scholarly journals Strategies to Address Substance-Abusing and Substance-Impaired Healthcare Professionals

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Anna Marie Smith ◽  
Douglas G Campbell
Keyword(s):  
Healthcare Professionals ◽  
Qualitative Case Study ◽  
Legal Aspects ◽  
Substance Abusing ◽  
Due Diligence ◽  
Short Term ◽  
Comprehensive Strategy ◽  
Policies And Procedures

This research explored strategies used by some healthcare leaders to address substance abusing and impaired healthcare professionals. The conceptual framework for this qualitative case study was the concept of due diligence. Data were collected from 40 managers and supervisors, 3 executives, and company documents, and analyzed to reveal elements of a comprehensive strategy. A effective comprehensive strategy consists of policies that address the causes, the short term and long term aspects, and both the ethical and legal aspects. Policies and procedures are equally applied, are easily accessible, are well communicated, are supported by training, provides positive encouragement. provides a path for recovery, includes audits to ensure compliance and provides for organizational reviews to determine the need for updating. Leaders who implement a such a strategy to address substance abuse among healthcare professionals can create positive social change by ensuring a safer environment for patients, employees and their communities they serve.

scholarly journals Multicultural Engagement Activities to Support Internationalization of Bilingual Higher Education Programs

2021 ◽  
Author(s):  
Amirullah Abduh ◽  
Muhammad Basri ◽  
Muhammad Rapi ◽  
Rosmaladewi Rosmaladewi
Keyword(s):  
Higher Education ◽  
Qualitative Case Study ◽  
Internationalization Of Higher Education ◽  
Structured Interviews ◽  
Education Programs ◽  
Short Term ◽  
Bilingual Programs ◽  
Key Participants

In this paper, we aim to offer multicultural engagement activities to support the internationalization of higher education. This research applies the interpretive qualitative case study with twelve key participants from three different bilingual higher education programs. The study used semi-structured interviews to investigate multicultural engagement activities. The findings of the study show that two important patterns emerged from the data: national multicultural engagement activities and international multicultural engagement activities. The national multicultural engagement can be held in the contexts of formal multicultural engagement activities, semi-formal multicultural engagement activities, and project-based multicultural engagement activities. In addition, the international multicultural engagement activities can be short-term, mid-term, and long-term international overseas multicultural engagement activities. The implication of this study is that multicultural engagement activities can be a model for other bilingual programs in higher education contexts.

A Profile of Wine Tourism Entrepreneurs: Study in Portugal

2019 ◽  
Vol 6 (1) ◽  
pp. 25-39
Author(s):  
Adriana Backx Noronha Viana ◽  
Luísa Cagica Carvalho ◽  
Inna Sousa Paiva
Keyword(s):  
Qualitative Data ◽  
Qualitative Case Study ◽  
Innovation Capability ◽  
Critical Perspective ◽  
Case Study Methodology ◽  
Wine Tourism ◽  
Learning Capacity ◽  
Study Methodology

Background: Wine tourism is one of the tourism components adopted as part of Portugal’s strategy due to its eminence as a wine producer. Such strategy has received great prominence in recent years and aims to promote regional development from an economic, social, cultural and environmental perspective. The aim of this study was to understand the entrepreneur profile in this sector. Methods: The study uses a qualitative, case study methodology with data analysis and triangulation. In this study, a literature review of scientific studies was carried out on the scientific knowledge in the area of study from a critical perspective and an interview was conducted where qualitative data were collected. Results and Discussion: The entrepreneurs have shown the following characteristics: initiative, innovation capability, optimism, creativity, creative energy, tenacity, selfconfidence, capability for long term involvement with the project, and learning capacity. Conclusion: The study shows that most entrepreneurs state that they have established partnerships with other companies, particularly with restaurants, catering businesses, hotel units, tourism companies and companies that organize tours. This is one of the factors of economic importance recognized by another study which enables increased prominence of the company and widens the value of wine tourism.

