Victim Protection Policy in a Local Context: A Case Study

2013 ◽  
pp. 233-258
BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e042847 ◽  
Author(s):  
Sina Furnes Øyri ◽  
Geir Sverre Braut ◽  
Carl Macrae ◽  
Siri Wiig

A new regulatory framework to support local quality and safety efforts in hospitals was introduced to the Norwegian healthcare system in 2017. This study aimed to investigate hospital managers’ perspectives on implementation efforts and the resulting work practices, to understand if, and how, the new Quality Improvement Regulation influenced quality and safety improvement activities.DesignThis article reports one study level (the perspectives of hospital managers), as part of a multilevel case study. Data were collected by interviews and analysed according to qualitative content analysis.SettingThree hospitals retrieved from two regional health trusts in Norway.Participants20 hospital managers or quality advisers selected from different levels of hospital organisations.ResultsFour themes were identified in response to the study aim: (1) adaptive capacity in hospital management and practice, (2) implementation efforts and challenges with quality improvement, (3) systemic changes and (4) the potential to learn. Recent structural and cultural changes to, and development of, quality improvement systems in hospitals were discovered (3). Participants however, revealed no change in their practice solely due to the new Quality Improvement Regulation (2). Findings indicated that hospital managers are legally responsible for quality improvement implementation and participants described several benefits with the new Quality Improvement Regulation (2). This related to adaptation and flexibility to local context, and clinical autonomy as an inevitable element in hospital practice (1). Trust and a safe work environment were described as key factors to achieve adverse event reporting and support learning processes (4).ConclusionsThis study suggests that a lack of time, competence and/or motivation, impacted hospitals’ implementation of quality improvement efforts. Hospital managers’ autonomy and adaptive capacity to tailor quality improvement efforts were key for the new Quality Improvement Regulation to have any relevant impact on hospital practice and for it to influence quality and safety improvement activities.


Oryx ◽  
2015 ◽  
Vol 50 (3) ◽  
pp. 480-488 ◽  
Author(s):  
Paul R. Jepson

AbstractSaving species from extinction is a central tenet of conservation, yet success in this endeavour remains unpredictable and elusive, especially where wildlife trade is involved. Influential conservation policy actors operating internationally advocate strong regulatory and enforcement approaches to governance of wildlife trade. However, a broad body of evidence suggests that in some situations positive incentives for sustainable use may achieve better conservation outcomes. This analysis of efforts over 3 decades to avoid the extinction of the Bali starling Leucopsar rothschildi draws on network perspectives from environmental governance and geography, and shows how an international project adopting traditional enforcement approaches generated a ‘prestige of ownership’ dynamic among local elites. This placed trade in Bali starlings above the enforcement competencies of the relevant government authority, leading to the demise of the species. Subsequently, two separate Indonesian initiatives created spaces of regulatory flexibility and embraced traits of the starling's phenotype to construct identities for the species suited to the local context. This enrolled a wider range of stakeholders in the conservation of the species, including bird-keeping elites, and led to significant successes in restoring captive and free-flying populations. This case study highlights the potential of conservation networks that involve non-establishment personnel and, while recognizing the appeal of generic enforcement approaches to politicians, funders and the urban public, it adds to an increasing body of evidence that suggests top-down prescriptive conservation frameworks may undermine the ability of situated conservationists to develop interventions appropriate to their political and cultural realities.


