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The current study identifies successes and limitations of sustaining Dale se Real (DsR) as a school-based educational intervention program related to drugs and violence for 7th and 8th grade students in Nicaragua, Central America. As evidence-based interventions are transported and imported across national borders, issues surrounding their adaptation and sustainability become important targets for investigation.

Interviews were conducted with nine key informants (e.g. school directors, implementers) from seven institutions, four of which sustained DsR and three of which did not. This study explores DsR's fit with the institutions' missions and routines, program adaptability, broader community support and sustainability planning.

Findings demonstrate two emerging views of sustainability within the Nicaraguan schools: a deficit approach and an empowerment approach. These two approaches imply different motivational structures for institutions and also led to the practical finding that developers and trainers need to provide structured or formal ways of empowering schools to continue implementing a program after staff no longer routinely contact them.

This study contributes a particular case on what facilitates and impedes sustainability of school-based interventions that can inform future intervention research in Latin American countries.

Despite being a significant public health problem, teen dating violence and related risk behaviors are yet to be examined in Nicaragua. This study aims to examine the prevalence of in-person dating violence and cyber dating abuse and to test the associations between teen dating violence and substance use (i.e. alcohol, cigarette, marijuana and e-cigarette) as well as externalizing behaviors.

Survey responses were collected from a school-based sample of 1,799 Nicaraguan early adolescents (average age = 13.04 years).

The prevalence was 41% for in-person dating violence victimization, 39% for in-person dating violence perpetration, 30% for cyber dating abuse victimization and 26% for cyber dating abuse perpetration. The majority (56%) of the adolescents reported engagement in externalizing behaviors, but substance use prevalence was relatively low, ranging from 1–9% depending on the substance type. Multivariate regression analyses suggest that in-person dating violence perpetration was positively associated with all types of substance use and externalizing behaviors, while victimization was only associated with externalizing behaviors.

Despite the descriptive nature, the study is the first to examine the prevalence of teen dating violence and its relationships with other risk behaviors in Nicaraguan adolescents and have important health implications.

As interventions are disseminated widely, issues of fidelity and adaptation become increasingly critical to understand. This study aims to describe the types of adaptations made by teachers delivering a school‐based substance use prevention curriculum and their reasons for adapting program content.

To determine the degree to which implementers adhere to a prevention curriculum, naturally adapt the curriculum, and the reasons implementers give for making adaptations, the study examined lesson adaptations made by the 31 teachers who implemented the keepin’ it REAL drug prevention curriculum in 7th grade classrooms (n=25 schools). Data were collected from teacher self‐reports after each lesson and observer coding of videotaped lessons. From the total sample, 276 lesson videos were randomly selected for observational analysis.

Teachers self‐reported adapting more than 68 percent of prevention lessons, while independent observers reported more than 97 percent of the observed lessons were adapted in some way. Types of adaptations included: altering the delivery of the lesson by revising the delivery timetable or delivery context; changing content of the lesson by removing, partially covering, revising, or adding content; and altering the designated format of the lesson (such as assigning small group activities to students as individual work). Reasons for adaptation included responding to constraints (time, institutional, personal, and technical), and responding to student needs (students’ abilities to process curriculum content, to enhance student engagement with material).

The study sample was limited to rural schools in the US mid‐Atlantic; however, the results suggest that if programs are to be effectively implemented, program developers need a better understanding of the types of adaptations and reasons implementers provide for adapting curricula.

These descriptive data suggest that prevention curricula be developed in shorter teaching modules, developers reconsider the usefulness of homework, and implementer training and ongoing support might benefit from more attention to different implementation styles.

With nearly half of US public schools implementing some form of evidence‐based substance use prevention program, issues of implementation fidelity and adaptation have become paramount in the field of prevention. The findings from this study reveal the complexity of the types of adaptations teachers make naturally in the classroom to evidence‐based curricula and provide reasons for these adaptations. This information should prove useful for prevention researchers, program developers, and health educators alike.

This paper seeks to review some ontological issues in the creation and representation of strategic management and strategic management processes.

In this paper Whittington's celebrated four school model is taken as a representation of the variety of strategic management theories. First, a philosophy of action perspective is taken to evaluate representations of actions required by a corporate strategy. Second, the decision‐making processes represented by each school are reviewed from the perspective of decision deparadoxification using deconstructions derived from Anderson. Third, the paper looks at the representations of time implied by the four schools by examining the transformation from individual to collective action derived from Heidegger.