Cordaid’s Post-Disaster Shelter Strategy in Haiti: Linking Relief and Development

2014 ◽  
Vol 39 (3) ◽  
pp. 77-85
Author(s):  
Harmen Janse ◽  
Kees van der Flier
Keyword(s):  
Urban Area ◽  
Urban Areas ◽  
Life Support ◽  
Comparative Case Study ◽  
Urban Context ◽  
Short Term ◽  
Stage Of Development ◽  
Post Disaster

Haiti was struck by a heavy earthquake in 2010 and international aid poured into the country. News reports in 2011 were not very positive about the results of post-disaster reconstruction: “The relief efforts are only putting Haiti on life-support instead of evolving into the next stage of development”. One of the non-governmental organisations (NGOs) involved in Haiti was Cordaid, implementing a ‘transitional shelter strategy’ to support the transformation of neigh-bourhoods from a state of life-support into a state of self-sustaining development. The strategy was implemented in both a rural and an urban area. The main feature of the strategy was the provision of structures that could be adapted from simple shelters to permanent houses. Since the results of the strategy were mixed and ambiguous, a comparative case study was conducted to evaluate the shelter strategy in both areas. The objective was to draw lessons about what has to be taken into account when formulating future urban shelter strategies. The case study is discussed in this article. The main finding from the case study is that producing the intended number of shelters within the financial and time budgets that were set (efficiency), was more difficult in the urban area than in the rural area. But the conditions for linking relief and development (effectiveness) are more favourable in the urban context. NGOs may achieve long-term (effective) results in the urban context when a lower efficiency can be justified. That is why NGOs need to engage in a debate about the extent to which they are able to focus on long-term shelter or housing strategies. The important element in the debate is communication with the donors who are often focused on short-term relief measures. However urban areas cannot be rebuilt with only short-term interventions. The link between relief and development has to be made by a process-orientated approach focusing on capacities of local participants.

Disaster Management and Continuity Planning in Libraries

2016 ◽  
Vol 5 (1) ◽  
pp. 26-41 ◽  
Author(s):  
Rebecca Hamilton ◽  
Diane Brown
Keyword(s):  
Success Factor ◽  
Short Term ◽  
Continuity Planning ◽  
Critical Success ◽  
Business Operations ◽  
Asset Recovery ◽  
Disaster Preparation

Libraries are taking on new roles in a disaster and with that comes strategic responsibilities beyond traditional asset recovery activities. In the past, library disaster plans have emphasized recovery of materials. Here, the emphasis is on continuing business operations. Libraries have become the centers of communication for their communities in a crisis. This article will demonstrate the essential role of libraries before, during and after a disaster, both short term and long term and how to get a seat at the table with community planners by demonstrating the functions that are critical to recovery. A literature review and case study are used to develop these recommendations. A critical success factor is to use a disaster preparation methodology that includes a business continuity plan.

scholarly journals Challenges in modelling isoprene and monoterpene emission dynamics of Arctic plants: a case study from a subarctic tundra heath

2016 ◽  
Vol 13 (24) ◽  
pp. 6651-6667 ◽  
Author(s):  
Jing Tang ◽  
Guy Schurgers ◽  
Hanna Valolahti ◽  
Patrick Faubert ◽  
Päivi Tiiva ◽  
...  
Keyword(s):  
Response Curve ◽  
Large Scale ◽  
Ecosystem Model ◽  
The Arctic ◽  
Short Term ◽  
Response Curves ◽  
Arctic Plants ◽  
Scale Modelling

