DOE Office of Scientific and Technical Information (OSTI.GOV)
Leland, Robert W.
2017-03-01
I am pleased to present this summary of the FY17 Division 1000 Science and Technology Strategic Plan. As this plan represents a continuation of the work we started last year, the four strategic themes (Mission Engagement, Bold Outcomes, Collaborative Environment, and Safety Imperative) remain the same, along with many of the goals. You will see most of the changes in the actions listed for each goal: We completed some actions, modified others, and added a few new ones. As I’ve stated previously, this is not a strategy to be pursued in tension with the Laboratory strategic plan. The Division 1000more » strategic plan is intended to chart our course as we strive to contribute our very best in service of the greater Laboratory strategy. I welcome your feedback and look forward to our dialogue about these strategic themes. Please join me as we move forward to implement the plan in the coming months.« less
Chemical Safety for Sustainability: Research Action Plan
The Strategic Research Action Plan for EPA’s Chemical Safety for Sustainability research program presents the purpose, design and themes of the Agency’s research efforts to ensure safety in the design, manufacture and use of existing and future chemicals.
FY16 Strategic Themes White Paper.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Leland, Robert W.
The Science and Technology (S&T) Division 1000 Strategic Plan includes the Themes, Goals, and Actions for FY16. S&T will continue to support the Labs Strategic plan, Mission Areas and Program Management Units by focusing on four strategic themes that align with the targeted needs of the Labs. The themes presented in this plan are Mission Engagement, Bold Outcomes, Collaborative Environment, and the Safety Imperative. Collectively they emphasize diverse, collaborative teams and a self-reliant culture of safety that will deliver on our promise of exceptional service in the national interest like never before. Mission Engagement focuses on increasing collaboration at allmore » levels but with emphasis at the strategic level with mission efforts across the labs. Bold Outcomes seeks to increase the ability to take thoughtful risks with the goal of achieving transformative breakthroughs more frequently. Collaborative environment strives for a self-aware, collaborative working environment that bridges the many cultures of Sandia. Finally, Safety Imperative aims to minimize the risk of serious injury and to continuously strengthen the safety culture. Each of these themes is accompanied by a brief vision statement, several goals, and planned actions to support those goals throughout FY16 and leading into FY17.« less
Gould, D J; Hale, R; Waters, E; Allen, D
2016-12-01
All health workers should take responsibility for infection prevention and control (IPC). Recent reduction in key reported healthcare-associated infections in the UK is impressive, but the determinants of success are unknown. It is imperative to understand how IPC strategies operate as new challenges arise and threats of antimicrobial resistance increase. The authors undertook a retrospective, independent evaluation of an action plan to enhance IPC and 'ownership' (individual accountability) for IPC introduced throughout a healthcare organization. Twenty purposively selected informants were interviewed. Data were analysed inductively. Normalization Process Theory (NPT) was applied to interpret the findings and explain how the action plan was operating. Six themes emerged through inductive analysis. Theme 1: 'Ability to make sense of ownership' provided evidence of the first element of NPT (coherence). Regardless of occupational group or seniority, informants understood the importance of IPC ownership and described what it entailed. They identified three prerequisites: 'Always being vigilant' (Theme 2), 'Importance of access to information' (Theme 3) and 'Being able to learn together in a no-blame culture' (Theme 4). Data relating to each theme provided evidence of the other elements of NPT that are required to embed change: planning implementation (cognitive participation), undertaking the work necessary to achieve change (collective action), and reflection on what else is needed to promote change as part of continuous quality improvement (reflexive monitoring). Informants identified barriers (e.g. workload) and facilitators (clear lines of communication and expectations for IPC). Eighteen months after implementing the action plan incorporating IPC ownership, there was evidence of continuous service improvement and significant reduction in infection rates. Applying a theory that identifies factors that promote/inhibit routine incorporation ('normalization') of IPC into everyday health care can help explain the success of IPC initiatives and inform implementation. Copyright © 2016 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
Sharing international experiences in disasters: summary and action plan.
Andrews, R A; Austin, C; Brown, R; Chen, Y Z; Engindeniz, Z; Girouard, R; Leaman, P; Masellis, M; Nakayama, S; Polentsov, Y O; Suserud, B O
2001-01-01
The discussions in this theme provided an opportunity to share specific experiences with disasters that occurred outside of the Asia-Pacific Rim. Details of the methods used are provided in the preceding paper. The chairs moderated all presentations and produced a summary that was presented to an assembly of all of the delegates. Since the findings from the Theme 7 and Theme 3 groups were similar, the chairs of both groups presided over one workshop that resulted in the generation of a set of action plans that then were reported to the collective group of all delegates. The main points developed during the presentations and discussion included: (1) disaster response planning, (2) predetermined command and organizational structure, (3) rapid response capability, (4) mitigation, and (5) communications and alternatives. The action plans presented are in common with those presented by Theme 3, and include: (1) plan disaster responses including the different types, identification of hazards, training based on experiences, and provision of public education; (2) improving coordination and control; (3) maintaining communications assuming infrastructure breakdown; (4) maximizing mitigation through standardized evaluations, creation of a legal framework, and recognition of advocacy and public participation; and (5) providing resources and knowledge through access to existing therapies, using the media, and increasing decentralization of hospital inventories. Most of the problems that occurred outside the Asia-Pacific rim relative to disaster management are similar to those experienced within it. They should be addressed in common with the rest of the world.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Leland, Robert W.
2017-03-01
I am pleased to present this summary of the Division 1000 Science and Technology Strategic Plan. This plan was created with considerable participation from all levels of management in Division 1000, and is intended to chart our course as we strive to contribute our very best in service of the greater Laboratory strategy. The plan is characterized by four strategic themes: Mission Engagement, Bold Outcomes, Collaborative Environment, and the Safety Imperative. Each theme is accompanied by a brief vision statement, several goals, and planned actions to support those goals throughout FY16. I want to be clear that this is notmore » a strategy to be pursued in tension with the Laboratory strategic plan. Rather, it is intended to describe “how” we intend to show up for the “what” described in Sandia’s Strategic Plan. I welcome your feedback and look forward to our dialogue about these strategic themes. Please join me as we move forward to implement the plan in the coming year.« less
Sharing Pacific-Rim experiences in disasters: summary and action plan.
Arias, E H; Asai, Y; Chen, J C; Cheng, H K; Ishii, N; Kinugasa, T; Ko, P C; Koido, Y; Murayama, Y; Kwong, P W; Ukai, T
2001-01-01
The discussions in this theme provided an opportunity to address the unique hazards facing the Pacific Rim. Details of the methods used are provided in the preceding paper. The chairs moderated all presentations and produced a summary that was presented to an assembly of all of the delegates. Since the findings from the Theme 3 and Theme 7 groups were similar, the chairs of both groups presided over one workshop that resulted in the generation of a set of action plans that then were reported to the collective group of all delegates. The main points developed during the presentations and discussion included: (1) communication, (2) coordination, (3) advance planning and risk assessment, and (4) resources and knowledge. Action plans were summarized in the following ideas: (1) plan disaster responses including the different types, identification of hazards, focusing training based on experiences, and provision of public education; (2) improve coordination and control; (3) maintain communications, assuming infrastructure breakdown; (4) maximize mitigation through standardized evaluations, the creation of a legal framework, and recognition of advocacy and public participation; and (5) provide resources and knowledge through access to existing therapies, the media, and increasing and decentralizing hospital inventories. The problems in the Asia-Pacific rim are little different from those encountered elsewhere in the world. They should be addressed in common with the rest of the world.
Leach, Matthew J; Canaway, Rachel; Hunter, Jennifer
2018-05-01
To develop a policy, practice, education and research agenda for evidence-based practice (EBP) in traditional and complementary medicine (T&CM). The study was a secondary analysis of qualitative data, using the method of roundtable discussion. The sample comprised seventeen experts in EBP and T&CM. The discussion was audio-recorded, and the transcript analysed using thematic analysis. Four central themes emerged from the data; understanding evidence and EBP, drivers of change, interpersonal interaction, and moving forward. Captured within these themes were fifteen sub-themes. These themes/sub-themes translated into three broad calls to action: (1) defining terminology, (2) defining the EBP approach, and (3) fostering social movement. These calls to action formed the framework of the agenda. This analysis presents a potential framework for an agenda to improve EBP implementation in T&CM. The fundamental elements of this action plan seek clarification, leadership and unification on the issue of EBP in T&CM. Copyright © 2018 Elsevier Ltd. All rights reserved.
Frame Play in Early Childhood Education.
ERIC Educational Resources Information Center
Brostrom, Stig
1998-01-01
Describes frame play as a type of play in which children and teacher jointly plan the theme, roles, and actions and produce an extended imaginary play situation that can be repeated. Presents other types of play and discusses teachers' role in supporting theme development, resource organization, and environment transformation. Analyzes frame play…
DOE Office of Scientific and Technical Information (OSTI.GOV)
Benioff, R.; Ness, E.; Hirst, J.
Under its Support for National Action Plans (SNAP) initiative, the U.S. Country Studies Program is providing financial and technical assistance to 18 countries for the development of climate change action plans. Although most of the countries have not yet completed their plans, the important lessons learned thus far are valuable and should be shared with other countries and international institutions that have an interest in the process of action plan development. This interim report describes the experience of 11 countries that are the furthest along in their planning activity and who have offered to share their results to date withmore » the larger community of interested nations. These action plans delineate specific mitigation and adaptation measures that the countries will implement and integrate into their ongoing development programs. This report focuses on the measures the countries have selected and the methods they used to prepare their action plans. This executive summary presents key lessons and common themes using a structure similar to that used in the individual country chapters.« less
Integrated Bird Conservation along the Pacific Coast of North America: An Action Agenda
Gregg Elliott; Bob Altman; Wendy Easton; Ricardo Estrella; Geoffrey Geupel; Mary Chase; Ellie Cohen; Ann Chrisney
2005-01-01
Scientists and managers representing the continental bird conservation plans explored the status of conservation planning and implementation for birds along the Pacific coast of North America. The theme of the session, "using common currencies to advance bird conservation," emphasized the components of bird conservation shared among the major initiatives,...
Chemical Safety for Sustainability Research Action Plan 2012-2016
EPA’s Chemical Safety for Sustainability (CSS) research program presents the purpose, design and themes of the Agency’s CSS research efforts to ensure safety in the design, manufacture and use of existing and future chemicals
White, Jane H; Kudless, Mary
2008-10-01
Leaders in this community mental health system approached the problem of job frustration, morale issues, and turnover concerns of their Community Mental Health Nurses (CMHNs) by designing a qualitative study using Participant Action Research (PAR) methodology based on the philosophy of Habermas. Six focus groups were conducted to address the nurses' concerns. The themes of Valuing Autonomy, Struggling for an Identity and Collective Voice, and Seeking Role Recognition best explained the participants' concerns. The study concluded with an action plan, the implementation of the plan, and a discussion of the plan's final outcomes.
Wegener, Jessica; Raine, Kim D; Hanning, Rhona M
2012-11-12
Government actors have an important role to play in creating healthy public policies and supportive environments to facilitate access to safe, affordable, nutritious food. The purpose of this research was to examine Waterloo Region (Ontario, Canada) as a case study for "what works" with respect to facilitating access to healthy, local food through regional food system policy making. Policy and planning approaches were explored through multi-sectoral perspectives of: (a) the development and adoption of food policies as part of the comprehensive planning process; (b) barriers to food system planning; and (c) the role and motivation of the Region's public health and planning departments in food system policy making. Forty-seven in-depth interviews with decision makers, experts in public health and planning, and local food system stakeholders provided rich insight into strategic government actions, as well as the local and historical context within which food system policies were developed. Grounded theory methods were used to identify key overarching themes including: "strategic positioning", "partnerships" and "knowledge transfer" and related sub-themes ("aligned agendas", "issue framing", "visioning" and "legitimacy"). A conceptual framework to illustrate the process and features of food system policy making is presented and can be used as a starting point to engage multi-sectoral stakeholders in plans and actions to facilitate access to healthy food.
O'Shanahan Juan, José Joaquín; Hernández Rodríguez, Miguel Ángel; Del Otero Sanz, Laura; Henríquez Suárez, José Andrés; Mahtani Chugani, Vinita
The need for new approaches to strategic planning by incorporating the perspectives of professionals and inhabitants has led to a new model for the 3rd Canary Islands (Spain) Health Plan (IIIPSC). A dual-phase participatory process using qualitative techniques is proposed: 1) local phase: a quantitative and qualitative study based on training and a research-action-participation initiative; and 2) insular phase: health conferences with face-to-face discussion of results in each health area (island) and proposals for action. The process prioritises problems and establishes a specific action plan for each island through initiatives that are considered to be viable, grouped by themes and weighted according to the potential impact on priority problems. This process of interaction may help to guide planning model changes and health policy decision-making, and was included in the IIIPSC Project for its parliamentary procedure. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.
Beyond the genomics blueprint: the 4th Human Variome Project Meeting, UNESCO, Paris, 2012.
Kohonen-Corish, Maija R J; Smith, Timothy D; Robinson, Helen M
2013-07-01
The 4th Biennial Meeting of the Human Variome Project Consortium was held at the headquarters of the United Nations Educational, Scientific and Cultural Organization (UNESCO) in Paris, 11-15 June 2012. The Human Variome Project, a nongovernmental organization and an official partner of UNESCO, enables the routine collection, curation, interpretation, and sharing of information on all human genetic variation. This meeting was attended by more than 180 delegates from 39 countries and continued the theme of addressing issues of implementation in this unique project. The meeting was structured around the four main themes of the Human Variome Project strategic plan, "Project Roadmap 2012-2016": setting normative function, behaving ethically, sharing knowledge, and building capacity. During the meeting, the members held extensive discussions to formulate an action plan in the key areas of the Human Variome Project. The actions agreed on were promulgated at the Project's two Advisory Council and Scientific Advisory Committee postconference meetings.
Gilburt, Helen; Slade, Mike; Bird, Victoria; Oduola, Sheri; Craig, Tom K J
2013-06-13
Recovery has become an increasingly prominent concept in mental health policy internationally. However, there is a lack of guidance regarding organisational transformation towards a recovery orientation. This study evaluated the implementation of recovery-orientated practice through training across a system of mental health services. The intervention comprised four full-day workshops and an in-team half-day session on supporting recovery. It was offered to 383 staff in 22 multidisciplinary community and rehabilitation teams providing mental health services across two contiguous regions. A quasi-experimental design was used for evaluation, comparing behavioural intent with staff from a third contiguous region. Behavioural intent was rated by coding points of action on the care plans of a random sample of 700 patients (400 intervention, 300 control), before and three months after the intervention. Action points were coded for (a) focus of action, using predetermined categories of care; and (b) responsibility for action. Qualitative inquiry was used to explore staff understanding of recovery, implementation in services and the wider system, and the perceived impact of the intervention. Semi-structured interviews were conducted with 16 intervention group team leaders post-training and an inductive thematic analysis undertaken. A total of 342 (89%) staff received the intervention. Care plans of patients in the intervention group had significantly more changes with evidence of change in the content of patient's care plans (OR 10.94. 95% CI 7.01-17.07) and the attributed responsibility for the actions detailed (OR 2.95, 95% CI 1.68-5.18). Nine themes emerged from the qualitative analysis split into two superordinate categories. 'Recovery, individual and practice', describes the perception and provision of recovery orientated care by individuals and at a team level. It includes themes on care provision, the role of hope, language of recovery, ownership and multidisciplinarity. 'Systemic implementation', describes organizational implementation and includes themes on hierarchy and role definition, training approaches, measures of recovery and resources. Training can provide an important mechanism for instigating change in promoting recovery-orientated practice. However, the challenge of systemically implementing recovery approaches requires further consideration of the conceptual elements of recovery, its measurement, and maximising and demonstrating organizational commitment.
Wegener, Jessica; Raine, Kim D.; Hanning, Rhona M.
2012-01-01
Government actors have an important role to play in creating healthy public policies and supportive environments to facilitate access to safe, affordable, nutritious food. The purpose of this research was to examine Waterloo Region (Ontario, Canada) as a case study for “what works” with respect to facilitating access to healthy, local food through regional food system policy making. Policy and planning approaches were explored through multi-sectoral perspectives of: (a) the development and adoption of food policies as part of the comprehensive planning process; (b) barriers to food system planning; and (c) the role and motivation of the Region’s public health and planning departments in food system policy making. Forty-seven in-depth interviews with decision makers, experts in public health and planning, and local food system stakeholders provided rich insight into strategic government actions, as well as the local and historical context within which food system policies were developed. Grounded theory methods were used to identify key overarching themes including: “strategic positioning”, “partnerships” and “knowledge transfer” and related sub-themes (“aligned agendas”, “issue framing”, “visioning” and “legitimacy”). A conceptual framework to illustrate the process and features of food system policy making is presented and can be used as a starting point to engage multi-sectoral stakeholders in plans and actions to facilitate access to healthy food. PMID:23202834
Satisfaction Analysis of Experiential Learning-Based Popular Science Education
ERIC Educational Resources Information Center
Dzan, Wei-Yuan; Tsai, Huei-Yin; Lou, Shi-Jer; Shih, Ru-Chu
2015-01-01
This study employed Kolb's experiential learning model-specific experiences, observations of reflections, abstract conceptualization, and experiment-action in activities to serve as the theoretical basis for popular science education planning. It designed the six activity themes of "Knowledge of the Ocean, Easy to Know, See the Large from the…
From Planning to Action: Government Initiatives for Improving School-Level Practice.
ERIC Educational Resources Information Center
Chapman, David W., Ed.; Mahlck, Lars O., Ed.; Smulders, Anna E. M., Ed.
This work examines ways central and regional education ministries can influence practices at the school level. Chapter 1, "Changing What Happens in Schools: Central-Level Initiatives to Improve School Practice," reviews common themes, concerns, problems, and emphases. Chapter 2, "Knowledge Utilization and the Process of Policy…
Fazli, Ghazal S; Creatore, Maria I; Matheson, Flora I; Guilcher, Sara; Kaufman-Shriqui, Vered; Manson, Heather; Johns, Ashley; Booth, Gillian L
2017-01-03
In recent years, obesity-related diseases have been on the rise globally resulting in major challenges for health systems and society as a whole. Emerging research in population health suggests that interventions targeting the built environment may help reduce the burden of obesity and type 2 diabetes. However, translation of the evidence on the built environment into effective policy and planning changes requires engagement and collaboration between multiple sectors and government agencies for designing neighborhoods that are more conducive to healthy and active living. In this study, we identified knowledge gaps and other barriers to evidence-based decision-making and policy development related to the built environment; as well as the infrastructure, processes, and mechanisms needed to drive policy changes in this area. We conducted a qualitative thematic analysis of data collected through consultations with a broad group of stakeholders (N = 42) from Southern Ontario, Canada, within various sectors (public health, urban planning, and transportation) and levels of government (federal, provincial, and municipalities). Relevant themes were classified based on the specific phase of the knowledge-to-action cycle (research, translation, and implementation) in which they were most closely aligned. We identified 5 themes including: 1) the need for policy-informed and actionable research (e.g. health economic analyses and policy evaluations); 2) impactful messaging that targets all relevant sectors to create the political will necessary to drive policy change; 3) common measures and tools to increase capacity for monitoring and surveillance of built environment changes; (4) intersectoral collaboration and alignment within and between levels of government to enable collective actions and provide mechanisms for sharing of resources and expertise, (5) aligning public and private sector priorities to generate public demand and support for community action; and, (6) solution-focused implementation of research that will be tailored to meet the needs of policymakers and planners. Additional research priorities and key policy and planning actions were also noted. Our research highlights the necessity of involving stakeholders in identifying inter-sectoral solutions to develop and translate actionable research on the built environment into effective policy and planning initiatives.
Dean, Elizabeth; de Andrade, Armele Dornelas; O'Donoghue, Grainne; Skinner, Margot; Umereh, Gloria; Beenen, Paul; Cleaver, Shaun; Afzalzada, DelAfroze; Delaune, Mary Fran; Footer, Cheryl; Gannotti, Mary; Gappmaier, Ed; Figl-Hertlein, Astrid; Henderson, Bobbie; Hudson, Megan K; Spiteri, Karl; King, Judy; Klug, Jerry L; Laakso, E-Liisa; LaPier, Tanya; Lomi, Constantina; Maart, Soraya; Matereke, Noel; Meyer, Erna Rosenlund; M'kumbuzi, Vyvienne R P; Mostert-Wentzel, Karien; Myezwa, Hellen; Olsén, Monika Fagevik; Peterson, Cathy; Pétursdóttir, Unnur; Robinson, Jan; Sangroula, Kanchan; Stensdotter, Ann-Katrin; Tan, Bee Yee; Tschoepe, Barbara A; Bruno, Selma; Mathur, Sunita; Wong, Wai Pong
2014-05-01
Based on indicators that emerged from The First Physical Therapy Summit on Global Health (2007), the Second Summit (2011) identified themes to inform a global physical therapy action plan to integrate health promotion into practice across the World Confederation for Physical Therapy (WCPT) regions. Working questions were: (1) how well is health promotion implemented within physical therapy practice; and (2) how might this be improved across five target audiences (i.e. physical therapist practitioners, educators, researchers, professional body representatives, and government liaisons/consultants). In structured facilitated sessions, Summit representatives (n = 32) discussed: (1) within WCPT regions, what is working and the challenges; and (2) across WCPT regions, what are potential directions using World Café(TM) methodology. Commonalities outweighed differences with respect to strategies to advance health-focused physical therapy as a clinical competency across regions and within target audiences. Participants agreed that health-focused practice is a professional priority, and a strategic action plan was needed to develop it as a clinical competency. The action plan and recommendations largely paralleled the principles and objectives of the World Health Organization's non-communicable diseases action plan. A third Summit planned for 2015 will provide a mechanism for follow-up to evaluate progress in integrating health-focused physical therapy within the profession.
Wagner, Frank; Steefel, Lorraine
The purpose of this study was to explore the beliefs regarding asthma management and Asthma Action Plans (AAPs) of African American caregivers residing in three New Jersey public housing communities in Newark, New Jersey. A qualitative methods design was accomplished using semi-structured interviews with a purposive sample of nine African American caregivers of children with asthma. Information was coded using N'VIVO™; the textual analysis combined codes into categories, which were then assembled into themes. Self-determination was found to be a fundamental goal of asthma management; however, three themes emerged as barriers and facilitators to this goal: challenges in the urban environment, preference of familial methods, and access to medical care. Findings from this study regarding minority caregivers' beliefs regarding difficulty navigating the health care system coupled with insurance instability, leading to use of Emergency Departments, are consistent with past research. Although caregivers expressed belief in use of prescribed medications as indicated on AAPs, familial methods, found to provide a sense of control over asthma, were preferred. Copyright © 2017 Elsevier Inc. All rights reserved.
Artificial Intelligence Research Branch future plans
NASA Technical Reports Server (NTRS)
Stewart, Helen (Editor)
1992-01-01
This report contains information on the activities of the Artificial Intelligence Research Branch (FIA) at NASA Ames Research Center (ARC) in 1992, as well as planned work in 1993. These activities span a range from basic scientific research through engineering development to fielded NASA applications, particularly those applications that are enabled by basic research carried out in FIA. Work is conducted in-house and through collaborative partners in academia and industry. All of our work has research themes with a dual commitment to technical excellence and applicability to NASA short, medium, and long-term problems. FIA acts as the Agency's lead organization for research aspects of artificial intelligence, working closely with a second research laboratory at the Jet Propulsion Laboratory (JPL) and AI applications groups throughout all NASA centers. This report is organized along three major research themes: (1) Planning and Scheduling: deciding on a sequence of actions to achieve a set of complex goals and determining when to execute those actions and how to allocate resources to carry them out; (2) Machine Learning: techniques for forming theories about natural and man-made phenomena; and for improving the problem-solving performance of computational systems over time; and (3) Research on the acquisition, representation, and utilization of knowledge in support of diagnosis design of engineered systems and analysis of actual systems.
Daivadanam, Meena; Wahlström, Rolf; Ravindran, T K Sundari; Thankappan, K R; Ramanathan, Mala
2014-06-09
Interventions having a strong theoretical basis are more efficacious, providing a strong argument for incorporating theory into intervention planning. The objective of this study was to develop a conceptual model to facilitate the planning of dietary intervention strategies at the household level in rural Kerala. Three focus group discussions and 17 individual interviews were conducted among men and women, aged between 23 and 75 years. An interview guide facilitated the process to understand: 1) feasibility and acceptability of a proposed dietary behaviour change intervention; 2) beliefs about foods, particularly fruits and vegetables; 3) decision-making in households with reference to food choices and access; and 4) to gain insights into the kind of intervention strategies that may be practical at community and household level. The data were analysed using a modified form of qualitative framework analysis, which combined both deductive and inductive reasoning. A priori themes were identified from relevant behaviour change theories using construct definitions, and used to index the meaning units identified from the primary qualitative data. In addition, new themes emerging from the data were included. The associations between the themes were mapped into four main factors and its components, which contributed to construction of the conceptual model. Thirteen of the a priori themes from three behaviour change theories (Trans-theoretical model, Health Belief model and Theory of Planned Behaviour) were confirmed or slightly modified, while four new themes emerged from the data. The conceptual model had four main factors and its components: impact factors (decisional balance, risk perception, attitude); change processes (action-oriented, cognitive); background factors (personal modifiers, societal norms); and overarching factors (accessibility, perceived needs and preferences), built around a three-stage change spiral (pre-contemplation, intention, action). Decisional balance was the strongest in terms of impacting the process of behaviour change, while household efficacy and perceived household cooperation were identified as 'markers' for stages-of-change at the household level. This type of framework analysis made it possible to develop a conceptual model that could facilitate the design of intervention strategies to aid a household-level dietary behaviour change process.
2014-01-01
Background Interventions having a strong theoretical basis are more efficacious, providing a strong argument for incorporating theory into intervention planning. The objective of this study was to develop a conceptual model to facilitate the planning of dietary intervention strategies at the household level in rural Kerala. Methods Three focus group discussions and 17 individual interviews were conducted among men and women, aged between 23 and 75 years. An interview guide facilitated the process to understand: 1) feasibility and acceptability of a proposed dietary behaviour change intervention; 2) beliefs about foods, particularly fruits and vegetables; 3) decision-making in households with reference to food choices and access; and 4) to gain insights into the kind of intervention strategies that may be practical at community and household level. The data were analysed using a modified form of qualitative framework analysis, which combined both deductive and inductive reasoning. A priori themes were identified from relevant behaviour change theories using construct definitions, and used to index the meaning units identified from the primary qualitative data. In addition, new themes emerging from the data were included. The associations between the themes were mapped into four main factors and its components, which contributed to construction of the conceptual model. Results Thirteen of the a priori themes from three behaviour change theories (Trans-theoretical model, Health Belief model and Theory of Planned Behaviour) were confirmed or slightly modified, while four new themes emerged from the data. The conceptual model had four main factors and its components: impact factors (decisional balance, risk perception, attitude); change processes (action-oriented, cognitive); background factors (personal modifiers, societal norms); and overarching factors (accessibility, perceived needs and preferences), built around a three-stage change spiral (pre-contemplation, intention, action). Decisional balance was the strongest in terms of impacting the process of behaviour change, while household efficacy and perceived household cooperation were identified as ‘markers’ for stages-of-change at the household level. Conclusions This type of framework analysis made it possible to develop a conceptual model that could facilitate the design of intervention strategies to aid a household-level dietary behaviour change process. PMID:24912496
The World Health Assembly resolution on antimicrobial resistance.
Shallcross, Laura J; Davies, Sally C
2014-11-01
Antimicrobial resistance is a global problem that can only be tackled successfully through strengthened international partnerships. A concerted political, scientific and media campaign has garnered support for the recent World Health Assembly resolution on antimicrobial resistance, mandating the WHO to develop a global action plan. This resolution has the 'One Health' approach at its core, emphasizing collaboration across human and animal health sectors at the international, national and regional levels, coupled with strong leadership and the political will to act. Key themes are communication, prevention of infection, using knowledge to guide action, sustainability and optimizing the use of antimicrobial medicines and diagnostic devices. Implementation of the global action plan will require member states to make a commitment to developing national action plans and strengthening capacity, building on collaborations between the WHO, the World Organisation for Animal Health, the World Bank, Codex Alimentarius and the Transatlantic Task Force on Antimicrobial Resistance. © The Author 2014. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.
A community practitioner abroad: listening to women in Dailekh, Nepal.
Nixon, Catherine
2015-07-01
Nepal is one of the poorest countries in the world, and has a strongly patriarchal culture. This study reports on methods used to explore women's opportunities in decision-making roles in Dailekh, Nepal. Action-based research was used to support women to identify barriers and to enable them to find solutions which could increase meaningful, practical and genuine representation. Participants were women in nominal positions of leadership in the community and subsequently also men in leadership roles. Focus groups and interviews enabled data to be collected and analysed using participatory and 'rich picture' tools. A five-stage framework approach was used to analyse data. A major theme of 'power' emerged comprised of supporting themes; 'place in society 'formal power,' informal power and 'voice'. These outcomes formed the basis for identifying viable action plans generated by the participants of both genders to promote meaningful involvement of women in community decision making. Women were clear that involving men and women in the actions was key to increasing success.
ERIC Educational Resources Information Center
Peyton, Patricia, Ed.; Schreiber, Sharon, Ed.
The annual meeting of the Sea Grant Association provides a forum for exchanging information on projects and planning among Sea Grant personnel and representatives of government, industry, and the public. Adhering to the 1974 conference theme, Sea Grant - An Action Catalyst, speakers discussed ways the Sea Grant program identifies marine resource…
"We Are Wyoming": An Arts Integrated Teaching and Inquiry Project
ERIC Educational Resources Information Center
Trent, Allen; Moran, Peter
2018-01-01
This article is about a year-long teaching and research project conducted with 696 4th graders (mostly 10-year olds) and their 36 teachers in Wyoming/USA. The researchers employed an action research approach. They planned and taught a two-day, Wyoming-themed, interdisciplinary unit, "We Are Wyoming", which integrated Social Studies,…
Parental Perspectives of Communication at the End of Life at a Pediatric Oncology Institution.
Snaman, Jennifer M; Torres, Carlos; Duffy, Brian; Levine, Deena R; Gibson, Deborah V; Baker, Justin N
2016-03-01
The interaction of health care providers and hospital staff with patients and families at the end of life affects the parental grief experience. Both verbal and nonverbal communication are key components of this interaction. The study objective was to explore the communication between hospital staff members and patients and families at the time of patients' health decline near the end of life. Twelve bereaved parents participated in a focus group. Semantic content analysis was used to analyze the transcript. Parents' responses to the prompt about typical ways the medical team communicated yielded 109 codes, which were grouped into 12 themes. The most common themes were "patient inclusion" and "explanation of medical plan," both used in 17% of responses. Responses to the prompt about positive and negative aspects of communication generated 208 codes, yielding 15 different themes. The most common theme about positive communication was the "strong relationship between family and staff." The theme "variations in care with a negative impact" was used most frequently in describing negative communication. This study helps to identify techniques that should be used by clinicians as they work with children with cancer and their families, particularly including patients in treatment decisions, ongoing relationship building, communicating with caring and empathy, using an interdisciplinary team for additional support, and pairing bad news with a plan of action.
NASA Technical Reports Server (NTRS)
1990-01-01
A strategic plan for the U.S. space science and applications program during the next 5 to 10 years was developed and published in 1988. Based on the strategies developed by the advisory committees of both the National Academy of Science and NASA, the plan balances major, moderate, and small mission initiatives, the utilization of the Space Station Freedom, and the requirements for a vital research base. The Office of Space Science and Applications (OSSA) strategic plan is constructed around five actions: establish a set of programmatic themes; establish a set of decision rules; establish a set of priorities for missions and programs within each theme; demonstrate that the strategy will yield a viable program; and check the strategy for consistency within resource constraints. The OSSA plan is revised annually. This OSSA 1990 Strategic Plan refines the 1989 Plan and represents OSSA's initial plan for fulfilling its responsibilities in two major national initiatives. The Plan is now built on interrelated, complementary strategies for the core space science and applications program, for the U.S. Global Change Research Program, and for the Space Exploration Initiative. The challenge is to make sure that the current level of activity is sustained through the end of this century and into the next. The 1990 Plan presents OSSA's strategy to do this.
Nishtar, Sania; Ahmed, Ashfaq; Kazi, Yawar; Khan, Aslam; Mohamud, Khalif Bile
2004-12-01
The National Action Plan for Non-Communicable Disease Prevention, Control and Health Promotion in Pakistan (NAP-NCD) does not include surveillance of Chronic Respiratory Diseases (CRDs) into the integrated NCD surveillance model due to issues with assessing the magnitude of the burden of CRD in general and chronic obstructive pulmonary disease (COPD) in particular, within populations. Tobacco has been used as a proxy for the magnitude of COPD in the population. However, it stresses on the need to develop acceptable criteria for the diagnosis of CRDs and methodologies to monitor CRDs. The CRD component of the NAP-NCD integrates prevention of CRDs with a comprehensive NCD prevention and control framework with specific emphasis on tobacco as a cross-cutting theme. It prioritizes the examination of trends in outdoor air pollution levels and their determinants in order to develop appropriate public health interventions. Other priority areas include research to quantify the magnitude and determinants of chronic lung diseases attributable to indoor air pollution both in the rural and urban areas; the development of appropriate public health strategies to reduce risks in such settings and the integration of guidance on CRD prevention with an NCD behaviour change communication strategy. The cross-cutting theme of environmental pollution and occupational exposure to toxins develops common action areas for CRD and cancer prevention.
Education issues in disaster medicine: summary and action plan.
Armour, S J; Bastone, P; Birnbaum, M; Garrett, C; Greenough, P G; Manni, C; Ninomiya, N; Renderos, J; Rottman, S; Sahni, P; Shih, C L; Siegel, D; Younggren, B
2001-01-01
Change must begin with education. Theme 8 explored issues that need attention in Disaster Medicine education. Details of the methods used are provided in the introductory paper. The chairs moderated all presentations and produced a summary that was presented to an assembly of all of the delegates. The chairs then presided over a workshop that resulted in the generation of a set of action plans that then were reported to the collective group of all delegates. Main points developed during the presentations and discussion included: (1) formal education, (2) standardized definitions, (3) integration, (4) evaluation of programs and interventions, (5) international cooperation, (6) identifying the psychosocial consequences of disaster, (7) meaningful research, and (8) hazard, impact, risk and vulnerability analysis. Three main components of the action plans were identified as evaluation, research, and education. The action plans recommended that: (1) education on disasters should be formalized, (2) evaluation of education and interventions must be improved, and (3) meaningful research should be promulgated and published for use at multiple levels and that applied research techniques be the subject of future conferences. The one unanimous conclusion was that we need more and better education on the disaster phenomenon, both in its impacts and in our response to them. Such education must be increasingly evidence-based.
