Search results
1 – 10 of 170Tyler Aird, Ceara Holditch, Sarah Culgin, Margareta Vanderheyden, Greg Rutledge, Carlo Encinareal, Dan Perri, Fraser Edward and Hugh Boyd
The purpose of the article is to assess the effectiveness, compliance, adoption and lessons learnt from the pilot implementation of a data integration solution between an acute…
Abstract
Purpose
The purpose of the article is to assess the effectiveness, compliance, adoption and lessons learnt from the pilot implementation of a data integration solution between an acute care hospital information system (HIS) and a long-term care (LTC) home electronic medical record through a case report.
Design/methodology/approach
Utilization statistics of the data integration solution were captured at one-month post implementation and again one year later for both the emergency department (ED) and LTC home. Clinician feedback from surveys and structured interviews was obtained from ED physicians and a multidisciplinary LTC group.
Findings
The authors successfully exchanged health information between a HIS and the electronic medical record (EMR) of an LTC facility in Canada. Perceived time savings were acknowledged by ED physicians, and actual time savings as high as 45Â min were reported by LTC staff when completing medication reconciliation. Barriers to adoption included awareness, training efficacy and delivery models, workflow integration within existing practice and the limited number of facilities participating in the pilot. Future direction includes broader staff involvement, expanding the number of sites and re-evaluating impacts.
Practical implications
A data integration solution to exchange clinical information can make patient transfers more efficient, reduce data transcription errors, and improve the visibility of essential patient information across the continuum of care.
Originality/value
Although there has been a large effort to integrate health data across care levels in the United States and internationally, the groundwork for such integrations between interoperable systems has only just begun in Canada. The implementation of the integration between an enterprise LTC electronic medical record system and an HIS described herein is the first of its kind in Canada. Benefits and lessons learnt from this pilot will be useful for further hospital-to-LTC home interoperability work.
Details
Keywords
John O’Neil, Joe Gallagher, Lloy Wylie, Brittany Bingham, Josee Lavoie, Danielle Alcock and Harmony Johnson
The purpose of this paper is to present a study of the transformation of First Nations’ health governance, describing the development of partnerships between First Nations and…
Abstract
Purpose
The purpose of this paper is to present a study of the transformation of First Nations’ health governance, describing the development of partnerships between First Nations and provincial and federal governments for co-creating solutions to address First Nations’ health inequities in British Columbia (BC). The paper frames this transformation in the context of a Canada-wide reconciliation initiative stimulated by the Truth and Reconciliation Commission.
Design/methodology/approach
This qualitative case study was a joint initiative between Simon Fraser University and the BC First Nations Health Authority (FNHA), involving interviews with senior leaders within the BC health system, FNHA and First Nations communities. In addition, a policy roundtable was held in February 2015 which gathered 60 participants for further dialogue on the process.
Findings
Key themes included: partnership and relationships, governance and reciprocal accountability, First Nations perspectives on health and wellness, and quality and cultural safety. Findings indicate that significant transformational changes have happened in the relationship between First Nations and the mainstream health system. The creation of the FNHA has led to more representation for First Nations people at all levels of governance and health service planning, which will ultimately lead to more culturally safe health services that incorporate a First Nations perspective of wellness.
Social implications
The transformation of First Nations health governance in BC can serve as an example in other indigenous health settings both within Canada and internationally.
Originality/value
This paper describes a transformative health governance process in First Nations communities that is an historical first in Canada.
Details
Keywords
Abu Said Md. Juel Miah, Tariqul Islam, Anja Fasse, Iffat Anjum, KAM Morshed, Mahmud Elahi Akhter, Nayeem Sultana and Md. Israt Rayhan
The Rohingyas are forcefully displaced from Myanmar and sheltered in the Cox's Bazar district of Bangladesh. They have outnumbered the local people indicating a critical condition…
Abstract
Purpose
The Rohingyas are forcefully displaced from Myanmar and sheltered in the Cox's Bazar district of Bangladesh. They have outnumbered the local people indicating a critical condition of their living situation after the year 2017 influx. The aim of this paper is to present how coexistence has impacted social cohesion and reconciliation among different groups of Rohingyas and host communities.
Design/methodology/approach
A cross-sectional survey was conducted with 903 households through a multistage stratified random sampling. Social cohesion and reconciliation (SCORE) index was measured as a multifaceted theoretical construct based on the exploratory and confirmatory factor analyses.