Abstract. The Arctic is warming at twice the global average speed, and the warming-induced increases in biogenic volatile organic compounds (BVOCs) emissions from Arctic plants are expected to be drastic. The current global models' estimations of minimal BVOC emissions from the Arctic are based on very few observations and have been challenged increasingly by field data. This study applied a dynamic ecosystem model, LPJ-GUESS, as a platform to investigate short-term and long-term BVOC emission responses to Arctic climate warming. Field observations in a subarctic tundra heath with long-term (13-year) warming treatments were extensively used for parameterizing and evaluating BVOC-related processes (photosynthesis, emission responses to temperature and vegetation composition). We propose an adjusted temperature (T) response curve for Arctic plants with much stronger T sensitivity than the commonly used algorithms for large-scale modelling. The simulated emission responses to 2 °C warming between the adjusted and original T response curves were evaluated against the observed warming responses (WRs) at short-term scales. Moreover, the model responses to warming by 4 and 8 °C were also investigated as a sensitivity test. The model showed reasonable agreement to the observed vegetation CO2 fluxes in the main growing season as well as day-to-day variability of isoprene and monoterpene emissions. The observed relatively high WRs were better captured by the adjusted T response curve than by the common one. During 1999–2012, the modelled annual mean isoprene and monoterpene emissions were 20 and 8 mg C m−2 yr−1, with an increase by 55 and 57 % for 2 °C summertime warming, respectively. Warming by 4 and 8 °C for the same period further elevated isoprene emission for all years, but the impacts on monoterpene emissions levelled off during the last few years. At hour-day scale, the WRs seem to be strongly impacted by canopy air T, while at the day–year scale, the WRs are a combined effect of plant functional type (PFT) dynamics and instantaneous BVOC responses to warming. The identified challenges in estimating Arctic BVOC emissions are (1) correct leaf T estimation, (2) PFT parameterization accounting for plant emission features as well as physiological responses to warming, and (3) representation of long-term vegetation changes in the past and the future.

scholarly journals Effectiveness and cost-effectiveness randomised controlled trial of basic versus biofeedback-mediated intensive pelvic floor muscle training for female stress or mixed urinary incontinence: protocol for the OPAL (optimising pelvic floor exercises to achieve long-term benefits) trial mixed methods longitudinal qualitative case study and process evaluation

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e024152 ◽  
Author(s):  
Aileen Grant ◽  
Sarah Dean ◽  
Jean Hay-Smith ◽  
Suzanne Hagen ◽  
Doreen McClurg ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Cost Effectiveness ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle Training ◽  
Qualitative Case Study ◽  
Pelvic Floor Muscle ◽  
Muscle Training ◽  
Process Data

IntroductionFemale urinary incontinence (UI) is common affecting up to 45% of women. Pelvic floor muscle training (PFMT) is the first-line treatment but there is uncertainty whether intensive PFMT is better than basic PFMT for long-term symptomatic improvement. It is also unclear which factors influence women’s ability to perform PFMT long term and whether this has impacts on long-term outcomes. OPAL (optimising PFMT to achieve long-term benefits) trial examines the effectiveness and cost-effectiveness of basic PFMT versus biofeedback-mediated PFMT and this evaluation explores women’s experiences of treatment and the factors which influence effectiveness. This will provide data aiding interpretation of the trial findings; make recommendations for optimising the treatment protocol; support implementation in practice; and address gaps in the literature around long-term adherence to PFMT for women with stress or mixed UI.Methods and analysisThis evaluation comprises a longitudinal qualitative case study and process evaluation (PE). The case study aims to explore women’s experiences of treatment and adherence and the PE will explore factors influencing intervention effectiveness. The case study has a two-tailed design and will recruit 40 women, 20 from each trial group; they will be interviewed four times over 2 years. Process data will be collected from women through questionnaires at four time-points, from health professionals through checklists and interviews and by sampling 100 audio recordings of appointments. Qualitative analysis will use case study methodology (qualitative study) and the framework technique (PE) and will interrogate for similarities and differences between the trial groups regarding barriers and facilitators to adherence. Process data analyses will examine fidelity, engagement and mediating factors using descriptive and interpretative statistics.Ethics and disseminationApproval from West of Scotland Research Ethics Committee 4 (16/LO/0990). Findings will be published in journals, disseminated at conferences and through the final report.Trial registration numberISRCTN57746448.

