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Article
Publication date: 9 October 2017

John Ovretveit, Brian Mittman, Lisa Rubenstein and David A. Ganz

The purpose of this paper is to enable improvers to use recent knowledge from implementation science to carry out improvement changes more effectively. It also highlights the…

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Abstract

Purpose

The purpose of this paper is to enable improvers to use recent knowledge from implementation science to carry out improvement changes more effectively. It also highlights the importance of converting research findings into practical tools and guidance for improvers so as to make research easier to apply in practice.

Design/methodology/approach

This study provides an illustration of how a quality improvement (QI) team project can make use of recent findings from implementation research so as to make their improvement changes more effective and sustainable. The guidance is based on a review and synthesis of improvement and implementation methods.

Findings

The paper illustrates how research can help a quality project team in the phases of problem definition and preparation, in design and planning, in implementation, and in sustaining and spreading a QI. Examples of the use of different ideas and methods are cited where they exist.

Research limitations/implications

The example is illustrative and there is little limited experimental evidence of whether using all the steps and tools in the one approach proposed do enable a quality team to be more effective. Evidence supporting individual guidance proposals is cited where it exists.

Practical implications

If the steps proposed and illustrated in the paper were followed, it is possible that quality projects could avoid waste by ensuring the conditions they need for success are in place, and sustain and spread improvement changes more effectively.

Social implications

More patients could benefit more quickly from more effective implementation of proven interventions.

Originality/value

The paper is the first to describe how improvement and implementation science can be combined in a tangible way that practical improvers can use in their projects. It shows how QI project teams can take advantage of recent advances in improvement and implementation science to make their work more effective and sustainable.

Details

International Journal of Health Care Quality Assurance, vol. 30 no. 8
Type: Research Article
ISSN: 0952-6862

Keywords

Book part
Publication date: 11 May 2007

David Ganz, Austin Troy and David Saah

Community-based fire management (CBFiM) integrates community action with the standard elements of fire management and mitigation, such as prescribed fire (managed beneficial fires…

Abstract

Community-based fire management (CBFiM) integrates community action with the standard elements of fire management and mitigation, such as prescribed fire (managed beneficial fires for reducing hazardous fuel loads, controlling weeds, preparing land for cultivation, reducing the impact of pests and diseases, etc.), mechanical fuel treatment, defensible space planning, wildfire awareness and prevention, preparedness planning, and suppression of wildfires. In developed examples of CBFiM, communities are empowered to have effective input into land and fire management and problem solving and to self regulate to respond to fire and other emergencies. Its premise is that local people usually have most at stake in the event of a harmful fire, so they should clearly be involved in mitigating these unwanted events.

Details

Living on the Edge
Type: Book
ISBN: 978-1-84950-000-5

Article
Publication date: 11 March 2014

John Ovretveit, Susanne Hempel, Jennifer L. Magnabosco, Brian S. Mittman, Lisa V. Rubenstein and David A. Ganz

– The purpose of this paper is to provide evidence based guidance to researchers and practice personnel about forming and carrying out effective research partnerships.

Abstract

Purpose

The purpose of this paper is to provide evidence based guidance to researchers and practice personnel about forming and carrying out effective research partnerships.

Design/methodology/approach

A review of the literature, interviews and discussions with colleagues in both research and practice roles, and a review of the authors' personal experiences as researchers in partnership research.

Findings

Partnership research is, in some respects, a distinct “approach” to research, but there are many different versions. An analysis of research publications and of their research experience led the authors to develop a framework for planning and assessing the partnership research process, which includes defining expected outcomes for the partners, their roles, and steps in the research process.

Practical implications

This review and analysis provides guidance that may reduce commonly-reported misunderstandings and help to plan more successful partnerships and projects. It also identifies future research which is needed to define more precisely the questions and purposes for which partnership research is most appropriate, and methods and designs for specific types of partnership research.

Originality/value

As more research moves towards increased participation of practitioners and patients in the research process, more precise and differentiated understanding of the different partnership approaches is required, and when each is most suitable. This article describes research approaches that have the potential to reduce “the research-practice gap”. It gives evidence- and experience-based guidance for choosing and establishing a partnership research process, so as to improve partnership relationship-building and more actionable research.

