Global learning: Definition, assessment, and approaches

Global learning has become a fundamental aspect of international education. Yet, a clear understanding of global learning and how to develop it remain unclear. Using the dynamic systems approach, this paper analyzed the reasons, methods, and knowledge, skills, and attitudes(KSA) of global learning in higher education. Global learning is the higher education institutions’ critical response to globalization. It is the essential learning outcome of comprehensive internationalization of curriculum requiring students to develop KSA about the external world and their internal selves in their daily lives across local and global communities. With survey results from 142 undergraduate students in one U.S. university and a global learning rubric and publication, this paper demonstrated how global learning is interpreted and approached differently at various levels and further proposed pedagogical approaches to enhance global learning in higher education.

Resilience in agroecosystems: an index based on a socioecological systems approach

This article presents an agroecosystem resilience index (ARI) relative to two types of exogenous drivers: biophysical and socioeconomic threats. The ARI is based on a theoretical framework of socioecological systems and draws upon multicriteria analysis. The multicriteria consists of variables related to natural, productive, socioeconomic, and institutional systems that are weighted and grouped through expert judgment. The index was operationalized in the Rio Grande Basin (RGB), in the Colombian Andes. The ARI was evaluated at the household level using information from 99 RGB households obtained through workshops, individual semistructured interviews, and surveys. The ARI is a continuous variable that ranges between zero and one and results in five categories of resilience: very low, low, medium, high, and very high. When faced with climate change impacts, 19% of households showed low resilience, 64% medium resilience, and 16% high resilience according to the ARI. When faced with price fluctuations, 23% of households showed low resilience, 65% medium resilience, and 11% high resilience. Key variables associated with high resilience include the diversity of vegetation cover, households that have forests on their properties, a high degree of connectivity with other patches of forest, diversification of household economic activities, profitability of economic activities, availability of water sources, and good relationship with local institutions.

Rice Subsector Development and Farmer Efficiency in Nepal: Implications for Further Transformation and Food Security

With economic development agricultural systems in the Global South transform from subsistence farming to higher productivity with market integration and increase in rural income and food security. In Nepal, agriculture continues to provide livelihoods for two-thirds of the predominantly rural population, largely at a subsistence-level. Rice is the staple food and covers the largest land area but yields are relatively low, with an annual import bill of USD 300 Million. The study uses data from 310 households from two distinct rice producing areas to assess farmers' rice production systems. It analyses farmers' rice production efficiency using a stochastic frontier production function to suggest how to advance the transformation of Nepal's rice sector. Our study finds that while agriculture related services such as access to inputs, information, markets, irrigation, and finance have generally improved, paddy farmers are only able to achieve 76% of potential output. Small/marginal farms were relatively less efficient than medium and large farms. Women farmers faced unequal access to technologies and have lower productivity than men. Unavailability of labor and capital, land fragmentation, and the lack of consistent access to seed and fertilizers contribute to reduced efficiency. Public and private sector investments are needed to enhance the timely and adequate access to quality seeds, fertilizers, processing facilities, and equipment services. Adopting a market systems approach through cooperative farming, targeted delivery of extension services, and linkages with rice millers can promote inclusive growth and improve rice food security in Nepal.

Bold Moves for Visitor Use Management: Public Health, Public Engagement and Justice, Equity, Diversity, and Inclusion

Public land management is inherently complex and requires a systems approach that integrates ecological, economic, and social values. Currently, there are few tools and examples available for federal land management planning that use a systems approach. Issues are often approached from a disciplinary perspective, and outdoor recreation problems, assumptions, and solutions often focus too narrowly on how to mitigate recreation impacts as opposed to understanding the broader role of visitor use and access, public engagement, and public health in sustainable land management. The Visitor Use Management Framework (the Framework), developed by the Interagency Visitor Use Management Council (IVUMC, 2016) provides interagency guidance for managing public use on federal lands and waters. The Framework uses a process that can be incorporated into existing agency planning and decision making. It follows all of the Council agencies’ (NPS, BLM, USFS, USFWS, ACoE, NOAA) planning principles and illustrates how to specifically address visitor experiences and resource protection with an integrated planning approach. This research note explores the evolving role of the Framework in sustainable recreation management and how public health, public engagement, and representation, inclusion, and access can be incorporated throughout the Framework to ensure planning decisions meet the needs, values, and preferences of diverse user groups. Further, this paper invites a broader discussion around next steps for boldly moving to integrate public health, public engagement, and representation, inclusion, and access more fully into all aspects of visitor use management, including the Framework. Collective effort and ongoing innovation is needed to ensure that the Framework is thoughtfully implemented in ways that provide opportunities to enhance outdoor recreation access and inclusion for a broader range of people.