New graduate transition to practice: how can the literature inform support strategies?
Moores, Alis; Fitzgerald, Cate
2017-07-01
Objective The transition to practice for new graduate health professionals has been identified as challenging, with health services typically adopting a range of support and management strategies to assist safe professional practice. Queensland's state-wide Occupational Therapy Clinical Education Program supporting new graduates within public sector health facilities conducted a narrative literature review to identify evidence-based recommended actions that would assist new graduate occupational therapists' to transition from student to practitioner. Method Searches of Medline, CINAHL and PubMed databases were used to locate articles describing or evaluating occupational therapy new graduate support actions. Results The themes of supervision, support and education emerged from the literature. Additionally, four interactions were identified as factors potentially influencing and being influenced by the processes and outcomes of supervision, support and education actions. The interactions identified were professional reasoning, professional identity, an active approach to learning and reflective practice. Conclusions The interactions emerging from the literature will serve to inform the delivery and focus of supervision, support and education for new graduate occupational therapists as they transition to practice. The results may have application for other health professions. What is known about the topic? The transition to practice for new graduate occupational therapists has been reported as challenging with health services implementing various actions to support and assist this transition. A previous literature review of recommended support strategies could not be found providing an impetus for this enquiry. What does this paper add? This narrative literature review identified three themes of actions supporting the transition of new graduates from student to practitioner. In addition to these themes of supervision, support and education, also emerging from the literature were factors identified as important to facilitating the transition of new graduates to the workplace. These factors, or interactions, are identified in this paper as professional reasoning, professional identity, an active approach to learning, and reflective practice. It is proposed that these interactions have an effect on and can be effected by supervision, support and education actions. The articulation between the interactions and the themes was a notable outcome emerging from this literature review. What are the implications for practitioners? This literature review will assist those planning actions to guide new graduates' transition into practice. It is proposed that the methods of implementing supervision, support and education actions are optimised by the identified interactions.
Service-Based Learning for Residents: A Success for Communities and Medical Education.
Gefter, Liana; Merrell, Sylvia Bereknyei; Rosas, Lisa G; Morioka-Douglas, Nancy; Rodriguez, Eunice
2015-01-01
Community-based service-learning opportunities could support residents' acquisition of Accreditation Council for Graduate Medical Education (ACGME) competencies, but this concept has not been tested, and such programs are difficult to find. The objective of this work was to assess the value and the ACGME competency relevance of a service-learning program for residents that could be easily replicated nationally. Forty-one family medicine residents from three training programs participated in the Stanford Youth Diabetes Coaches Program at six high schools in California and Georgia serving minority students of low socioeconomic status. Residents completed online surveys to provide qualitative feedback and assess the program's impact on their acquisition of residency program competencies and self-management support proficiencies, including prior use and planned use of action plans-a key self-management support strategy. Ninety-five percent of residents indicated that the program was a valuable experience that contributed to acquisition of residency program competencies, including interpersonal and communication skills and communication with teens. Compared with baseline, significantly more residents reported intention to use action plans with patients following participation. Themes from qualitative feedback included: valuing the overall experience, increasing opportunities to practice teaching, enhancing their ability to communicate with adolescents, contributing to the health of the community, recognizing the potential of action plans, and increasing intent to use action plans. This pilot demonstrated that a brief service-learning program can enhance standard residency curriculum by encouraging acquisition of ACGME competencies and promoting utilization of self-management support in clinical practice.
Survivors Perceptions of Recovery following Air Medical Transport Accidents.
Jaynes, Cathy L; Valdez, Anna; Hamilton, Megan; Haugen, Krista; Henry, Colin; Jones, Pat; Werman, Howard A; White, Lynn J
2015-01-01
Abstract Objective: Air medical transport (AMT) teams play an essential role in the care of the critically ill and injured. Their work, however, is not without risk. Since the inception of the industry numerous AMT accidents have been reported. The objective of this research is to gain a better understanding of the post-accident sequelae for professionals who have survived AMT accidents. The hope is that this understanding will empower the industry to better support survivors and plan for the contingencies of post-accident recovery. Methods: Qualitative methods were used to explore the experience of flight crew members who have survived an AMT accident. "Accident" was defined using criteria established by the National Transportation Safety Board. Traditional focus group methodology explored the survivors' experiences following the accident. Results: Seven survivors participated in the focus group. Content analysis revealed themes in four major domains that described the experience of survivors: Physical, Psychological, Relational and Financial. Across the themes survivors reported that industry and company response varied greatly, ranging from generous support, understanding and action to make safety improvements, to little response or action and lack of attention to survivor needs. Conclusion: Planning for AMT post-accident response was identified to be lacking in scope and quality. More focused efforts are needed to assist and support the survivors as they regain both their personal and professional lives following the accident. This planning should include all stakeholders in safe transport; the individual crewmember, air medical transport companies, and the industry at large.
Patients’ Experiences of Being a Burden on Family in Terminal Illness
Johnson, Julia Overturf; Sulmasy, Daniel P.; Nolan, Marie T.
2009-01-01
Studies of persons with chronic and life-threatening illness have revealed a fear of being a burden on family. The purpose of this case study was to explore that concern in-depth in three persons with different terminal illnesses. Participants were part of a larger study of end-of-life decision making and were selected for this study because their illnesses are characterized by a steady decline in health (amyotrophic lateral sclerosis), a rapid decline (stage IV lung cancer), or an uncertain trajectory of decline (advanced heart failure). Content analysis of their interviews resulted in four themes: managing the burden, spirituality, supportive relationships, and planning for the future. Themes contained specific categories of thoughts, feelings, and actions related to fear of being a burden. These themes should be explored in greater depth in future larger studies of persons with terminal illness. PMID:19183701
From conditional oughts to qualitative decision theory
NASA Technical Reports Server (NTRS)
Pearl, Judea
1994-01-01
The primary theme of this investigation is a decision theoretic account of conditional ought statements (e.g., 'You ought to do A, if C') that rectifies glaring deficiencies in classical deontic logic. The resulting account forms a sound basis for qualitative decision theory, thus providing a framework for qualitative planning under uncertainty. In particular, we show that adding causal relationships (in the form of a single graph) as part of an epistemic state is sufficient to facilitate the analysis of action sequences, their consequences, their interaction with observations, their expected utilities, and the synthesis of plans and strategies under uncertainty.
Qualitative Investigation of the Wellness Recovery Action Plan in a UK NHS Crisis Care Setting.
Ashman, Michael; Halliday, Vanessa; Cunnane, Joseph G
2017-07-01
Crisis theory suggests that in addition to presenting a threat to mental well-being, crises are also opportunities where successful interventions can lead to successful outcomes. UK mental health crisis teams aim to reduce hospital admission by treating people at home and by building resilience and supporting learning from crisis, yet data on repeat crisis episodes suggest this could be improved. This qualitative study sought to explore the Wellness Recovery Action Plan (WRAP) as a means of supporting resilience-building and maximising the opportunity potential of crisis. The following themes emerged: The meaning of crisis; Engaging with the WRAP process; WRAP and self-management; and Changes and transformations. This research suggests that WRAP has potential in supporting recovery from crisis, revealing insights into the nature of crisis which can inform the further development of crisis services.
Naccarella, Lucio; Buchan, James; Newton, Bill; Brooks, Peter
2011-08-01
To review international experience in order to inform Australian PHC workforce policy on the role of primary healthcare organisations (PHCOs/Medicare Locals) in PHC workforce planning. A NZ and UK study tour was conducted by the lead author, involving 29 key informant interviews with regard to PHCOs roles and the effect on PHC workforce planning. Interviews were audio-taped with consent, transcribed and analysed thematically. Emerging themes included: workforce planning is a complex, dynamic, iterative process and key criteria exist for doing workforce planning well; PHCOs lacked a PHC workforce policy framework to do workforce planning; PHCOs lacked authority, power and appropriate funding to do workforce planning; there is a need to align workforce planning with service planning; and a PHC Workforce Planning and Development Benchmarking Database is essential for local planning and evaluating workforce reforms. With the Australian government promoting the role of PHCOs in health system reform, reflections from abroad highlight the key action within PHC and PHCOs required to optimise PHC workforce planning.
[Between Puebla and Cairo Plus Five].
1998-03-01
The National Forum of Women and Population Policies was held in Puebla, Mexico, in January 1998 to assess achievements and lags in carrying out the Program of Action adopted at the International Conference on Population and Development in Cairo. The forum proposed diagnosing the current situation in order to compare existing realities with proposals contained in Mexico¿s National Population Program, the National Reproductive Health and Family Planning Program, and the Mexican program of the UN Population Fund. The lack of disaggregated information and of research, except for a handful of states with particularly grave demographic and reproductive health problems, were barriers to evaluation. It also appeared indispensable to analyze the situations of the nongovernmental organizations involved, and to define priorities among remaining tasks. Two achievements of the forum in Puebla were to reconstitute a coordinating body for follow-up of the Program of Action with a specific work plan, and to reinforce links and communication with state population councils and health institutions in order to facilitate implementation of the Program of Action. Among the 53 organizations represented at the Puebla Forum, 66% were involved in actions to fight poverty and 90% in actions to increase autonomy of women. 74% had ties to government agencies. The themes receiving most attention were sexuality and family planning, pregnancy and delivery, and HIV and other sexually transmitted diseases.
Chen, Zhenghao; Koh, Pang Wei; Ritter, Philip L; Lorig, Kate; Bantum, Erin O'Carroll; Saria, Suchi
2015-02-01
The Internet has been used extensively to offer health education content and also for social support. More recently, we have seen the advent of Internet-based health education interventions that combine content with structured social networking. In many ways this is the Internet equivalent to small group interventions. While we have some knowledge about the efficacy of these interventions, few studies have examined how participants engage with programs and how that might affect outcomes. This study seeks to explore (a) the content of posts and (b) the nature of participant engagement with an online, 6-week workshop for cancer survivors and how such engagement may affect health outcomes. Using methodologies related to computational linguistics (latent Dirichlet allocation) and more standard statistical approaches, we identified (a) discussion board themes; (b) the relationship between reading and posting messages and outcomes; (c) how making, completing, or not completing action plans is related to outcome; and (d) how self-tailoring relates to outcomes. When considering all posts, emotional support is a key theme. However, different sets of themes are expressed in the first workshop post where participants are asked to express their primary concern. Writing posts was related to improved outcomes, but reading posts was less important. Completing, but not merely making, action plans and self-tailoring are statistically associated with future positive health outcomes. The findings from these exploratory studies can be considered when shaping future electronically mediated social networking interventions. In addition, the methods used here can be used in analyzing other large electronically mediated social-networking interventions. © 2014 Society for Public Health Education.
Leal, Cristian Oliveira Benevides Sanches; Teixeira, Carmen Fontes de Souza
2017-10-01
This is a theoretical essay about the development of the concept of solidarity, a word used in the regulatory framework and in political proposals to reorient the Brazilian Unified Health System (SUS). The methodology consisted of mapping authors addressing human action aspects related to this theme from Durkheim's tradition, linking them to his followers, like Marcel Mauss and authors from the "anti-utilitarianism" movement in social sciences. Solidarity is one way to express a "gift" and appears as a multidimensional action, where duty and freedom, instrumental interest and disinterest interpose and interlace. The planning and execution of sanitary surveillance (VISA) actions requires comprehension of organizational forms and solidary relationship management among agents involved in health risk control, transcending the strongly normative aspect of the prevailing supervision actions. The development of associative actions involving sanitary surveillance professionals, economic agents and consumers, aiming to share the responsibilities in the health risk control of products, services and environments subjected to Sanitary Surveillance action is suggested.
Blickem, Christian; Kennedy, Anne; Jariwala, Praksha; Morris, Rebecca; Bowen, Robert; Vassilev, Ivaylo; Brooks, Helen; Blakeman, Tom; Rogers, Anne
2014-06-17
Recent initiatives to target the personal, social and clinical needs of people with long-term health conditions have had limited impact within primary care. Evidence of the importance of social networks to support people with long-term conditions points to the need for self-management approaches which align personal circumstances with valued activities. The Patient-Led Assessment for Network Support (PLANS) intervention is a needs-led assessment for patients to prioritise their health and social needs and provide access to local community services and activities. Exploring the work and practices of patients and telephone workers are important for understanding and evaluating the workability and implementation of new interventions. Qualitative methods (interviews, focus group, observations) were used to explore the experience of PLANS from the perspectives of participants and the telephone support workers who delivered it (as part of an RCT) and the reasons why the intervention worked or not. Normalisation Process Theory (NPT) was used as a sensitising tool to evaluate: the relevance of PLANS to patients (coherence); the processes of engagement (cognitive participation); the work done for PLANS to happen (collective action); the perceived benefits and costs of PLANS (reflexive monitoring). 20 patients in the intervention arm of a clinical trial were interviewed and their telephone support calls were recorded and a focus group with 3 telephone support workers was conducted. Analysis of the interviews, support calls and focus group identified three themes in relation to the delivery and experience of PLANS. These are: formulation of 'health' in the context of everyday life; trajectories and tipping points: disrupting everyday routines; precarious trust in networks. The relevance of these themes are considered using NPT constructs in terms of the work that is entailed in engaging with PLANS, taking action, and who is implicated this process. PLANS gives scope to align long-term condition management to everyday life priorities and valued aspects of life. This approach can improve engagement with health-relevant practices by situating them within everyday contexts. This has potential to increase utilisation of local resources with potential cost-saving benefits for the NHS. ISRCTN45433299.
Richardson, J; Kagawa, F; Nichols, A
2009-12-01
To review publicly available documents produced by primary care trusts (PCTs) to assess the extent to which local activity and planning consider energy vulnerability, climate change and sustainability. Retrospective thematic content analysis of publicly available materials located on PCT websites. Thematic content analysis of publicly available materials was undertaken by two researchers over a 6-month period in 2008. These materials were obtained from the websites of 30 PCTs in England. Materials included annual reports, plans, policies and strategy documents. Of the 30 PCT websites studied, four were found to have an absence of content related to climate change, energy vulnerability and sustainability. Of the remaining 26 PCT websites, consistent themes were found: strategic initiatives, joint working with other agencies, promoting sustainable communities, and targeted actions. Evidence of good examples in sustainable development was predominantly limited to policy statements and strategic aims; evidence of action was limited. As champions of the public health agenda, PCT action on sustainability should be integral to all aspects of organizational governance.
Lee, Alexandra; Mills, Peter D; Neily, Julia; Hemphill, Robin R
2014-06-01
Preventable adverse events are more likely to occur among older patients because of the clinical complexity of their care. The Veterans Health Administration (VHA) National Center for Patient Safety (NCPS) stores data about serious adverse events when a root cause analysis (RCA) has been performed. A primary objective of this study was to describe the types of adverse events occurring among older patients (age > or = 65 years) in Department of Veterans Affairs (VA) hospitals. Secondary objectives were to determine the underlying reasons for the occurrence of these events and report on effective action plans that have been implemented in VA hospitals. In a retrospective, cross-sectional review, RCA reports were reviewed and outcomes reported using descriptive statistics for all VA hospitals that conducted an RCA for a serious geriatric adverse event from January 2010 to January 2011 that resulted in sustained injury or death. The search produced 325 RCA reports on VA patients (age > or = 65 years). Falls (34.8%), delays in diagnosis and/or treatment (11.7%), unexpected death (9.9%), and medication errors (9.0%) were the most commonly reported adverse events among older VA patients. Communication was the most common underlying reason for these events, representing 43.9% of reported root causes. Approximately 40% of implemented action plans were judged by local staff to be effective. The RCA process identified falls and communication as important themes in serious adverse events. Concrete actions, such as process standardization and changes to communication, were reported by teams to yield some improvement. However, fewer than half of the action plans were reported to be effective. Further research is needed to guide development and implementation of effective action plans.
NASA Technical Reports Server (NTRS)
1991-01-01
In 1988, the Office of Space Science and Applications (OSSA) developed and published a Strategic Plan for the United States' space science and applications program during the next 5 to 10 years. The Plan presented the proposed OSSA program for the next fiscal year and defined a flexible process that provides the basis for near-term decisions on the allocation of resources and the planning of future efforts. Based on the strategies that have been developed by the advisory committees both of the National Academy of Sciences and of NASA, the Plan balances major, moderate, and small mission initiatives, the utilization of Space Station Freedom, and the requirements for a vital research base. The Plan can be adjusted to accommodate varying budget levels, both those levels that provide opportunities for an expanded science and applications program, and those that constrain growth. SSA's strategic planning is constructed around five actions: establish a set of programmatic themes; establish a set of decision rules; establish a set of priorities for missions and programs within each theme; demonstrate that the strategy can yield a viable program; and check the strategy for consistency with resource constraints. The outcome of this process is a clear, coherent strategy that meets both NASA's and OSSA's goals, that assures realism in long-range planning and advanced technology development, and that provides sufficient resiliency to respond and adapt to both known and unexpected internal and external realities. The OSSA Strategic Plan is revised annually to reflect the approval of new programs, improved understanding of requirements and issues, and any major changes in the circumstances, both within NASA and external to NASA, in which OSSA initiatives are considered.
Highlights of the Fourth Canadian Symposium on Hepatitis C: Moving towards a National Action Plan
Sagan, Selena M.; Dupont, Benoit; Grebely, Jason; Krajden, Mel; MacParland, Sonya A.; Raven, Jennifer F.; Saeed, Sahar; Feld, Jordan J.; Tyrrell, D. Lorne; Wilson, Joyce A.
2016-01-01
Hepatitis C virus (HCV) affects at least 268,000 Canadians and causes greater disease burden than any other infectious disease in the country. The Canadian Institutes of Health Research (CIHR) and the Public Health Agency of Canada (PHAC) have identified HCV-related liver disease as a priority. In 2015, the release of well-tolerated, short course treatments (~12 weeks) able to cure the majority of treated HCV patients revolutionized HCV therapy. However, treatment is extremely costly and puts a significant burden on the Canadian healthcare system. Thus, managing treatment costs and improving treatment engagement in those most in need will be a key challenge. Diagnosis and treatment uptake are currently poor in Canada due to financial, geographical, cultural, and social barriers. The United States, Australia, and Scotland all have National Action Plans to prevent, diagnose, and treat HCV in order to efficiently reduce the burden and costs associated with HCV-related liver disease. The theme of the 4th annual symposium held on Feb 27, 2015, “Strategies to Manage HCV Infection in Canada: Moving towards a National Action Plan,” was aimed at identifying strategies to maximize the impact of highly effective therapies to reduce HCV disease burden and ultimately eliminate HCV in Canada. PMID:27446849
Highlights of the Fourth Canadian Symposium on Hepatitis C: Moving towards a National Action Plan.
Sagan, Selena M; Dupont, Benoit; Grebely, Jason; Krajden, Mel; MacParland, Sonya A; Raven, Jennifer F; Saeed, Sahar; Feld, Jordan J; Tyrrell, D Lorne; Wilson, Joyce A
2016-01-01
Hepatitis C virus (HCV) affects at least 268,000 Canadians and causes greater disease burden than any other infectious disease in the country. The Canadian Institutes of Health Research (CIHR) and the Public Health Agency of Canada (PHAC) have identified HCV-related liver disease as a priority. In 2015, the release of well-tolerated, short course treatments (~12 weeks) able to cure the majority of treated HCV patients revolutionized HCV therapy. However, treatment is extremely costly and puts a significant burden on the Canadian healthcare system. Thus, managing treatment costs and improving treatment engagement in those most in need will be a key challenge. Diagnosis and treatment uptake are currently poor in Canada due to financial, geographical, cultural, and social barriers. The United States, Australia, and Scotland all have National Action Plans to prevent, diagnose, and treat HCV in order to efficiently reduce the burden and costs associated with HCV-related liver disease. The theme of the 4th annual symposium held on Feb 27, 2015, "Strategies to Manage HCV Infection in Canada: Moving towards a National Action Plan," was aimed at identifying strategies to maximize the impact of highly effective therapies to reduce HCV disease burden and ultimately eliminate HCV in Canada.
Henderson, E; Rubin, G
2014-03-01
(i) To explore dental, school and family perspectives of an oral health promotion (OHP) initiative to improve access for pre-school children in deprived communities; (ii) to develop a model of roles and responsibilities for OHP in community settings. Semi-structured focus groups (n = 6) with dental practice staff (n = 24), and semi-structured interviews with school staff (n = 9) and parents and children (n = 4) who were involved in an OHP initiative for pre-school children. Framework analysis was applied to identify themes. Themes were used to develop a model of roles and responsibilities for OHP, based on the WHO Planning and evaluating health promotion model. Respondents subscribed to a community-based approach to improving access to dental services for pre-school children in deprived areas, with an emphasis on shared responsibility and communication. In addition to macro-level actions in directing health policy and services, commissioners were held responsible for investing in micro-level actions, such as funding OHP training and involving parents, and meso-level actions such as reducing barriers to access. The model we have developed builds on WHO recommendations on health promotion to identify the key roles and responsibilities that should be incorporated into further initiatives in OHP.
How to Plan a Theme Based Field Day
ERIC Educational Resources Information Center
Shea, Scott A.; Fagala, Lisa M.
2006-01-01
Having a theme-based field day is a great way to get away from doing the traditional track-and-field type events, such as the softball throw, 50 yard dash, and sack race, year after year. In a theme-based field day format all stations or events are planned around a particular theme. This allows the teacher to be creative while also adding…
DOE Office of Scientific and Technical Information (OSTI.GOV)
Selkowitz, Stephen; Selkowitz, Stephen; Granderson, Jessica
2008-06-16
It is widely accepted that if the United States is to reduce greenhouse gas emissions it must aggressively address energy end use in the building sector. While there have been some notable but modest successes with mandatory and voluntary programs, there have also been puzzling failures to achieve expected savings. Collectively, these programs have not yet reached the majority of the building stock, nor have they yet routinely produced very large savings in individual buildings. Several trends that have the potential to change this are noteworthy: (1) the growing market interest in 'green buildings' and 'sustainable design', (2) the majormore » professional societies (e.g. AIA, ASHRAE) have more aggressively adopted significant improvements in energy efficiency as strategic goals, e.g. targeting 'zero energy', carbon-neutral buildings by 2030. While this vision is widely accepted as desirable, unless there are significant changes to the way buildings are routinely designed, delivered and operated, zero energy buildings will remain a niche phenomenon rather than a sector-wide reality. Toward that end, a public/private coalition including the Alliance to Save Energy, LBNL, AIA, ASHRAE, USGBC and the World Business Council for Sustainable Development (WBCSD) are developing an 'action plan' for moving the U.S. commercial building sector towards zero energy performance. It addresses regional action in a national framework; integrated deployment, demonstration and R&D threads; and would focus on measurable, visible performance indicators. This paper outlines this action plan, focusing on the challenge, the key themes, and the strategies and actions leading to substantial reductions in GHG emissions by 2030.« less
Hospitalist physician leadership skills: perspectives from participants of a leadership conference.
Soong, Christine; Wright, Scott M; Howell, Eric E
2010-03-01
To characterize how the use of behavioral contracts may serve to focus individuals' intentions to grow as leaders. Between 2007 and 2008, participants of the Society of Hospital Medicine Leadership Academy courses completed behavioral contracts to identify 4 action plans they wanted to implement based on things learned at the Academy. Contracts were independently coded by 2 investigators and compared for agreement. Content analysis identified several major themes that relate to professional growth as leaders. Follow-up surveys assessed fulfillment of personal goals. The majority of respondents were male (84; 70.0%), and most were hospitalist leaders (76; 63.3%). Their median time practicing as hospitalists was 4 years, 14 (11.7%) were Assistant Professors, and 80 (66.7%) were in private practice. Eight themes emerged from the behavioral contracts, revealing ways in which participants wished to develop: improving communication and interpersonal relations; refining vision and goals for strategic planning; developing intrapersonal leadership; enhancing negotiation skills; committing to organizational change; understanding business drivers; establishing better metrics to assess performance; and strengthening interdepartmental relationships. At follow-up, all but 1 participant had achieved at least 1 of their personal goals. Understanding the areas that hospitalist leaders identify as "learning edges" may inform the personal learning plans of those hoping to take on leadership roles in hospital medicine.
2014-01-01
Background Recent initiatives to target the personal, social and clinical needs of people with long-term health conditions have had limited impact within primary care. Evidence of the importance of social networks to support people with long-term conditions points to the need for self-management approaches which align personal circumstances with valued activities. The Patient-Led Assessment for Network Support (PLANS) intervention is a needs-led assessment for patients to prioritise their health and social needs and provide access to local community services and activities. Exploring the work and practices of patients and telephone workers are important for understanding and evaluating the workability and implementation of new interventions. Methods Qualitative methods (interviews, focus group, observations) were used to explore the experience of PLANS from the perspectives of participants and the telephone support workers who delivered it (as part of an RCT) and the reasons why the intervention worked or not. Normalisation Process Theory (NPT) was used as a sensitising tool to evaluate: the relevance of PLANS to patients (coherence); the processes of engagement (cognitive participation); the work done for PLANS to happen (collective action); the perceived benefits and costs of PLANS (reflexive monitoring). 20 patients in the intervention arm of a clinical trial were interviewed and their telephone support calls were recorded and a focus group with 3 telephone support workers was conducted. Results Analysis of the interviews, support calls and focus group identified three themes in relation to the delivery and experience of PLANS. These are: formulation of ‘health’ in the context of everyday life; trajectories and tipping points: disrupting everyday routines; precarious trust in networks. The relevance of these themes are considered using NPT constructs in terms of the work that is entailed in engaging with PLANS, taking action, and who is implicated this process. Conclusions PLANS gives scope to align long-term condition management to everyday life priorities and valued aspects of life. This approach can improve engagement with health-relevant practices by situating them within everyday contexts. This has potential to increase utilisation of local resources with potential cost-saving benefits for the NHS. Trial registration ISRCTN45433299. PMID:24938492
Lindsey, E; McGuinness, L
1998-11-01
Participatory action research (PAR) has been heralded as an important research methodology to address issues of research relevance, community involvement, democracy, emancipation and liberation. Increasingly, nurse researchers are turning to PAR as a method of choice. Although nursing interest in PAR is expanding little is known about how to successfully involve the community in research. This article attends to this dearth of information by presenting the results of a study investigating the significant elements of community involvement in PAR. Through the use of qualitative research methods, five themes emerged that describe the community participation process: (a) planning for participation, (b) the structural components of community participation, (c) living the philosophy, (d) enhancing the credibility, and (e) the type of leadership required to facilitate community participation. It is hoped that by sharing these results others may consider the knowledge gleaned from this project as they plan and proceed with the challenges and rewards inherent in PAR.
Institutionalizing Lessons Learned
NASA Technical Reports Server (NTRS)
McBrayer, Robert O.; Thomas, Dale
2001-01-01
The NASA Integrated Action Team (NIAT) was formed by the NASA Administrator in March 2000. The purpose of this team was to identify the actions that NASA must take to address systemic findings reported in 4 different anomaly investigations. Team membership represented senior managers from all the field centers and NASA Headquarters. NIAT report addressed 165 findings and developed 17 action plans that are described in five themes: people and teams, technology, risk, formulation rigor, and communications. The NIAT actions present a systems solution for strengthening formulation and implementation of programs and improving the environment for their support. NIAT results included: enhancing success by avoiding failures that could have been prevented through good planning and sound practice; ensuring that prudent risks do not compromise safety; and ensuring that mission risks are objectively assessed, appropriately mitigated and consciously accepted by the program team and customers. Definitions of Faster, Better, Cheaper and Success Criteria were also developed and included as part of the NIAT report. As a result of the NIAT report, program and project management process changes were incorporated into NASA's quality system documentation, including NPG 7120.513, "NASA Program and Project Management Processes and Requirements. This paper describes the NIAT results and the resulting updates to NPG 7120.5 that keep this program and project management description a living process.
Kersten, Paula; McPherson, Kathryn M; Kayes, Nicola M; Theadom, Alice; McCambridge, Alana
2015-01-01
To test the feasibility and acceptability of an implementation intention strategy (if-then plans) increasingly used in health psychology to bridge the goal intention-action gap in rehabilitation with people with neurological conditions who are experiencing difficulties with mobility. Twenty people with multiple sclerosis (MS) and stroke, randomised to an experimental and control group, set up to three mobility related goals with a physiotherapist. The experimental group also formulated if-then plans for every goal. Focus groups and interviews with participants and therapists; Patient Activation Measure (PAM), 10-m walk test, Rivermead Mobility Index, self-efficacy, subjective health status, quality of life. Qualitative data highlighted one main theme: Rehabilitation in context, encapsulating the usefulness of the if-then strategy in thinking about the patient in the context of complexity, the usefulness of home-based rehabilitation, and the perceived need for a few more sessions. Changes in walking speed were in the expected direction for both groups; PAM scores improved over 3 months in both groups. If-then plans were feasible and acceptable in bridging the goal intention-action gap in rehabilitation with people with MS and stroke, who are experiencing difficulties with mobility. This approach can now be adapted and trialled further in a definitive study. Goal planning in rehabilitation necessitates specific strategies that help people engage in goal-related tasks. If-then plans aim to support people to deal more effectively with self-regulatory problems that might undermine goal striving and have been found to be effective in health promotion and health behaviour change. This feasibility study with people with a stroke and multiple sclerosis has demonstrated that if-then plans are feasible and acceptable to patients and physiotherapists in supporting goal-directed behaviour.
Primary mental health prevention themes in published research and academic programs in Israel.
Nakash, Ora; Razon, Liat; Levav, Itzhak
2015-01-01
The World Health Organization Comprehensive Mental Health Action Plan (CMHAP) 2013-2020 proposes the implementation of primary prevention strategies to reduce the mental health burden of disease. The extent to which Israeli academic programs and published research adhere to the principles spelled out by the CMHAP is unknown. To investigate the presence of mental health primary prevention themes in published research and academic programs in Israel. We searched for mental health primary prevention themes in: (1) three major journals of psychiatry and social sciences during the years 2001-2012; (2) university graduate programs in psychology, social work and medicine in leading universities for the academic year of 2011-2012; and (3) doctoral and master's theses approved in psychology and social work departments in five universities between the years 2007-2012. We used a liberal definition of primary prevention to guide the above identification of themes, including those related to theory, methods or research information of direct or indirect application in practice. Of the 934 articles published in the three journals, 7.2%, n = 67, addressed primary prevention. Of the 899 courses in the 19 graduate programs 5.2%, n = 47, elective courses addressed primary prevention. Of the 1960 approved doctoral and master's theses 6.2%, n = 123, addressed primary prevention. Only 11 (4.7%) articles, 5 (0.6%) courses, and 5 (0.3%) doctoral and master's theses addressed primary prevention directly. The psychiatric reform currently implemented in Israel and WHO CMHAP call for novel policies and course of action in all levels of prevention, including primary prevention. Yet, the latter is rarely a component of mental health education and research activities. The baseline we drew could serve to evaluate future progress in the field.
NASA Astrophysics Data System (ADS)
Anhalt-Depies, Christine M.; Knoot, Tricia Gorby; Rissman, Adena R.; Sharp, Anthony K.; Martin, Karl J.
2016-05-01
There are limited examples of efforts to systematically monitor and track climate change adaptation progress in the context of natural resource management, despite substantial investments in adaptation initiatives. To better understand the status of adaptation within state natural resource agencies, we utilized and problematized a rational decision-making framework to characterize adaptation at the level of public land managers in the Upper Midwest. We conducted in-depth interviews with 29 biologists and foresters to provide an understanding of managers' experiences with, and perceptions of, climate change impacts, efforts towards planning for climate change, and a full range of actions implemented to address climate change. While the majority of managers identified climate change impacts affecting their region, they expressed significant uncertainty in interpreting those signals. Just under half of managers indicated planning efforts are underway, although most planning is remote from local management. Actions already implemented include both forward-looking measures and those aimed at coping with current impacts. In addition, cross-scale dynamics emerged as an important theme related to the overall adaptation process. The results hold implications for tracking future progress on climate change adaptation. Common definitions or measures of adaptation (e.g., presence of planning documents) may need to be reassessed for applicability at the level of public land managers.
Anhalt-Depies, Christine M; Knoot, Tricia Gorby; Rissman, Adena R; Sharp, Anthony K; Martin, Karl J
2016-05-01
There are limited examples of efforts to systematically monitor and track climate change adaptation progress in the context of natural resource management, despite substantial investments in adaptation initiatives. To better understand the status of adaptation within state natural resource agencies, we utilized and problematized a rational decision-making framework to characterize adaptation at the level of public land managers in the Upper Midwest. We conducted in-depth interviews with 29 biologists and foresters to provide an understanding of managers' experiences with, and perceptions of, climate change impacts, efforts towards planning for climate change, and a full range of actions implemented to address climate change. While the majority of managers identified climate change impacts affecting their region, they expressed significant uncertainty in interpreting those signals. Just under half of managers indicated planning efforts are underway, although most planning is remote from local management. Actions already implemented include both forward-looking measures and those aimed at coping with current impacts. In addition, cross-scale dynamics emerged as an important theme related to the overall adaptation process. The results hold implications for tracking future progress on climate change adaptation. Common definitions or measures of adaptation (e.g., presence of planning documents) may need to be reassessed for applicability at the level of public land managers.
Promoting climate literacy through social engagement: the Green Ninja Project
NASA Astrophysics Data System (ADS)
Cordero, E. C.; Todd, A.
2012-12-01
One of the challenges of communicating climate change to younger audiences is the disconnect between global issues and local impacts. The Green Ninja is a climate-action superhero that aims to energize young people about climate science through media and social engagement tools. In this presentation, we'll highlight two of the tools designed to help K-12 students implement appropriate local mitigation strategies. A mobile phone application builds and supports a social community around taking action at local businesses regarding themes such as food, packaging and energy efficiency. An energy efficiency contest in local schools utilizes smart meter technology to provide feedback on household energy use and conservation. These tools are supported by films and lesson plans that link formal and informal education channels. The effectiveness of these methodologies as tools to engage young people in climate science and action will be discussed.
DOT National Transportation Integrated Search
2012-12-01
The purpose of this document is to identify the focus and themes for the next installment of the ITS Strategic Research Plan and to invite stakeholders to participate in their discussion. The goal of presenting themes is to enable continuity of the c...