Details

Journal of Health Organization and Management, vol. 28 no. 1
Type: Research Article
ISSN: 1477-7266

Keywords

Book part
Publication date: 11 May 2007

Austin Troy and Roger G. Kennedy

This book is divided into four parts: (1) Institutions and policy, (2) The economics of hazards, (3) Community involvement, and (4) Management and ecology. The first section…

Abstract

This book is divided into four parts: (1) Institutions and policy, (2) The economics of hazards, (3) Community involvement, and (4) Management and ecology. The first section contains four chapters that cover the issue of wildfire from historical and institutional perspectives. “Forest fire history: learning from disaster” by Roger Kennedy (Chapter 2) addresses the pressures and politics giving rise to the current situation. “Fire Policy in the Urban–Wildland Interface in the United States: What are the Issues and Possible Solutions?” (Chapter 3) by Scott Stephens and Brandon Collins provides a summary of the problems associated with wildfire hazards in UWI communities, discusses fuels-treatment options for local governments and property owners, and analyzes challenges to planning, drawing on experiences from Australia. “Wildfire hazard mitigation as “safe” smart growth” (Chapter 4) by Robert Paterson looks at how smart growth principals are being adapted to fire-safe land use planning and zoning, including a discussion of the role of regional coordination and state-level planning requirements. “Practical and institutional constraints on adopting wide-scale prescribed burning: lessons from the mountains of California” (Chapter 5) by Kurt Menning details the problems of fuel accumulation due to suppression, the potential power of prescribed burning as a management tool, and the social and regulatory obstacles to implementing wide-scale prescribed burning programs.

Details

Living on the Edge
Type: Book
ISBN: 978-1-84950-000-5

Book part
Publication date: 11 May 2007

Scott L. Stephens and Brandon M. Collins

The urban–wildland interface (UWI) poses a series of challenges to both rural and urban communities in the United States. Some efforts have been developed to promote the use of…

Abstract

The urban–wildland interface (UWI) poses a series of challenges to both rural and urban communities in the United States. Some efforts have been developed to promote the use of fire-resistant building materials and creation of defensible space; few comprehensive laws address the threat of external ignitions on structures. Most problems associated with the private side of the UWI are centered on land planning methods. Communities and counties must be encouraged to take more active roles in wildfire protection and this will require a fundamentally new method of land planning and review authority. Without substantial changes in land planning, we will continue to experience large losses of structures and life in the UWI.

Details

Living on the Edge
Type: Book
ISBN: 978-1-84950-000-5

Content available
Book part
Publication date: 11 May 2007

Abstract

Details

Living on the Edge
Type: Book
ISBN: 978-1-84950-000-5

Book part
Publication date: 19 September 2012

Olena Nikolayenko

A spate of nonviolent youth movements has recently demanded political change in the postcommunist region. Though these challenger organizations shared similar characteristics…

Abstract

A spate of nonviolent youth movements has recently demanded political change in the postcommunist region. Though these challenger organizations shared similar characteristics, some of them were more successful than others in mobilizing citizens against nondemocratic regimes. This chapter argues that analysis of tactical interactions between social movements and incumbent governments provides a partial explanation for cross-country variations in youth mobilization. The empirical analysis focuses on youth movements in Azerbaijan, Belarus, Georgia, Serbia, and Ukraine. The study traces how movement strategies and state countermoves affected the level of youth mobilization. This research contributes to social movement literature by analyzing tactical interactions in hybrid regimes, falling somewhere between democracy and dictatorship, and adds to civil resistance scholarship by comparing cases of successful and failed mobilization.