scholarly journals PAYROLL LOANS AND ITS RELATIONSHIP WITH THE AGGREGATE ECONOMIC ACTIVITY (2004-2014)

2017 ◽  
Vol 18 (1) ◽  
pp. 148-173
Author(s):  
ALINE BEATRIZ SCHUH ◽  
DANIEL ARRUDA CORONEL ◽  
REISOLI BENDER FILHO
Keyword(s):  
Economic Activity ◽  
Legal Aspects ◽  
Impulse Response Functions ◽  
Short Term ◽  
Causality Test ◽  
Vector Error Correction ◽  
Vector Error ◽  
Methodological Aspects ◽  
Macroeconomic Aggregates

ABSTRACT Purpose: Identify the relationship between the granting of payroll loans and macroeconomic aggregates, from 2004 to 2014, through an analysis of the influence of this type of credit on the aggregate economic activity in Brazil. Originality/gap/relevance/implications: Payroll loans are very representative in the Brazilian credit market, and the discussion on this topic is very extensive, because it is directly linked to the economic growth of a country. However, there is a gap in the literature on this subject, since most studies stress behavioral finances, or the legal aspects of contracts, and also because this type of credit is recent in the Brazilian economy. Key methodological aspects: This is quantitative approach performed through the estimation of the Vector Error Correction Model (VECM), which enabled the computation of impulse-response functions, the variance decomposition and the Granger causality test. Summary of key results: The results indicate that the granting of payroll loans causes an increase on macroeconomic aggregates in the short term, but over longer periods of time this increase tends to be eliminated. Key considerations/conclusions: The granting of payroll loans influences the behavior of the economic activity. However, despite the fact that its concession provides leverage in the short term, this growth is not sustainable in the long-term. In this scenario, there is exponential growth in household consumption over the past decade; however, the industry productivity and the investments did not follow this evolution. It is inferred from this that the current growth model generates expansion, but its effects are limited.

scholarly journals Alternatives to groundwater abstraction as a measure to stop land subsidence: a case study of Semarang, Indonesia

2019 ◽  
Vol 125 ◽  
pp. 01003 ◽  
Author(s):  
Wesley Beek ◽  
Bart Letitre ◽  
H. Hadiyanto ◽  
S. Sudarno
Keyword(s):  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Drinking Water Treatment ◽  
Decision Makers ◽  
Groundwater Abstraction ◽  
Short Term ◽  
Treatment Services

The Water as Leverage project aims to lay a blueprint for urban coastal areas around the world that are facing a variety of water-related issues. The blueprint is based upon three real case studies in Bangladesh, India and Indonesia. The case of Indonesia focuses on Semarang, a city that faces issues like flooding, increased water demand, and a lack of wastewater treatment. In this report I summarise the different techniques available to tackling these issues. Along with this I provide a cost-benefit analysis to support decision makers. For a short term it is recommended to produce industrial water from (polluted) surface water as a means to offer an alternative to groundwater abstraction. On a long term it is recommended to install additional wastewater and drinking water treatment services to facilitate better hygiene and a higher quality of life.

A Case Study of Effectively Implemented Information Systems Security Policy

2008 ◽  
pp. 1727-1740
Author(s):  
Charla Griffy-Brown ◽  
Mark W.S. Chun
Keyword(s):  
Information Security ◽  
Security Policy ◽  
Case Analysis ◽  
Web Based ◽  
Systems Security ◽  
Policies And Procedures ◽  
Technical Architecture ◽  
The Relationship

This chapter demonstrates the importance of a well-formulated and articulated information security policy by integrating best practices with a case analysis of a major Japanese multinational automotive manufacturer and the security lessons it learned in the implementation of its Web-based portal. The relationship between information security and business needs and the conflict that often results between the two are highlighted. The case also explores the complexities of balancing business expedience with long-term strategic technical architecture. The chapter provides insight and offers practical tools for effectively developing and implementing information security policies and procedures in contemporary business practice.

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