O'Donnell, Patrick; Tierney, Edel; O'Carroll, Austin; Nurse, Diane; MacFarlane, Anne
2016-12-03
The involvement of patients and the public in healthcare has grown significantly in recent decades and is documented in health policy documents internationally. Many benefits of involving these groups in primary care planning have been reported. However, these benefits are rarely felt by those considered marginalised in society and they are often excluded from participating in the process of planning primary care. It has been recommended to employ suitable approaches, such as co-operative and participatory initiatives, to enable marginalised groups to highlight their priorities for care. This Participatory Learning and Action (PLA) research study involved 21 members of various marginalised groups who contributed their views about access to primary care. Using a series of PLA techniques for data generation and co-analysis, we explored barriers and facilitators to primary healthcare access from the perspective of migrants, Irish Travellers, homeless people, drug users, sex workers and people living in deprivation, and identified their priorities for action with regard to primary care provision. Four overarching themes were identified: the home environment, the effects of the 'two-tier' healthcare system on engagement, healthcare encounters, and the complex health needs of many in those groups. The study demonstrates that there are many complicated personal and structural barriers to accessing primary healthcare for marginalised groups. There were shared and differential experiences across the groups. Participants also expressed shared priorities for action in the planning and running of primary care services. Members of marginalised groups have shared priorities for action to improve their access to primary care. If steps are taken to address these, there is scope to impact on more than one marginalised group and to address the existing health inequities.
NASA Astrophysics Data System (ADS)
Venkateswarlu, P.; Reddy, M. A.; Prasad, A. T.
2003-12-01
Application of Remote Sensing and Geographic Information System for the development of land and water resources action plan at micro level for appropriate management of land/water resources of a watershed in rain fed region of Prakasam District in Andhra Pradesh, India forms the focal theme of this paper. The quantitative description of drainage basin geometry can be effectively determined using Remote Sensing and GIS techniques. Each of the sixty-two sub-watersheds of the study area have been studied in terms of the Morphometric parameters - Stream length, Bifurcation ratio, Length ratio, Drainage density, Stream frequency, Texture ratio, Form factor, Area Perimeters, Circularity ratio and Elongation ratio and prioritized all the sub-watersheds under study. The prioritization of sub sheds based on morphometry is compared with sediment yield prioritization and found nearly same for the study area. The information obtained from the thematic maps are integrated and action plans are suggested for land and water resources development on a sustainable basis. Landuse/Landcover, Hydrogeomorphology and Soil thematic maps were generated. In addition slope and Drainage maps were prepared from Survey of India toposheets. Based on the computerized database created using ARC/INFO software, information derived in terms of natural resources and their spatial distribution was then integrated with the socio economic data to formulate an action plan, which includes suggestion of alternative Landuse/Landcover practices. Such a plan is useful for natural resources management and for improving the socio-economic status of rural population on a sustainable basis. Keywords: Natural Resources, Remote Sensing, Morphometry sustainable development.
Using action research to plan a violence prevention program for emergency departments.
Gates, Donna; Gillespie, Gordon; Smith, Carolyn; Rode, Jennifer; Kowalenko, Terry; Smith, Barbara
2011-01-01
Although there are numerous studies that show that emergency department (ED) violence is a prevalent and serious problem for healthcare workers, there is a lack of published evaluations of interventions aimed at reducing this alarming trend. Using an action research model, the authors partnered with six hospitals to plan, implement and evaluate a violence prevention and management intervention. Phase one of this project involved gathering information from employees, managers and patients using focus groups. Ninety-seven persons participated in one of twelve focus groups. The Haddon matrix was used to develop focus group questions aimed at gathering data about the pre-assault, during assault, and post-assault time frames and to compare these findings to planned strategies. Analysis consisted of identification of themes related to intervention strategies for patients/visitors, employees, managers, and the work environment. Thematic analysis results supported the relevance, feasibility, and saliency of the planned intervention strategies. With the exception of a few items, employees and managers from the different occupational groups agreed on the interventions needed to prevent and manage violence against ED workers. Patients focused on improved staff communication and comfort measures. Results support that violence in the emergency department is increasing, that violence is a major concern for those who work in and visit emergency departments, and that interventions are needed to reduce workplace violence. The Haddon matrix along with an action research method was useful to identify intervention strategies most likely to be successfully implemented and sustained by the emergency departments. Copyright © 2011 Emergency Nurses Association. Published by Mosby, Inc. All rights reserved.
Optimizing the Multisectoral Nutrition Policy Cycle: A Systems Perspective.
Lamstein, Sascha; Pomeroy-Stevens, Amanda; Webb, Patrick; Kennedy, Eileen
2016-12-01
Based on the data collected in Uganda, Nepal, and Ethiopia, the papers included in this supplement fill a critical gap in evidence regarding multisectoral National Nutrition Action Plans. The studies offer new data and new thinking on how and why governance, effective financial decentralization, and improved accountability all matter for nutrition actions in low-income countries. This introductory paper offers an overview of the current state of evidence and thinking on the multisectoral nutrition policy cycle, including how governance and financing support that process. It also explores the benefits of applying a systems lens to understand the dynamic, enabling processes of the policy cycle-from research to knowledge and ultimately action-and to provide more dynamic and accurate information for nutrition advocacy and evidence-based decision-making. It concludes with key findings from the 5 country-level studies included. Several important themes emerge: the egregious gap in human resources needed for effective nutrition actions in most low-income settings, the value of research on bottlenecks and successes, and the need for routine monitoring of national policies and plans to measure their effectiveness in achieving both their own stated goals and global sustainable development goals. Reviewing these studies together provides a path forward in building stronger, evidence-based multisectoral nutrition policies and supporting implementation of the nutrition activities included within them. © The Author(s) 2016.
NASA's post-Challenger safety program - Themes and thrusts
NASA Technical Reports Server (NTRS)
Rodney, G. A.
1988-01-01
The range of managerial, technical, and procedural initiatives implemented by NASA's post-Challenger safety program is reviewed. The recommendations made by the Rogers Commission, the NASA post-Challenger review of Shuttle design, the Congressional investigation of the accident, the National Research Council, the Aerospace Safety Advisory Panel, and NASA internal advisory panels and studies are summarized. NASA safety initiatives regarding improved organizational accountability for safety, upgraded analytical techniques and methodologies for risk assessment and management, procedural initiatives in problem reporting and corrective-action tracking, ground processing, maintenance documentation, and improved technologies are discussed. Safety issues relevant to the planned Space Station are examined.
NASA Astrophysics Data System (ADS)
Samors, R. J.; Allison, M. L.
2016-12-01
An e-infrastructure that supports data-intensive, multidisciplinary research is being organized under the auspices of the Belmont Forum consortium of national science funding agencies to accelerate the pace of science to address 21st century global change research challenges. The pace and breadth of change in information management across the data lifecycle means that no one country or institution can unilaterally provide the leadership and resources required to use data and information effectively, or needed to support a coordinated, global e-infrastructure. The five action themes adopted by the Belmont Forum: 1. Adopt and make enforceable Data Principles that establish a global, interoperable e-infrastructure. 2. Foster communication, collaboration and coordination between the wider research community and Belmont Forum and its projects through an e-Infrastructure Coordination, Communication, & Collaboration Office. 3. Promote effective data planning and stewardship in all Belmont Forum agency-funded research with a goal to make it enforceable. 4. Determine international and community best practice to inform Belmont Forum research e-infrastructure policy through identification and analysis of cross-disciplinary research case studies. 5. Support the development of a cross-disciplinary training curriculum to expand human capacity in technology and data-intensive analysis methods. The Belmont Forum is ideally poised to play a vital and transformative leadership role in establishing a sustained human and technical international data e-infrastructure to support global change research. In 2016, members of the 23-nation Belmont Forum began a collaborative implementation phase. Four multi-national teams are undertaking Action Themes based on the recommendations above. Tasks include mapping the landscape, identifying and documenting existing data management plans, and scheduling a series of workshops that analyse trans-disciplinary applications of existing Belmont Forum projects to identify best practices and critical gaps that may be uniquely or best addressed by the Belmont Forum funding model. Concurrent work will define challenges in conducting international and interdisciplinary data management implementation plans and identify sources of relevant expertise and knowledge.
Anderson, Jane A; Godwin, Kyler M; Saleem, Jason J; Russell, Scott; Robinson, Joshua J; Kimmel, Barbara
2014-12-01
This article reports redesign strategies identified to create a Web-based user-interface for the Self-management TO Prevent (STOP) Stroke Tool. Members of a Stroke Quality Improvement Network (N = 12) viewed a visualization video of a proposed prototype and provided feedback on implementation barriers/facilitators. Stroke-care providers (N = 10) tested the Web-based prototype in think-aloud sessions of simulated clinic visits. Participants' dialogues were coded into themes. Access to comprehensive information and the automated features/systematized processes were the primary accessibility and usability facilitator themes. The need for training, time to complete the tool, and computer-centric care were identified as possible usability barriers. Patient accountability, reminders for best practice, goal-focused care, and communication/counseling themes indicate that the STOP Stroke Tool supports the paradigm of patient-centered care. The STOP Stroke Tool was found to prompt clinicians on secondary stroke-prevention clinical-practice guidelines, facilitate comprehensive documentation of evidence-based care, and support clinicians in providing patient-centered care through the shared decision-making process that occurred while using the action-planning/goal-setting feature of the tool. © The Author(s) 2013.
From Geography Action to Civic Engagement: The Mesa Grande Ruins
ERIC Educational Resources Information Center
Warren, Carol C.
2012-01-01
Geography Action Week 2000 was fast approaching and the author was trying to decide on a way for her fourth grade class to actively participate in the theme for the year. The theme "Here Today--Here Tomorrow: A Geographic Focus on Conservation" centered on sustainable use, preservation, and restoration of our natural and cultural…
An Innovative Course Featuring Action Research Integrated with Unifying Science Themes
ERIC Educational Resources Information Center
Otto, Charlotte A.; Luera, Gail R.; Everett, Susan A.
2009-01-01
In this article, we describe an innovative capstone course for preservice K-8 teachers integrating action research and a unifying theme in science (AAAS in Science for all Americans. Oxford University Press, New York, 1989; NRC in National science education standards. National Academy Press, Washington, DC, 1996). The goals of the capstone course…
Gilbourne, David; Richardson, David
2005-06-01
In this review, we explore a practitioner-focused approach to the provision of psychological support in soccer. Support is depicted to be a collaborative exercise and is associated with action research themes and processes. Various procedures and perspectives that are associated with action research are outlined. The ideas presented suggest that many soccer-based practitioners (coaches, managers and physiotherapists) have the capacity to influence how sport psychology practice might be experienced by players. The sport scientist is depicted here as someone who acts as a critical friend to those practitioners who are interested in developing aspects of their own working practice. Having established these ideas, the review provides an illustration of how a combination of action research themes and qualitative research techniques has been used to influence and support heads of education and welfare in UK soccer academies across the north-west of England.
Rosenthal, Meagen M; Desai, Nimisha; Houle, Sherilyn K D
2017-10-01
As pharmacists expand their roles as patient care providers, remuneration must be offered for patient care activities apart from dispensing. Most jurisdictions paying for such services utilize the fee-for-service (FFS) model, while little is known about the role of pay for performance (P4P) within the pharmacy profession. This study aimed to elicit the experience of pharmacists practicing under both models within the Alberta Clinical Trial in Optimizing Hypertension (RxACTION) study in Alberta, Canada. Pharmacist participants in RxACTION caring for at least one patient under FFS and under P4P were interviewed about their experiences until data saturation was reached. Interviews were conducted in June-July 2015, with responses audio recorded, transcribed and coded to identify key themes. Eight pharmacists were interviewed, with three key themes identified: a perceived comfort with the existing FFS model particularly due to its ease related to business planning, the transformative effect of the study on their practices and a preference for future models to consider a blend of both service count- and performance-driven metrics. The degree of influence pharmacists feel they can have on outcomes achieved by patients, the perceptions of patients and other healthcare professionals on outcome-based payment, and concerns with the impact of variable remuneration on the pharmacy business model are concerns raised with P4P in pharmacy practice. This study reveals a hesitation to radically transform payment for pharmacists' patient care services towards a P4P model. Efforts to implement P4P should therefore be gradual and accompanied with a robust evaluation plan. © 2017 Royal Pharmaceutical Society.
Small, Nicola; Brooks, Helen; Grundy, Andrew; Pedley, Rebecca; Gibbons, Chris; Lovell, Karina; Bee, Penny
2017-04-13
People with severe mental illness suffer more physical comorbidity than the general population, which can require a tailored approach to physical health care discussions within mental health care planning. Although evidence pertaining to service user and carer involvement in mental health care planning is accumulating, current understanding of how physical health is prioritised within this framework is limited. Understanding stakeholder experiences of physical health discussions within mental health care planning, and the key domains that underpin this phenomena is essential to improve quality of care. Our study aimed to explore service user, carer and professional experiences of and preferences for service user and carer involvement in physical health discussions within mental health care planning, and develop a conceptual framework of effective user-led involvement in this aspect of service provision. Six focus groups and four telephone interviews were carried out with twelve service users, nine carers, three service users with a dual service user and carer role, and ten mental health professionals recruited from one mental health Trust in the United Kingdom. Data was analysed utilising a thematic approach, analysed separately for each stakeholder group, and combined to aid comparisons. No service users or carers recalled being explicitly involved in physical health discussions within mental health care planning. Six prerequisites for effective service user and carer involvement in physical care planning were identified. Three themes confirmed general mental health care planning requirements: tailoring a collaborative working relationship, maintaining a trusting relationship with a professional, and having access to and being able to edit a living document. Three themes were novel to feeling involved in physical health care planning discussions: valuing physical health equally with mental health; experiencing coordination of care between physical-mental health professionals, and having a physical health discussion that is personalised. High quality physical health care discussions within the care planning process demands action at multiple levels. A conceptual framework is presented which provides an evidence-based foundation for service level improvement. Further work is necessary to develop a new patient reported outcome measure to enable meaningful quantification of health care quality and patient experience.
NASA Technical Reports Server (NTRS)
1976-01-01
The Outlook for Space Study, consideration of National needs and OAST technology goals were factors in the selection of the following themes for candidate technical initiative and supporting program plans: space power station; search for extraterrestrial life; industrialization of space; global service station; exploration of the solar system; and advanced space transportation system. An overview is presented of the Space Theme Workshop activities in developing technology needs, program requirements, and proposed plans in support of each theme. The unedited working papers used by team members are included.
"Madame Bovary": Illusion and Reality. [Lesson Plan].
ERIC Educational Resources Information Center
Carangelo, Audrey
Based on Gustave Flaubert's novel "Madame Bovary," this lesson plan presents activities designed to help students explore the theme of "illusion versus reality" in the novel; identify and list alternate themes in the novel; and cite specific examples of illusion versus reality from the novel. It includes objectives, materials, procedures,…
Marine Litter in the context of `G7' - Nothing but empty rhetoric?
NASA Astrophysics Data System (ADS)
Neumann, J.; Imhoff, H.
2016-02-01
The G7 summit 2015 in Germany has demonstrated that the major advanced economies mark a new path and mindset beyond their classical issues of world economy, foreign-, security-, and development policy - the protection of the marine environment. Focus themes were marine litter, deep-sea mining, and the protection of the high seas. In the G7 Leaders' Declaration they "acknowledge that marine litter, in particular plastic litter, poses a global challenge, directly affecting marine and coastal life and ecosystems […]". Based on priority actions defined in the annex to the Leaders' Declaration, termed the `G7 Action Plan to combat Marine Litter' (G7AP ML), in fact a novelty to the otherwise rather restrained political statements, the German Presidency aims at further defining and specifying actions that are listed in the `G7AP ML'. This will include inter alia explicit measures and timelines. Emphasizing the global importance and willingness of the G7 to act, and aiming at a swift implementation of the action plan with the intention to establish a real and realistic tool in the race of litter input vs. reduction of anthropogenic pressure on the marine environment, is key to the envisaged approach. Thus, building on existing experiences, such as the OSPAR Regional Action Plan on Marine Litter for the North-East Atlantic, it is intended to expand the geographical range of application towards a global perspective. What has been learned - e.g. concerning the need of close collaboration with stakeholders? What has been decided - on how implementation may be done in reality? And is the `G7AP ML' a valuable add-on to other initiatives, e.g. Global Partnership on Marine Litter - United Nations Environment Programme (UNEP)? These questions will be discussed in the light of the state of the art of the G7 marine litter topic.
Foran, Mark P; Greenough, Paul G; Thow, Andrew; Gilman, Daniel; Schütz, Andreas; Chandran, Rahul; Baiocchi, Allegra
2012-06-01
On December 12-13, 2011, the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) hosted a humanitarian policy and research conference on the theme of "Risk, Adaptation and Innovation in Humanitarian Action." The four sessions of the conference covered humanitarian action in a changing world, adaptation and innovation in humanitarian action, humanitarian action in protracted and violent conflict, and effective humanitarian action. This special report contains summaries of presentations in each session and the conclusions resulting from the discussions throughout. Through a process of open discussion, debate, and a closing survey, the conference participants identified four top priorities in humanitarian research for the coming years: evidence-driven humanitarian decision-making; accountability and transparency; risk and agility; and partnership. In addition to plans for a 2nd Annual Research and Policy conference in December of 2012, specific outcomes of the conference include a series of regional workshops in 2012 and 2013, launching with Asia, Africa and the Middle East; creation of Policy Working Groups (PWG) for each research priority identified; and a new flagship OCHA publication, to be launched in late 2012 or early 2013, which will share the progress made on the research priorities identified.
Alamri, Sultan H; Kennedy, Courtney C; Marr, Sharon; Lohfeld, Lynne; Skidmore, Carly J; Papaioannou, Alexandra
2015-08-01
Osteoporosis is a major global health problem, especially among long-term care (LTC) facilities. Despite the availability of effective clinical guidelines to prevent osteoporosis and bone fractures, few LTC homes actually adhere to these practical recommendations. The purpose of this study was to identify barriers to the implementation of evidence-based practices for osteoporosis and fracture prevention in LTC facilities and elicit practical strategies to address these barriers. We performed a qualitative analysis of action plans formulated by Professional Advisory Committee (PAC) teams at 12 LTC homes in the intervention arm of the Vitamin D and Osteoporosis Study (ViDOS) in Ontario, Canada. PAC teams were comprised of medical directors, administrators, directors of care, pharmacists, dietitians, and other staff. Thematic content analysis was performed to identify the key themes emerging from the action plans. LTC teams identified several barriers, including lack of educational information and resources prior to the ViDOS intervention, difficulty obtaining required patient information for fracture risk assessment, and inconsistent prescribing of vitamin D and calcium at the time of admission. The most frequently suggested recommendations was to establish and adhere to standard admission orders regarding vitamin D, calcium, and osteoporosis therapies, improve the use of electronic medical records for osteoporosis and fracture risk assessment, and require bone health as a topic at quarterly reviews and multidisciplinary conferences. This qualitative study identified several important barriers and practical recommendations for improving the implementation of osteoporosis and fracture prevention guidelines in LTC settings.
Arthur, H M; Suskin, N; Bayley, M; Fortin, M; Howlett, J; Heckman, G; Lewanczuk, R
2010-01-01
In October 2006, federal funding was announced for the development of a national strategy to fight cardiovascular disease (CVD) in Canada. The comprehensive, independent, stakeholder-driven Canadian Heart Health Strategy and Action Plan (CHHS-AP) was delivered to the Minister of Health on February 24, 2009. The mandate of CHHS-AP Theme Working Group (TWG) 6 was to identify the optimal chronic disease management model that incorporated timely access to rehabilitation services and end-of-life planning and care. The purpose of the present paper was to provide an overview of worldwide approaches to CVD and cardiac rehabilitation (CR) strategies and recommendations for CR care in Canada, within the context of the well-known Chronic Care Model (CCM). A separate paper will address end-of-life issues in CVD. TWG 6 was composed of content representatives, primary care representatives and patients. Input in the area of Aboriginal and indigenous cardiovascular health was obtained through individual expert consultation. Information germane to the present paper was gathered from international literature and best practice guidelines. The CCM principles were discussed and agreed on by all. Prioritization of recommendations and overall messaging was discussed and decided on within the entire TWG. The full TWG report was presented to the CHHS-AP Steering Committee and was used to inform the recommendations of the CHHS-AP. Specific actionable recommendations for CR are made in accordance with the key principles of the CCM. The present CR blueprint, as part of the CHHS-AP, will be a first step toward reducing the health care burden of CVD in Canada.
Leaving surgical training: some of the reasons are in surgery.
Forel, Deanne; Vandepeer, Meegan; Duncan, Joanna; Tivey, David R; Tobin, Stephen A
2018-05-01
In 2014, the Royal Australasian College of Surgeons identified, through internal analysis, a considerable attrition rate within its Surgical Education and Training programme. Within the attrition cohort, choosing to leave accounted for the majority. Women were significantly over-represented. It was considered important to study these 'leavers' if possible. An external group with medical education expertise were engaged to do this, a report that is now published and titled 'A study exploring the reasons for and experiences of leaving surgical training'. During this time, the Royal Australasian College of Surgeons came under serious external review, leading to the development of the Action Plan on Discrimination, Bullying and Sexual Harassment in the Practice of Surgery, known as the Building Respect, Improving Patient Safety (BRIPS) action plan. The 'Leaving Training Report', which involved nearly one-half of all voluntary 'leavers', identified three major themes that were pertinent to leaving surgical training. Of these, one was about surgery itself: the complexity, the technical, decision-making and lifestyle demands, the emotional aspects of dealing with seriously sick patients and the personal toll of all of this. This narrative literature review investigates these aspects of surgical education from the trainees' perspective. © 2018 Royal Australasian College of Surgeons.
Keogh, B; Higgins, A; Devries, J; Morrissey, J; Callaghan, P; Ryan, D; Gijbels, H; Nash, M
2014-04-01
In recent years, there has been a consistent drive to incorporate Recovery principles into the Irish mental health services. A group of Irish mental health service providers came together and delivered a 5-day Wellness Recovery Action Planning (WRAP) facilitator's programme. The programme was developed and delivered by key stakeholders including people with self-experience of mental health problem. This paper presents the qualitative findings from an evaluation of these facilitator's programmes. Three focus groups were held with 22 people, the majority of who described themselves as mental health professionals and/or people with self-experience of mental health problems. Data were analysed using a thematic approach and yielded four themes. Although the participants were positive about the programme and felt that their knowledge of Recovery and WRAP had improved, they felt that they still lacked confidence in terms of the presentation skills required for facilitating Recovery and WRAP programmes. The findings suggest that mental health service providers who wish to develop service users and clinicians as WRAP facilitators need to put more emphasis on the provision of facilitation and presentation skills in the programmes they develop. © 2013 John Wiley & Sons Ltd.
The Belmont Forum - Facilitating International Collaboration through New Funding Opportunities
NASA Astrophysics Data System (ADS)
von Schneidemesser, E.
2012-12-01
The Belmont Forum is an international group of the world's main funders of environmental change research and international science councils, committed to 'delivering knowledge needed for action to avoid and adapt to detrimental environmental change, including extreme hazardous events.' It aims to do so by mobilizing international resources at a scale that matches this challenge 'in order to catalyze delivery of the environmental science-derived solutions that society needs.' To achieve this goal, the member countries of the Belmont Forum have formed a new working partnership that launched the International Opportunities Fund (IOF) - an open call for proposals with focus themes and the intention of new themes for a new funding round each year. The IOF effectively lowers the activation energy needed for international collaboration while preserving national control over funding monies that stay within borders. This mechanism enables international collaboration to tackle global problems, while removing barriers such as the uncertainty of multiple proposal review processes for funding when partners from multiple countries wish to collaborate. During this presentation, perspectives on the Belmont Forum process will be shared, including the development of research themes for the IOF calls, mechanisms for collaboration, methods of information dissemination to various communities, lessons learned, and plans for future cooperation.
Family conference in palliative care: concept analysis.
Silva, Rudval Souza da; Trindade, Géssica Sodré Sampaio; Paixão, Gilvânia Patrícia do Nascimento; Silva, Maria Júlia Paes da
2018-01-01
to analyze the attributes, antecedents and consequents of the family conference concept. Walker and Avante's method for concept analysis and the stages of the integrative review process, with a selection of publications in the PubMed, Cinahl and Lilacs databases focusing on the family conference theme in the context of palliative care. the most cited antecedents were the presence of doubts and the need to define a care plan. Family reunion and working instrument were evidenced as attributes. With respect to consequents, to promote the effective communication and to establish a plan of consensual action were the most remarkable elements. the scarcity of publications on the subject was observed, as well as and the limitation of the empirical studies to the space of intensive therapy. Thus, by analyzing the attributes, antecedents and consequents of the concept it was possible to follow their evolution and to show their efficacy and effectiveness as a therapeutic intervention.
Knightbridge, Stephen M; King, Robert; Rolfe, Timothy J
2006-04-01
This paper describes the first phase of a larger project that utilizes participatory action research to examine complex mental health needs across an extensive group of stakeholders in the community. Within an objective qualitative analysis of focus group discussions the social ecological model is utilized to explore how integrative activities can be informed, planned and implemented across multiple elements and levels of a system. Seventy-one primary care workers, managers, policy-makers, consumers and carers from across the southern metropolitan and Gippsland regions of Victoria, Australia took part in seven focus groups. All groups responded to an identical set of focusing questions. Participants produced an explanatory model describing the service system, as it relates to people with complex needs, across the levels of social ecological analysis. Qualitative themes analysis identified four priority areas to be addressed in order to improve the system's capacity for working with complexity. These included: (i) system fragmentation; (ii) integrative case management practices; (iii) community attitudes; and (iv) money and resources. The emergent themes provide clues as to how complexity is constructed and interpreted across the system of involved agencies and interest groups. The implications these findings have for the development and evaluation of this community capacity-building project were examined from the perspective of constructing interventions that address both top-down and bottom-up processes.
ERIC Educational Resources Information Center
Endacott, Jason L.
2011-01-01
Applying a consistent historical theme throughout a social studies course is an effective long-term planning strategy that can promote student engagement, retention of information, and contextualized knowledge of history's continuity and change. This article demonstrates how one such theme, power and liberty, might be incorporated into a secondary…
Brundage, Michael D; Hart, Margaret; O'Donnell, Jennifer; Reddeman, Lindsay; Gutierrez, Eric; Foxcroft, Sophie; Warde, Padraig
Peer review of radiation oncology treatment plans is increasingly recognized as an important component of quality assurance in radiation treatment planning and delivery. Peer review of treatment plans can directly improve the quality of those plans and can also have indirect effects on radiation treatment programs. We undertook a systematic, qualitative approach to describing the indirect benefits of peer review, factors that were seen to facilitate or act as barriers to the implementation of peer review, and strategies to address these barriers across a provincial jurisdiction of radiation oncology programs (ROPs). Semistructured qualitative interviews were held with radiation oncology department heads and radiation therapy managers (or delegates) in all 14 ROPs in Ontario, Canada. We used a theoretically guided phenomenological qualitative approach to design and analyze the interview content. Themes were recorded by 2 independent reviewers, and any discordance was resolved by consensus. A total of 28 interviews were completed with 32 interviewees. Twenty-two unique themes addressed perceived benefits of peer review, relating to either peer review structure (n = 3), process (n = 9), or outcome (n = 10). Of these 22 themes, 19 related to indirect benefits to ROPs. In addition, 18 themes related to factors that facilitated peer review activities and 30 themes related to key barriers to implementing peer review were identified. Findings were consistent with, and enhanced the understanding of, previous survey-based assessments of the benefits and challenges of implementing peer review programs. Although challenges and concerns regarding the implementation of peer review were evident, the indirect benefits to radiation programs are numerous, far outweigh the implementation challenges, and strongly complement the direct individual-patient benefits that result from peer review quality assurance of radiation treatment plans. Copyright © 2016. Published by Elsevier Inc.
Kegler, Michelle C; Rigler, Jessica; Honeycutt, Sally
2011-08-01
The current study examines how community context affected collaborative planning and implementation in eight sites participating in a healthy cities and communities initiative in California. Data are from 23 focus groups conducted with coalition members, and 76 semi-structured interviews with local coordinators and community leaders. Multiple case study methods were used to identify major themes related to how five contextual domains influenced collaborative planning and implementation. Results showed that history of collaboration can influence resources and interpersonal and organizational connections available for planning and implementation, as well as priorities selected for action. Community politics and history can affect which segments of the community participate in a planning process and what issues are prioritized, as well as the pool of partners willing to aid in implementation. Some community norms and values bring people together and others appear to limit involvement from certain groups. Community demographics and economic conditions may shape outreach strategies for planning and implementation, and may also shape priorities. Geography can play a role in assessment methods, priority selection, partners available to aid in implementation, and participation in activities and events. Results suggest that community context plays a substantive role in shaping how community-based health promotion projects unfold. Copyright © 2011 Elsevier Ltd. All rights reserved.
ERIC Educational Resources Information Center
Singer, Alan, Ed.
2003-01-01
This Social Science Docket theme issue focuses on teaching local history and included theme and non-themed articles, lesson plans, learning activities, and book, movie, and museum reviews designed for K-12 social studies teachers. Articles and materials in this issue are: "Editing Is Not Censorship" (Alan Singer); "Teachers Respond…
ERIC Educational Resources Information Center
Cania, Lisa M.
1989-01-01
A communications audit, analyzed programs and publications at St. Lawrence University, audience by audience, message by message, and month by month. The ways St. Lawrence integrated themes into major projects as well as into small details is discussed. (MLW)
Pedagogical Practice and Postmodernist Ideas.
ERIC Educational Resources Information Center
Hardy, Cynthia; Palmer, Ian
1999-01-01
Identifies four postmodern themes: complicated identities, the demise of the individual as expert, constraints on individual actions, and postmodern organizations as dream and nightmare. Outlines management-class exercises that illustrate ambiguities and paradoxes in the themes. (SK)
Purcell, David W.; Fisher, Holly H.; Belcher, Lisa; Carey, James W.; Courtenay-Quirk, Cari; Dunbar, Erica; Eke, Agatha N.; Galindo, Carla A.; Glassman, Marlene; Margolis, Andrew D.; Neumann, Mary Spink; Prather, Cynthia; Stratford, Dale; Taylor, Raekiela D.; Mermin, Jonathan
2016-01-01
In September 2010, CDC launched the Enhanced Comprehensive HIV Prevention Planning (ECHPP) project to shift HIV-related activities to meet goals of the 2010 National HIV/AIDS Strategy (NHAS). Twelve health departments in cities with high AIDS burden participated. These 12 grantees submitted plans detailing jurisdiction-level goals, strategies, and objectives for HIV prevention and care activities. We reviewed plans to identify themes in the planning process and initial implementation. Planning themes included data integration, broad engagement of partners, and resource allocation modeling. Implementation themes included organizational change, building partnerships, enhancing data use, developing protocols and policies, and providing training and technical assistance for new and expanded activities. Pilot programs also allowed grantees to assess the feasibility of large-scale implementation. These findings indicate that health departments in areas hardest hit by HIV are shifting their HIV prevention and care programs to increase local impact. Examples from ECHPP will be of interest to other health departments as they work toward meeting the NHAS goals. PMID:26843670
Perceived stops to suicidal thoughts, plans, and actions in persons experiencing psychosis.
Gooding, P A; Sheehy, K; Tarrier, N
2013-01-01
Suicide has been conceived as involving a continuum, whereby suicidal plans and acts emerge from thoughts about suicide. Suicide prevention strategies need to determine whether different responses are needed at these points on the continuum. This study investigates factors that were perceived to counter suicidal ideation, plans, and acts. The 36 participants, all of whom had had experiences of psychosis and some level of suicidality, were presented with a vignette describing a protagonist with psychotic symptoms. They were asked to indicate what would counter the suicidal thoughts, plans, and acts of the protagonist described in the vignette. Qualitative techniques were first used to code these free responses into themes/categories. Correspondence analysis was then applied to the frequency of responses in each of these categories. Social support was identified as a strong counter to suicidal ideation but not as a counter to suicidal plans or acts. Help from health professionals was strongly related to the cessation of suicidal plans as were the opinions of the protagonist's children. Changing cognitions and strengthening psychological resources were more weakly associated with the cessation of suicidal ideation and plans. The protagonist's children were considered potentially helpful in addressing suicidal acts. These results suggest that both overlapping and nonoverlapping factors need to be considered in understanding suicide prevention, dependent on whether individuals are thinking about, planning, or attempting suicide.
E-learning for medical education: reflections of learners on patients.
Walsh, Kieran
2018-01-01
There is a growing research interest in how healthcare professionals learn online. This paper reports an analysis of reflections that relate to patients from users of an e-learning resource, BMJ Learning. Healthcare professionals who use BMJ Learning are encouraged to reflect on their learning. Over one year, all of the learners' reflections that related to patients were captured by the programme's software and were analysed using thematic analysis. A number of key themes emerged from this analysis: many learners reflected on patients in the context of their disease; many learners reflected on how they had put their learning into action or planned to put their learning into action for the benefit of patients; many learners reflected on how they would pass on what they had learned to patients; learners greatly appreciated patients contributing to the learning. Learners predominantly reflect about patients in the context of their disease. The reflections demonstrate that learners are keen to put their learning into action for the benefit of their patients. Learners' reflections show a keen interest in the patient-centredness of the learning resources.
Activities Using a Restaurant Theme.
ERIC Educational Resources Information Center
Modlin, Ruth
Designed for use with elementary students, 44 activities using a restaurant theme integrate creative thinking and decision-making skills with language arts, mathematics, and art. The activities, which can be used independently by the students, deal with types of restaurants, names and themes, floor plans, interior and exterior design, house…
(Text) Mining the LANDscape: Themes and Trends over 40 years of Landscape and Urban Planning
Paul H. Gobster
2014-01-01
In commemoration of the journal's 40th anniversary, the co-editor explores themes and trends covered by Landscape and Urban Planning and its parent journals through a qualitative comparison of co-occurrence term maps generated from the text corpora of its abstracts across the four decadal periods of publication.Cluster maps generated from the...
Erwin, Kim; Martin, Molly A; Flippin, Tara; Norell, Sarah; Shadlyn, Ariana; Yang, Jie; Falco, Paula; Rivera, Jaime; Ignoffo, Stacy; Kumar, Rajesh; Margellos-Anast, Helen; McDermott, Michael; McMahon, Kate; Mosnaim, Giselle; Nyenhuis, Sharmilee M; Press, Valerie G; Ramsay, Jessica E; Soyemi, Kenneth; Thompson, Trevonne M; Krishnan, Jerry A
2016-01-01
To present the methods and outcomes of stakeholder engagement in the development of interventions for children presenting to the emergency department (ED) for uncontrolled asthma. We engaged stakeholders (caregivers, physicians, nurses, administrators) from six EDs in a three-phase process to: define design requirements; prototype and refine; and evaluate. Interviews among 28 stakeholders yielded themes regarding in-home asthma management practices and ED discharge experiences. Quantitative and qualitative evaluation showed strong preference for the new discharge tool over current tools. Engaging end-users in contextual inquiry resulted in CAPE (CHICAGO Action Plan after ED discharge), a new stakeholder-balanced discharge tool, which is being tested in a multicenter comparative effectiveness trial.