The paper finds that what appears to be schools of strategic management thought are no more than the selective attention of scholars upon one contingency reducing approach. Support for any strategic action in each of the four schools will only ever be particle and contingent. None of the four are capable of accommodating Heidegger's authentic relationship of present to future.

The paper shows that, taken together, these ontological insights bring into question the general principles of strategy processes. That is to say that they undermine the notion that an organisation can somehow know about its own range of possible futures, and then make decisions and actions in the present to bring about the most desirable state.

This paper reports the findings of in‐depth case study research carried out with the board of a UK family business. The research was designed to explore interaction amongst directors seeking to achieve agreement on a key strategic issue in one of their quarterly board meetings. In particular there is a focus on the extent to which there is parity between individual directors’ own opinions and views about this strategic issue, contributions they made in the boardroom and the collective agreement reached.

The purpose of this paper is to examine a bold and ambitious scheme known as the North East transformation system (NETS). The principal aim of the NETS is the achievement of a step-change in the quality of health services delivered to people living in the North East region of England. The paper charts the origins of the NETS and its early journey before describing what happened to it when the UK coalition government published its proposals for unexpected major structural change in the NHS. This had a profound impact on the leadership and direction of the NETS and resulted in it taking a different direction from that intended.

The research design took the form of a mixed methods, longitudinal 3.5-year study aimed at exploring transformational change in terms of content, context, process and outcomes. The sample of study sites comprised 14 NHS trusts in the North East region chosen to provide geographical coverage of the area and to reflect the scale, scope and variety of the bodies that formed part of the NETS programme. The qualitative component of the research, which the paper draws upon, included 68 semi-structured interviews, observational studies and focus groups. Data analysis made use of both deductive and inductive frameworks. The deductive framework adopted was Pettigrew et al.’s “receptive contexts for change” and four of the eight factors stood out as especially important and form the basis of the paper.

The fate of the NETS was shaped and influenced by the eight factors comprising the Pettigrew et al. receptive contexts for change framework but four factors in particular stood out as being especially significant: environmental pressure, quality and coherence of policy, key people leading change, supportive organisational culture. Perhaps the most significant lesson from the NETS is that achieving whole systems change is particularly vulnerable to the vicissitudes of politics especially where that system, like the UK NHS, is itself subject to those very same pressures. Yet, despite having an enormous influence on health policy, the political context is frequently avoided in research or not regarded as instrumental in determining the outcomes in respect of transformational change.

The chief limitation is the credibility and authenticity of the interviews captured at particular points in time. These formed the datebase for subsequent analysis. The authors sought to guard against possible bias by supplementing interviews with observational studies and focus groups as well as running two dissemination events at which emerging findings from the study were subjected to independent external scrutiny and comment. These events provided a form of validation for the key study findings.

The research findings demonstrate the importance of context for the likely outcome and success of complex transformational change initiatives. These require time to become embedded and demonstrate results especially when focused on changing culture and behaviour. But, in practice, allowing sufficient time during which the organisation may remain sufficiently stable to allow the change intervention to run its course and become embedded and sustainable is highly problematic. The consequence is that bold and ambitious efforts like the NETS are not given the space and stability to prove themselves. Too often, politics and external environmental pressures intrude in ways that may prove dysfunctional and negative.

Unless a different approach to transformational change and its leadership and management is adopted, then changing the NHS to enable it to appear more responsive to changing health care needs and expectations will remain a cause for concern. Ultimately the public will be the losers if the NHS remains insensitive to changing needs and expectations. The patient experience was at the centre of the NETS programme.

The study is original insofar as no other has sought to evaluate the NETS independently and over a reasonable time period. The research design, based on a mixed-methods approach, is unusual in evaluations of this nature. The study’s conclusions are not so original but their value lies in largely confirming and reinforcing the findings from other studies. It perhaps goes further in stressing the impact of politics on health policy and the negative consequences of constant organisational change on attempts to achieve deep change in the way the NHS is organised and led.

Following publication of a new vision for the English National Health Service (NHS) in 2014, known as the NHS Five-Year Forward View, a Vanguard programme was introduced by NHS England charged with the task of designing and delivering a range of new care models (NCMs) aimed at tackling deep-seated problems of a type facing all health systems to a greater or lesser degree. Drawing upon recent theoretical developments on the multilevel nature of context, we explore factors shaping the implementation of five NCM initiatives in the North East of England.