Details

Nonviolent Conflict and Civil Resistance
Type: Book
ISBN: 978-1-78190-346-9

Keywords

Book part
Publication date: 22 May 2012

Katrina Kimport

Purpose – Scholars of social movements have tended to focus on the social movement organization (SMO) as the primary unit of analysis, documenting a trend toward its…

Abstract

Purpose – Scholars of social movements have tended to focus on the social movement organization (SMO) as the primary unit of analysis, documenting a trend toward its professionalization. This trend, typified in the abortion rights movement, has facilitated the survival of movements, but is associated with a reduction in tactical and strategic innovation. Innovation is associated with movement entrepreneurs, like the body of lone activists that characterizes the antiabortion movement. However, work on online activism offers evidence that SMOs are not the dominant organizing structures in online mobilization, leading to general questions about innovation and the role of SMOs online.

Methodology – I analyze quantitatively content-coded data for the role of organizations and for innovative uses of the web for protest in the online abortion rights and antiabortion movements.

Findings – The two movements have different online footprints, with organizations dominating the former but not the latter, and an overall larger volume of antiabortion claims-making. Unlike in offline activism, organizationally affiliated sites are not less likely than those without an organizational affiliation to leverage innovative uses of the web for claims-making. Organizational composition may matter in other ways, though: the greater representation of antiabortion claims online, especially by individual activists, may be a lingering effect of the abortion rights movement's offline professionalization.

Research implications – These findings point to the importance of attending to variation across movements when they migrate online in investigations of new media for protest and for rethinking the role of SMOs in social movements.

Details

Media, Movements, and Political Change
Type: Book
ISBN: 978-1-78052-881-6

Keywords

Book part
Publication date: 18 September 2018

Karen Powroznik, Irena Stepanikova and Karen S. Cook

This research explores how gender influences the experience of cancer care and proposes a new explanation for gender differences in posttraumatic growth among individuals who…

Abstract

Purpose

This research explores how gender influences the experience of cancer care and proposes a new explanation for gender differences in posttraumatic growth among individuals who received blood or marrow transplantation as treatment for lymphoma.

Methodology/approach

We use mixed methods, combining quantitative examination of surveys with 180 survivors with qualitative findings from semi-structured face-to-face interviews with 50 survivors. Participants were 2–25 years after transplantation. Quantitative data were analyzed using statistical modeling; qualitative data were analyzed using thematic coding.

Findings

A quantitative examination indicates that compared to men, women report greater posttraumatic growth and more positive impacts of cancer despite having lower physical health. These gender differences are robust even after controlling for physical and emotional well-being, life satisfaction, and social support. Qualitative findings from in-depth interviews show that gender norms and expectations about masculinity and femininity shape how individuals experience illness and perform the role of patient and survivor. Expectations about being a good patient and survivor are more aligned with expectations about femininity and tend to conflict with expectations about masculinity. Gender norms discourage men from reporting personal growth from cancer and encourage women to overemphasize the positive aspects of having had cancer.

Research limitations/implications

This study was conducted two or more years after treatment had ended; therefore, potential for recall bias existed. Nevertheless, the findings suggest that viewing cancer as transformative is part of a gender performance that limits opportunities for individuals to experience and express a diverse range of reactions which, at times, increases the emotional burden on individuals.

Originality/value

By combining survey data with in-depth interviews, the study offers new insights into the causes of gender differences in the reporting of patient outcomes after illness.

Details

Gender, Women’s Health Care Concerns and Other Social Factors in Health and Health Care
Type: Book
ISBN: 978-1-78756-175-5

Keywords

Book part
Publication date: 24 October 2022

Maria De Jesus Mora

The national immigrant rights campaign of 2006 stands as one of the largest mobilizations by people of color in US history, yet less scholarly attention has been given to…

Abstract

The national immigrant rights campaign of 2006 stands as one of the largest mobilizations by people of color in US history, yet less scholarly attention has been given to systematically comparing these mobilizations at the local level. To develop an understanding of what led to sustained mobilization, a comparative case study analysis of seven cities in California's San Joaquin Valley is employed. The empirical evidence is based on interviews with key organizers and participants, newspaper documentation of protest events, census data, and other secondary sources. I find that the presence and size of policy threats explained the initial protest during the spring of 2006 in all localities, but cities with elaborate resource infrastructures (preexisting organizations, histories of community organizing, and coalitions) had more enduring levels of collective action.

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