Tan, N C; Tay, I H; Ngoh, A; Tan, M
2009-02-01
The Written Asthma Action Plan (WAAP) educates patients on the early recognition and treatment of deteriorating asthma. It has been adopted in Singapore polyclinics and restructured hospitals in the past few years as recommended by the Singapore National Asthma Programme. Local asthma patients can choose to be treated by family physicians at public polyclinics or by private general practitioners (GPs). In a previous study, half of the physicians in primary care self-reported that they formulated an asthma action plan for their patients, but little is known about their actual practices. This qualitative study explored family physicians' views of WAAP and its implementation in primary care in Singapore. Qualitative data was obtained for 29 participants from polyclinics, GP clinics or locum doctors at five separate focus group discussions. The data was coded using NVivo-7 software, audited and analysed to identify emergent themes. The participants generally perceived the usefulness of WAAP. While WAAP was widely used in polyclinics, GPs rarely used it. Even in polyclinics, usage varied and was associated with participants' training and practice of WAAP and task substitution to nurses. They perceived that WAAP would benefit only selected motivated patients who could understand and use it. They were hampered by language barriers in educating their multiracial patients and the perceived lack of time related to patient loads in polyclinics. The GPs lacked training and practice, role models and relied on verbal instructions as a personalised form of care delivery. Family physicians generally perceived WAAP as useful, but implementation was hampered by lack of training and practice, language barriers and perceived benefits for patients.
Arthur, Heather M; Suskin, Neville; Bayley, Mark; Fortin, Martin; Howlett, Jonathan; Heckman, George; Lewanczuk, Richard
2010-01-01
BACKGROUND: In October 2006, federal funding was announced for the development of a national strategy to fight cardiovascular disease (CVD) in Canada. The comprehensive, independent, stakeholder-driven Canadian Heart Health Strategy and Action Plan (CHHS-AP) was delivered to the Minister of Health on February 24, 2009. OBJECTIVES: The mandate of CHHS-AP Theme Working Group (TWG) 6 was to identify the optimal chronic disease management model that incorporated timely access to rehabilitation services and end-of-life planning and care. The purpose of the present paper was to provide an overview of worldwide approaches to CVD and cardiac rehabilitation (CR) strategies and recommendations for CR care in Canada, within the context of the well-known Chronic Care Model (CCM). A separate paper will address end-of-life issues in CVD. METHODS: TWG 6 was composed of content representatives, primary care representatives and patients. Input in the area of Aboriginal and indigenous cardiovascular health was obtained through individual expert consultation. Information germane to the present paper was gathered from international literature and best practice guidelines. The CCM principles were discussed and agreed on by all. Prioritization of recommendations and overall messaging was discussed and decided on within the entire TWG. The full TWG report was presented to the CHHS-AP Steering Committee and was used to inform the recommendations of the CHHS-AP. RESULTS: Specific actionable recommendations for CR are made in accordance with the key principles of the CCM. CONCLUSIONS: The present CR blueprint, as part of the CHHS-AP, will be a first step toward reducing the health care burden of CVD in Canada. PMID:20101356
Lupafya, Phindile Chitsulo; Mwagomba, Beatrice L Matanje; Hosig, Kathy; Maseko, Lucy M; Chimbali, Henry
2016-04-01
Malawi is a Sub-Saharan African country experiencing the epidemiological transition from predominantly infectious to noncommunicable diseases (NCDs) with dramatically increasing prevalence of lifestyle-related diseases such as obesity, hypertension, and diabetes. Malawi's 2011-2016 Health Sector Strategic Plan included NCDs, and an NCD Control Program was established with subsequent development of a National Action Plan for prevention and management of NCDs launched in 2013. The current study was designed to identify gaps in implementation of NCD control program policies and action plan strategies by describing current efforts toward prevention and management of NCDs in Malawi with emphasis on challenges and opportunities. Semistructured questionnaires were used to collect quantitative and qualitative data from Malawi Ministry of Health personnel (senior officers, service providers, health education officers, and nutritionists) in 10 health districts and 3 central hospitals. Frequencies were generated for quantitative data. Qualitative data were used to generate themes and most common responses. Results showed that current services focus on facility-based NCD screening and clinical services rather than active screening, prevention, and community awareness and outreach, although respondents emphasized the importance of prevention, lifestyle education, and community outreach. Respondents indicated inadequate resources for NCD services including financial capital, human resources, equipment and supplies, and transportation. While Malawi has begun to address NCDs, policy and practice implications include (a) better integration of services within the existing infrastructure with emphasis on capacity building; (b) greater implementation of planned NCD activities; (c) a stronger, more comprehensive data management system; and (d) innovative funding solutions. © 2015 Society for Public Health Education.
[The influence of mourning on feeding habits and its implications for nutritional behavior].
Campos, Maria Teresa Fialho de Sousa
2013-09-01
The lack of preparation for dealing with death and the absence of the loved one may lead to organic and psychological reactions that, due to the adaptive capacity of the individual to the period of mourning, may result in interference in feeding habits and consequently on the person's nutritional status. This article addresses the effects of recent mourning on feeding behavior, followed by the analysis of the dietary interview from various standpoints. This includes the postmortem nutrition and feeding habits of the bereaved and the implications of this process on hunger, on thirst and on family cooking, with a focus on nutritional behavior and on the decisions that surround it. This is a review of the literature on the theme of death and mourning, which seeks to contextualize this theme around reflections based on this experience. It emphasizes the interaction of nutrition with the science of thanatology, which is an area still not properly examined and lacking study. The identification of this influence and its implications enables better planning of food strategies, contributing greatly to actions for coping and support during mourning.
Television's New Humane Collectivity.
ERIC Educational Resources Information Center
Schrag, Robert L.; And Others
1981-01-01
Analyzes "Taxi,""Barney Miller,""Lou Grant," and "M*A*S*H" in terms of three fantasy themes: the realization of significant others, the alliance in action, and membership into personhood. From these themes emerges a rhetorical vision of the new humane collectivity. (PD)
Tonni, Ingrid; Mora, Luca; Oliver, Richard G
2016-09-01
The aim of this study was to analyze the effects of a portfolio learning strategy designed to develop students' reflection abilities in a postgraduate orthodontic program in the UK. Nine first-year postgraduate orthodontic students and seven mentors participated in the one-year program, which included a reflective portfolio, mentorship, and discussion. After the program, the students' and mentors' perceptions were collected using focus groups and individual interviews, respectively. The data were analyzed using thematic analysis. Four categories emerged. The first, reflection, was considered a skill to learn, and time was needed for students to fully understand its meaning and achieve its outcomes. The second theme, characteristics of reflection, was descriptive at the beginning and more critical at the end of the experience. The third theme, outcomes of reflection, involved students' improved problem-solving and action-planning abilities and increased self-awareness, motivation, confidence, and communication skills. In the fourth theme, stimulation of reflection, students did not agree with mentors regarding the importance of reflective writing, but they recognized the value of the portfolio's reflective log in facilitating the reflective process. There was greater agreement between students and mentors regarding discussions with mentors and among peers as tools to achieve higher levels of reflection. Overall, these students and mentors considered the strategy an effective tool for improving students' reflection.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Action Plan. 984.201 Section 984... § 984.201 Action Plan. (a) Requirement for Action Plan. A PHA must have a HUD-approved Action Plan that... program is a mandatory or voluntary program. (b) Development of Action Plan. The Action Plan shall be...
Code of Federal Regulations, 2011 CFR
2011-04-01
... 24 Housing and Urban Development 4 2011-04-01 2011-04-01 false Action Plan. 984.201 Section 984... § 984.201 Action Plan. (a) Requirement for Action Plan. A PHA must have a HUD-approved Action Plan that... program is a mandatory or voluntary program. (b) Development of Action Plan. The Action Plan shall be...
Egginton, Jason S; Textor, Lauren; Knoebel, Erin; McWilliams, Deborah; Aleman, Marty; Yawn, Barbara
2013-12-01
This study explores ways southeast Minnesota schools currently address asthma problems, identifies areas for improvement, and assesses the potential value of asthma action plans (AAPs) in schools. Focus groups were used to query stakeholder groups on asthma care in schools. Groups were held separately for elementary school personnel, parents of elementary school children with asthma, and health professionals (N = 103). Transcripts were analyzed by hand and by using NVivo 9 software. Overall 103 stakeholders participated in focus groups. Major themes were (1) Communication; no uniform way of exchanging information between schools and health professionals. (2) Asthma Control Continuum; students require individualized instructions and information related to their asthma care. (3) Policy/Protocol; school staff roles and rules vary and are unclear. (4) Self-Reliance; older children self-manage their asthma and are unknown until they need emergent support. Solution recommended included AAPs used systematically with a method to communicate back from schools to physicians and parents. The AAP may solve several of the school's concerns regarding their ability to provide asthma support in school. However, the AAP must reach the school, and that is currently not happening. In addition, schools would like tools and systems to assess asthma control and share information back with parents and physicians. © 2013, American School Health Association.
NASA Astrophysics Data System (ADS)
Perrault, Anne Marie
The purpose of this study was to examine biology teachers' perceptions of how their online information seeking practices influence their instructional planning. When teachers engage in activities to locate, evaluate, and use online information and resources, a myriad of inter-related and often inseparable consequences follows. These influences may be any combination of direct/indirect, desirable/undesirable, or anticipated/unanticipated (Rogers, 2003). This exploratory study collected baseline data regarding teachers' online practices and its influence on their practice. There were two phases of data collection in this study. Phase I was an online survey of more than seventy New York State biology teachers. The survey was intended to capture (1) a snapshot of the biology teachers' online information seeking practices during the summer and fall 2004, and (2) their perceptions regarding how their online practices influenced their instructional planning. In Phase II, ten study participants were interviewed in order to explore in greater detail the consequences of their online information seeking practices on their instructional planning. Four themes reflecting the consequences of teachers' information seeking practices emerged from the data analysis: Currency of Information; Sparking of Ideas and Gaining Personal Knowledge; Resource Management and the Role of Time; and Webs of Sharing. Each theme encompassed both the purposeful and the indirect actions by teachers to access knowledge and resources to refine and improve their instructional planning. This study's findings show that teachers are using a greater number and wider range of current and multi-modal resources than pre-Internet and they perceive this as an advantage in creating authentic, inquiry-based learning experiences. A notable discovery was of the under-use by teachers of educational online resources specifically designed to support teaching and learning activities (e.g., digital libraries, online databases, and listservs). This study's findings point to a recursive process in which teachers are engaged in ongoing online information seeking practices; continually learning and fostering new knowledge; integrating the learning into their instructional planning practices; changing their teaching strategies; and going back online to search for information and resources and begin the cycle again.
Solving the puzzle of collective action through inter-individual differences
von Rueden, Chris; Gavrilets, Sergey; Glowacki, Luke
2015-01-01
Models of collective action infrequently account for differences across individuals beyond a limited set of strategies, ignoring variation in endowment (e.g. physical condition, wealth, knowledge, personality, support), individual costs of effort, or expected gains from cooperation. However, behavioural research indicates these inter-individual differences can have significant effects on the dynamics of collective action. The papers contributed to this theme issue evaluate how individual differences affect the propensity to cooperate, and how they can catalyse others’ likelihood of cooperation (e.g. via leadership). Many of the papers emphasize the relationship between individual decisions and socio-ecological context, particularly the effect of group size. All together, the papers in this theme issue provide a more complete picture of collective action, by embracing the reality of inter-individual variation and its multiple roles in the success or failure of collective action. PMID:26503677
The Future of Antibiotics and Resistance: A Tribute to a Career of Leadership by John Bartlett
Spellberg, Brad; Gilbert, David N.
2014-01-01
The ways we have developed, used, and protected antibiotics have led, predictably, to our current crisis of rising antibiotic resistance and declining new treatments. If we want to stave off a postantibiotic era, we need to fundamentally change our approach. We need to challenge long-standing assumptions and cherished beliefs. We need to push through the reflexive resistance and excuses (eg, “that's not how we do things” and “that can't be done”) that result from challenging established ways. Excuses abound. Action is needed. Ultimately, we need a coordinated national action plan to combat resistance. Herein we discuss 7 tasks and 3 common themes that cut across those tasks, which are necessary to achieve long-term success in dealing with antibiotics and resistance. These principles derive from many years of dialogue with Dr John Bartlett. The field of infectious diseases, and indeed medicine in general, has benefited immeasurably from his remarkable leadership. PMID:25151481
Theme: Delivering Agricultural Literacy.
ERIC Educational Resources Information Center
Reed, Warren D.; And Others
1990-01-01
Eight articles in this theme issue deal with the nationwide implementation of agricultural literacy programs--discovering how to do it. Discussed are experiences in planning and conducting agricultural literacy programs at state and local levels. (JOW)
Body language in the brain: constructing meaning from expressive movement.
Tipper, Christine M; Signorini, Giulia; Grafton, Scott T
2015-01-01
This fMRI study investigated neural systems that interpret body language-the meaningful emotive expressions conveyed by body movement. Participants watched videos of performers engaged in modern dance or pantomime that conveyed specific themes such as hope, agony, lust, or exhaustion. We tested whether the meaning of an affectively laden performance was decoded in localized brain substrates as a distinct property of action separable from other superficial features, such as choreography, kinematics, performer, and low-level visual stimuli. A repetition suppression (RS) procedure was used to identify brain regions that decoded the meaningful affective state of a performer, as evidenced by decreased activity when emotive themes were repeated in successive performances. Because the theme was the only feature repeated across video clips that were otherwise entirely different, the occurrence of RS identified brain substrates that differentially coded the specific meaning of expressive performances. RS was observed bilaterally, extending anteriorly along middle and superior temporal gyri into temporal pole, medially into insula, rostrally into inferior orbitofrontal cortex, and caudally into hippocampus and amygdala. Behavioral data on a separate task indicated that interpreting themes from modern dance was more difficult than interpreting pantomime; a result that was also reflected in the fMRI data. There was greater RS in left hemisphere, suggesting that the more abstract metaphors used to express themes in dance compared to pantomime posed a greater challenge to brain substrates directly involved in decoding those themes. We propose that the meaning-sensitive temporal-orbitofrontal regions observed here comprise a superordinate functional module of a known hierarchical action observation network (AON), which is critical to the construction of meaning from expressive movement. The findings are discussed with respect to a predictive coding model of action understanding.
ERIC Educational Resources Information Center
Dungen, Peter van den
The struggle for peace is a story filled with action, drama, and heroism that should be presented in a peace museum based on a careful selection of themes and the events, individuals, and movements within each theme. An outline provides 18 possible major themes to be addressed in the content of a peace museum in order to present a comprehensive…
Moving Souls: History Offers Insights into Physical Activity that Go beyond Fitness and Fun
ERIC Educational Resources Information Center
Sydnor, Synthia
2005-01-01
This article looks at four theoretical themes that scholars insist on when studying history. The themes--social memory, liminality, community, and critique--may be useful in stimulating the direction, planning, and practice of physical activity in young adults. These particular themes were chosen because they seem to match some of the…
An action research study of secondary science assessment praxes
NASA Astrophysics Data System (ADS)
Ryan, Thomas Gerald
This practical participatory action research study illuminates the assessment praxes of four Ontario secondary level science teachers at one school using a facilitative approach. Participants were joined by a thematic concern, that is, a commitment to inform and improve assessment. Hence, two distinct sets of research questions emerged. The first involves the nature of assessment as we asked, what was the current state of assessment practice in secondary science? What were participants' initial understandings of assessment and actual practices at the onset of this research? To what extent did these initial understandings and actual practices change due to the illumination of assessment praxes through action research involvement? What was their level of awareness of current Ontario government pronouncements and in what ways did they implement this knowledge? The second theme, concerning the nature of action research, was realised by asking what did participants learn about action research? What other learning and professional gains were realised during this study? And, what did I learn about action research and assessment through my involvement in this study? Data were collected via supportive discussion groups, individual interviews, classroom visitations, journals and documentation. This professional development experience facilitated 'interactive professionalism' as teachers worked in a small group and interacted frequently in the course of planning, testing new ideas, attempting to solve different problems, and assess the effectiveness of those ideas. In addition, this action research effort was strategic and systematic, to attain a high degree of specific interactions, (personal interviews, group meetings, classroom observations, evidence collection). This series of deliberate and planned intentions helped participants solve assessment dilemmas. We developed an awareness and understanding of the need for more preservice and inservice assessment training. Participants realised the extent, and need to overcome their compartmentalisation, individualism and isolation. This reality was due to the design of their schedules, their school building and lack of common preparation times. Yet, in spite of the aforementioned, this inquiry supported and facilitated the transformation, improvement and enhanced understanding of assessment praxes. Participants learned how to professionally develop themselves using an action research mode of inquiry that supported teacher growth and development.
Can persuasive messages encourage individuals to create action plans for physical activity?
Sweet, Shane N; Brawley, Lawrence R; Hatchell, Alexandra; Gainforth, Heather L; Latimer-Cheung, Amy E
2014-08-01
Given the positive influence of action planning on physical activity, persuasive messages could be designed to promote action planning. The purpose of this paper was to test action planning messages in two studies. Participants were allocated to one of two message groups, reading either a physical activity only or physical activity plus action planning message (Study 1) and either a gain-framed or loss-framed action planning message (Study 2). The percent of individuals who created an action plan and the quality of the plans were evaluated. In Study 1, individuals in the physical activity plus action planning group created as many action plans as the physical activity only group, but their plans were higher quality. In Study 2, Week 2 differences between the gain- and loss-framed message groups were found for action planning. To our knowledge, these studies were the first to investigate message-induced action planning as a behavior. More research is needed to optimize these messages.
Patient engagement in clinical communication: an exploratory study.
Chaboyer, Wendy; McMurray, Anne; Marshall, Andrea; Gillespie, Brigid; Roberts, Shelley; Hutchinson, Alison M; Botti, Mari; McTier, Lauren; Rawson, Helen; Bucknall, Tracey
2016-09-01
Existing practice strategies for actively involving patients in care during hospitalisation are poorly understood. The aim of this study was to explore how healthcare professionals engaged patients in communication associated with care transitions. An instrumental, collective case study approach was used to generate empirical data about patient transitions in care. A purposive sample of key stakeholders representing (i) patients and their families; (ii) hospital discharge planning team members; and (iii) healthcare professionals was recruited in five Australian health services. Individual and group semi-structured interviews were conducted to elicit detailed explanations of patient engagement in transition planning. Interviews lasted between 30 and 60 minutes and were digitally recorded and transcribed verbatim. Data collection and analysis were conducted simultaneously and continued until saturation was achieved. Thematic analysis was undertaken. Five themes emerged as follows: (i) organisational commitment to patient engagement; (ii) the influence of hierarchical culture and professional norms on patient engagement; (iii) condoning individual healthcare professionals' orientations and actions; (iv) understanding and negotiating patient preferences; and (v) enacting information sharing and communication strategies. Most themes illustrated how patient engagement was enabled; however, barriers also existed. Our findings show that strong organisational and professional commitment to patient-centred care throughout the organisation was a consistent feature of health services that actively engaged patients in clinical communication. Understanding patients' needs and preferences and having both formal and informal strategies to engage patients in clinical communication were important in how this involvement occurred. © 2016 Nordic College of Caring Science.
Unveiling the unicorn: a leader's guide to ACO preparation.
Aslin, Paul
2011-01-01
The great uncertainty surrounding healthcare reform provides little incentive for action. However, as healthcare leaders wait for final rules and clarity about accountable care organizations (ACOs), inaction is the inappropriate response. Several central themes emerge from research about beginning the ACO process. Leaders should be able to understand and articulate ACO concepts. They should champion embracing cultural change while partnering with physicians. Inventory of skills and capabilities should take place to understand any deficiencies required to implement an ACO. Finally, a plan should be formed by asking strategic questions on each platform needed to ensure performance and strategic goals are at the forefront of decisions regarding structure and function of an ACO. It takes a visionary leader to accept these challenges.
Erwin, Kim; Martin, Molly A; Flippin, Tara; Norell, Sarah; Shadlyn, Ariana; Yang, Jie; Falco, Paula; Rivera, Jaime; Ignoffo, Stacy; Kumar, Rajesh; Margellos-Anast, Helen; McDermott, Michael; McMahon, Kate; Mosnaim, Giselle; Nyenhuis, Sharmilee M; Press, Valerie G; Ramsay, Jessica E; Soyemi, Kenneth; Thompson, Trevonne M; Krishnan, Jerry A
2016-01-01
Aim: To present the methods and outcomes of stakeholder engagement in the development of interventions for children presenting to the emergency department (ED) for uncontrolled asthma. Methods: We engaged stakeholders (caregivers, physicians, nurses, administrators) from six EDs in a three-phase process to: define design requirements; prototype and refine; and evaluate. Results: Interviews among 28 stakeholders yielded themes regarding in-home asthma management practices and ED discharge experiences. Quantitative and qualitative evaluation showed strong preference for the new discharge tool over current tools. Conclusion: Engaging end-users in contextual inquiry resulted in CAPE (CHICAGO Action Plan after ED discharge), a new stakeholder-balanced discharge tool, which is being tested in a multicenter comparative effectiveness trial. PMID:26690579
Knowledge management in health: a systematic literature review.
Rocha, Elyrose Sousa Brito; Nagliate, Patricia; Furlan, Claudia Elisangela Bis; Rocha, Kerson; Trevizan, Maria Auxiliadora; Mendes, Isabel Amélia Costa
2012-01-01
Knowledge has been used as a resource for intelligent and effective action planning in organizations. Interest in research on knowledge management processes has intensified in different areas. A systematic literature review was accomplished, based on the question: what are the contributions of Brazilian and international journal publications on knowledge management in health? The sample totaled 32 items that complied with the inclusion criteria. The results showed that 78% of journals that published on the theme are international, 77% of researchers work in higher education and 65% have a Ph.D. The texts gave rise to five thematic categories, mainly: development of knowledge management systems in health (37.5%), discussion of knowledge management application in health (28.1%) and nurses' function in knowledge management (18.7%).
Urban women's preferences for learning of their mammogram result: a qualitative study.
Marcus, Erin N; Drummond, Darlene; Dietz, Noella
2012-03-01
Research suggests that communication of mammogram results is flawed for many low-income ethnic minority women. This study conducted four focus groups with low-income inner-city minority women (n = 34). The goals of our project were: (1) to elucidate women's experiences learning of their result; (2) to elicit their preferences as to how this communication could be improved; and (3) to gather information to help inform the development of a new tool for communicating mammogram results. Salient themes included dissatisfaction with result communication; difficulty elucidating the meaning of a typical results notification letter; a preference for direct verbal communication of results and for print materials that included pictures, testimonials, and an action plan including a hotline to call with questions; and a strong interest in advance education about the likelihood of having to return for additional follow up. Video and other programs to inform patients before the test about what happens after may improve patient satisfaction and enhance women's understanding of their personal result and follow up plan.
Proceedings of the High Consequence Operations Safety Symposium
DOE Office of Scientific and Technical Information (OSTI.GOV)
Not Available
1994-12-01
Many organizations face high consequence safety situations where unwanted stimuli due to accidents, catastrophes, or inadvertent human actions can cause disasters. In order to improve interaction among such organizations and to build on each others` experience, preventive approaches, and assessment techniques, the High Consequence Operations Safety Symposium was held July 12--14, 1994 at Sandia National Laboratories, Albuquerque, New Mexico. The symposium was conceived by Dick Schwoebel, Director of the SNL Surety Assessment Center. Stan Spray, Manager of the SNL System Studies Department, planned strategy and made many of the decisions necessary to bring the concept to fruition on a shortmore » time scale. Angela Campos and about 60 people worked on the nearly limitless implementation and administrative details. The initial symposium (future symposia are planned) was structured around 21 plenary presentations in five methodology-oriented sessions, along with a welcome address, a keynote address, and a banquet address. Poster papers addressing the individual session themes were available before and after the plenary sessions and during breaks.« less
Kozlowski, Lynn T; Abrams, David B
2016-05-24
Leading themes have guided tobacco control efforts, and these themes have changed over the decades. When questions arose about health risks of tobacco, they focused on two key themes: 1) how bad is the problem (i.e., absolute risk) and 2) what can be done to reduce the risk without cessation (i.e., prospects for harm reduction). Using the United States since 1964 as an example, we outline the leading themes that have arisen in response to these two questions. Initially, there was the recognition that "cigarettes are hazardous to health" and an acceptance of safer alternative tobacco products (cigars, pipes, light/lower-tar cigarettes). In the 1980s there was the creation of the seminal theme that "Cigarettes are lethal when used as intended and kill more people than heroin, cocaine, alcohol, AIDS, fires, homicide, suicide, and automobile crashes combined." By around 2000, support for a less-dangerous light/lower tar cigarette was gone, and harm reduction claims were avoided for products like cigars and even for smokeless tobacco which were summarized as "unsafe" or "not a safe alternative to cigarettes." The Surgeon General in 2014 concluded that by far the greatest danger to public health was from cigarettes and other combusted products. At the same time the evidence base for smokeless tobacco and alternative nicotine delivery systems (ANDS) had grown. Product innovation and tobacco/nicotine bio-behavioral, epidemiological and public health sciences demonstrate that low nitrosamine smokeless tobacco (e.g., Swedish snus), and ANDS have substantially lower harms than cigarettes. Going forward, it is important to sharpen themes and key messages of tobacco control, while continuing to emphasize the extreme lethality of the inhaled smoke from cigarettes or from use of any combusting tobacco product. Implications of updating the leading themes for regulation, policymaking and advocacy in tobacco control are proposed as an important next step. A new reframing can align action plans to more powerfully and rapidly achieve population-level benefit and minimize harm to eliminate in our lifetime the use of the most deadly combustible tobacco products and thus prevent the premature deaths of 1 billion people projected to occur worldwide by 2100.
Defense.gov - Special Report: VOTE
Voting Action Plan (pdf) 2013 USMC Voting Action Plan (pdf) 2013 Army Voting Action Plan (pdf) Air Force Voting Plan 2012-13 (pdf) Army Voting Action Plan 2012 (pdf) Marine Corps Voting Action Plan 2012 (pdf ) Navy Voting Action Plan (pdf) Overseas Vote Foundation Project Vote Smart Preparing for the 2012
Ethical frameworks for surrogates’ end-of-life planning experiences: A qualitative systematic review
Kim, Hyejin; Deatrick, Janet A; Ulrich, Connie M
2016-01-01
Despite the growing body of knowledge about surrogate decision making, we know very little about the use of ethical frameworks including ethical theories, principles, and concepts to understand surrogates’ day-to-day experiences in end-of-life care planning for incapacitated adults. This systematic review of 30 qualitative research papers was conducted to identify the types of ethical frameworks used to address surrogates’ experiences in end-of-life care planning for incapacitated adults as well as the most common themes or patterns found in surrogate decision making research.. Seven papers explicitly identified ethical theories, principles, or concepts for their studies, such as autonomy, substituted judgment, and best interests. Themes identified about surrogate decision making included: responsibilities and goals, factors affecting surrogates’ decision making, and outcomes for surrogates. In fact, an overarching theme of “wanting to do the right thing” for incapacitated adults and/or themselves was prominent. Understanding the complexity of surrogates’ experiences of end-of-life care planning is beyond the scope of conventional ethical frameworks. Ethical frameworks that address individuality and contextual variations related to decision making may more appropriately guide surrogate decision making research that explores surrogates’ end-of-life care planning experiences. PMID:27005954
Assessing Assessment Texts: Where Is Planning?
ERIC Educational Resources Information Center
Fives, Helenrose; Barnes, Nicole; Dacey, Charity; Gillis, Anna
2016-01-01
We conducted a content analysis of 27 assessment textbooks to determine how assessment planning was framed in texts for preservice teachers. We identified eight assessment planning themes: alignment, assessment purpose and types, reliability and validity, writing goals and objectives, planning specific assessments, unpacking, overall assessment…
Riparian area management: themes and recommendations
David J. Welsch; James W. Hornbeck; Elon S. Verry; Andrew Dolloff; John G. Greis
2000-01-01
The end results of most of our management actions are reflected by the health of our rivers, streams, and lakes." Michael Dombeck, Chief, USDA Forest ServiceIn this final chapter [of Riparian Management in Forests of the Continental Eastern United States], we consider the overriding themes of riparian area management and list...
ERIC Educational Resources Information Center
Moane, Geraldine
2010-01-01
Feminist and liberation psychologies have emerged in contexts of marginalization and oppression and have developed in diverse, and sometimes synergistic, ways. I identify key themes for fostering critical consciousness and political action that arise from the intersections of feminist and liberation psychology. These themes include the need for…
[Journalism and family planning in Guinea-Bissau. Putting the accent on birth spacing].
Vaz, C
1989-05-01
A conference on awareness in the mass media of the problems of family planning was held in March 1989 at Bissau by the Guinean Association for Education and Promotion of Family Health (AGEPSF). Representatives of radio, a daily newspaper, and the national press agency discussed the objectives of AGEPSF and the benefits of family planning with specialists in different sectors of national life. The secretary general of AGEPSF affirmed the interest of the government in creating a health organization to coordinate national policy in family planning and to diffuse information on family planning. The family planning objective of the AGEPSF is not limitation of births but rather spacing to promote maternal and child health. AGEPSF is a member of the International Planned Parenthood Federation and maintains relations with similar organizations throughout the world. According to the director of the national maternity hospital, family planning is a sensitive topic but it has become accepted in numerous countries as marriage in rural areas and abortions in urban areas are widespread practices in Africa with potentially grave consequences. The general director of the National Institute for Studies and Research placed the theme of family planning in the context of Guinea-Bissau by citing the low level of education, the almost insignificant number of literate women, and the lack of health services in rural areas as the principal causes of increasing infant mortality in the country. African countries should create favorable conditions, elevate the level of living of their populations, and develop concrete health actions to reduce infant and maternal mortality.
Using Concept Mapping in the Development of a School of Public Health.
Hsu, Laura J; Pacheco, Misty Y; Crabtree, Christopher; Maddock, Jay E
2015-07-01
Schools of Public Health have a wide variety of essential stakeholders. Broad input in program planning should assist in ensuring well-developed plans and strong community buy-in. The planning of a school can better address the needs of multiple stakeholders from systematic broad-based input from these constituents using concept mapping. In this study, we used concept mapping to prioritize a set of recommendations from diverse stakeholders to assist in the process of planning a school. A set of statements was generated on essential elements for the proposed school from a broad group of stakeholders. The statements were then distilled into unique themes, which were then rated on importance and feasibility. Cluster maps and pattern matches were used to analyze the ratings. Unique themes (N = 147) were identified and grouped into 12 clusters. Cluster themes included leadership, faculty, culture, school, and curriculum. Pattern matches revealed a significant, modest correlation between importance and feasibility (r = 0.27). A broad range of perspectives was used to identify relevant areas to address in the development of a school.
Anthony, Christy; Thomas, Tito Joe; Berg, Bridget M; Burke, Rita V; Upperman, Jeffrey S
2017-01-01
Recent incidents have demonstrated that the US health system is unprepared for infectious pandemics resulting in a pediatric surge. Development of efficient plans and a structured and coordinated regional response to pediatric pandemic surge remains an opportunity. To address this gap, we conducted a literature review to assess current efforts, propose a response plan structure, and recommend policy actions. A literature review, utilizing MEDLINE and PubMed, through March 2017 identified articles regarding infectious disease pandemics affecting the US pediatric population. After review of current literature, a proposed response plan structure for a pediatric pandemic surge was designed. Inclusion and exclusion criteria reduced an initial screening of 1,787 articles to 162 articles. Articles ranged in their discussion of pediatric pandemic surge. Review of the articles led to the proposal of organizing the results according to 4 S's; (1) Structure, (2) Staff, (3) Stuff (Resources), and (4) Space. The review has supported the concern that the US health system is unprepared for a pediatric surge induced by infectious disease pandemics. Common themes suggest that response plans should reflect the 4Ss and national guidelines must be translated into regional response systems that account for local nuances.
29 CFR 1910.38 - Emergency action plans.
Code of Federal Regulations, 2014 CFR
2014-07-01
... OCCUPATIONAL SAFETY AND HEALTH STANDARDS Exit Routes and Emergency Planning § 1910.38 Emergency action plans. (a) Application. An employer must have an emergency action plan whenever an OSHA standard in this...) Written and oral emergency action plans. An emergency action plan must be in writing, kept in the...
29 CFR 1910.38 - Emergency action plans.
Code of Federal Regulations, 2012 CFR
2012-07-01
... OCCUPATIONAL SAFETY AND HEALTH STANDARDS Exit Routes and Emergency Planning § 1910.38 Emergency action plans. (a) Application. An employer must have an emergency action plan whenever an OSHA standard in this...) Written and oral emergency action plans. An emergency action plan must be in writing, kept in the...
Cousins, Katheryn A Q; Ash, Sharon; Grossman, Murray
2018-03-01
Theories of grounded cognition propose that action verb knowledge relies in part on motor processing regions, including premotor cortex. Accordingly, impaired action verb knowledge in patients with amyotrophic lateral sclerosis (ALS) and Parkinson's Disease (PD) is thought to be due to motor system degeneration. Upper motor neuron disease in ALS degrades the motor cortex and related pyramidal motor system, while disease in PD is centered in the basal ganglia and can spread to frontostriatal areas that are important to language functioning. These anatomical distinctions in disease may yield subtle differences in the action verb impairment between patient groups. Here we compare verbs where the body is the agent of the action to verbs where the body is the theme. To examine the role of motor functioning in body verb production, we split patient groups into patients with high motor impairment (HMI) and those with low motor impairment (LMI), using disease-specific measures of motor impairment. Regression analyses assessed how verb production in ALS and PD was related to motor system atrophy. We find a dissociation between agent- and theme-body verbs in ALS: ALS HMI were impaired for agent body verbs but not theme verbs, compared to ALS LMI. This dissociation was not present in PD patients, who instead show depressed production for all body verbs. Although patients with cognitive impairment were excluded from this study, cognitive performance significantly correlated with the production of theme verbs in ALS and cognitive/stative verbs in PD. Finally, regression analyses related the agent-theme dissociation in ALS to grey matter atrophy of premotor cortex. These findings support the view that motor dysfunction and disease in premotor cortex contributes to the agent body verb deficit in ALS, and begin to identify some distinct characteristics of impairment for verbs in ALS and PD. Copyright © 2017 Elsevier Ltd. All rights reserved.