Data collection was based on semi-structured interviews (66 in total) between December 2016 and May 2017 with key informants at each site and a detailed review of Trusts' internal documents and policies related to the implementation of each NCM. Our analysis explores factors shaping the implementation of five NCM pilot sites as they touched on the multiple levels of context ranging from the macro policy level to the micro-level setting of workforce redesign.

It is far too early to conclude with any confidence that a successful outcome for the NCM programme will be forthcoming although the NHS Long-Term Plan seeks to build on the earlier vision set out in the Five-Year Forward View. Early indications show some signs of promise, especially where there is evidence of the ground having been prepared and changes already being put in place prior to the official launch of NCM initiatives. At the same time our findings demonstrate that all five pilot sites experienced, and were subject to, unrealistic pressure placed upon them to deliver outcomes.

Our findings demonstrate the need for a deeper understanding of the multilevel nature of context by exploring factors shaping the implementation of five NCMs in the North East of England. Exploring the wider national policy context is desirable as well as understanding the perceptions of front-line staff and service users in order to establish the degree of alignment or, conversely, to identify where policy and practice are at risk of pushing and pulling against each other.

Looks at the 2000 Employment Research Unit Annual Conference held at the University of Cardiff in Wales on 6/7 September 2000. Spotlights the 76 or so presentations within and shows that these are in many, differing, areas across management research from: retail finance; precarious jobs and decisions; methodological lessons from feminism; call centre experience and disability discrimination. These and all points east and west are covered and laid out in a simple, abstract style, including, where applicable, references, endnotes and bibliography in an easy‐to‐follow manner. Summarizes each paper and also gives conclusions where needed, in a comfortable modern format.

The purpose of this paper is to explore how gendered wine-drinker identities are constructed through stories of wine consumption in Kenya.

The data comes from a corpus of 19 in-depth semi-structured interviews collected in Nairobi, Kenya. Taking a narrative approach, this paper uses positioning theory as a fine-grained linguistic methodological tool to analyze stories of gendered wine consumption.

A key finding of the study is that wine consumption can enact, and be enacted by, wider normative societal gendered discourses of what men and women should and, should not, be drinking. In short, in some societies (Kenya being an example here) men drinking wine is subject to the normative gaze of their peers; and if men drink wine, they are not considered “real men.” This is so even when chatting up women, in which case male wine-drinkers are ascribed to the subordinate male identities of either the “new man” or the romantic man. However, male wine-drinkers can retain a real man identity if they are wealthy (and powerful) enough not to care what other men think.

The study provides new insights for targeting consumers in emerging export markets. Wine companies need to be aware that the purchase drivers in established markets may not be central to consumers in developing markets. In developing markets, wine consumption may be influenced by the normative gaze of peers which enacts, and is enacted by, societal gendered discourses. Crucially, a thorough understanding of consumer behavior leads to a more critical consideration for focused marketing strategies aimed at establishing relationships with customers in developing markets.

The study offers an original contribution to the barely existent body of knowledge on wine consumption in sub-Saharan Africa and gendered wine-drinking identity construction. Additionally, from a methodological perspective, no previous study on wine consumption has used a narrative identity approach to the fine-grained linguistic analysis of transcripts of stories elicited during research interviews.

The purpose of this paper is to investigate, through practices and capabilities, how entrepreneurs use microfinance in a context of serious constraints.

The chosen methodology for this paper is longitudinal. A three-and-a-half-year study was conducted to be able to capture the entrepreneurial journeys of ten entrepreneurs at a micro-level in the developing economy of Ghana. This was augmented by a further 15 interviews with entrepreneurs and loan officers. This data is used to develop a theoretical model of entrepreneurial practices in this context.

The paper identifies two distinct pathways for understanding the recursive nature of entrepreneurial practices. It highlights how entrepreneurs generate capabilities through microfinance resources through convergent or divergent venturing in response to the serious constraints they face. This is identified as a generative recursive mechanism for the process, representing the “chain of actions” and how entrepreneurs engage with their “settings” and “intended relations” in practice.

The research is limited by its focus on one nation in Sub-Saharan Africa and therefore how the findings may be transferred to other contexts.

The paper contributes to a practice approach in entrepreneurship by identifying how mechanisms of practice relate to entrepreneurial action in this context. It also provides an important contribution to discussion at the intersection of entrepreneurship and the capabilities approach by using Amartya Sen's concepts of process and opportunity freedom to understand practices.