Findings
The findings of this study are inclined toward the miracle of social cohesion and reconciliation between the Rohingya and host communities. Also, it is revealed that youth, males and Rohingyas who came before the year 2017 influx are more cohesive. In the host or local community, people having lower income, less education and involvement with the informal sector are revealed as less cohesive.
Practical implications
This study suggests vocational training as a short-term, cash-for-work as a mid-term and repatriation, proper identity, and protection services as long-term strategic plans to make the two communities more cohesive.
Originality/value
This study focuses on the SCORE indexes with a quantitative format, applying a second-order factor model.
Details
Keywords
Michalinos Zembylas and Zvi Bekerman
In this reflective essay, the authors explore how thinking with the notions of implication and complicity may encourage or hinder efforts to engage teachers in problematizing…
Abstract
Purpose
In this reflective essay, the authors explore how thinking with the notions of implication and complicity may encourage or hinder efforts to engage teachers in problematizing victim-perpetrator binaries in conflict-affected societies.
Design/methodology/approach
This reflective essay draws on lessons learned from the authors’ long-time work with teachers in Cyprus and Israel. The authors suggest that the concept of implication provides a productive framework for thinking about teachers’ professional responsibilities in more complex and nuanced ways.
Findings
The reflections of the two authors highlight the challenges and possibilities of overcoming essentialist categories of “victims” and “perpetrators” in conflict-affected societies.
Originality/value
This essay shows the (im)possibilities of transforming the prevailing binaries in communities experiencing political conflict.
Details
Keywords
With the progress of new technologies of information and communication, more and more producers of data exist. On the other hand, the web forms a huge support of all these kinds…
Abstract
With the progress of new technologies of information and communication, more and more producers of data exist. On the other hand, the web forms a huge support of all these kinds of data. Unfortunately, existing data is not proper due to the existence of the same information in different sources, as well as erroneous and incomplete data. The aim of data integration systems is to offer to a user a unique interface to query a number of sources. A key challenge of such systems is to deal with conflicting information from the same source or from different sources. We present, in this paper, the resolution of conflict at the instance level into two stages: references reconciliation and data fusion. The reference reconciliation methods seek to decide if two data descriptions are references to the same entity in reality. We define the principles of reconciliation method then we distinguish the methods of reference reconciliation, first on how to use the descriptions of references, then the way to acquire knowledge. We finish this section by discussing some current data reconciliation issues that are the subject of current research. Data fusion in turn, has the objective to merge duplicates into a single representation while resolving conflicts between the data. We define first the conflicts classification, the strategies for dealing with conflicts and the implementing conflict management strategies. We present then, the relational operators and data fusion techniques. Likewise, we finish this section by discussing some current data fusion issues that are the subject of current research.
Details
Keywords
Robyn A. O'Loughlin, Vicki L. Kristman and Audrey Gilbeau
This paper highlights inclusion issues Indigenous people experience maintaining their mental health in the workplace.
Abstract
Purpose
This paper highlights inclusion issues Indigenous people experience maintaining their mental health in the workplace.
Design/methodology/approach
Using a grounded theoretical approach, five sharing circles were conducted with the Nokiiwin Tribal Council's community members to better understand inclusivity issues related to workplace mental health.
Findings
Five themes emerged from the data related to enhancing inclusivity and workplace mental health for Indigenous workers: (1) connecting with individuals who understand and respect Indigenous culture; (2) respecting Indigenous traditions; (3) hearing about positive experiences; (4) developing trusting relationships and (5) exclusion is beyond the workplace.
Research limitations/implications
The next step is to finalize development of the Wiiji app and evaluate the effectiveness of the app in helping Indigenous workers feel included at work and to improve workplace mental health. If effective, the Indigenous-developed e-mental health app will be promoted and its benefits for helping Indigenous workers feel included at work and also for providing accessible mental health resources, will be known. In the future, other Indigenous groups may be potentially interested in adopting a similar application in their workplace(s).
Originality/value
There is very little known about inclusivity issues related to Indigenous workers' maintaining their mental health. This paper identifies major issues influencing the exclusion and inclusion of Indigenous workers.
Details
Keywords
This paper aims to explore the interplay between methods and methodologies in the field of international relations (IR) over the 100 years of its lifetime reflecting on the…
Abstract
Purpose
This paper aims to explore the interplay between methods and methodologies in the field of international relations (IR) over the 100 years of its lifetime reflecting on the relationship between the rise of new research methods and the rise of new methodologies.