Mash, B J; Mayers, P; Conradie, H; Orayn, A; Kuiper, M; Marais, J
2008-07-01
In South Africa, first-contact primary care is delivered by nurses in small clinics and larger community health centres (CHC). CHCs also employ doctors, who often work in isolation from the nurses, with poor differentiation of roles and little effective teamwork or communication. Worcester CHC, a typical public sector CHC in rural South Africa, decided to explore how to create more successful practice teams of doctors and nurses. This paper is based on their experience of both unsuccessful and successful attempts to introduce practice teams and reports on their learning regarding organisational change. An emergent action research study design utilised a co-operative inquiry group. The first nine months of inquiry focused on understanding the initial unsuccessful attempt to create practice teams. This paper reports primarily on the subsequent nine months (four cycles of planning, action, observation and reflection) during which practice teams were re-introduced. The central question was how more effective practice teams of doctors and nurses could be created. The group utilised outcome mapping to assist with planning, monitoring and evaluation. Outcome mapping defined a vision, mission, boundary partners, outcome challenges, progress markers and strategies for the desired changes and supported quantitative monitoring of the process. Qualitative data were derived from the co-operative inquiry group (CIG) meetings and interviews with doctors, nurses, practice teams and patients. The CIG engaged effectively with 68% of the planned strategies, and more than 60% of the progress markers were achieved for clinical nurse practitioners, doctors, support staff and managers, but not for patients. Key themes that emerged from the inquiry group's reflection on their experience of the change process dealt with the amount of interaction, type of communication, team resilience, staff satisfaction, leadership style, reflective capacity, experimentation and evolution of new structures. The group's learning supported a view of change that sees the organisation as a living system in which information flow, participation and the development of resilience are key aspects. These themes fit well into an understanding of change based on complexity theory. If managers of the health system wish to enhance organisational change, then their goal may need to shift from optimising health care delivery in a mechanistic model to optimising health care workers in a living system.
Federal Register 2010, 2011, 2012, 2013, 2014
2012-05-16
...-2012-0004] Draft Public Health Action Plan--A National Public Health Action Plan for the Detection...), Department of Health and Human Services (HHS). ACTION: Notice of availability and request for public comment..., Division of Reproductive Health, Attn: National Public Health Action Plan for the Detection, Prevention...
76 FR 14402 - Draft Action Plan-A Public Health Action Plan To Combat Antimicrobial Resistance
Federal Register 2010, 2011, 2012, 2013, 2014
2011-03-16
...-2011-0002] Draft Action Plan--A Public Health Action Plan To Combat Antimicrobial Resistance AGENCY: Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (DHHS). ACTION... requesting public comment on the draft A Public Health Action Plan to Combat Antimicrobial Resistance. HHS...
Code of Federal Regulations, 2011 CFR
2011-07-01
... 36 Parks, Forests, and Public Property 1 2011-07-01 2011-07-01 false Action plan. 72.13 Section 72... AND RECREATION RECOVERY ACT OF 1978 Local Recovery Action Programs § 72.13 Action plan. The purpose of the Assessment is to provide background and justification for an Action Plan. The Action Plan, which...
76 FR 21907 - Draft Action Plan-A Public Health Action Plan To Combat Antimicrobial Resistance
Federal Register 2010, 2011, 2012, 2013, 2014
2011-04-19
...-2011-0002] Draft Action Plan--A Public Health Action Plan To Combat Antimicrobial Resistance AGENCY: Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (DHHS). ACTION... Federal Register requesting public comment on the draft, A Public Health Action Plan to Combat...
Sun-Earth Day - Teaching Heliophysics Through Education Technology
NASA Technical Reports Server (NTRS)
Thieman, J.; Cline, T.; Lewis, E.
2010-01-01
Sun-Earth Day (SED) is an Education and Outreach program supported by the U.S, National Aeronautics and Space Administration (NASA). The intent of the program is to teach students and the general public about Heliophysics (the science of the study of the Sun, how it varies, and how solar dynamics affect the rest of the solar system, especially the Earth). The program was begun ten years ago. Each year since that time a particular day has been designated as "Sun-Earth Day ,,. Usually the day of the spring equinox (March 20 or 21) is Sun-Earth Day, but other days have been used as well. Each year a theme is chosen relating to Heliophysics and events reflecting that theme are planned not only for Sun-Earth Day, but for the entire year. From the very beginning educational technology was emphasized in the events in order to effectively reach wide audiences with the SED message. The main approach has been to have a "webcast" related to each year's theme, often from a location that supports the theme as well. For example, a webcast took place from the Mayan pyramids at Chichen Itza, Mexico to highlight the theme of "Ancient Observatories, Timeless Knowledge". Webcasts were not the only technology employed, however. Many of the themes centered on the dynamic nature of the Sun and the effects that solar storms can have on interplanetary space and in our day-to-day life on Earth. Activities for tracking when solar storms happen and how they affect the Earth were developed and brought together in an educational package called Space Weather Action Centers. This project is explained in more detail in another presentation in this session being given by Norma Teresinha Oliveira Reis. Recent Sun-Earth Days have utilized "social networking" technologies to reach widespread groups on the internet. Podcasts, Vodcasts, Facebook, Twitter, and Second Life are the types of network technologies being employed now. The NASA Distance learning Network is another method for bringing Sun-Earth Day events and training to widespread educators and classrooms in order to magnify the reach of Sun-Earth Day. Examples of the technologies will be shown along with an assessment of their effectiveness.
Climate Action Planning Process | Climate Neutral Research Campuses | NREL
Action Planning Process Climate Action Planning Process For research campuses, NREL has developed a five-step process to develop and implement climate action plans: Determine baseline energy consumption Analyze technology options Prepare a plan and set priorities Implement the climate action plan Measure and
Code of Federal Regulations, 2011 CFR
2011-04-01
... 24 Housing and Urban Development 1 2011-04-01 2011-04-01 false Action plan. 91.320 Section 91.320... Consolidated Plan § 91.320 Action plan. The action plan must include the following: (a) Standard Form 424; (b... outcome measures for activities included in its action plan in accordance with guidance issued by HUD. For...
Code of Federal Regulations, 2011 CFR
2011-04-01
... 24 Housing and Urban Development 1 2011-04-01 2011-04-01 false Action plan. 91.220 Section 91.220... Consolidated Plan § 91.220 Action plan. The action plan must include the following: (a) Standard Form 424; (b... to be undertaken. The action plan must provide a description of the activities the jurisdiction will...
Code of Federal Regulations, 2010 CFR
2010-04-01
... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Action plan. 91.220 Section 91.220... Consolidated Plan § 91.220 Action plan. The action plan must include the following: (a) Standard Form 424; (b... to be undertaken. The action plan must provide a description of the activities the jurisdiction will...
Code of Federal Regulations, 2010 CFR
2010-04-01
... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Action plan. 91.320 Section 91.320... Consolidated Plan § 91.320 Action plan. The action plan must include the following: (a) Standard Form 424; (b... outcome measures for activities included in its action plan in accordance with guidance issued by HUD. For...
Code of Federal Regulations, 2010 CFR
2010-04-01
... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Action plan. 91.420 Section 91.420... Plan § 91.420 Action plan. (a) Form application. The action plan for the consortium must include a...) Description of resources and activities. The action plan must describe the resources to be used and activities...
Code of Federal Regulations, 2011 CFR
2011-04-01
... 24 Housing and Urban Development 1 2011-04-01 2011-04-01 false Action plan. 91.420 Section 91.420... Plan § 91.420 Action plan. (a) Form application. The action plan for the consortium must include a...) Description of resources and activities. The action plan must describe the resources to be used and activities...
Meyer, Diane; Kirk Sell, Tara; Schoch-Spana, Monica; Shearer, Matthew P; Chandler, Hannah; Thomas, Erin; Rose, Dale A; Carbone, Eric G; Toner, Eric
2018-05-01
The domestic response to the West Africa Ebola virus disease (EVD) epidemic from 2014-2016 provides a unique opportunity to distill lessons learned about health sector planning and operations from those individuals directly involved. This research project aimed to identify and integrate these lessons into an actionable checklist that can improve health sector resilience to future high-consequence infectious disease (HCID) events. Interviews (N = 73) were completed with individuals involved in the domestic EVD response in 4 cities (Atlanta, Dallas, New York, and Omaha), and included individuals who worked in academia, emergency management, government, health care, law, media, and public health during the response. Interviews were transcribed and analyzed qualitatively. Two focus groups were then conducted to expand on themes identified in the interviews. Using these themes, an evidence-informed checklist was developed and vetted for completeness and feasibility by an expert advisory group. Salient themes identified included health care facility issues-specifically identifying assessment and treatment hospitals, isolation and treatment unit layout, waste management, community relations, patient identification, patient isolation, limitations on treatment, laboratories, and research considerations-and health care workforce issues-specifically psychosocial impact, unit staffing, staff training, and proper personal protective equipment. The experiences of those involved in the domestic Ebola response provide critical lessons that can help strengthen resilience of health care systems and improve future responses to HCID events. Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. All rights reserved.
Use of qualitative methods to explore the quality-of-life construct from a consumer perspective.
Corring, Deborah J; Cook, Joanne V
2007-02-01
This study explored the construct of quality of life from the perspective of adults diagnosed as having severe and persistent mental illness, such as schizophrenia. Qualitative research strategies, specifically in-depth interviews (N=18) and focus groups (N=35), were used to collect data. Interviews and focus groups took place in hospitals, community clinics, community agencies, and clients' homes. A convenience, snowball sampling strategy was utilized. Analysis using the constant comparative method resulted in the identification of two dominant themes. These themes permeated the results, crossed all domains, influenced the linkages between domains, and clearly influenced how individuals frame their expectations regarding quality of life. The first theme was the presence of stigma and its effects on everyday life and future planning, and the second was the pervasive fear of the return of major positive symptoms of psychosis, such as hallucinations, delusions, and general loss of contact with reality. In addition, four quality-of-life domains were identified-the experience of illness, relationships, occupation, and sense of self. Many persons with mental illness simply wish for the basics in life-mental and physical health, supportive relationships, meaningful occupations, and a positive sense of self-believing that acquisition of these basics will lead to a more satisfactory quality of life. Ensuring that they are able to obtain the basics requires action on their part, by those who support them, by service providers that interact with them, and by a more accepting society.
Mital, Sasha; Miles, Gillian; McLellan-Lemal, Eleanor; Muthui, Mercy; Needle, Richard
2016-01-01
Introduction While relatively rare events, abrupt disruptions in heroin availability have a significant impact on morbidity and mortality risk among those who are heroin dependent. A heroin shortage occurred in Coast Province, Kenya from December 2010 to March 2011. This qualitative analysis describes the shortage events and consequences from the perspective of heroin users, along with implications for health and other public sectors. Methods As part of a rapid assessment, 66 key informant interviews and 15 focus groups among heroin users in Coast Province, Kenya were conducted. A qualitative thematic analysis was undertaken in Atlas.ti. to identify salient themes related to the shortage. Results Overall, participant accounts were rooted in a theme of desperation and uncertainty, with emphasis on six sub-themes: (1) withdrawal and strategies for alleviating withdrawal, including use of medical intervention and other detoxification attempts; (2) challenges of dealing with unpredictable drug availability, cost, and purity; (3) changes in drug use patterns, and actions taken to procure heroin and other drugs; (4) modifications in drug user relationship dynamics and networks, including introduction of risky group-level injection practices; (5) family and community response; and (6) new challenges with the heroin market resurgence. Conclusions The heroin shortage led to a series of consequences for drug users, including increased risk of morbidity, mortality and disenfranchisement at social and structural levels. Availability of evidence-based services for drug users and emergency preparedness plans could have mitigated this impact. PMID:26470646
Mital, Sasha; Miles, Gillian; McLellan-Lemal, Eleanor; Muthui, Mercy; Needle, Richard
2016-04-01
While relatively rare events, abrupt disruptions in heroin availability have a significant impact on morbidity and mortality risk among those who are heroin dependent. A heroin shortage occurred in Coast Province, Kenya from December 2010 to March 2011. This qualitative analysis describes the shortage events and consequences from the perspective of heroin users, along with implications for health and other public sectors. As part of a rapid assessment, 66 key informant interviews and 15 focus groups among heroin users in Coast Province, Kenya were conducted. A qualitative thematic analysis was undertaken in Atlas.ti. to identify salient themes related to the shortage. Overall, participant accounts were rooted in a theme of desperation and uncertainty, with emphasis on six sub-themes: (1) withdrawal and strategies for alleviating withdrawal, including use of medical intervention and other detoxification attempts; (2) challenges of dealing with unpredictable drug availability, cost, and purity; (3) changes in drug use patterns, and actions taken to procure heroin and other drugs; (4) modifications in drug user relationship dynamics and networks, including introduction of risky group-level injection practices; (5) family and community response; and (6) new challenges with the heroin market resurgence. The heroin shortage led to a series of consequences for drug users, including increased risk of morbidity, mortality and disenfranchisement at social and structural levels. Availability of evidence-based services for drug users and emergency preparedness plans could have mitigated this impact. Published by Elsevier B.V.
Fun in the Sun for School-Agers.
ERIC Educational Resources Information Center
Hanus, Maggie
1996-01-01
Tells how caregivers planning summertime theme-oriented special events for children can build enthusiasm, encourage cooperation, and provide fun activities. Presents four themes: (1) "Beach Blast"; (2) "Splash Day"; (3) "Crazy Carnival"; and (4) "Balloon Blowout." Describes several activities in each…
Federal Register 2010, 2011, 2012, 2013, 2014
2012-06-27
...-2012-0004] Draft Public Health Action Plan--A National Public Health Action Plan for the Detection...), Department of Health and Human Services (HHS). ACTION: Extension of public comment period. SUMMARY: On May 16... National Public Health Action Plan for the Detection, Prevention, and Management of Infertility (77 FR...
Theme and Variations: One Middle School's Interpretation of Mandated Action Research
ERIC Educational Resources Information Center
Sheridan-Thomas, Heather K.
2006-01-01
In the current climate of accountability, action research is one way for teachers to evaluate instructional changes designed to improve assessment results. It may become increasingly common for administrators to mandate teacher involvement in action research, yet few studies have been conducted in such settings. This article focuses on one middle…
Are Planning Students becoming Transformational Leaders?
ERIC Educational Resources Information Center
Nagy, Beth
2012-01-01
This research asks us to consider the intersection of three major themes in the pedagogy of teaching Planning students: sustainable community theories, transformational leadership and community engagement. The intersection, a critical Planning pedagogy, should be a part of any Planning program, embedded within the curriculum of higher education.…
Abraham Lincoln--His Words and His World: a Unit Plan.
ERIC Educational Resources Information Center
Diamond, Ronald L.; Diamond, Linda W.
Planned for an eighth-grade classroom, this unit plan, consisting of 19 lesson plans on the topic of Abraham Lincoln, is based upon the fulfillment of 17 unit objectives. Each daily lesson plan specifies the following: lesson theme, learner objective, needed prerequisites, new vocabulary or terms, learning set/motivation, presentation of new…
Healthy cities as catalysts for caring and supportive environments.
Green, Geoff; Jackisch, Josephine; Zamaro, Gianna
2015-06-01
'Caring and Supportive Environments' are fundamental to a social model of health and were a core theme of Phase V (2009-13) of the WHO European Healthy Cities Network. Deploying the methodology of realist evaluation, this article synthesizes qualitative evidence from 112 highly structured case studies from 68 Network cities and 71 responses to a General Evaluation Questionnaire, which asked cities to analyze city attributes and trends. A schematic model was developed to describe the interaction between action targeted toward children, migrants, older people and action on social and health services, health literacy and active citizenship-the six subtopics clustered within the theme Caring and Supportive Environments. Four hypotheses were tested: (i) there are prerequisites and processes of local governance that increase city capacity for creating supportive environments; (ii) investing in health and social services, active citizenship and health literacy enhance the social inclusion of vulnerable population groups; (iii) there are synergies between social investment and healthy urban planning; and (iv) these investments promote greater equity in health. The evaluation revealed many innovative practices. Providers of health and social services have developed partnerships with agencies influencing wider determinants of health. Health literacy campaigns address the wider context of people's lives. In a period of economic austerity, cities have utilized the social assets of their citizens. Realist evaluation can help illuminate the pathways from case study interventions to health outcomes, and the prerequisites and processes required to initiate and sustain such investments. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
Integrating Environmental Education With Beginning Reading and Phonics Instruction
NASA Astrophysics Data System (ADS)
Bolsem, Anne M.
The practice of integrating methods of instruction shows signs of promise as teachers seek new ways to raise student achievement. Although researchers have focused on the efficacy of environment-based education, little research has been done to investigate a framework for integration. The research question that guided this case study was designed to explore the instructional practices teachers employ to integrate environmental education with beginning reading and phonics instruction. The conceptual framework is based on the seminal idea of using the environment as an integrating context, which postulates that the natural world becomes the overarching theme for teaching and learning. Data were obtained through interviews and lesson observations using a purposeful sample of 4 kindergarten and first grade teacher participants. A focus group interview also included the on-site naturalist. Inductive data analysis was used to discover categories and themes. Findings indicated that teachers integrate instruction primarily in the areas of vocabulary and writing after purposeful planning, collaboration, and a deep understanding of broader student goals. Findings also specified that teachers' integration strategies represent a combination of who the teachers are, what they believe, and what action they take in the classroom. Site-specific recommendations for action include ongoing professional development for teachers and support staff, time for collaboration, and review of teacher personal beliefs. Implications for social change include reflection and improvement of practice by teachers at the study site, as well as continued evaluation and discussion about teaching practices and teacher roles leading to more cohesive, enriching integrated instruction rooted in authentic, place-based experiences.
ERIC Educational Resources Information Center
Mizener, Arthur, Ed.
This book, which is most suitable for high school or junior college teachers, is a guide to the teaching of twelve of Shakespeare's plays. For each play the authors include an opening essay about the general character of the play, its main theme, and the dramatic design expressing this theme. A detailed discussion of the dramatic action follows,…
Austin, Jane E.; Slattery, Stuart; Clark, Robert G.
2014-01-01
There are 30 threatened or endangered species of waterfowl worldwide, and several sub-populations are also threatened. Some of these species occur in North America, and others there are also of conservation concern due to declining population trends and their importance to hunters. Here we review conservation initiatives being undertaken for several of these latter species, along with conservation measures in place in Europe, to seek common themes and approaches that could be useful in developing broad conservation guidelines. While focal species may vary in their life histories, population threats and geopolitical context, most conservation efforts have used a systematic approach to understand factors limiting populations and o identify possible management or policy actions. This approach generally includes a priori identification of plausible hypotheses about population declines or status, incorporation of hypotheses into conceptual or quantitative planning models, and the use of some form of structured decision making and adaptive management to develop and implement conservation actions in the face of many uncertainties. A climate of collaboration among jurisdictions sharing these birds is important to the success of a conservation or management programme. The structured conservation approach exemplified herein provides an opportunity to involve stakeholders at all planning stages, allows for all views to be examined and incorporated into model structures, and yields a format for improved communication, cooperation and learning, which may ultimately be one of the greatest benefits of this strategy.
7 CFR 275.16 - Corrective action planning.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 7 Agriculture 4 2010-01-01 2010-01-01 false Corrective action planning. 275.16 Section 275.16... Corrective action planning. (a) Corrective action planning is the process by which State agencies shall...)/management unit(s) in the planning, development, and implementation of corrective action are those which: (1...
The components of action planning and their associations with behavior and health outcomes.
Lorig, Kate; Laurent, Diana D; Plant, Kathryn; Krishnan, Eswar; Ritter, Philip L
2014-03-01
Based on the works of Kiesler and Bandura, action plans have become important tools in patient self-management programs. One such program, shown effective in randomized trials, is the Internet Chronic Disease Self-Management Program. An implementation of this program, Healthy Living Canada, included detailed information on action plans and health-related outcome measures. Action plans were coded by type, and associations between action plans, confidence in completion and completion were examined. Numbers of Action Plans attempted and competed and completion rates were calculated for participants and compared to six-month changes in outcomes using regression models. Five of seven outcome measures significantly improved at six-months. A total of 1136 action plans were posted by 254 participants in 12 workshops (mean 3.9 out of 5 possible); 59% of action plans involved exercise, 16% food, and 14% role management. Confidence of completion was associated with completion. Action plan completion measures were associated with improvements in activity limitation, aerobic exercise, and self-efficacy. Baseline self-efficacy was associated with at least partial completion of action plans. Action planning appears to be an important component of self-management interventions, with successful completion associated with improved health and self-efficacy outcomes.
Person-like intelligent systems architectures for robotic shared control and automated operations
NASA Technical Reports Server (NTRS)
Erickson, Jon D.; Aucoin, Paschal J., Jr.; Ossorio, Peter G.
1992-01-01
An approach to rendering robotic systems as 'personlike' as possible to achieve needed capabilities is outlined. Human characteristics such as knowledge, motivation, know-how, performance, achievement and individual differences corresponding to propensities and abilities can be supplied, within limits, with computing software and hardware to robotic systems provided with sufficiently rich sensory configurations. Pushing these limits is the developmental path for more and more personlike robotic systems. The portions of the Person Concept that appear to be most directly relevant to this effort are described in the following topics: reality concepts (the state-of-affairs system and descriptive formats, behavior as intentional action, individual persons (person characteristics), social patterns of behavior (social practices), and boundary conditions (status maxims). Personlike robotic themes and considerations for a technical development plan are also discussed.
[On the way to Beijing: Dakar Conference].
Bessis, S
1994-10-01
In November 1994 in Senegal, Dakar will host the regional conference on women. Its purpose is to develop a common action plan that Africa will present in Beijing. Nongovernmental organizations (NGOs) and governments have already been preparing for this meeting. This conference had been organized by a series of meetings continent-wide, where governments and NGOs clarified their positions on the 3 themes: equality, development, and peace. The Ministry of Women and the Family has the task of preparing the Senegalese viewpoint of the operation. Senegalese authorities want to make the meeting in Dakar a success. They have decided to have expositions, cultural displays, a women's business forum, a village restaurant where representatives from each country will get to know the culinary wealth of other countries, and a gala event. Everyone is ready to discuss equality, women's access to decision making structures (especially in the education sector), and better distribution of income between the sexes. NGOs do not intend to sit back and do nothing at the conference, but intend to influence the editing of the action plan. Many women's and health-based NGOs are rising up against the gaps of the action plan which only consider women's biological and physical aspects but not their mental and psychological aspects. Participants should consider the disastrous effects of sexual abuse and early marriages. Are governments ready to reform their laws which tend to discriminate against women and institutionalize their low status? Do they have the political will to check the conservative forces, such as those that spoke out against women in the final report of the forum in Tunisia? The number of women in powerful posts in Africa is growing. They can certainly advance things more rapidly than in the recent past. Women at Dakar should work together to address conflicts in Africa. Women should insist that women participate in all peace negotiations.
Stankiewicz, A; Herel, M; DesMeules, M
2015-09-01
In 2012, Canada and other United Nations (UN) Member States endorsed the "Rio Political Declaration on Social Determinants of Health" (Rio Declaration), a non-binding pledge which calls on World Health Organization (WHO) Member States to improve/influence the working and living conditions that affect health and well-being. The Rio Declaration sets out actions to address health inequities in five themes: to adopt better governance for health and development; to promote participation in policy making and implementation; to further reorient the health sector towards reducing health inequities; to strengthen global governance and collaboration; and to monitor and increase accountability. In 2013, following the endorsement of the Rio Declaration, the Government of Canada released a report to begin to document Canadian actions related to its five themes. Building on this first report, and in anticipation of WHO reporting on Member State implementation of the Rio Declaration at the May 2015 World Health Assembly, the Government of Canada developed the report, Rio Political Declaration on Social Determinants of Health: A Snapshot of Canadian Actions 2015, which showcases Canada's recent actions since 2013 contributing to the advancement of the five Rio Declaration themes. The report provides a current picture of the diverse spectrum of activities undertaken across levels of government and sectors to advance health equity and address social determinants of health in Canada, and intends to stimulate global and domestic exchange and uptake of promising practices to advance health equity.
Supporting new graduate professional development: a clinical learning framework.
Fitzgerald, Cate; Moores, Alis; Coleman, Allison; Fleming, Jennifer
2015-02-01
New graduate occupational therapists are required to competently deliver health-care practices within complex care environments. An occupational therapy clinical education programme within a large public sector health service sought to investigate methods to support new graduates in their clinical learning and professional development. Three cycles of an insider action research approach each using the steps of planning, action, critical observation and reflection were undertaken to investigate new graduate learning strategies, develop a learning framework and pilot its utility. Qualitative research methods were used to analyse data gathered during the action research cycles. Action research identified variations in current practices to support new graduate learning and to the development of the Occupational Therapy Clinical Learning Framework (OTCLF). Investigation into the utility of the OTCLF revealed two themes associated with its implementation namely (i) contribution to learning goal development and (ii) compatibility with existing learning supports. The action research cycles aimed to review current practices to support new graduate learning. The learning framework developed encourages reflection to identify learning needs and the review, discussion of, and engagement in, goal setting and learning strategies. Preliminary evidence indicates that the OTCLF has potential as an approach to guide new graduate goal development supported by supervision. Future opportunity to implement a similar learning framework in other allied health professions was identified, enabling a continuation of the cyclical nature of enquiry, integral to this research approach within the workplace. © 2014 Occupational Therapy Australia.
Climate Neutral Research Campuses | NREL
the background. Set an example for climate neutrality. Use NREL's climate action planning process and more. Climate Action Planning Process Identify the best technology options for a climate action plan . Climate Action Planning Tool Identify the best technology options for a climate action plan. Technology
29 CFR 1926.35 - Employee emergency action plans.
Code of Federal Regulations, 2012 CFR
2012-07-01
... 29 Labor 8 2012-07-01 2012-07-01 false Employee emergency action plans. 1926.35 Section 1926.35... Provisions § 1926.35 Employee emergency action plans. (a) Scope and application. This section applies to all emergency action plans required by a particular OSHA standard. The emergency action plan shall be in writing...
29 CFR 1926.35 - Employee emergency action plans.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 29 Labor 8 2011-07-01 2011-07-01 false Employee emergency action plans. 1926.35 Section 1926.35... Provisions § 1926.35 Employee emergency action plans. (a) Scope and application. This section applies to all emergency action plans required by a particular OSHA standard. The emergency action plan shall be in writing...
29 CFR 1926.35 - Employee emergency action plans.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 29 Labor 8 2013-07-01 2013-07-01 false Employee emergency action plans. 1926.35 Section 1926.35... Provisions § 1926.35 Employee emergency action plans. (a) Scope and application. This section applies to all emergency action plans required by a particular OSHA standard. The emergency action plan shall be in writing...
29 CFR 1926.35 - Employee emergency action plans.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 29 Labor 8 2014-07-01 2014-07-01 false Employee emergency action plans. 1926.35 Section 1926.35... Provisions § 1926.35 Employee emergency action plans. (a) Scope and application. This section applies to all emergency action plans required by a particular OSHA standard. The emergency action plan shall be in writing...
40 CFR Appendix F to Part 112 - Facility-Specific Response Plan
Code of Federal Regulations, 2011 CFR
2011-07-01
... of Contents 1.0Model Facility-Specific Response Plan 1.1Emergency Response Action Plan 1.2Facility.... EC01MR92.015 1.1Emergency Response Action Plan Several sections of the response plan shall be co-located... sections shall be called the Emergency Response Action Plan. The Agency intends that the Action Plan...
Death of a Simulated Pediatric Patient: Toward a More Robust Theoretical Framework.
McBride, Mary E; Schinasi, Dana Aronson; Moga, Michael Alice; Tripathy, Shreepada; Calhoun, Aaron
2017-12-01
A theoretical framework was recently proposed that encapsulates learner responses to simulated death due to action or inaction in the pediatric context. This framework, however, was developed at an institution that allows simulated death and thus does not address the experience of those centers at which this technique is not used. To address this, we performed a parallel qualitative study with the intent of augmenting the initial framework. We conducted focus groups, using a constructivist grounded theory approach, using physicians and nurses who have experienced a simulated cardiac arrest. The participants were recruited via e-mail. Transcripts were analyzed by coders blinded to the original framework to generate a list of provisional themes that were iteratively refined. These themes were then compared with the themes from the original article and used to derive a consensus model that incorporated the most relevant features of each. Focus group data yielded 7 themes. Six were similar to those developed in the original framework. One important exception was noted; however, those learners not exposed to patient death due to action or inaction often felt that the mannequin's survival was artificial. This additional theme was incorporated into a revised framework. The original framework addresses most aspects of learner reactions to simulated death. Our work suggests that adding the theme pertaining to the lack of realism that can be perceived when the mannequin is unexpectedly saved results in a more robust theoretical framework transferable to centers that do not allow mannequin death.
Food as a Theme in Social Studies Classes: Connecting Daily Life to Technology, Economy, and Culture
ERIC Educational Resources Information Center
Resor, Cynthia Williams
2010-01-01
Connecting wider economic, technological, or cultural trends to the everyday life of students can be a challenge. Food can serve as a course-long theme that helps students comprehend the essential connection between personal actions and national or international trends and develop skills of critical analysis. The author describes four activities…
Developing and Implementing a Citywide Asthma Action Plan: A Community Collaborative Partnership.
Staudt, Amanda Marie; Alamgir, Hasanat; Long, Debra Lynn; Inscore, Stephen Curtis; Wood, Pamela Runge
2015-12-01
Asthma affects 1 in 10 children in the United States, with higher prevalence among children living in poverty. Organizations in San Antonio, Texas, partnered to design and implement a uniform, citywide asthma action plan to improve asthma management capacity in schools. The asthma action plan template was modified from that of the Global Initiative for Asthma. School personnel were trained in symptom recognition, actions to take, and use of equipment before the asthma action plan implementation. The annual Asthma Action Plan Summit was organized as a forum for school nurses, healthcare providers, and members of the community to exchange ideas and strategies on implementation, as well as to revise the plan. The asthma action plan was implemented in all 16 local school districts. Feedback received from school nurses suggests that the citywide asthma action plan resulted in improved asthma management and student health at schools. The evidence in this study suggests that community organizations can successfully collaborate to implement a citywide health initiative similar to the asthma action plan.
75 FR 60759 - Enforcement Action Plan for Promotion and Advertising Restrictions; Availability
Federal Register 2010, 2011, 2012, 2013, 2014
2010-10-01
...] Enforcement Action Plan for Promotion and Advertising Restrictions; Availability AGENCY: Food and Drug... availability of a document entitled ``Enforcement Action Plan for Promotion and Advertising Restrictions'' (Enforcement Action Plan), which describes FDA's plan to enforce the restrictions on promotion and advertising...
Planning a User Group Workshop.
ERIC Educational Resources Information Center
Cornick, Donna P.; Erlandson, John A.
1980-01-01
Describes planning of workshops for training online user groups including establishment of a committee, choice of theme and format, funding, and publicity arrangements. A list of do's and don't's is included. (RAA)
Learning Computer Science: Perceptions, Actions and Roles
ERIC Educational Resources Information Center
Berglund, Anders; Eckerdal, Anna; Pears, Arnold; East, Philip; Kinnunen, Paivi; Malmi, Lauri; McCartney, Robert; Mostrom, Jan-Erik; Murphy, Laurie; Ratcliffe, Mark; Schulte, Carsten; Simon, Beth; Stamouli, Ioanna; Thomas, Lynda
2009-01-01
This phenomenographic study opens the classroom door to investigate teachers' experiences of students learning difficult computing topics. Three distinct themes are identified and analysed. "Why" do students succeed or fail to learn these concepts? "What" actions do teachers perceive will ameliorate the difficulties facing…
CCBC Academic and Campus Plans, 2002-2004.
ERIC Educational Resources Information Center
Baltimore County Community Coll., MD.
This Community College of Baltimore County (CCBC) (Maryland) academic plan provides direction to the college in its transformation into a learning college of the 21st century. The College's strategic plan, LearningFirst, provides the foundation and the inspiration for the academic plan, which advances two central themes contained in CCBC's vision:…
The meaning of recovery in a regional mental health service: an action research study.
Kidd, Susan; Kenny, Amanda; McKinstry, Carol
2015-01-01
To explore the meaning of the term recovery to people with experience providing and receiving mental health services. Internationally, governments have proposed recovery-oriented mental health policy. In practice, people managing mental health difficulties struggle to recover, self-manage, or improve their quality of life. Mental health services increasingly provide acutely focused and poorly coordinated services to people experiencing mental health difficulties, with self-management, wellness and recovery overlooked. A cooperative enquiry, action research design guided the study. Participants were people with experience of mental health difficulties from consumer, carer and clinician perspectives. Data were collected between August 2012-July 2013. Analysis was conducted using an iterative process for the duration of the study. A thematic network was developed that reflected key organizing themes. The overarching theme developed from the participants' group discussions, reflections, actions and observations was recovery as an ongoing quest in life. This global theme was constructed from five organizing themes: 'finding meaning', 'an invisible disability', 'empowerment and agency' 'connection' and 'the passage of time'. Participatory approaches support the inclusion of lived experience perspectives. Structured processes are needed to bring different perspectives together to find solutions, through dialogue, and acknowledge the barriers to participation that people who use mental health services experience. The lack of integration of lived experience perspectives demonstrates forms of discrimination that inhibit consumer participation and prevent the recovery-oriented transformation required in mental health systems. © 2014 John Wiley & Sons Ltd.
Urban Policies and Earthquake Risk Mitigation
NASA Astrophysics Data System (ADS)
Sarlo, Antonella
2008-07-01
The paper aims at proposing some considerations about some recent experiences of research carried out on the theme of earthquake risk mitigation and combining policies and actions of mitigation with urban development strategies. The objective was to go beyond the classical methodological approach aiming at defining a "technical" evaluation of the earthquake risk through a procedure which can correlate the three "components" of danger, exposure and vulnerability. These researches experiment, in terms of methodology and application, with a new category of interpretation and strategy: the so-called Struttura Urbana Minima (Minimum urban structure). Actually, the introduction of the Struttura Urbana Minima establishes a different approach towards the theme of safety in the field of earthquake risk, since it leads to a wider viewpoint, combining the building aspect of the issue with the purely urban one, involving not only town planning, but also social and managerial implications. In this sense the constituent logic of these researches is strengthened by two fundamental issues: - The social awareness of earthquake; - The inclusion of mitigation policies in the ordinary strategies for town and territory management. Three main aspects of the first point, that is of the "social awareness of earthquake", characterize this issue and demand to be considered within a prevention policy: - The central role of the risk as a social production, - The central role of the local community consent, - The central role of the local community capability to plan Therefore, consent, considered not only as acceptance, but above all as participation in the elaboration and implementation of choices, plays a crucial role in the wider issue of prevention policies. As far as the second point is concerned, the inclusion of preventive mitigation policies in ordinary strategies for the town and territory management demands the identification of criteria of choice and priorities of intervention and, as a consequence, the opportunity to promote an approach to the theme of mitigation policies realized through strategic principles and systemic logics able to shift the problem from the building to the town. The critical aspects of this theme are tied to three main issues: - The sharing of the way of interpreting town planning, - The integration of multiple objectives in one intervention tool, - The measures which can be adopted for an effective prevention policy. The above-mentioned elements have inspired these researches experimented on Calabrian towns. In particular, in this paper the experience carried out on Reggio Calabria is proposed. Its cultural roots derive from the principles and criteria experimented in small Calabrian towns, but it modifies them according to the complexity of the urban settlement, introducing also some experimental concepts and methodological approaches.