2021 ◽  
Author(s):  
◽  
Nina Helen Finigan

<p>Environmental sustainability is becoming an increasingly essential component of modern life. The contemporary museums’ role as public educators, and as guardians of tangible and intangible culture, places them in a unique position to address the various issues surrounding environmental sustainability, from climate change, to bio-diversity loss, to conservation. There is increasing momentum behind the idea that museums should not only engage with environmental sustainability, but that they indeed have a responsibility to. Although museums throughout New Zealand are addressing environmental sustainability, there is currently no thorough examination of how they are doing this. Therefore, the aim of this dissertation was so find out the current state of environmental sustainability in New Zealand museums, and specifically how staff are approaching it. Through engaging in a case study of Te Manawa Museum, Gallery and Science Centre, Palmerston North, and specifically the environmentally themed exhibition Te Awa/The River: Heart of the Manawatu, this dissertation analyses and discusses the realities of addressing institutional environmental sustainability. While the previous literature surrounding this topic has addressed the many reasons why museums should engage with environmental sustainability, this dissertation has expanded on this by analysing and discussing the realities of addressing environmental sustainability from a staff perspective. Through interviews with five Te Manawa staff members, this dissertation has revealed that while museum professionals agree that engagement with environmental sustainability should become part of bottom line holistic sustainable development, the status of museums as trusted democratic institutions can place them in a conflicted space ‘in-between’ when dealing with polarising issues such as the environment. This is particularly relevant to the discussion around new-museological theory, and the importance of local context and reflexive community engagement, where the community essentially help drive museological direction and content.</p>


2015 ◽  
Vol 22 (2) ◽  
pp. 184-198 ◽  
Author(s):  
Mark Button ◽  
Chris Lewis ◽  
David Shepherd ◽  
Graham Brooks

Purpose – The purpose of this paper is to explore the challenges of measuring fraud in overseas aid. Design/methodology/approach – The research is based on 21 semi-structured interviews with key persons working in the delivery of aid in both the public and voluntary sectors. It uses the UK Department for International Development as a case study to applying more accurate measures of fraud. Findings – This paper shows there are significant challenges to using fraud loss measurement to gauge fraud in overseas aid. However, it argues that, along with other types of measures, it could be used in areas of expenditure in overseas governments and charities to measure aid. Given the high risk of such aid to fraud, it argues helping to develop capacity to reduce aid, of which measuring the size of the problem is an important part; this could be considered as aid in its own right. Research limitations/implications – The researchers were not able to visit high-risk countries for fraud to examine in the local context views on the challenges of measuring fraud. Practical implications – The paper offers insights on the challenges to accurately measuring fraud in an overseas context, which will be useful to policy-makers in this context. Social implications – Given the importance of as much aid as possible reaching recipients, it offers an important contribution to helping to reduce losses in this important area. Originality/value – There has been very little consideration of how to measure fraud in the overseas aid context, with most effort aimed at corruption, which poses some of the same challenges, as well as some very different challenges.


Author(s):  
Heather D. Switzer

The Introduction, “Situating Schoolgirlhood,” introduces readers to the local context of the case-study communities in Kajiado County, Kenya, and elaborates key concepts, including inhabited agency, girl-effects logic, and gendered responsibility and obligation. The chapter argues for the relevance of “postfeminism” and “girlpower”—concepts derived through analysis of girls’ lives in the Global North— for understanding Kenyan Maasai schoolgirls’ compelling insights that trouble the reductive demographic notion of “a girl enrolled in school” that animates development discourse targeting girls’ lives for intervention and investment. By tracing the outlines of “schoolgirlhood” as a specific kind of gendered and generational cultural space for girls who go to school, the introduction foreshadows subsequent chapters that each elaborate aspects of schoolgirlhood as narrated by schoolgirls, mothers, and teachers.


2020 ◽  
pp. 773-786
Author(s):  
Abdullah Ismail ◽  
Anthony Cashin

Apple's iPad and other forms of tablet are reportedly gaining increasing popularity within the academic premises. Most of the published research on this topic has highly admired the positive role and impact of iPads on teaching and learning practices, as if an exogenous technological induction in any local context would essentially revolutionize and transform the whole educational paradigm; however, some recent publications also highlight the parental and policy-makers' concerns over the undesired consequences of technological obsession in educational development. The current study aims at bringing a balanced view on this crucially important topic. The study employs mixed methods research and it uses Ajman Academy, a renowned K-12 institution in the United Arab Emirates, as a case study. This research concludes that due to the relative immaturity of these young children, they cannot be left alone to make their own technological choices. Hence, adopting an over-ambitious approach in terms of technological adoption, without properly understanding the nuances and complexities of a local context; may possibly put these children in a vulnerable situation, and thus likely exposed to many unintended and undesired consequences.


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