Design/methodology/approach
This paper looks in retrospect into the field’s great debates using a historiography approach. It maps chronologically the interplay of methods and methodology throughout the stages of the development of the study of IR.
Findings
This paper argues that inspite of narratives of triumph being common in the field, the coexistence of competing research methods and methodologies is the defining feature of the field. All theories, all methods and all methodologies have undergone a process of criticism, self-criticism and change. New methodologies have not necessarily accompanied the rise of new research methods in the field.
Originality/value
Drawing a map of the field’s methodologies and methods reveals necessarily its dynamism and its plurality. An honest map of the field is one that highlights not only theoretical differences but also ontological, epistemological and methodological differences embedded in the field’s debates.
Details
Keywords
Using a prosopographical methodology this study examines common leadership influences that might have existed among Genghis Khan, George Washington, and Nelson Mandela. Shoup…
Abstract
Using a prosopographical methodology this study examines common leadership influences that might have existed among Genghis Khan, George Washington, and Nelson Mandela. Shoup (2005) suggests that the following seven influences have contributed to nurturing the leadership of 12 renowned individuals: involved parents, happy childhood, formal, informal education, prodigious patrons, critics and adversaries, apprenticeship/sequences of success, and favorable fate. This analysis suggests that the seven influences in his model had an affect the lives of the three individuals in this study, making them competent or exemplary leaders. The study additionally proposes three application stages that educators can utilize to instill leadership values and abilities in young minds.
The importance of socially just leadership has been increasingly acknowledged in recent years as integral for tackling issues of disadvantage and inequality across education and…
Abstract
The importance of socially just leadership has been increasingly acknowledged in recent years as integral for tackling issues of disadvantage and inequality across education and schooling systems. However, there are still remaining questions about what these leadership practices look like in the everyday work of school leaders. This chapter draws on a research project to embed Indigenous perspectives in schools as an example of socially just leadership. The links between Indigenous communities and schools are a key focus area for improving educational outcomes for Indigenous students. This project sought to bring Indigenous community members into classrooms in six schools in New South Wales, Australia. Community members were recruited to work with teachers as co-constructors of learning activities that explicitly value and work with Indigenous perspectives. This chapter outlines the positive outcomes from this project as well as challenges faced by schools, teachers, principals, and community members as part of this culturally responsive work. The practices of community members, teachers, and principals are theorized using the notion of culturally responsive leadership. The chapter argues for an approach to leadership that is grounded in culturally responsive understandings to improve the educational outcomes and opportunities for Indigenous students and the cultural understanding and awareness of non-Indigenous students, to better promote reconciliation. This chapter provides a concrete example of powerful leadership practices that are working towards equity and social justice for their schools and communities. While the cases are specifically from the Australian context, they are relevant for a variety of schooling contexts and leadership practices.
Details
Keywords
Imoh Antai and Roland Hellberg
The total defence (TD) concept constitutes a joint endeavour between the military forces and civil defence structures within a TD state. Logistics is essential for such joint…
Abstract
Purpose
The total defence (TD) concept constitutes a joint endeavour between the military forces and civil defence structures within a TD state. Logistics is essential for such joint collaboration to work; however, the mismatch between military and civil defence logistics structures poses challenges for such joint collaboration. The purpose of this paper is to identify logistics concept areas within the TD framework that allow for military and civil defence collaborations from a logistics operations perspective.
Design/methodology/approach
Pattern-matching analysis is used to compare patterns found in the investigated case with those prescribed from the literature and predicted to occur. The study seeks to identify logistics concepts within TD from the literature and from the events describing the Swedish response to the Covid-19 pandemic. Pattern matching thus allows for the reconciliation of logistics concepts from the literature to descriptions of how the response was handled, albeit under a TD framework.
Findings
Findings show quite distinct foci between the theoretical and observational realms in terms of logistics applications. While the theoretical realm identifies four main logistics concepts, the observational realm identifies five logistics conceptual themes. This goes on to show an incongruence between the military and civil parts of the TD.
Research limitations/implications
This study provides basis for further research into the applications and management of logistics activity within TD and emergency response.
Originality/value
Logistics applications within TD have not, until now, received much attention in the literature. Given this knowledge gap, this study is of original value.
Details