29 CFR 1910.38 - Emergency action plans.
Code of Federal Regulations, 2013 CFR
2013-07-01
... action plan must include at a minimum: (1) Procedures for reporting a fire or other emergency; (2... 29 Labor 5 2013-07-01 2013-07-01 false Emergency action plans. 1910.38 Section 1910.38 Labor... OCCUPATIONAL SAFETY AND HEALTH STANDARDS Exit Routes and Emergency Planning § 1910.38 Emergency action plans...
Maddison, Charlotte; Strang, Gus
2018-01-01
The aim of this study was to investigate if by participating in action learning sets, Graduate Entry Pre-registration Nursing (GEN) students were able to engage in collaborative and deliberative learning. A single focus group interview involving eleven participants was used to collect data. Data analysis identified five themes; collaborative learning; reflection; learning through case study and problem-solving; communication, and rejection of codified learning. The themes are discussed and further analysed in the context of collaborative and deliberative learning. The evidence from this small scale study suggests that action learning sets do provide an environment where collaborative and deliberative learning can occur. However, students perceived some of them, particularly during year one, to be too 'teacher lead', which stifled learning. Copyright © 2017 Elsevier Ltd. All rights reserved.
NASA Technical Reports Server (NTRS)
1976-01-01
Enabling technology needs and other requirements to support space industrialization include: large space structures; fabrication and joining processes; single stage to orbit and heavy lift launch vehicles; nuclear and solar space power systems; robotics, manipulators, and teleoperators; biotechnology in space; artificial gravity; the utilization of lunar materials for construction; and the extraction of oxygen and metals from lunar resources. New initiatives (FY 1978) directly supportive or partly related to space industrialization are listed.
ERIC Educational Resources Information Center
Colombo Plan Bureau (Sri Lanka).
Focusing on the last in a series of seven seminars conducted by the Colombo Plan Bureau between 1969 and 1975 on the theme, "National Planning of Vocational and Technical Training," this report presents the proceedings of a seminar on the vocational education and training needs of one of the Colombo Plan members, Bhutan. Five working…
ERIC Educational Resources Information Center
Durkin, Lisa Lyons, Ed.
1997-01-01
These six theme-oriented newsletter issues present specific curriculum planning ideas and activities for teachers of young children. The theme of the January-February 1997 issue is "The Arts of Winter." Topics in this issue include celebrating with music and movement, learning songs, classroom visitors and the arts, art in picture books,…
ERIC Educational Resources Information Center
Payne, Annette
1996-01-01
Describes a schoolwide project culminating in a week of activities on the theme of endangered species. However, most of the planning guidelines and many of the activities are easily adaptable to other themes as well. Lists eight tips for getting organized including a brief brainstorming session and how to handle committee meetings. (AIM)
Nursing Students' Perceptions of Participatory Action Research.
Csiernik, Rick; O'Regan, Tony; Forchuk, Cheryl; Rudnick, Abraham
2018-05-01
This article evaluates the experience of students engaged in a participatory action research project. Nursing students were assigned to research activities addressing poverty and social inclusion in the lives of individuals with mental health issues. Focus group interviews were held with 25 students, representing 58.1% of eligible students. Themes and subthemes were categorized from the transcripts, with two overarching themes emerging: (a) aspects that worked well, and (b) aspects that could be improved. The range of activities students engaged in while assigned to the project and students' perceptions, both positive and negative, about their overall exposure to participatory action research are identified and discussed. Findings in the literature with regard to perceived benefits and limitations of participatory action research projects involving students are supported by those found in this study. Based on the findings of this study, curriculum development for an interdisciplinary graduate-level course is in process. [J Nurs Educ. 2018;57(5):282-286.]. Copyright 2018, SLACK Incorporated.
Key success factors of health research centers: A mixed method study.
Tofighi, Shahram; Teymourzadeh, Ehsan; Heydari, Majid
2017-08-01
In order to achieve success in future goals and activities, health research centers are required to identify their key success factors. This study aimed to extract and rank the factors affecting the success of research centers at one of the medical universities in Iran. This study is a mixed method (qualitative-quantitative) study, which was conducted between May to October in 2016. The study setting was 22 health research centers. In qualitative phase, we extracted the factors affecting the success in research centers through purposeful interviews with 10 experts of centers, and classified them into themes and sub-themes. In the quantitative phase, we prepared a questionnaire and scored and ranked the factors recognized by 54 of the study samples by Friedman test. Nine themes and 42 sub-themes were identified. Themes included: strategic orientation, management, human capital, support, projects, infrastructure, communications and collaboration, paradigm and innovation and they were rated respectively as components of success in research centers. Among the 42 identified factors, 10 factors were ranked respectively as the key factors of success, and included: science and technology road map, strategic plan, evaluation indexes, committed human resources, scientific evaluation of members and centers, innovation in research and implementation, financial support, capable researchers, equipment infrastructure and teamwork. According to the results, the strategic orientation was the most important component in the success of research centers. Therefore, managers and authorities of research centers should pay more attention to strategic areas in future planning, including the science and technology road map and strategic plan.
Key success factors of health research centers: A mixed method study
Tofighi, Shahram; Teymourzadeh, Ehsan; Heydari, Majid
2017-01-01
Background In order to achieve success in future goals and activities, health research centers are required to identify their key success factors. Objective This study aimed to extract and rank the factors affecting the success of research centers at one of the medical universities in Iran. Methods This study is a mixed method (qualitative-quantitative) study, which was conducted between May to October in 2016. The study setting was 22 health research centers. In qualitative phase, we extracted the factors affecting the success in research centers through purposeful interviews with 10 experts of centers, and classified them into themes and sub-themes. In the quantitative phase, we prepared a questionnaire and scored and ranked the factors recognized by 54 of the study samples by Friedman test. Results Nine themes and 42 sub-themes were identified. Themes included: strategic orientation, management, human capital, support, projects, infrastructure, communications and collaboration, paradigm and innovation and they were rated respectively as components of success in research centers. Among the 42 identified factors, 10 factors were ranked respectively as the key factors of success, and included: science and technology road map, strategic plan, evaluation indexes, committed human resources, scientific evaluation of members and centers, innovation in research and implementation, financial support, capable researchers, equipment infrastructure and teamwork. Conclusion According to the results, the strategic orientation was the most important component in the success of research centers. Therefore, managers and authorities of research centers should pay more attention to strategic areas in future planning, including the science and technology road map and strategic plan. PMID:28979733
7 CFR 275.18 - Project area/management unit corrective action plan.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 7 Agriculture 4 2010-01-01 2010-01-01 false Project area/management unit corrective action plan... SYSTEM Corrective Action § 275.18 Project area/management unit corrective action plan. (a) The State agency shall ensure that corrective action plans are prepared at the project area/management unit level...
7 CFR 275.18 - Project area/management unit corrective action plan.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 7 Agriculture 4 2013-01-01 2013-01-01 false Project area/management unit corrective action plan... SYSTEM Corrective Action § 275.18 Project area/management unit corrective action plan. (a) The State agency shall ensure that corrective action plans are prepared at the project area/management unit level...
7 CFR 275.18 - Project area/management unit corrective action plan.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 7 Agriculture 4 2014-01-01 2014-01-01 false Project area/management unit corrective action plan... SYSTEM Corrective Action § 275.18 Project area/management unit corrective action plan. (a) The State agency shall ensure that corrective action plans are prepared at the project area/management unit level...
7 CFR 275.18 - Project area/management unit corrective action plan.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 7 Agriculture 4 2011-01-01 2011-01-01 false Project area/management unit corrective action plan... SYSTEM Corrective Action § 275.18 Project area/management unit corrective action plan. (a) The State agency shall ensure that corrective action plans are prepared at the project area/management unit level...
7 CFR 275.18 - Project area/management unit corrective action plan.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 7 Agriculture 4 2012-01-01 2012-01-01 false Project area/management unit corrective action plan... SYSTEM Corrective Action § 275.18 Project area/management unit corrective action plan. (a) The State agency shall ensure that corrective action plans are prepared at the project area/management unit level...
ERIC Educational Resources Information Center
New York City Board of Education, Brooklyn, NY. Div. of Curriculum and Instruction.
The global history course syllabus, Theme III, entitled, "Changes in Thought and Action Led to the Emergence of the Modern World," focuses on the European impact upon the world as well as the cross-cultural influences which resulted in important developments such as the Commercial Revolution. These influences include contributions of the…
ERIC Educational Resources Information Center
New York City Board of Education, Brooklyn, NY. Div. of Curriculum and Instruction.
This bulletin of student worksheets complements teacher strategies for Theme III entitled, "Changes in Thought and Action Led to the Emergence of the Modern World." The worksheets contain materials corresponding to specific strategies, and the questions which accompany each worksheet are included on the appropriate strategy page. Included are…
Leadership Success in Schools: Planning, Recruitment, and Socialization
ERIC Educational Resources Information Center
Normore, Anthony H.
2004-01-01
This article presents findings from an exploratory study that compared and contrasted leadership succession planning in two large Ontario school districts with focus on three themes: (a) leadership succession planning, (b) recruitment and selection, and (c) professional and organizational socialization of school administrators. Among the findings…
49 CFR 234.11 - State highway-rail grade crossing action plans.
Code of Federal Regulations, 2014 CFR
2014-10-01
... 49 Transportation 4 2014-10-01 2014-10-01 false State highway-rail grade crossing action plans..., STATE ACTION PLANS, AND EMERGENCY NOTIFICATION SYSTEMS Reports and Plans § 234.11 State highway-rail grade crossing action plans. (a) Purpose. The purpose of this section is to reduce collisions at highway...
49 CFR 234.11 - State highway-rail grade crossing action plans.
Code of Federal Regulations, 2012 CFR
2012-10-01
... 49 Transportation 4 2012-10-01 2012-10-01 false State highway-rail grade crossing action plans..., STATE ACTION PLANS, AND EMERGENCY NOTIFICATION SYSTEMS Reports and Plans § 234.11 State highway-rail grade crossing action plans. (a) Purpose. The purpose of this section is to reduce collisions at highway...
49 CFR 234.11 - State highway-rail grade crossing action plans.
Code of Federal Regulations, 2013 CFR
2013-10-01
... 49 Transportation 4 2013-10-01 2013-10-01 false State highway-rail grade crossing action plans..., STATE ACTION PLANS, AND EMERGENCY NOTIFICATION SYSTEMS Reports and Plans § 234.11 State highway-rail grade crossing action plans. (a) Purpose. The purpose of this section is to reduce collisions at highway...
Bright, T J
2013-01-01
Many informatics studies use content analysis to generate functional requirements for system development. Explication of this translational process from qualitative data to functional requirements can strengthen the understanding and scientific rigor when applying content analysis in informatics studies. To describe a user-centered approach transforming emergent themes derived from focus group data into functional requirements for informatics solutions and to illustrate these methods to the development of an antibiotic clinical decision support system (CDS). THE APPROACH CONSISTED OF FIVE STEPS: 1) identify unmet therapeutic planning information needs via Focus Group Study-I, 2) develop a coding framework of therapeutic planning themes to refine the domain scope to antibiotic therapeutic planning, 3) identify functional requirements of an antibiotic CDS system via Focus Group Study-II, 4) discover informatics solutions and functional requirements from coded data, and 5) determine the types of information needed to support the antibiotic CDS system and link with the identified informatics solutions and functional requirements. The coding framework for Focus Group Study-I revealed unmet therapeutic planning needs. Twelve subthemes emerged and were clustered into four themes; analysis indicated a need for an antibiotic CDS intervention. Focus Group Study-II included five types of information needs. Comments from the Barrier/Challenge to information access and Function/Feature themes produced three informatics solutions and 13 functional requirements of an antibiotic CDS system. Comments from the Patient, Institution, and Domain themes generated required data elements for each informatics solution. This study presents one example explicating content analysis of focus group data and the analysis process to functional requirements from narrative data. Illustration of this 5-step method was used to develop an antibiotic CDS system, resolving unmet antibiotic prescribing needs. As a reusable approach, these techniques can be refined and applied to resolve unmet information needs with informatics interventions in additional domains.
Bright, T.J.
2013-01-01
Summary Background Many informatics studies use content analysis to generate functional requirements for system development. Explication of this translational process from qualitative data to functional requirements can strengthen the understanding and scientific rigor when applying content analysis in informatics studies. Objective To describe a user-centered approach transforming emergent themes derived from focus group data into functional requirements for informatics solutions and to illustrate these methods to the development of an antibiotic clinical decision support system (CDS). Methods The approach consisted of five steps: 1) identify unmet therapeutic planning information needs via Focus Group Study-I, 2) develop a coding framework of therapeutic planning themes to refine the domain scope to antibiotic therapeutic planning, 3) identify functional requirements of an antibiotic CDS system via Focus Group Study-II, 4) discover informatics solutions and functional requirements from coded data, and 5) determine the types of information needed to support the antibiotic CDS system and link with the identified informatics solutions and functional requirements. Results The coding framework for Focus Group Study-I revealed unmet therapeutic planning needs. Twelve subthemes emerged and were clustered into four themes; analysis indicated a need for an antibiotic CDS intervention. Focus Group Study-II included five types of information needs. Comments from the Barrier/Challenge to information access and Function/Feature themes produced three informatics solutions and 13 functional requirements of an antibiotic CDS system. Comments from the Patient, Institution, and Domain themes generated required data elements for each informatics solution. Conclusion This study presents one example explicating content analysis of focus group data and the analysis process to functional requirements from narrative data. Illustration of this 5-step method was used to develop an antibiotic CDS system, resolving unmet antibiotic prescribing needs. As a reusable approach, these techniques can be refined and applied to resolve unmet information needs with informatics interventions in additional domains. PMID:24454586
29 CFR 1608.7 - Affirmative action plans or programs under State or local law.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 29 Labor 4 2011-07-01 2011-07-01 false Affirmative action plans or programs under State or local... OPPORTUNITY COMMISSION AFFIRMATIVE ACTION APPROPRIATE UNDER TITLE VII OF THE CIVIL RIGHTS ACT OF 1964, AS AMENDED § 1608.7 Affirmative action plans or programs under State or local law. Affirmative action plans...
29 CFR 1608.7 - Affirmative action plans or programs under State or local law.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 29 Labor 4 2010-07-01 2010-07-01 false Affirmative action plans or programs under State or local... OPPORTUNITY COMMISSION AFFIRMATIVE ACTION APPROPRIATE UNDER TITLE VII OF THE CIVIL RIGHTS ACT OF 1964, AS AMENDED § 1608.7 Affirmative action plans or programs under State or local law. Affirmative action plans...
ERIC Educational Resources Information Center
Whitmore, Kathryn F.; Norton-Meier, Lori A.
2000-01-01
Forms part of a themed issue describing "Parent-Kid-Teacher Investigators," a program in which parents, children, and teachers gather regularly to use language and literacy for action research projects. Explains the philosophy, assumptions, and intentions behind the program, and research that supports it. Offers action examples of how each belief…
Pathways to Action Competence for Sustainability--Six Themes
ERIC Educational Resources Information Center
Almers, Ellen
2013-01-01
What promotes action competence for sustainability? This question is phenomenologically explored through researching in depth the life stories of three Swedish young adults who for several years have limited their own ecological footprints, led environmental initiatives of activist character, engaged in ecosystem protection, and participated in…
Take Action to Decrease Your Cancer Risk - Obesity and Its Role in Cancer Health Disparities
In support of this year’s National Minority Health Month theme “Prevention is Power: Taking Action for Health Equity!”, CRCHD is highlighting the role of obesity in cancer health disparities among diverse population groups in the U.S.
Educational Leadership and Planning for Technology. Third Edition.
ERIC Educational Resources Information Center
Picciano, Anthony G.
The purpose of this book is to provide educators with both the theoretical and the practical considerations for planning and implementing technology, particularly computer applications, in schools. Section I provides the basic concepts and foundation material for an overall understanding of the themes and major issues related to planning for…
NASA Technical Reports Server (NTRS)
Chiaramonte, Fran
2003-01-01
This viewgraph presentation discusses the status and goals for the NASA OBPR Physical Science Research Program. The following text was used to summarize the presentation. The OBPR Physical Sciences Research program has been comprehensively reviewed and endorsed by National Research Council. The value and need for the research have been re-affirmed. The research program has been prioritized and resource re-allocations have been carried out through an OBPR-wide process. An increasing emphasis on strategic, mission-oriented research is planned. The program will strive to maintain a balance between strategic and fundamental research. A feasible ISS flight research program fitting within the budgetary and ISS resource envelopes has been formulated for the near term (2003-2007). The current ISS research program will be significantly strengthened starting 2005 by using discipline dedicated research facility racks. A research re-planning effort has been initiated and will include active participation from the research community in the next few months. The research re-planning effort will poise PSR to increase ISS research utilization for a potential enhancement beyond ISS IP Core Complete. The Physical Sciences research program readily integrates the cross-disciplinary requirements of the NASA and OBPR strategic objectives. Each fundamental research thrust will develop a roadmap through technical workshops and Discipline Working Groups (DWGs). Most fundamental research thrusts will involve cross-disciplinary efforts. A Technology Roadmap will guide the Strategic Research for Exploration thrust. The Research Plan will integrate and coordinate fundamental Research Thrusts Roadmaps with the Technology Roadmap. The Technology Roadmap will be developed in coordination with other OBPR programs as well as other Enterprise (R,S,M,N). International Partners will contribute to the roadmaps and through research coordination. The research plan will be vetted with the discipline working groups, the BPRAC subcommittees, and with the BPRAC. Recommendations from NRC past and current committees will be implemented whenever appropriate.Proposed theme element content will be "missionized" around planned content and potential new projects (facilities, modules, initiatives) on approximately a five-year horizon, with the approval of PSRD management. Center/science working group teams will develop descriptions of "mission" objectives, value, and requirements. Purpose is to create a competitive environment for concept development and to stimulate community ownership/advocacy. Proposed theme elements reviewed and approved by PSRD management. Strawman roadmaps for themes developed. Program budget and technology requirements verified. Theme elements are prioritized with the input of advisory groups. Integration into program themes (questions) and required technology investments are defined by science and technology roadmaps. Review and assessment by OBPR management.
Theme Semester at the University of Michigan: The Universe - Yours to Discover
NASA Astrophysics Data System (ADS)
Murphy, Shannon
2008-09-01
The Theme Semester program in the College of Literature Science and the Arts (LSA) at the University of Michigan brings the resources of a major University to the students and wider community. The winter 2009 theme semester was chosen to match the IYA: The Universe, Yours to Discover. This poster will present the programs and activities planned and sponsored by LSA, the Department of Astronomy, the Exhibit Museum of Natural History, the Student Astronomical Society, the Department of Physics, the Michigan Center for Theoretical Physics, the Residential College, University Libraries, local libraries, and other university divisions and local organizations. Among the major events is a distinguished lecture series on Friday evenings followed by free public planetarium shows and public observing. The Special Collections Library will hold a special exhibition of their collection, which includes a copy of Principia and some of Galileo's first notes on the moons of Jupiter. Several new courses are planned, including the first offering of "Life in the Universe", an introductory astronomy class with a focus on astrobiology. Cultural programs include a production of Bertolt Brecht's "Galileo” and an astronomy theme to the Ann Arbor Symphony Orchestra's youth concerts. Most of the programming is offered free to students and free or low admission to the general public. A website is planned as a clearinghouse for information and resources.
The influences of implementing state-mandated science assessment on teacher practice
NASA Astrophysics Data System (ADS)
Katzmann, Jason Matthew
Four high school Biology teachers, two novice and two experienced, participated in a year and a half case study. By utilizing a naturalistic paradigm, the four individuals were studied in their natural environment, their classrooms. Data sources included: three semi-structured interviews, classroom observation field notes, and classroom artifacts. Through cross-case analysis and a constant comparative methodology, coding nodes where combined and refined resulting in the final themes for discussion. The following research question was investigated: what is the impact of high-stakes testing on high school Biology teacher's instructional planning, instructional practices and classroom assessments? Seven final themes were realized: Assessment, CSAP, Planning, Pressure, Standards, Teaching and Time. Each theme was developed and discussed utilizing each participant's voice. Trustworthiness of this study was established via five avenues: triangulation of data sources, credibility, transferability, dependability and confirmability. A model of the influences of high-stakes testing on teacher practice was developed to describe the seven themes (Figure 5). This model serves as an illustration of the complex nature of teacher practice and the influences upon it. The four participants in this study were influenced by high-stakes assessment. It influenced their instructional decisions, assessment practices, use of time, planning decisions and decreased the amount of inquiry that occurred in the classroom. Implications of this research and future research directions are described.
Ideas for Teaching about Japan in Preschools.
ERIC Educational Resources Information Center
Lokon, Elizabeth
This curriculum unit consists of a series of lesson plans focused on Japan for preschool students ages 3 to 5 years. The unit has five themes: (1) geography; (2) language; (3) people and clothing; (4) customs; and (5) food. Each theme has from four to eight activity lessons which address different developmental domains, including language, social…
Celebrations. Windows on Social Studies: Multiculutural Adventures through Literature.
ERIC Educational Resources Information Center
Westley, Joan; Melton, Holly
This resource book is one in a series containing lesson plans for grades 1-3 designed to support children's literature books sharing familiar social studies themes. "Celebrations" presents eight different children's books related to the theme. For each book social studies concepts are presented, followed by four activities called "windows." Some…
Faculty Perceptions of Moving a Face-to-Face Course to Online Instruction
ERIC Educational Resources Information Center
Chiasson, Kari; Terras, Katherine; Smart, Kathy
2015-01-01
This qualitative study explores the experiences of 10 faculty members who developed and taught an online course that they had previously taught in a face-to-face classroom. The categories from the data analysis included planning, implementation, and reflection. Within the categories, eight themes emerged from the data. The themes addressed…
Manual for a Summer Reading Program.
ERIC Educational Resources Information Center
Medina, Sue O.
This manual provides suggestions for materials and projects to carry out a summer reading program for children based on a monster theme. The planning process outlined may be used as a "how-to" guide for developing summer reading programs on other themes as well. In addition to general guidelines, the manual provides information on the following…
Promoting active living in healthy cities of Europe.
Faskunger, Johan
2013-10-01
Local governments in Europe have a vital role in promoting physical activity in the daily life of citizens. However, explicit investment in active living has been limited. One of the four core themes for Phase IV (2003-2008) of the World Health Organization (WHO) European Healthy Cities Network (WHO-EHCN) was to encourage local governments and their partners to implement programs in favor of active living. This study analyzes the performance of network cities during this period. Responses to a general evaluation questionnaire are analyzed by content according to a checklist, and categorized into themes and dimensions. Most cities viewed "active living" as an important issue for urban planning; to improve visual appeal, enhance social cohesion, create a more sustainable transport system to promote walkability and cyclability and to reduce inequalities in public health. Almost all member cities reported on existing policies that support the promotion of active living. However, only eight (of the 59) responding cities mentioned an integrated framework specific for active living. Many efforts to promote active living are nested in programs to prevent obesity among adults or children. Future challenges include establishing integrated policies specifically for active living, introducing a larger range of actions, as well as increasing funding and capacity to make a difference at the population level.
From placement to employment: Career preferences of Jordanian nursing students.
Shoqirat, Noordeen; Abu-Qamar, Ma'en Zaid
2015-09-01
This study examined employment planning and career preferences of final year nursing students in Jordan. Focus group discussions (n = 4) were conducted by the first author with a convenience sample of 27 nursing students. N-Vivo 9 was used to analyze the qualitative data. The analysis revealed two themes. The first theme focused on "moving from study to work", and comprised two sub-themes: being uncertain and hesitant and being a real nurse. The second theme was "the place where I want to be", and referred to participants' preferences concerning their future career. Participants showed interest in critical care units but they were not optimistic about their future career prospects due to the possibility of being jobless and the perceived low public image of nurses. In addition to the nature of placement atmosphere, gender, family and cultural issues were found to shape participants' preferences. It is therefore important to periodically review the considerations of employment planning and career preferences of nursing students, otherwise devising interventions for sound recruitment of nurses in the future will be flawed. Copyright © 2015 Elsevier Ltd. All rights reserved.
Education as Action/The Adventure of Education: Thinking with Arendt and Whitehead
ERIC Educational Resources Information Center
Tamboukou, Maria
2016-01-01
Understanding and action are central themes in Hannah Arendt's thought and an idea that runs throughout her work is that whenever human beings act, they start processes. It is in this light that she saw education as a process whose aim is to make human beings feel at home in the world. Given the centrality of process in understanding action, early…
Djandji, Fabienne; Lamontagne, Alexandrine J; Blais, Lucie; Bacon, Simon L; Ernst, Pierre; Grad, Roland; Lavoie, Kim L; McKinney, Martha L; Desplats, Eve; Ducharme, Francine M
2017-03-31
Despite national recommendations, most patients with asthma are not given a written action plan . The objectives were to ascertain physicians' endorsement of potential enablers to providing a written action plan, and the determinants and proportion, of physician-reported use of a written action plan. We surveyed 838 family physicians, paediatricians, and emergency physicians in Quebec. The mailed questionnaire comprised 102 questions on asthma management, 11 of which pertained to written action plan and promising enablers. Physicians also selected a case vignette that best corresponded to their practice and reported their management. The survey was completed by 421 (56%) physicians (250 family physicians, 115 paediatricians and 56 emergency physicians); 43 (5.2%) reported providing a written action plan to ≥70% of their asthmatic patients and 126 (30%) would have used a written action plan in the selected vignette. Most (>60%) physicians highly endorsed the following enablers: patients requesting a written action plan, adding a blank written action plan to the chart, receiving a copy of the written action plan completed by a consultant, receiving a monetary compensation for its completion, and having another healthcare professional explain the completed written action plan to patients. Four determinants were significantly associated with providing a written action plan: being a paediatrician (RR:2.1), treating a child (RR:2.0), aiming for long-term asthma control (RR:2.5), and being aware of national recommendations to provide a written action plan to asthmatic patients (RR:2.9). A small minority of Quebec physicians reported providing a written action plan to most of their patients, revealing a huge care gap. Several enablers to improve uptake, highly endorsed by physicians, should be prioritised in future implementation efforts. ENCOURAGING DOCTORS TO PROVIDE WRITTEN ACTION PLANS: Changes to practice organization and doctors' perceptions should encourage the provision of written action plans for all asthma patients. International guidelines state that effective long-term treatment of asthma requires educated self-management, regular reviews and provision of a written action plan (WAP). However, many patients have poor asthma control and as few as 30 per cent have a WAP. Fabienne Djandji at the Saint-Justine University Central Hospital in Montreal, Canada, and co-workers conducted a survey of 421 doctors to determine their attitudes and provision of WAPs. Only 5.2 per cent of respondents provided WAPs to patients; those treating children or aiming for long-term asthma control were more likely to do so. The doctors said that incentives to provide WAPs would include requests from patients themselves, being paid to complete WAPs and having extra support from specialists or other health care professionals such as pharmacists.
[Understanding nurses' awareness as to the use of therapeutic play in child care].
Maia, Edmara Bazoni Soares; Ribeiro, Circéa Amália; de Borba, Regina Issuzu Hirooka
2011-08-01
The objective of this study was to understand how nurses become aware of the use of therapeutic play as a nursing intervention instrument. Symbolic Interactionism was the theoretical framework and Interpretive Interactionism was used as the methodological framework. Participants were seven nurses working at hospitals and outpatient pediatric units who used the therapeutic play in their practice. Four representative themes emerged: Expanding the way he/she sees the child; Becoming fascinated with a new possibility to provide care; Noticing his/her revalidated action; and Committing himself/herself to the theme development. Such themes revealed that when nurses become acquainted with therapeutic play and use it in his/her practice, they begin on a journey that allows him/her to recognize the benefits of this intervention. By doing so, nurses revalidate their actions more and more, thus valuing play as a nursing intervention tool. The authors believe that teaching about therapeutic play and integrating it to nurses' daily practice are challenges yet to be overcome.
Lopez, C
1994-01-01
This address by the Peruvian delegation to the Third Preparatory Committee Meeting for the International Conference on Population and Development focuses on four points in the proposed Plan of Action that might require further development. First, the link between drug trafficking and environmental degradation should be recognized. Cultivation of narcotic plants contributes to deforestation of the tropical forest and contamination of rivers, and along with terrorism has caused considerable population movement in Peru. The second point is that widespread poverty, limited investment in human capital, insufficient institutional capacity, and the external debt burden of the developing countries are clearly interrelated with sociodemographic processes and decisively affect the capacity of the nation to implement population policies and programs as a function of current and future international commitments. The third point is that, in the area of information, education, and communication, attention should be given to the entire life cycle and the entirety of themes related to population. Finally, coordinated programs between public and private institutions and nongovernmental organizations at the national level, and between the U.N. Population Fund, the Population Commission, and the Commission on Sustainable Development at the international level, should be organized to assure effective follow-up on Plan of Action proposals and agreements. Peru has participated in a wide variety of international conferences and activities related to population, and was a major participant in the subregional preparatory conference of the Andean nations.
Bramble, Marguerite; Maxwell, Hazel; Einboden, Rochelle; Farington, Sally; Say, Richard; Beh, Chin Liang; Stankiewicz, Grace; Munro, Graham; Marembo, Esther; Rickard, Greg
2018-05-30
This Participatory Action Research (PAR) project aimed to engage students from an accelerated 'fast track' nursing program in a mentoring collaboration, using an interdisciplinary partnership intervention with a group of academics. Student participants represented the disciplines of nursing and paramedicine with a high proportion of culturally and linguistically diverse (CALD) students. Nine student mentors were recruited and paired with academics for a three-month 'mentorship partnership' intervention. Data from two pre-intervention workshops and a post-intervention workshop were coded in NVivo11 using thematic analysis. Drawing on social inclusion theory, a qualitative analysis explored an iteration of themes across each action cycle. Emergent themes were: 1) 'building relationships for active engagement', 2) 'voicing cultural and social hierarchies', and 3) 'enacting collegiate community'. The study offers insights into issues for contemporary accelerated course delivery with a diverse student population and highlights future strategies to foster effective student engagement.
Interference due to shared features between action plans is influenced by working memory span.
Fournier, Lisa R; Behmer, Lawrence P; Stubblefield, Alexandra M
2014-12-01
In this study, we examined the interactions between the action plans that we hold in memory and the actions that we carry out, asking whether the interference due to shared features between action plans is due to selection demands imposed on working memory. Individuals with low and high working memory spans learned arbitrary motor actions in response to two different visual events (A and B), presented in a serial order. They planned a response to the first event (A) and while maintaining this action plan in memory they then executed a speeded response to the second event (B). Afterward, they executed the action plan for the first event (A) maintained in memory. Speeded responses to the second event (B) were delayed when it shared an action feature (feature overlap) with the first event (A), relative to when it did not (no feature overlap). The size of the feature-overlap delay was greater for low-span than for high-span participants. This indicates that interference due to overlapping action plans is greater when fewer working memory resources are available, suggesting that this interference is due to selection demands imposed on working memory. Thus, working memory plays an important role in managing current and upcoming action plans, at least for newly learned tasks. Also, managing multiple action plans is compromised in individuals who have low versus high working memory spans.
29 CFR 1910.38 - Emergency action plans.
Code of Federal Regulations, 2010 CFR
2010-07-01
... OCCUPATIONAL SAFETY AND HEALTH STANDARDS Means of Egress § 1910.38 Emergency action plans. (a) Application. An... plans. An emergency action plan must be in writing, kept in the workplace, and available to employees... information about the plan or an explanation of their duties under the plan. (d) Employee alarm system. An...
Refracting Schoolgirls: Pedagogical Intra-Actions Producing Shame
ERIC Educational Resources Information Center
Wolfe, Melissa Joy
2017-01-01
This article contributes to the discussion of gender inequality in schools with the central theme tracing ways that pedagogical affect im/mobilises agency. I argue that what I call "the schoolgirl affect," as distinctly gendered pedagogical practices in schools, constitute a schoolgirl body that refracts capacity for action in particular…
Yin, H Shonna; Gupta, Ruchi S; Tomopoulos, Suzy; Wolf, Michael S; Mendelsohn, Alan L; Antler, Lauren; Sanchez, Dayana C; Lau, Claudia Hillam; Dreyer, Benard P
2013-01-01
Recognition of the complexity of asthma management has led to the development of asthma treatment guidelines that include the recommendation that all pediatric asthma patients receive a written asthma action plan. We assessed the readability, suitability, and characteristics of asthma action plans, elements that contribute to the effectiveness of action plan use, particularly for those with limited literacy. This was a descriptive study of 30 asthma action plans (27 state Department of Health (DOH)-endorsed, 3 national action plans endorsed by 6 states). (1) readability (as assessed by Flesch Reading Ease, Flesch-Kincaid, Gunning Fog, Simple Measure of Gobbledygook, Forcast), (2) suitability (Suitability Assessment of Materials [SAM], adequate: ≥ 0.4; unsuitable: <0.4), (3) action plan characteristics (peak flow vs symptom-based, symptoms, recommended actions). Mean (SD) overall readability grade level was 7.2 (1.1) (range = 5.7-9.8); 70.0% were above a sixth-grade level. Mean (SD) suitability score was 0.74 (0.14). Overall, all action plans were found to be adequate, although 40.0% had an unsuitable score in at least 1 factor. The highest percent of unsuitable scores were found in the categories of layout/typography (30.0%), learning stimulation/motivation (26.7%), and graphics (13.3%). There were no statistically significant differences between the average grade level or SAM score of state DOH developed action plans and those from or adapted from national organizations. Plans varied with respect to terms used, symptoms included, and recommended actions. Specific improvements in asthma action plans could maximize patient and parent understanding of appropriate asthma management and could particularly benefit individuals with limited literacy skills.
ERIC Educational Resources Information Center
de Gonzalez, Carmen Beatriz; Hernandez, Teresa; Kusch, Jim; Ryan, Charly
2004-01-01
Planning contains so much more than the written plan. Early in 2000, an invitation came from the Collaborative Action Research Network (CARN), to people experienced in action research who might want to help plan and present an action research event for elementary school science teachers in Venezuela, South America, in Autumn 2000. This article…
34 CFR 369.43 - What are the affirmative action plan requirements affecting grantees?
Code of Federal Regulations, 2010 CFR
2010-07-01
... 34 Education 2 2010-07-01 2010-07-01 false What are the affirmative action plan requirements... affirmative action plan requirements affecting grantees? A recipient of Federal assistance must develop and implement an affirmative action plan to employ and advance in employment qualified individuals with...
43 CFR 34.8 - Affirmative action plans.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 43 Public Lands: Interior 1 2011-10-01 2011-10-01 false Affirmative action plans. 34.8 Section 34..., applicants or recipients shall have an acceptable affirmative action plan which has been approved by the... paragraph (c) of this section. The affirmative action plan must set forth overall goals and timetables for...
