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Colorectal cancer (CRC) screening saves patient suffering and health system expenses if the pathology is found in its early stages. Utilizing rapid process improvement cycles, the purpose of this paper is to improve the rate of CRC screening in a rural community in the USA.

Data were gathered from the authors’ electronic medical record. Non provider staff were trained to do the majority of the work utilizing population health, clinic visit checklists, and standard work. The two tests used were colonoscopy and fecal immunochemical test testing.

Dramatic improvement in the rates of colorectal screening were achieved. The base rate of documented CRC screening was 22 percent, with the rate two years later being 62.7 percent.

This work is of interest to those working in primary care, gastroenterology, general surgery, or if interested in designing standard work.

Defines disability and give some statistics on the numbers of those whose possess disabilities. Clarifies reasonable accommodation. Covers, in turn, the visually impaired, hard of hearing and back impairments. Suggests part of the solution is a change in attitude of others towards those with disabilities. Discusses recent progress in addressing the issue in the workplace before concluding that accommodation can be an integral part of a successful employment situation which can have positive benefits for the employer as well as employee.

Since the development of the COVID-19 vaccinations, questions surrounding race have been prominent in the literature on vaccine uptake. Early in the vaccine rollout, public health officials were concerned with the relatively lower rates of uptake among certain racial/ethnic minority groups. We suggest that this may also be patterned by racial/ethnic residential segregation, which previous work has demonstrated to be an important factor for both health and access to health care.

In this study, we examine county-level vaccination rates, racial/ethnic composition, and residential segregation across the U.S. We compile data from several sources, including the American Community Survey (ACS) and Centers for Disease Control (CDC) measured at the county level.

We find that just looking at the associations between racial/ethnic composition and vaccination rates, both percent Black and percent White are significant and negative, meaning that higher percentages of these groups in a county are associated with lower vaccination rates, whereas the opposite is the case for percent Latino. When we factor in segregation, as measured by the index of dissimilarity, the patterns change somewhat. Dissimilarity itself was not significant in the models across all groups, but when interacted with race/ethnic composition, it moderates the association. For both percent Black and percent White, the interaction with the Black-White dissimilarity index is significant and negative, meaning that it deepens the negative association between composition and the vaccination rate.

The analysis is only limited to county-level measures of racial/ethnic composition and vaccination rates, so we are unable to see at the individual-level who is getting vaccinated.

We find that segregation moderates the association between racial/ethnic composition and vaccination rates, suggesting that local race relations in a county helps contextualize the compositional effects of race/ethnicity.

In this paper we build upon previous research that examines how workers in devalued occupations transform structural conditions that threaten their dignity into resources with which to protect themselves. Through in-depth interviews and fieldwork with early childhood educators (ECE), we examine the work experiences of teachers in four distinct work contexts: daycare centers and within elementary schools, each in either the public or private sector. We find that these different school organizational contexts shape what kinds of identity challenges early childhood teachers experience. Different organizational contexts not only subject teachers to different threats to their work-related identity but also have different potential identity resources embedded within them that teachers can use on their own behalf. Thus, while all the early childhood educators in our sample struggle with being employed within a devalued occupation, the identity strategies they have developed to protect their self-worth vary across employment contexts. We show that the strategies these interactive service workers use to solve identity-related problems of dignity at work involve the creative conversion of constraints they face at work into resources that help them achieve valued work identities.

Over the past decade managing diversity has emerged as a popular topic for analysis. However, much of the discussion concerning diversity has tended to focus on gender and race. Only limited attention has been centred on disabled people as a minority group in the workplace. One of the biggest challenges faced by disabled people is in obtaining and maintaining employment, particularly for those individuals with a vision impairment. The purpose of this research is to explore some of the issues faced by vision impaired people in the workplace in Australia. It outlines how, with certain accommodations to the workplace, vision impaired employees can be just as capable and efficient as their sighted counterparts. The major barrier still faced by disabled workers is overcoming the negative attitudes and misconceptions of colleagues and employers.

This paper examines the depth, erudition, and rigor of contemporary research on knowledge management as a causal factor that influences the ultimate outcome of multinational corporation (MNC) expansion, bounded by the confines of information and communication technology (ICT) competences identified as behavioral, business, and technological. Through discussion highlighting the dominant knowledge management (KM) research themes within the milieu of the global firm, readers will gain definitive and practical insight into relevant topics that may be used to stimulate development of growth strategies for the firm.

As shown in their earlier stories, while at differing times and places Janice and Mary searched for a research methodology that felt congruent with who they were each becoming and the inquiries they imagined, they both became drawn toward the relational aspects of narrative inquiry. As Clandinin and Connelly wrote: “Relationship is key to what it is that narrative inquirers do” (2000, p. 189). Key in negotiating relationships as narrative inquirers is our collective sharing of stories of experience. This relational storytelling shapes both shared vulnerability among storytellers as each person awakens to the complexity of lives being composed and recomposed and, too, a growing sense of working from, and with, stories as a way to shape personal, social, and institutional change (Clandinin & Connelly, 1998, 2000; Connelly & Clandinin, 2006). Clandinin and Connelly (1998) describe this kind of narrative change as taking shape in the following ways:For us, the promise of storytelling emerges when we move beyond regarding a story as a fixed entity and engage in conversations with our stories. The mere telling of a story leaves it as a fixed entity. It is in the inquiry, in our conversations with each other, with texts, with situations, and with other stories that we can come to retelling our stories and to reliving them. (p. 251)Furthermore, Maenette Benham (2007) writes thatthe power of narrative is that, because it deeply explores the tensions of power by illuminating its collisions (e.g., differences of knowledge and practices), it reveals interesting questions that mobilize processes and resources that benefit native people and their communities. Indeed, the political impact of narrative cannot be dismissed. (pp. 513–514)