A 10-year follow-up service evaluation of the treatment pathway outcomes for patients in nine in-patient psychiatric rehabilitation services

Aims and method This study examines the treatment pathway outcomes over a 10-year period for patients in nine rehabilitation wards at the beginning of this time period. Results Data were obtained on 85 patients, of whom 59 were discharged during the 10-year period; 29 were readmitted, of whom 15 had further in-patient rehabilitation admissions. Nineteen patients remained in hospital throughout the period. Only nine patients were living independently at the time of follow-up or death, and 34 were in longer-term in-patient settings. Eighteen patients had died during the 10-year period. Clinical implications New planning of rehabilitation services needs to ensure an integrated whole-systems approach, across in-patient and community settings, with specialist mental health rehabilitation teams to support people moving from hospital to the community, and for the small number remaining in hospital for very long periods, development of sufficient high-quality, local in-patient provision.

What Does a Systems Approach to Quality Improvement Look Like in Practice?

Universally improving healthcare systems is difficult to achieve in practice with organisations implementing a range of quality improvement (QI) approaches, in varying and changing contexts, and efforts ranging from project-based improvements to whole system change. This study aimed to identify how organisations overcome the challenges to improving the quality of the services they deliver. Drawing on the eight challenges from the ‘Quality and Safety in Europe by Research (QUASER) hospital guide, we assessed eight cases reported by the UK-based regulator Care Quality Commission as improving their performance. A thematic analysis of these secondary data established that all eight challenges had been addressed or considered in varying degrees. Education and physical and technological challenges seemed less prominent than developments made to address other challenges such as developing leadership, structure, and culture to support improving quality. This paper relies on the analysis of secondary case data and one framework to assess improvement efforts. Further research is required to consider other models and frameworks and to collate longitudinal data to capture the dynamics and increasing the maturity of improving healthcare systems in practice.

Psychological factors underpinning vaccine willingness in Israel, Japan and Hungary

The spread of SARS-CoV-2 led to rapid vaccine development. However, there remains considerable vaccine hesitancy in some countries. We investigate vaccine willingness in three nations with very different vaccine histories: Israel, Japan and Hungary. Employing an ecological-systems approach we analyse associations between health status, individual cognitions, norms, trust in government, COVID-19 myths and willingness to be vaccinated, with data from three nationally representative samples (Israel, Jan. 2021, N = 1011; Japan, Feb. 2021, N = 997; Hungary, April 2021, N = 1130). Vaccine willingness was higher in Israel (74%) than Japan (51%) or Hungary (31%). In all three countries vaccine willingness was greatest amongst who would regret not being vaccinated and respondents who trusted their government. Multi-group latent class analysis identified three groups of COVID myths, with particular concern about alteration of DNA (Israel), allergies (Hungary) and infection from the vaccine (Japan). Intervention campaigns should address such cultural myths while emphasising both individual and social benefits of vaccination.

Reconciling fragmented sectors of health research regulation: toward an ecosystem of processual regulation

The delivery of good outcomes from human health research is entirely dependent on the proper functioning of the attendant regulatory systems. This article focuses on the processes of regulation themselves, and how these might be better understood, so that regulators and other stakeholders have a strong normative basis upon which to pursue the regulatory objective of achieving outcomes with maximum social value. The argument is made that the concept of ‘processual regulation’—which promotes a whole systems approach to regulation—can assist greatly in the design, implementation, and review of human health research. This moves beyond the current often-fragmented approach to regulation towards a joined-up, reflective, and responsive system that has fitness-for-purpose at its core.