34 CFR 369.43 - What are the affirmative action plan requirements affecting grantees?
Code of Federal Regulations, 2011 CFR
2011-07-01
... 34 Education 2 2011-07-01 2010-07-01 true What are the affirmative action plan requirements... affirmative action plan requirements affecting grantees? A recipient of Federal assistance must develop and implement an affirmative action plan to employ and advance in employment qualified individuals with...
Salt Storage Fact Sheet QUICK LINKS 2015-2019 Strategic Action Plan 2010-2014 Strategic Action Plan 2006 Strategic Action Plan OWRC Bylaws For More Information Brian Hall OWRC - State Agency Coordinating Program (Indirect Discharge) Primary Headwater Habitat Streams Remedial Action Plans (RAP) River Mile Maps
10 CFR 1021.331 - Mitigation action plans.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 10 Energy 4 2012-01-01 2012-01-01 false Mitigation action plans. 1021.331 Section 1021.331 Energy... Implementing Procedures § 1021.331 Mitigation action plans. (a) Following completion of each EIS and its associated ROD, DOE shall prepare a Mitigation Action Plan that addresses mitigation commitments expressed in...
10 CFR 1021.331 - Mitigation action plans.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 10 Energy 4 2014-01-01 2014-01-01 false Mitigation action plans. 1021.331 Section 1021.331 Energy... Implementing Procedures § 1021.331 Mitigation action plans. (a) Following completion of each EIS and its associated ROD, DOE shall prepare a Mitigation Action Plan that addresses mitigation commitments expressed in...
10 CFR 1021.331 - Mitigation action plans.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 10 Energy 4 2011-01-01 2011-01-01 false Mitigation action plans. 1021.331 Section 1021.331 Energy... Implementing Procedures § 1021.331 Mitigation action plans. (a) Following completion of each EIS and its associated ROD, DOE shall prepare a Mitigation Action Plan that addresses mitigation commitments expressed in...
10 CFR 1021.331 - Mitigation action plans.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 10 Energy 4 2010-01-01 2010-01-01 false Mitigation action plans. 1021.331 Section 1021.331 Energy... Implementing Procedures § 1021.331 Mitigation action plans. (a) Following completion of each EIS and its associated ROD, DOE shall prepare a Mitigation Action Plan that addresses mitigation commitments expressed in...
10 CFR 1021.331 - Mitigation action plans.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 10 Energy 4 2013-01-01 2013-01-01 false Mitigation action plans. 1021.331 Section 1021.331 Energy... Implementing Procedures § 1021.331 Mitigation action plans. (a) Following completion of each EIS and its associated ROD, DOE shall prepare a Mitigation Action Plan that addresses mitigation commitments expressed in...
24 CFR 248.135 - Plans of action.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Plans of action. 248.135 Section... OF LOW INCOME HOUSING MORTGAGES Prepayments and Plans of Action Under the Low Income Housing Preservation and Resident Homeownership Act of 1990 § 248.135 Plans of action. (a) Submission. An owner seeking...
DOE Office of Scientific and Technical Information (OSTI.GOV)
Zhang, Xiaoliang; Stauffer, Philip H.
This effort is designed to expedite learnings from existing and planned large demonstration projects and their associated research through effective knowledge sharing among participants in the US and China.
Controlling Attention through Action: Observing Actions Primes Action-Related Stimulus Dimensions
ERIC Educational Resources Information Center
Fagioli, Sabrina; Ferlazzo, Fabio; Hommel, Bernhard
2007-01-01
Previous findings suggest that planning an action "backward-primes" perceptual dimension related to this action: planning a grasp facilitates the processing of visual size information, while planning a reach facilitates the processing of location information. Here we show that dimensional priming of perception through action occurs even in the…
Sridharan, Sanjeev; Maplazi, Joanna; Shirodkar, Apurva; Richardson, Emma; Nakaima, April
2016-01-01
Background Mainstreaming of gender, equity, and human rights (GER) is an important focus of the World Health Organization (WHO) and other UN organizations. This paper explores the role of action plans in mainstreaming GER. This paper is informed by a theory-driven evaluation lens. Design A theory of change framework explored the following seven dimensions of how action plans can implement mainstreaming of GER: awareness of the foundations of GER; understanding of context; planning to impact GER; implementation for GER; monitoring, evaluation, and learning; planning for sustainability; agenda setting and buy-in. The seven dimensions were used to analyze the action plans. Reviewers also explored innovations within each of the action plans for the seven dimensions. Results GER mainstreaming is more prominent in the foundation, background, and planning components of the plan but becomes less so along the theory of change including implementation; monitoring and evaluation; sustainability; and agenda setting and buy-in. Conclusions Our analysis demonstrates that much more can be done to incorporate GER considerations into the action planning process. Nine specific recommendations are identified for WHO and other organizations. A theory-driven approach as described in the paper is potentially helpful for developing clarity by which action plans can help with mainstreaming GER considerations. PMID:27606968
Leppin, Aaron L; Schaepe, Karen; Egginton, Jason; Dick, Sara; Branda, Megan; Christiansen, Lori; Burow, Nicole M; Gaw, Charlene; Montori, Victor M
2018-01-31
Implementation of evidence-based programs (EBPs) for disease self-management and prevention is a policy priority. It is challenging to implement EBPs offered in community settings and to integrate them with healthcare. We sought to understand, categorize, and richly describe key challenges and opportunities related to integrating EBPs into routine primary care practice in the United States. As part of a parent, participatory action research project, we conducted a mixed methods evaluation guided by the PRECEDE implementation planning model in an 11-county region of Southeast Minnesota. Our community-partnered research team interviewed and surveyed 15 and 190 primary care clinicians and 15 and 88 non-clinician stakeholders, respectively. We coded interviews according to pre-defined PRECEDE factors and by participant type and searched for emerging themes. We then categorized survey items-before looking at participant responses-according to their ability to generate further evidence supporting the PRECEDE factors and emerging themes. We statistically summarized data within and across responder groups. When consistent, we merged these with qualitative insight. The themes we found, "Two Systems, Two Worlds," "Not My Job," and "Seeing is Believing," highlighted the disparate nature of prescribed activities that different stakeholders do to contribute to health. For instance, primary care clinicians felt pressured to focus on activities of diagnosis and treatment and did not imagine ways in which EBPs could contribute to either. Quantitative analyses supported aspects of all three themes, highlighting clinicians' limited trust in community-placed activities, and the need for tailored education and system and policy-level changes to support their integration with primary care. Primary care and community-based programs exist in disconnected worlds. Without urgent and intentional efforts to bridge well-care and sick-care, interventions that support people's efforts to be and stay well in their communities will remain outside of-if not at odds with-healthcare.
Kirk, Jeanette W; Sivertsen, Ditte M; Petersen, Janne; Nilsen, Per; Petersen, Helle V
2016-10-01
The aim was to identify the factors that were perceived as most important as facilitators or barriers to the introduction and intended use of a new tool in the emergency department among nurses and a geriatric team. A high incidence of functional decline after hospitalisation for acute medical illness has been shown in the oldest patients and those who are physically frail. In Denmark, more than 35% of older medical patients acutely admitted to the emergency department are readmitted within 90 days after discharge. A new screening tool for use in the emergency department aiming to identify patients at particularly high risk of functional decline and readmission was developed. Qualitative study based on semistructured interviews with nurses and a geriatric team in the emergency department and semistructured single interviews with their managers. The Theoretical Domains Framework guided data collection and analysis. Content analysis was performed whereby new themes and themes already existing within each domain were described. Six predominant domains were identified: (1) professional role and identity; (2) beliefs about consequences; (3) goals; (4) knowledge; (5) optimism and (6) environmental context and resources. The content analysis identified three themes, each containing two subthemes. The themes were professional role and identity, beliefs about consequences and preconditions for a successful implementation. Two different cultures were identified in the emergency department. These cultures applied to different professional roles and identity, different actions and sense making and identified how barriers and facilitators linked to the new screening tool were perceived. The results show that different cultures exist in the same local context and influence the perception of barriers and facilitators differently. These cultures must be identified and addressed when implementation is planned. © 2016 The Authors. Journal of Clinical Nursing Published by John Wiley & Sons Ltd.
NASA Technical Reports Server (NTRS)
1976-01-01
Major strategies for exploring the solar system focus on the return of information and the return of matter. Both the planetary exploration facility, and an orbiting automated space station, and the sample return and exploration facility have similar requirements. The single most essential need to enable intensive study of the outer solar system is nuclear propulsion and power capability. New initiatives in 1978 related to the reactor, data and sample acquisition and return, navigation, and environmental protection are examined.
Nuclear Innovation Workshops Report
DOE Office of Scientific and Technical Information (OSTI.GOV)
Jackson, John Howard; Allen, Todd Randall; Hildebrandt, Philip Clay
The Nuclear Innovation Workshops were held at six locations across the United States on March 3-5, 2015. The data collected during these workshops has been analyzed and sorted to bring out consistent themes toward enhancing innovation in nuclear energy. These themes include development of a test bed and demonstration platform, improved regulatory processes, improved communications, and increased public-private partnerships. This report contains a discussion of the workshops and resulting themes. Actionable steps are suggested at the end of the report. This revision has a small amount of the data in Appendix C removed in order to avoid potential confusion.
NASA Technical Reports Server (NTRS)
1976-01-01
A long-lived space-based system that converts on-orbit solar and/or nuclear energy to a suitable form for distribution to using space systems is described. Mission applications, requirements, issues, problems, benefits, and technology thrusts are identified for the multipurpose power platform. Power levels of at least 10-100Kw are required for space manufacturing, satellites, and space station operations. Two Mw are needed for a proposed passive radar system. Propulsion system requirements are in the 100Kw-100Mw range.
How action researchers use anxiety to facilitate change in health care.
Evans, Nicola; Hopkinson, Jane
2016-06-01
The aim of this paper is to report on the role of an action researcher in a study investigating the change process in a health service context where a new assessment clinic was developed to manage the excessive waiting list for that service. For effective organisational change in health, there is a suggestion that change agents need to be emotionally intelligent; recognising the emotional state of individuals, reconciling that with the organisational drivers and making an assessment of readiness for organisational change. Anxiety features throughout this literature and there is a suggestion that being aware of anxiety and managing anxiety is within the emotionally intelligent change agent's repertoire, but there is a gap in the literature that explains this relationship in detail. Data were generated to investigate the discrete nature of the role of the action researcher during this organisational change that spanned two years, through three methods: participant observations in the field captured in field notes (n = 72); observations of team meetings that had been recorded and transcribed (n = 13); interviews with key informants pre- and postintervention (n = 14); a reflexive diary one document of 8920 words (n = 1). The data illuminating the interaction between the action researcher and participants were synthesised into two broad themes: how the action researcher introduced anxiety into the system; how the action researcher facilitated the participants to tolerate change anxiety. The findings from this study can be applied in clinical practice where change in practice is planned. Part of the requirement of a change agent in the NHS might be to be sufficiently emotionally literate to understand anxiety in the participant system and manage it to effect change. © 2016 John Wiley & Sons Ltd.
Hebert-Beirne, Jennifer; Felner, Jennifer K; Castañeda, Yvette; Cohen, Sheri
Rigorous qualitative research can enhance local health departments' efforts to gain a deeper insight into residents' perceived community health inequities necessary for productive community health assessments (CHAs) and community health improvement plans (CHIPs). The Chicago Department of Public Health and the Partnership for Healthy Chicago used the National Association of County & City Health Officials' Mobilizing for Action through Planning and Partnerships (MAPP) model to conduct its CHA/CHIP, Healthy Chicago 2.0 (HC 2.0). Public health graduate students conducted qualitative research for part of the Community Themes and Strengths Assessment (CTSA), one of the 4 MAPP assessments. Using a health equity lens, this qualitative component included focus groups and oral histories with residents in Chicago Community Areas with the highest social and economic hardship to better understand how residents perceive health inequities in their respective neighborhoods. Community-based organizations in 6 Chicago neighborhoods with the highest quartile of social and economic hardship. Forty-eight Chicago residents from 5 community areas participated in focus groups, and 6 residents of a Mexican ethnic enclave shared oral histories. Residents' perceptions of community needs and assets. Needs identified include inaccessible resources and opportunities, economic instability, and safety. Assets include the efficacy and agency of resilient residents, as well as faith and spirituality. Systemic and institutional discrimination was identified at the roots of community health inequities. Through qualitative inquiry, the more nuanced understanding of how residents perceive health inequities better positioned HC 2.0 to develop upstream strategies in line with advanced health equity practice. Engaging qualitative academic researchers in CTSA brings academic expertise to enrich the CHA while providing real-time learning experiences to prepare future public health practitioners to work on upstream structural determinants of health.
NASA Astrophysics Data System (ADS)
Murphy, Fiona; Lucas, Vicky
2017-04-01
The Belmont Forum is a group of the world's major and emerging funders of global environmental change research committed to enabling and supporting international, cross-disciplinary research in response to the 'Belmont Challenge' (a range of high-priority international environmental and societal challenges). Critical conditions for fulfilling this remit are to provide (1) a functional research e-infrastructure (2) coherent principles and data policies and (3) ensure that researchers are sufficiently equipped with the necessary digital research and data management skills to leverage these facilities. In January 2016, the Belmont announced the agreement and adoption of an Open Data Policy and Principles. The result of widespread consultation amongst the community, these principles were also benchmarked against existing work being conducted by other groups, such as the Research Data Alliance and national and international funders, in order to provide a coherent framework for stakeholders. Having achieved this consensus, the Belmont is now concentrating on four Action Themes: building coordination internally, developing e-infrastructures, rolling out data management policy and plans, and equipping the 'human dimensions' to be able to exploit these opportunities. This presentation's authors are leading the human dimensions theme and are keen to share progress to date. A survey and skills gap analysis has already been undertaken and results will be shared during this presentation. In order to further develop understanding and plan for recommendations to be made on training requirements, a curricula scoping workshop is being held during EGU. This presentation unpacks the successes already achieved by the Belmont Forum, discusses works in progress and outlines the questions that remain open.
78 FR 23740 - Notice of Availability of a Swine Brucellosis and Pseudorabies Proposed Action Plan
Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-22
...] Notice of Availability of a Swine Brucellosis and Pseudorabies Proposed Action Plan AGENCY: Animal and... proposed action plan describing a potential new approach to managing swine brucellosis and pseudorabies...-0086) a notice that made a proposed action plan describing a potential new approach to managing swine...
29 CFR 1910.38 - Emergency action plans.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 29 Labor 5 2011-07-01 2011-07-01 false Emergency action plans. 1910.38 Section 1910.38 Labor... OCCUPATIONAL SAFETY AND HEALTH STANDARDS Means of Egress § 1910.38 Emergency action plans. (a) Application. An employer must have an emergency action plan whenever an OSHA standard in this part requires one. The...
Laboratory Directed Research and Development Program FY2011
DOE Office of Scientific and Technical Information (OSTI.GOV)
none, none
2012-04-27
Berkeley Lab's research and the Laboratory Directed Research and Development (LDRD) program support DOE's Strategic Themes that are codified in DOE's 2006 Strategic Plan (DOE/CF-0010), with a primary focus on Scientific Discovery and Innovation. For that strategic theme, the Fiscal Year (FY) 2011 LDRD projects support each one of the three goals through multiple strategies described in the plan. In addition, LDRD efforts support the four goals of Energy Security, the two goals of Environmental Responsibility, and Nuclear Security (unclassified fundamental research that supports stockpile safety and nonproliferation programs). Going forward in FY 2012, the LDRD program also supports themore » Goals codified in the new DOE Strategic Plan of May, 2011. The LDRD program also supports Office of Science strategic plans, including the 20-year Scientific Facilities Plan and the Office of Science Strategic Plan. The research also supports the strategic directions periodically under consideration and review by the Office of Science Program Offices, such as LDRD projects germane to new research facility concepts and new fundamental science directions. Brief summares of projects and accomplishments for the period for each division are included.« less
ERIC Educational Resources Information Center
Araujo-Soares, Vera; McIntyre, Teresa; Sniehotta, Falko F.
2009-01-01
This paper aims to test the direct predictors of the theory of planned behaviour (TPB), action planning and coping planning as predictors of changes in physical activity (PA) in 157 adolescents (mean age: 12). TPB measures, the Action Planning and Coping Planning Scales (APCPS) and the International Physical Activity Questionnaires were measured…
Using Correlation to Compute Better Probability Estimates in Plan Graphs
NASA Technical Reports Server (NTRS)
Bryce, Daniel; Smith, David E.
2006-01-01
Plan graphs are commonly used in planning to help compute heuristic "distance" estimates between states and goals. A few authors have also attempted to use plan graphs in probabilistic planning to compute estimates of the probability that propositions can be achieved and actions can be performed. This is done by propagating probability information forward through the plan graph from the initial conditions through each possible action to the action effects, and hence to the propositions at the next layer of the plan graph. The problem with these calculations is that they make very strong independence assumptions - in particular, they usually assume that the preconditions for each action are independent of each other. This can lead to gross overestimates in probability when the plans for those preconditions interfere with each other. It can also lead to gross underestimates of probability when there is synergy between the plans for two or more preconditions. In this paper we introduce a notion of the binary correlation between two propositions and actions within a plan graph, show how to propagate this information within a plan graph, and show how this improves probability estimates for planning. This notion of correlation can be thought of as a continuous generalization of the notion of mutual exclusion (mutex) often used in plan graphs. At one extreme (correlation=0) two propositions or actions are completely mutex. With correlation = 1, two propositions or actions are independent, and with correlation > 1, two propositions or actions are synergistic. Intermediate values can and do occur indicating different degrees to which propositions and action interfere or are synergistic. We compare this approach with another recent approach by Bryce that computes probability estimates using Monte Carlo simulation of possible worlds in plan graphs.
A Storytime Year: A Month-to-Month Kit for Preschool Programming.
ERIC Educational Resources Information Center
Dailey, Susan M.
Noting the need for children's librarians, preschool teachers, and storytellers to keep their programs interesting and fresh, this guide is comprised of 48 theme-based units for preschool-level programs in libraries, early childhood settings, or at home. The guide is presented in two parts. Part 1 contains tips for theme-based program planning and…
Integrative Paradigms for Planning Preferred Futures in a Pluralistic Democracy.
ERIC Educational Resources Information Center
Hansen, L. Sunny
This paper argues for a dramatic shift in thinking in the counseling profession and society at large. The argument is divided into three major themes or integrative concepts: (1) Partnerships; (2) Inclusivity; and (3) Connectedness. The themes are prefaced by a brief survey of global trends, national and international events, and crises caused by…
ERIC Educational Resources Information Center
Asbjørnslett, Mona; Engelsrud, Gunn Helene; Helseth, Sølvi
2015-01-01
This study explores the school experiences of children with physical (dis)abilities. Based on 39 interviews with 15 Norwegian children, participation in everyday school life is introduced as a central theme and divided into three sub-themes: community and independence; adequate help and influence in the classroom; and influence in planning and…
Mehrtak, Mohammad; Farzaneh, Esmaeil; Habibzadeh, Shahram; Kamran, Aziz; Zandian, Hamed; Mahdavi, Abdollah
2017-01-01
Background Developing and guiding new knowledge are futile unless the organizational culture can also be transformed. Future leaders cannot emerge out of an organizational environment that is not conducive to the accumulation of experiences. Objective The aim of this study was to explore the role of organizational culture in creating a succession-planning system at the Ministry of Health and Medical Education in 2014. Methods The present qualitative framework analysis held interviews with 23 director generals, administrative directors and deputies from the headquarters of the Iranian Ministry of Health and Medical Education in 2014 who were selected through snowball sampling. The data obtained were analyzed in MAXQDA-10. Codes were extracted using inductive techniques. Results The cultural factors affecting succession-planning at the Ministry of Health and Medical Education were identified and classified under three main areas, including the cultural factors related to the directors with four themes (Directors’ job security, Constructive competition, Transparency and trust development, Creating opportunities), to the personnel with four themes (Organizational identity and loyalty, Trust in the organization, Talent and merit, Peer envy) and to the system with two themes (Values and beliefs, Politicization). Conclusion Findings of the study show that establishment and institutionalization of the succession planning to the Ministry of Health and Medical Education is deeply affected by the components of organizational culture. Accordingly, unprofessional organization culture can deprive the organization of numerous advantages in multiple-succession planning. PMID:29403623
Mehrtak, Mohammad; Farzaneh, Esmaeil; Habibzadeh, Shahram; Kamran, Aziz; Zandian, Hamed; Mahdavi, Abdollah
2017-11-01
Developing and guiding new knowledge are futile unless the organizational culture can also be transformed. Future leaders cannot emerge out of an organizational environment that is not conducive to the accumulation of experiences. The aim of this study was to explore the role of organizational culture in creating a succession-planning system at the Ministry of Health and Medical Education in 2014. The present qualitative framework analysis held interviews with 23 director generals, administrative directors and deputies from the headquarters of the Iranian Ministry of Health and Medical Education in 2014 who were selected through snowball sampling. The data obtained were analyzed in MAXQDA-10. Codes were extracted using inductive techniques. The cultural factors affecting succession-planning at the Ministry of Health and Medical Education were identified and classified under three main areas, including the cultural factors related to the directors with four themes (Directors' job security, Constructive competition, Transparency and trust development, Creating opportunities), to the personnel with four themes (Organizational identity and loyalty, Trust in the organization, Talent and merit, Peer envy) and to the system with two themes (Values and beliefs, Politicization). Findings of the study show that establishment and institutionalization of the succession planning to the Ministry of Health and Medical Education is deeply affected by the components of organizational culture. Accordingly, unprofessional organization culture can deprive the organization of numerous advantages in multiple-succession planning.
Gorman, Jessica R; Julian, Anne K; Roberts, Samantha A; Romero, Sally A D; Ehren, Jennifer L; Krychman, Michael L; Boles, Sarah G; Mao, Jun; Irene Su, H
2018-02-01
Reproductive-aged breast cancer survivors (BCS) who have completed initial cancer treatment frequently want to know about their future fertility potential. The purpose of this qualitative study was to assess if the fertility-related content presented in the survivorship care plan prototype met the informational needs of post-treatment BCS and to provide an opportunity for the target audience to review and react to the proposed content and design. We conducted and analyzed transcripts from seven focus groups with BCS to evaluate their reactions to the survivorship care plan prototype. We independently coded transcripts for consistent themes and sub-themes and used a consensus-building approach to agree on interpretation of results. We identified five themes that describe the post-treatment BCS' responses to the prototype survivorship care plan in the context of their informational needs and experiences: (1) the prototype's fertility-related information is relevant; (2) desire for clinical parameters to help survivors understand their infertility risk; (3) fertility-related information is important throughout survivorship; (4) evidence-based content from a neutral source is trustworthy; and (5) the recommendation to see a fertility specialist is helpful, but cost is a barrier. BCS have concerns and needs related to their fertility potential after initial breast cancer treatment. The evidence-based information offered in our prototype survivorship care plan was acceptable to BCS and has significant potential to address these needs. Additional primary data that identify post-cancer treatment indicators of fertility would advance this effort.
The role of action planning and plan enactment for smoking cessation
2013-01-01
Background Several studies have reemphasized the role of action planning. Yet, little attention has been paid to the role of plan enactment. This study assesses the determinants and the effects of action planning and plan enactment on smoking cessation. Methods One thousand and five participants completed questionnaires at baseline and at follow-ups after one and six months. Factors queried were part of the I-Change model. Descriptive analyses were used to assess which plans were enacted the most. Multivariate linear regression analyses were used to assess whether the intention to quit smoking predicted action planning and plan enactment, and to assess which factors would predict quitting behavior. Subsequently, both multivariate and univariate regression analyses were used to assess which particular action plans would be most effective in predicting quitting behavior. Similar analyses were performed among a subsample of smokers prepared to quit within one month. Results Smokers who intended to quit smoking within the next month had higher levels of action planning than those intending to quit within a year. Additional predictors of action planning were being older, being female, having relatively low levels of cigarette dependence, perceiving more positive and negative consequences of quitting, and having high self-efficacy toward quitting. Plan enactment was predicted by baseline intention to quit and levels of action planning. Regression analysis revealed that smoking cessation after six months was predicted by low levels of depression, having a non-smoking partner, the intention to quit within the next month, and plan enactment. Only 29% of the smokers who executed relatively few plans had quit smoking versus 59% of the smokers who executed many plans. The most effective preparatory plans for smoking cessation were removing all tobacco products from the house and choosing a specific date to quit. Conclusion Making preparatory plans to quit smoking is important because it also predicts plan enactment, which is predictive of smoking cessation. Not all action plans were found to be predictive of smoking cessation. The effects of planning were not very much different between the total sample and smokers prepared to quit within one month. PMID:23622256
A Coordinated USGS Science Response to Hurricane Sandy
NASA Astrophysics Data System (ADS)
Jones, S.; Buxton, H. T.; Andersen, M.; Dean, T.; Focazio, M. J.; Haines, J.; Hainly, R. A.
2013-12-01
In late October 2012, Hurricane Sandy came ashore during a spring high tide on the New Jersey coastline, delivering hurricane-force winds, storm tides exceeding 19 feet, driving rain, and plummeting temperatures. Hurricane Sandy resulted in 72 direct fatalities in the mid-Atlantic and northeastern United States, and widespread and substantial physical, environmental, ecological, social, and economic impacts estimated at near $50 billion. Before the landfall of Hurricane Sandy, the USGS provided forecasts of potential coastal change; collected oblique aerial photography of pre-storm coastal morphology; deployed storm-surge sensors, rapid-deployment streamgages, wave sensors, and barometric pressure sensors; conducted Light Detection and Ranging (lidar) aerial topographic surveys of coastal areas; and issued a landslide alert for landslide prone areas. During the storm, Tidal Telemetry Networks provided real-time water-level information along the coast. Long-term networks and rapid-deployment real-time streamgages and water-quality monitors tracked river levels and changes in water quality. Immediately after the storm, the USGS serviced real-time instrumentation, retrieved data from over 140 storm-surge sensors, and collected other essential environmental data, including more than 830 high-water marks mapping the extent and elevation of the storm surge. Post-storm lidar surveys documented storm impacts to coastal barriers informing response and recovery and providing a new baseline to assess vulnerability of the reconfigured coast. The USGS Hazard Data Distribution System served storm-related information from many agencies on the Internet on a daily basis. Immediately following Hurricane Sandy the USGS developed a science plan, 'Meeting the Science Needs of the Nation in the Wake of Hurricane Sandy-A U.S. Geological Survey Science Plan for Support of Restoration and Recovery'. The plan will ensure continuing coordination of internal USGS activities as well as enhancing our work with other agencies. The data, information, and tools that are being produced by implementing this plan will: (1) further characterize impacts and changes, (2) guide mitigation and restoration of impacted communities and ecosystems, (3) inform a redevelopment strategy aimed at developing resilient coastal communities and ecosystems, (4) improve preparedness and responsiveness to the next hurricane or similar coastal disaster, and (5) enable improved hazard assessment, response, and recovery for future storms along the hurricane prone shoreline of the United States. The activities outlined in the plan are organized in five themes based on impact types and information needs. These USGS science themes are: Theme 1: Coastal topography and bathymetry. Theme 2: Impacts to coastal beaches and barriers. Theme 3: Impacts of storm surge and estuarine and bay hydrology. Theme 4: Impacts on environmental quality and persisting contaminant exposures. Theme 5: Impacts to coastal ecosystems, habitats, and fish and wildlife. The major emphases in the implementation of this plan are interacting with stakeholders to better understand their specific data and information needs, engaging with other Federal agencies and non-governmental agencies to encourage collaboration and avoid duplication, defining the best way to make information available, and providing applications of USGS science and expertise to support decision-making.
Report of the Tape Recorder Action Plan Committee, 21 March 1972
NASA Technical Reports Server (NTRS)
1972-01-01
A NASA/AF Tape Recorder Action Plan Committee was formed in January 1972 to investigate tape recorder problems and to recommend an action plan to NASA management. The committee collected data on tape recorder failure history, pinpointed problem areas, discussed needed technical and management changes, and proposed an action plan for the recommended approaches.
Perez, Georgina; Della Valle, Pamela; Paraghamian, Sarah; Page, Rachel; Ochoa, Janet; Palomo, Fabiana; Suarez, Emilia; Thrasher, Angela; Tran, Anh N; Corbie-Smith, Giselle
2016-05-01
Recent Latina immigrants are at increased risk of poor mental health due to stressors associated with adapting to life in the United States. Existing social and health care policies often do not adequately address the mental health concerns of new Latino populations. Amigas Latinas Motivando el Alma, a community-partnered research project, seeks to improve immigrant Latinas' mental health outcomes. Using Photovoice methodology, promotoras (lay health advisors) reflected on community factors affecting mental health through photography and guided discussion. Discussions were audio-recorded, transcribed, and coded using content analysis to identify salient themes. Promotoras reviewed codes to develop themes that they presented in community forums to reach local policy makers and to increase community awareness. These forums included an exhibit of the promotoras' photographs and discussion of action steps to address community concerns. Themes included transitioning to life in the United States, parenting, education, and combating racism. Nearly 150 stakeholders attended the community forums and proposed responses to promotoras' photographic themes. Our findings suggest that Photovoice provides an opportunity for Latinas and the larger community to identify issues that they find most important and to explore avenues for action and change by creating sustainable partnerships between the community and forum attendees. © 2015 Society for Public Health Education.
ERIC Educational Resources Information Center
Interuniversity Communications Council (EDUCOM), Princeton, NJ.
Following the keynote address on the importance of planning and the changing style of management in colleges and universities, various prepared papers developed the meeting theme of using technology in college and university planning. William Massey described the development and use of a computer model for strategic planning at Stanford. Edmund…
Using Action Research to Enhance Learning on End-Use Energy Demand: Lessons from Reflective Practice
ERIC Educational Resources Information Center
Petrova, Saska; Torres Garcia, Miguel; Bouzarovski, Stefan
2017-01-01
This paper responds to the need for a greater integration of energy and environment themes in the higher education curriculum. We explore the practical implications of empowering students towards the implementation of individual action research projects focused on investigating and addressing insufficient or wasteful energy consumption among…
Improving genetic conservation of tree species
Pam Allenstein; Jennifer DeWoody; David Gwaze; Valerie Hipkins; Gary Man; Anna Schoettle; Kirsty Shaw; Murphy Westwood
2017-01-01
The aim of this workshop breakout group session was to review significant gaps within each of three major themes (In-situ Conservation, Ex-situ Conservation, and Restoration of Species and Ecosystems) and to identify actionable solutions to move genetic conservation efforts forward. In order to identify solutions and action items for the tree conservation community,...
Body posture modulates action perception.
Zimmermann, Marius; Toni, Ivan; de Lange, Floris P
2013-04-03
Recent studies have highlighted cognitive and neural similarities between planning and perceiving actions. Given that action planning involves a simulation of potential action plans that depends on the actor's body posture, we reasoned that perceiving actions may also be influenced by one's body posture. Here, we test whether and how this influence occurs by measuring behavioral and cerebral (fMRI) responses in human participants predicting goals of observed actions, while manipulating postural congruency between their own body posture and postures of the observed agents. Behaviorally, predicting action goals is facilitated when the body posture of the observer matches the posture achieved by the observed agent at the end of his action (action's goal posture). Cerebrally, this perceptual postural congruency effect modulates activity in a portion of the left intraparietal sulcus that has previously been shown to be involved in updating neural representations of one's own limb posture during action planning. This intraparietal area showed stronger responses when the goal posture of the observed action did not match the current body posture of the observer. These results add two novel elements to the notion that perceiving actions relies on the same predictive mechanism as planning actions. First, the predictions implemented by this mechanism are based on the current physical configuration of the body. Second, during both action planning and action observation, these predictions pertain to the goal state of the action.
The role of action control and action planning on fruit and vegetable consumption.
Zhou, Guangyu; Gan, Yiqun; Miao, Miao; Hamilton, Kyra; Knoll, Nina; Schwarzer, Ralf
2015-08-01
Globally, fruit and vegetable intake is lower than recommended despite being an important component to a healthy diet. Adopting or maintaining a sufficient amount of fruit and vegetables in one's diet may require not only motivation but also self-regulatory processes. Action control and action planning are two key volitional determinants that have been identified in the literature; however, it is not fully understood how these two factors operate between intention and behavior. Thus, the aim of the current study was to explore the roles of action control and action planning as mediators between intentions and dietary behavior. A longitudinal study with three points in time was conducted. Participants (N = 286) were undergraduate students and invited to participate in a health behavior survey. At baseline (Time 1), measures of intention and fruit and vegetable intake were assessed. Two weeks later (Time 2), action control and action planning were assessed as putative sequential mediators. At Time 3 (two weeks after Time 2), fruit and vegetable consumption was measured as the outcome. The results revealed action control and action planning to sequentially mediate between intention and subsequent fruit and vegetable intake, controlling for baseline behavior. Both self-regulatory constructs, action control and action planning, make a difference when moving from motivation to action. Our preliminary evidence, therefore, suggests that planning may be more proximal to fruit and vegetable intake than action control. Further research, however, needs to be undertaken to substantiate this conclusion. Copyright © 2015 Elsevier Ltd. All rights reserved.
Efficiency in Rule- vs. Plan-Based Movements Is Modulated by Action-Mode.
Scheib, Jean P P; Stoll, Sarah; Thürmer, J Lukas; Randerath, Jennifer
2018-01-01
The rule/plan motor cognition (RPMC) paradigm elicits visually indistinguishable motor outputs, resulting from either plan- or rule-based action-selection, using a combination of essentially interchangeable stimuli. Previous implementations of the RPMC paradigm have used pantomimed movements to compare plan- vs. rule-based action-selection. In the present work we attempt to determine the generalizability of previous RPMC findings to real object interaction by use of a grasp-to-rotate task. In the plan task, participants had to use prospective planning to achieve a comfortable post-handle rotation hand posture. The rule task used implementation intentions (if-then rules) leading to the same comfortable end-state. In Experiment A, we compare RPMC performance of 16 healthy participants in pantomime and real object conditions of the experiment, within-subjects. Higher processing efficiency of rule- vs. plan-based action-selection was supported by diffusion model analysis. Results show a significant response-time increase in the pantomime condition compared to the real object condition and a greater response-time advantage of rule-based vs. plan-based actions in the pantomime compared to the real object condition. In Experiment B, 24 healthy participants performed the real object RPMC task in a task switching vs. a blocked condition. Results indicate that plan-based action-selection leads to longer response-times and less efficient information processing than rule-based action-selection in line with previous RPMC findings derived from the pantomime action-mode. Particularly in the task switching mode, responses were faster in the rule compared to the plan task suggesting a modulating influence of cognitive load. Overall, results suggest an advantage of rule-based action-selection over plan-based action-selection; whereby differential mechanisms appear to be involved depending on the action-mode. We propose that cognitive load is a factor that modulates the advantageous effect of implementation intentions in motor cognition on different levels as illustrated by the varying speed advantages and the variation in diffusion parameters per action-mode or condition, respectively.
