to include all forced labor (whether or not involving movement), and rebranded the expansive new notion as slavery.

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