Final consolidated action plan to Tiger Team. Volume 1, Change 1
DOE Office of Scientific and Technical Information (OSTI.GOV)
Not Available
1993-04-01
Two separate Tiger Team assessments were conducted at Sandia National Laboratories (SNL). The first was conducted at the California site in Livermore between April 30, 1990, and May 18, 1990. A second Tiger team assessment was conducted at the New Mexico site in Albuquerque between April 15 and May 24, 1991. One purpose of this Action Plan is to provide a formal written response to each of the findings and/or concerns cited in the SNL Tiger Team assessment reports. A second purpose is to present actions planned to be conducted to eliminate deficiencies identified by the Tiger Teams. A thirdmore » purpose is to consolidate (group) related findings and to identify priorities assigned to the planned actions for improved efficiency and enhanced management of the tasks. A fourth and final purpose is to merge the two original SNL Action Plans for the New Mexico and California sites into a single Action Plan as a major step toward managing all SNL ES&H activities more similarly. Included in this combined SNL Action Plan are descriptions of the actions to be taken by SNL to liminate all problems identified in the Tiger Teams` findings/concerns, as well as estimated costs and schedules for planned actions.« less
Final consolidated action plan to Tiger Team. Volume 2, Change 1
DOE Office of Scientific and Technical Information (OSTI.GOV)
Not Available
1993-04-01
Two separate Tiger Team assessments were conducted at Sandia National Laboratories (SNL). The first was conducted at the California site in Livermore between April 30, 1990, and May 18, 1990. A second Tiger Team assessment was conducted at the New Mexico site in Albuquerque between April 15 and May 24, 1991. This report is volume two, change one. One purpose of this Action Plan is to provide a formal written response to each of the findings and/or concerns cited in the SNL Tiger Team assessment reports. A second purpose is to present actions planned to be conducted to eliminate deficienciesmore » identified by the Tiger Teams. A third purpose is to consolidate (group) related findings and to identify priorities assigned to the planned actions for improved efficiency and enhanced management of the tasks. A fourth and final purpose is to merge the two original SNL Action Plans for the New Mexico [Ref. a] and California [Ref. b] sites into a single Action Plan as a major step toward managing all SNL ES&H activities more similarly. Included in this combined SNL Action Plan are descriptions of the actions to be taken by SNL to liminate all problems identified in the Tiger Teams` findings/concerns, as well as estimated costs and schedules for planned actions.« less
ERIC Educational Resources Information Center
Kusch, Jim; Rebolledo, Geisha; Ryan, Charly
2005-01-01
This paper responds to a call seeking presenters for an action-research event for elementary-school science teachers in Venezuela. The authors planned on the assumption that the participants would wish to leave with plans for introducing action-research approaches into their practice. In previous writing on action research, the various protocols…
Evaluating the Impact of Action Plans on Trainee Compliance with Learning Objectives
ERIC Educational Resources Information Center
Aumann, Michael J.
2013-01-01
This mixed methods research study evaluated the use of technology-based action plans as a way to help improve compliance with the learning objectives of an online training event. It explored how the action planning strategy impacted subjects in a treatment group and compared them to subjects in a control group who did not get the action plan. The…
42 CFR 447.256 - Procedures for CMS action on assurances and State plan amendments.
Code of Federal Regulations, 2011 CFR
2011-10-01
... plan amendments. 447.256 Section 447.256 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... action on assurances and State plan amendments. (a) Criteria for approval. (1) CMS approval action on State plans and State plan amendments, is taken in accordance with subpart B of part 430 of this chapter...
42 CFR 447.256 - Procedures for CMS action on assurances and State plan amendments.
Code of Federal Regulations, 2013 CFR
2013-10-01
... plan amendments. 447.256 Section 447.256 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... action on assurances and State plan amendments. (a) Criteria for approval. (1) CMS approval action on State plans and State plan amendments, is taken in accordance with subpart B of part 430 of this chapter...
49 CFR 234.11 - State highway-rail grade crossing action plans.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 49 Transportation 4 2010-10-01 2010-10-01 false State highway-rail grade crossing action plans... PLANS Reports and Plans § 234.11 State highway-rail grade crossing action plans. (a) Purpose. The purpose of this section is to reduce collisions at highway-rail grade crossings in the ten States that...
49 CFR 234.11 - State highway-rail grade crossing action plans.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 49 Transportation 4 2011-10-01 2011-10-01 false State highway-rail grade crossing action plans... PLANS Reports and Plans § 234.11 State highway-rail grade crossing action plans. (a) Purpose. The purpose of this section is to reduce collisions at highway-rail grade crossings in the ten States that...
Buxton, Herbert T.; Andersen, Matthew E.; Focazio, Michael J.; Haines, John W.; Hainly, Robert A.; Hippe, Daniel J.; Sugarbaker, Larry J.
2013-01-01
n late October 2012, Hurricane Sandy came ashore during a spring high tide on the New Jersey coastline, delivering hurricane-force winds, storm tides exceeding 19 feet, driving rain, and plummeting temperatures. Hurricane Sandy resulted in 72 direct fatalities in the mid-Atlantic and northeastern United States, and widespread and substantial physical, environmental, ecological, social, and economic impacts estimated at near $50 billion. Before the landfall of Hurricane Sandy, the USGS provided forecasts of potential coastal change; collected oblique aerial photography of pre-storm coastal morphology; deployed storm-surge sensors, rapid-deployment streamgages, wave sensors, and barometric pressure sensors; conducted Light Detection And Ranging (lidar) aerial topographic surveys of coastal areas; and issued a landslide alert for landslide prone areas. During the storm, Tidal Telemetry Networks provided real-time water-level information along the coast. Long-term network and rapid-deployment real-time streamgages and water-quality monitors reported on river levels and changes in water quality. Immediately after the storm, the USGS serviced real-time instrumentation, retrieved data from over 140 storm-surge sensors, and collected other essential environmental data, including more than 830 high-water marks mapping the extent and elevation of the storm surge. Post-storm lidar surveys documented storm impacts to coastal barriers informing response and recovery and providing a new baseline to assess vulnerability of the reconfigured coast. The USGS Hazard Data Distribution System served storm related information from many agencies on the Internet on a daily basis. This science plan was developed immediately following Hurricane Sandy to coordinate continuing USGS activities with other agencies and to guide continued data collection and analysis to ensure support for recovery and restoration efforts. The data, information, and tools that are produced by implementing this plan will: (1) further characterize impacts and changes, (2) guide mitigation and restoration of impacted communities and ecosystems, (3) inform a redevelopment strategy aimed at developing resilient coastal communities and ecosystems, (4) improve preparedness and responsiveness to the next hurricane or similar coastal disaster, and (5) enable improved hazard assessment, response, and recovery for future storms along the hurricane prone shoreline of the United States. The activities outlined in this plan are organized in five themes based on impact types and information needs. These USGS science themes are: Theme 1: Coastal topography and bathymetry. Theme 2: Impacts to coastal beaches and barriers. Theme 3: Impacts of storm surge and estuarine and bay hydrology. Theme 4: Impacts on environmental quality and persisting contaminant exposures. Theme 5: Impacts to coastal ecosystems, habitats, and fish and wildlife. A major emphasis in the implementation of this plan will be on interacting with stakeholders to better understand their specific data and information needs, to define the best way to make information available, and to support applications of USGS science and expertise to decisionmaking.
OAST Space Theme Workshop 1976
NASA Technical Reports Server (NTRS)
Sadin, S. R.
1977-01-01
Papers that provide a technical foundation including research and technology base candidates for each of six space themes - space power, space industrialization, search for extraterrestrial intelligence, exploration of the solar system, global service, and advanced transportation systems - are presented. The material is mainly intended for further use by workshop participants and NASA elements concerned with space research and technology. While the data presented do not represent official plans or positions, they are part of the process of evolving such plans and positions. The information contained reflects the efforts of workshop participants and should be an aid in the successful implementation and execution of the Agency's near- and far-term advanced technology program.
The transfer of learning process: From an elementary science methods course to classroom instruction
NASA Astrophysics Data System (ADS)
Carter, Nina Leann
The purpose of this qualitative multiple-case study was to explore the transfer of learning process in student teachers. This was carried out by focusing on information learned from an elementary science methods and how it was transferred into classroom instruction during student teaching. Participants were a purposeful sampling of twelve elementary education student teachers attending a public university in north Mississippi. Factors that impacted the transfer of learning during lesson planning and implementation were sought. The process of planning and implementing a ten-day science instructional unit during student teaching was examined through lesson plan documentation, in-depth individual interviews, and two focus group interviews. Narratives were created to describe the participants' experiences as well as how they plan for instruction and consider science pedagogical content knowledge (PCK). Categories and themes were then used to build explanations applying to the research questions. The themes identified were Understanding of Science PCK, Minimalism, Consistency in the Teacher Education Program, and Emphasis on Science Content. The data suggested that the participants lack in their understanding of science PCK, took a minimalistic approach to incorporating science into their ten-day instructional units, experienced inconsistencies in the teacher education program, and encountered a lack of emphasis on science content in their field experience placements. The themes assisted in recognizing areas in the elementary science methods courses, student teaching field placements, and university supervision in need of modification.
Science Goals of the U.S. Department of the Interior Southeast Climate Science Center
Dalton, Melinda S.
2011-01-01
In 2011, the U.S. Department of the Interior Southeast Climate Science Center (CSC) finalized the first draft of its goals for research needed to address the needs of natural and cultural partners for climate science in the Southeastern United States. The science themes described in this draft plan were established to address the information needs of ecoregion conservation partnerships, such as the Landscape Conservation Cooperatives (LCCs) and other regional conservation-science and resource-management partners. These themes were developed using priorities defined by partners and stakeholders in the Southeast and on a large-scale, multidisciplinary project-the Southeast Regional Assessment Project (SERAP)-developed in concert with those partners. Science products developed under these themes will provide models of potential future conditions, assessments of likely impacts, and tools that can be used to inform the conservation management decisions of LCCs and other partners. This information will be critical as managers try to anticipate and adapt to climate change. Resource managers in the Southeast are requesting this type of information, in many cases as a result of observed climate change effects. The Southeast CSC draft science plan identifies six science themes and frames the activities (tasks, with examples of recommended near-term work for each task included herein) related to each theme that are needed to achieve the objectives of the Southeast CSC.
Côté, Emilie; Hearn, Russell
2016-11-01
To explore the differences in perception of the medical response to the victims of the 2013 Boston Marathon bombings between laypeople and healthcare professionals. Commentary accessible and available on Internet discussion websites by non-medically trained persons and in the academic literature by healthcare professionals was analysed qualitatively. Major themes were found relating to both the pre-hospital and hospital-based phases of the medical response to the disaster. Laypeople focused more on pre-hospital care and the actions of specific bystanders, while healthcare professionals focused on hospital care, the importance of a disaster plan, and frequent training for the success of the response. Laypeople and healthcare professionals have positive but differing perceptions of the medical response to the victims of the bombings. This may have implications for future funding and implementation of disaster preparedness. © Royal Society for Public Health 2016.
Funk, Amy; Garcia, Christina; Mullen, Tiara
2018-06-01
: Background: Older hospitalized adults with hearing impairment are vulnerable to adverse outcomes. These patients are at risk for being labeled confused, experiencing a loss of control, experiencing heightened fear and anxiety, and misunderstanding the plan of care. This qualitative study sought to assess the hospital experience of older adults with hearing impairment in order to formulate suggestions for improving nursing care. Open-ended interviews were conducted with eight participants, ages 70 to 95 years, who were identified as having a hearing impairment and were admitted as inpatients to a midwestern medical center. Through data analysis, three common themes emerged: health care communication difficulties, passivity and vulnerability, and frustration with family. Nurses will benefit from having a deeper understanding of the hospital experience of this vulnerable population. Efforts to address their needs can be accomplished through the following nursing actions: assess, accommodate, educate, empower, and advocate.
Citizenship and Community Mental Health Care.
Ponce, Allison N; Rowe, Michael
2018-03-01
Citizenship is an approach to supporting the social inclusion and participation in society of people with mental illnesses. It is receiving greater attention in community mental health discourse and literature in parallel with increased awareness of social determinants of health and concern over the continued marginalization of persons with mental illness in the United States. In this article, we review the definition and principles of our citizenship framework with attention to social participation and access to resources as well as rights and responsibilities that society confers on its members. We then discuss our citizenship research at both individual and social-environmental levels, including previous, current, and planned efforts. We also discuss the role of community psychology and psychologists in advancing citizenship and other themes relevant to a citizenship perspective on mental health care and persons with mental illness. © Society for Community Research and Action 2018.
Caudroit, Johan; Boiché, Julie; Stephan, Yannick
2014-01-01
Using a moderated mediation model, the present study investigated whether the mediation of intention into physical activity (PA) behaviour via action planning depends on the level of coping planning. A four-month prospective study was conducted among 157 French adults, who were recruited through a web-based survey. They were administrated measures of behavioural intention and sociodemographic variables at baseline and action and coping planning and PA four months later. Action planning partially mediated the contribution of intention on PA level. However, this indirect effect was conditional on the level of coping planning, insofar as action planning acted as a mediator of the intention-PA relationship only for individuals with high level of coping planning. The results highlight the complexity of the relationship between intention and behaviour and provide evidence for the distinct role of both forms of planning.
Operating and Maintaining Energy Smart Schools Action Plan Template - All Action Plans
DOE Office of Scientific and Technical Information (OSTI.GOV)
none,
2009-07-01
EnergySmart Schools action plan templates for benchmarking, lighting, HVAC, water heating, building envelope, transformer, plug loads, kitchen equipment, swimming pool, building automation system, other.
49 CFR 27.11 - Remedial action, voluntary action and compliance planning.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 49 Transportation 1 2011-10-01 2011-10-01 false Remedial action, voluntary action and compliance....11 Remedial action, voluntary action and compliance planning. (a) Remedial action. (1) If the... discrimination not occurred. (b) Voluntary action. A recipient may take steps, in addition to any action that is...
Higher Education Trends (1997-1999): Administration. ERIC-HE Trends.
ERIC Educational Resources Information Center
Kezar, Adrianna J.
Several themes are prevalent in the literature on college administration. Motivating staff, planning, conflict management, ethics, power and influence, communication, strategy and decision making, vision, and financial issues are consistently discussed. However, common administrative processes such as planning, morale, and administrative climate…
Stetler, Cheryl B; Ritchie, Judith A; Rycroft-Malone, Jo; Charns, Martin P
2014-01-01
Background Making evidence-based practice (EBP) a reality throughout an organization is a challenging goal in healthcare services. Leadership has been recognized as a critical element in that process. However, little is known about the exact role and function of various levels of leadership in the successful institutionalization of EBP within an organization. Aims To uncover what leaders at different levels and in different roles actually do, and what actions they take to develop, enhance, and sustain EBP as the norm. Methods Qualitative data from a case study regarding institutionalization of EBP in two contrasting cases (Role Model and Beginner hospitals) were systematically analyzed. Data were obtained from multiple interviews of leaders, both formal and informal, and from staff nurse focus groups. A deductive coding schema, based on concepts of functional leadership, was developed for this in-depth analysis. Results Participants’ descriptions reflected a hierarchical array of strategic, functional, and cross-cutting behaviors. Within these macrolevel “themes,” 10 behavioral midlevel themes were identified; for example, Intervening and Role modeling. Each theme is distinctive, yet various themes and their subthemes were interrelated and synergistic. These behaviors and their interrelationships were conceptualized in the framework “Leadership Behaviors Supportive of EBP Institutionalization” (L-EBP). Leaders at multiple levels in the Role Model case, both formal and informal, engaged in most of these behaviors. Linking Evidence to Action Supportive leadership behaviors required for organizational institutionalization of EBP reflect a complex set of interactive, multifaceted EBP-focused actions carried out by leaders from the chief nursing officer to staff nurses. A related framework such as L-EBP may provide concrete guidance needed to underpin the often-noted but abstract finding that leaders should “support” EBP. PMID:24986669
ONR (Office of Naval Research) Research in Distributed Reasoning and Planning.
1987-05-01
Reasoning about Actions and Plans, Timberline Lodge , Timberline , Oregon (1987). [62] Lansky, A.L. "GEMPLAN: Event-based Planning Through Temporal...Actions and Plans, Timberline Lodge , Timberline , Oregon (1987). [71] Litman, D. Plan Recognition and Discourse Analysis. PhD thesis, University of...Workshop on Reasoning about Actions and Plans, Timberline Lodge , Timberlinie. Oregon (1987). [74] Manna, Z. and P.Wolper, "Synthesis of Communicating
Spiegel, M A; Koester, D; Weigelt, M; Schack, T
2012-02-16
How much cognitive effort does it take to change a movement plan? In previous studies, it has been shown that humans plan and represent actions in advance, but it remains unclear whether or not action planning and verbal working memory share cognitive resources. Using a novel experimental paradigm, we combined in two experiments a grasp-to-place task with a verbal working memory task. Participants planned a placing movement toward one of two target positions and subsequently encoded and maintained visually presented letters. Both experiments revealed that re-planning the intended action reduced letter recall performance; execution time, however, was not influenced by action modifications. The results of Experiment 2 suggest that the action's interference with verbal working memory arose during the planning rather than the execution phase of the movement. Together, our results strongly suggest that movement planning and verbal working memory share common cognitive resources. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
Anticipatory Action Planning Increases from 3 to 10 Years of Age in Typically Developing Children
ERIC Educational Resources Information Center
Jongbloed-Pereboom, Marjolein; Nijhuis-van der Sanden, Maria W. G.; Saraber-Schiphorst, Nicole; Craje, Celine; Steenbergen, Bert
2013-01-01
The primary aim of this study was to assess the development of action planning in a group of typically developing children aged 3 to 10 years (N = 351). The second aim was to assess reliability of the action planning task and to relate the results of the action planning task to results of validated upper limb motor performance tests. Participants…
Fortin, Denise; McVey, Lynne; Racine, Simon; Luyet, André J; Israël, Mimi; Villeneuve, Evens; Trudel, Jean-François; Fortier, Linda
2014-01-01
Quebec's three mental health university institutes (DMHUI, IUSMM and the IUSMQ) and the Centre hospitalier universitaire de Sherbrooke submitted a statement to the provincial consultation forum on the 2014-2020 Mental Health Action Plan (MHAP), which was held in January 2014 and organized by the Ministère de la Santé et des Services sociaux (MSSS). This article presents these institutes' main recommendations. Mental health university institutes deliver a wide and diverse range of services. They know about the challenges of organizing mental health services and are aware of national and international trends in the delivery of the best organizational and clinical practices in mental health. It is therefore as key stakeholders in the mental health care network that they commented on each component in the working paper. The proposed orientations are consistent with the 2005-2010 MHAP. The presented themes clearly reflect current issues, although the guidelines must be more explicit regarding the vision of how services will be organized in coming years. These institutes therefore suggest that the following principles be included: the full exercise of citizenship rights, the organization of services within integrated networks, performance, continuous improvement and innovation, as well as a global and integrated vision of health. The complexity of today's problems requires flexibility, complementarity and continuity of services, particularly for youth, aboriginals, and people with concomitant disorders. These institutions therefore stress the importance of prevention, early intervention programs, and increased support for first-line general practitioners and health care professionals. They also emphasized that specialized inpatient and outpatient services should not be neglected. Community services must also be structured around various levels of support, such as ICM and ACT, as well as around specialized programs available in hospital outpatient clinics. The development and transfer of knowledge remain a central issue when it comes to improving the mental health of the general population. The consolidation of ultra-specialized services, teaching and research should be included in the next MHAP. Finally, a global health perspective must go beyond the MSSS framework to become a governmental and interministerial commitment based on a vision of public mental health that incorporates the health status of the general population and accounts for social determinants. It is important to have a national plan that promotes a vision. This plan must be part of an interministerial action plan that truly supports the full exercise of citizenship rights and the fight against stigmatization in collaboration with people who use these services and their families.
28 CFR 115.404 - Audit corrective action plan.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Audit corrective action plan. 115.404 Section 115.404 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Auditing and Corrective Action § 115.404 Audit corrective action plan. (a) A finding of...
28 CFR 115.404 - Audit corrective action plan.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Audit corrective action plan. 115.404 Section 115.404 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Auditing and Corrective Action § 115.404 Audit corrective action plan. (a) A finding of...
28 CFR 115.404 - Audit corrective action plan.
Code of Federal Regulations, 2012 CFR
2012-07-01
... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Audit corrective action plan. 115.404 Section 115.404 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Auditing and Corrective Action § 115.404 Audit corrective action plan. (a) A finding of...
Welch, Madelyn; Ludden, Tom; Mottus, Kathleen; Bray, Paul; Hendrickson, Lori; Rees, Jennifer; Halladay, Jacqueline; Tapp, Hazel
2018-06-21
Poor outcomes and health disparities related to asthma result in part from difficulty disseminating new evidence such as shared decision making (SDM) into clinical practice. As part of a three-arm cluster randomized dissemination study, evaluation of the impact of different dissemination methods was studied. Here we evaluate themes from patient and provider focus groups to assess the impact of a facilitated, traditional dissemination approach, or no intervention, on patient and provider perspectives of asthma care. Using semi-structured questions, twenty-four pre- and post-intervention focus groups with patients and providers took place across primary care practices. Discussions were held in all three arms both before and after the time of intervention rollout. Audio recordings were transcribed and analyzed for themes. Across all sites patients and providers discussed themes of communication, asthma self-management, barriers, education, and patient awareness. After the intervention, compared to traditional sites, facilitated practices were more likely to discuss themes related to SDM, such as patient-centered communication, patient-provider negotiation on treatment plan, planning, goal-setting, and solutions to barriers. Emergent themes allowed for further understanding of how the SDM implementation was perceived at the patient and provider level. The facilitated implementation was associated with higher adoption of the SDM intervention. These themes and supporting quotes add to knowledge of best practices associated with implementing an evidence-based SDM intervention for asthma into primary care and will inform researchers, practices, and providers as they work to improve adoption of evidence-based interventions into practice.
Mulligan, Hilda; Smith, Catherine M; Ferdinand, Sandy
2015-03-01
The recent earthquakes in Canterbury New Zealand ended lives and resulted in disruption to many aspect of life for survivors, including physiotherapists. Physiotherapists often volunteer vital rehabilitation services in the wake of global disasters; however, little is known about how physiotherapists cope with disasters that affect their own communities. The purpose of this study was to investigate how the Canterbury earthquakes affected physiotherapists and physiotherapy services. We use a General Inductive Approach to analyse data obtained from purposively sampled physiotherapists or physiotherapy managers in the Canterbury region. Interviews were audio-recorded and transcribed verbatim. We analysed data from interviews with 27 female and six male participants. We identified four themes: 'A life-changing earthquake' that described how both immediate and on-going events led to our second theme 'Uncertainty'. Uncertainty eroded feelings of resilience, but this was tempered by our third theme 'Giving and receiving support'. Throughout these three themes, we identified a further theme 'Being a physiotherapist'. This theme explains how physiotherapists and physiotherapy services were and still are affected by the Canterbury earthquakes. We recommend that disaster planning occurs at individual, departmental, practice and professional levels. This planning will enable physiotherapists to better cope in the event of a disaster and would help to provide professional bodies with a cohesive set of skills that can be shared with health agencies and rescue organizations. We recommend that the apparently vital skill of listening is explored through further research in order for it to be better accepted as a core physiotherapy skill. Copyright © 2014 John Wiley & Sons, Ltd.
White, Kari; Hopkins, Kristine; Grossman, Daniel; Potter, Joseph E
2017-10-20
To explore organizations' experiences providing family planning during the first year of an expanded primary care program in Texas. Between November 2014 and February 2015, in-depth interviews were conducted with program administrators at 30 organizations: 7 women's health organizations, 13 established primary care contractors (e.g., community health centers, public health departments), and 10 new primary care contractors. Interviews addressed organizational capacities to expand family planning and integrate services with primary care. Interview transcripts were analyzed using a theme-based approach. Themes were compared across the three types of organizations. Established and new primary care contractors identified several challenges expanding family planning services, which were uncommon among women's health organizations. Clinicians often lacked training to provide intrauterine devices and contraceptive implants. Organizations often recruited existing clients into family planning services, rather than expanding their patient base, and new contractors found family planning difficult to integrate because of clients' other health needs. Primary care contractors frequently described contraceptive provision protocols that were not evidence-based. Many primary care organizations in Texas initially lacked the capacity to provide evidence-based family planning services that women's health organizations already provided. © Health Research and Educational Trust.
From action planning and plan enactment to fruit consumption: moderated mediation effects.
Kasten, Stefanie; van Osch, Liesbeth; Eggers, Sander Matthijs; de Vries, Hein
2017-10-23
Sufficient fruit consumption is beneficial for a healthy live. While many Dutch adults intent to eat the recommended amount of fruit, only 5-10% of the population actually adheres to the recommendation. One mechanism that can help to narrow this gap between intention and actual fruit consumption is action planning. However, action planning is only assumed to be effective if plans are enacted. This study assessed which action plans are made and enacted, and further aimed to investigate two main hypotheses: 1. the effect of action planning (at T1) on fruit consumption (at T2) is mediated by plan enactment (at T3); 2. positive intentions (2a), high self-efficacy (2b) and a strong habit to eat fruit (2c) enhance the mediation of plan enactment, whereas a strong habit to eat snacks (2d) hinders the mediation of plan enactment. This study was a self-reported longitudinal online survey study. A total of 428 participants filled in a survey, measuring demographic factors (e.g. gender, age, education level), several socio-cognitive constructs (i.e. attitudes, self-efficacy, habit, action planning, plan enactment), and fruit consumption, at three points in time (baseline, after 1 month, and after 3 months). Mediation and moderated mediation analyses were used to investigate the planning-plan enactment- fruit consumption relationship. Up to 70% of the participants reported to have enacted their T1 action plans at T2. Action planning on fruit consumption was fully mediated by plan enactment (Hypothesis 1). All four proposed moderators (i.e. intention, self-efficacy, habit to consume fruit, and habit to consume snacks) significantly influenced the mediation (Hypotheses 2a-2d). Mediation of plan enactment was only present with high levels of intention, high levels of self-efficacy, strong habits to eat fruit, and weak habits to eat snacks. The study suggests the importance of plan enactment for fruit consumption. Furthermore, it emphasizes the necessity of facilitating factors. High levels of intention, self-efficacy and a strong habit to consume fruit clearly aid the enactment of action plans. This suggests that when these factors are moderately low, plan enactment may fail and thus an intervention may require first steps to foster these moderating factors.
Climate Action Planning Tool | NREL
NREL's Climate Action Planning Tool provides a quick, basic estimate of how various technology options can contribute to an overall climate action plan for your research campus. Use the tool to
Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention.
Harris, Yael; Hu, Dale J; Lee, Christine; Mistry, Mishale; York, Andrew; Johnson, Tisha K
2015-08-01
Adverse drug events (ADEs) are important contributors to preventable morbidity and mortality, comprising one third of all hospital adverse events. In response to growing evidence detailing the high prevalence of ADEs, particularly among vulnerable older adults, Congress requested that the Secretary of the Department of Health and Human Services (HHS) convene a Federal Interagency Steering Committee to establish a National Action Plan to focus on ADE prevention. In August 2014, the Office of Disease Prevention and Health Promotion released the final version of the National Action Plan for Adverse Drug Event Prevention. The Action Plan directly supports the goals of the HHS Strategic Plan and the Patient Protection and Affordable Care Act by providing guidance on tracking and preventing ADEs, as well as describing evidence-based tools and resources to enhance medication safety. ADE ACTION PLAN CONTENT: The Federal Interagency Steering Committee focused the Action Plan on ADEs that are clinically significant, account for the greatest number of measurable harms as identified by using existing surveillance tools, and are largely preventable. As such, the decision was made to target three medication classes: anticoagulants, diabetes agents (insulin and oral hypoglycemic agents), and opioids. The Action Plan is organized around four key areas: surveillance; evidence-based prevention; payment, policy incentives, and oversight; and research opportunities to advance medication safety. One measure of the ADE Action Plan's success will be the wider dissemination of information and educational resources to providers and patients (or consumers) regarding the risks associated with medications. Future Action Plan iterations are likely to consider other high-priority medication classes and update the recommendations.
Unaccompanied Children: Discourse Considerations and Policy Outcomes
2017-03-01
children introduced or enacted at the time of the articles’ publication . Newspapers reported on federal actions taken, which might account for the...at the time of their publication . Newspapers reported on federal actions taken, which might account for the prevalence of different themes. For...NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA THESIS Approved for public release. Distribution is unlimited. UNACCOMPANIED
Counseling Psychology and Large-Scale Disasters: Moving on to Action, Practice, and Research
ERIC Educational Resources Information Center
Jacobs, Sue C.; Hoffman, Mary Ann; Leach, Mark M.; Gerstein, Lawrence H.
2011-01-01
Juntunen and Parham each reacted positively with important personal reflections and/or calls to action in response to "Counseling Psychology and Large-Scale Disasters, Catastrophes, and Traumas: Opportunities for Growth." We comment on the primary themes and suggestions they raised. Since the time we were stimulated by Katrina and its aftermath…
Building the Anti-Racist University, Action and New Agendas
ERIC Educational Resources Information Center
Law, Ian
2017-01-01
This article reviews two decades of work carried out at the Centre for Ethnicity and Racism Studies, University of Leeds in the area of racism and higher education. It introduces key issues and themes in this field and also identifies a seven-point agenda for action. This article provides an overview and agenda-setting account of the theoretical…
ERIC Educational Resources Information Center
Clint, Frank Anthony
2012-01-01
This qualitative, action-research study used themes from appreciative interviews of Texas elementary teachers to recommend a framework for a school-wide assessment model for a Texas elementary school. The specific problem was that the Texas accountability system used a yearly measurement that failed to track progress over time and failed to…
36 CFR 906.4 - Formulation of affirmative action plan.
Code of Federal Regulations, 2011 CFR
2011-07-01
... CORPORATION AFFIRMATIVE ACTION POLICY AND PROCEDURE Development Program § 906.4 Formulation of affirmative action plan. (a) The developer, in formulating the Affirmative Action Plan, should consider all phases of... 36 Parks, Forests, and Public Property 3 2011-07-01 2011-07-01 false Formulation of affirmative...
75 FR 2466 - State Highway-Rail Grade Crossing Action Plans
Federal Register 2010, 2011, 2012, 2013, 2014
2010-01-15
...-0032, Notice No. 4] RIN 2130-AC20 State Highway-Rail Grade Crossing Action Plans AGENCY: Federal Railroad Administration (FRA), Department of Transportation (DOT). ACTION: Notice of public hearing and... collisions, on average, over the past three years, to develop State highway-rail grade crossing action plans...
75 FR 36551 - State Highway-Rail Grade Crossing Action Plans
Federal Register 2010, 2011, 2012, 2013, 2014
2010-06-28
...-0032; Notice No. 5] RIN 2130-AC20 State Highway-Rail Grade Crossing Action Plans AGENCY: Federal Railroad Administration (FRA), Department of Transportation (DOT). ACTION: Final rule. SUMMARY: This final... three years, to develop State highway-rail grade crossing action plans. The final rule addresses the...
29 CFR 1917.30 - Emergency action plans.
Code of Federal Regulations, 2010 CFR
2010-07-01
... emergency action and for reaction time for safe escape of employees from the workplace or the immediate work... 29 Labor 7 2010-07-01 2010-07-01 false Emergency action plans. 1917.30 Section 1917.30 Labor... (CONTINUED) MARINE TERMINALS Marine Terminal Operations § 1917.30 Emergency action plans. (a) Emergency...
Emilie, Balbirnie; Matthew, Davies; Emma, Disley; Cristina Gonzalez, Monsalve; Stephen, Hartka; Stijn, Hoorens; Kristy, Kruithof; Martin, Sacher; Jirka, Taylor
2018-01-01
The aim of the EU Drugs Strategy 2013-2020 is to contribute to a reduction in drug demand and drug supply within the EU. The Strategy has so far been implemented by an Action Plan covering the period 2013-2016. This article sets out the findings of an evaluation that assesses the degree of implementation of the Strategy and the Action Plan in terms of outputs and, where possible, impacts. It looks at the extent to which the objectives of the Strategy have been achieved. The evaluation aims to provide evidence to support the European Commission's decision about whether to propose a new Action Plan for the period 2017-2020 and, if so, what changes would be needed compared to the current plan. Through applying a mixed-methods approach, the evaluation examined the effectiveness, efficiency, relevance and coherence of the actions undertaken on the basis of the EU Drugs Strategy and the Action Plan, as well as their EU added value. The evaluation makes 20 recommendations, addressed to the European Commission, Member States, the European Council and other stakeholders. The key recommendation for the Commission is that a new Action Plan should be implemented for the period 2017-2020. This should be an updated version of the current Action Plan, rather than taking a new approach or introducing more new actions.
Greenall, Paul
2006-01-01
The paper aims to explore the barriers that currently exist to patient-driven treatment within the field of mental health care and reform. This study represents action learning research using grounded theory to explore a possible causal basis for recidivism related to non-compliance with medication. Interviews addressed concerns from the literature around perceived barriers to patient-driven treatment evidenced by non-compliance with medically recommended pharmaceutical treatment. Results were correlated to look for emergent themes that were used to form the basis for subsequent interview questions. An analysis of the resulting emergent themes illustrated the importance of participatory treatment and coaching rather than medically applied paternalistic care, which is seen as encouraging learned helplessness on the part of patients. Similar helplessness was also revealed in clinicians themselves. Patients' awareness of their own needs and demands for more services place clients and the caregivers at odds over appropriate care in an environment of limited resources. The research was limited to only a small number of interviewees in one institution, all of whom were closely associated with mental illness in various capacities. The grounded theory nature of the research does, however, provide a framework for more research in other institutions to test and further explore some of the findings. The study demonstrated a reinforcement of Maslow's theory of needs hierarchy. The study illustrated a step-wise approach to treatment to decrease the rate of failure and recidivism in mental health care. The provision of a stable living environment was viewed as instrumental in improving patients' compliance with pharmaceutical treatment. An action plan was therefore created to initiate the support of a transitional/emergency house by various community groups in partnership with pharmaceutical manufacturing companies. Recidivism in mental health-created by non-compliance in pharmaceutical treatment, is a major issue in Canada's health care system. This study brings to the forefront issues from a number of perspectives in order to form a course of action in response to its findings.
Cultural meanings of nature: an analysis of contemporary motion pictures.
Pollio, Howard R; Anderson, John; Levasseur, Priscilla; Thweatt, Michael
2003-03-01
To evaluate current cultural meanings of nature, the authors asked 65 undergraduate students to "list 3 movies in which nature was an important aspect of the film." They also were asked to specify the natural element that stood out to them and describe "how it related to the overall theme of the movie." Two independent groups of raters skilled in interpretive analysis developed thematic meanings from these responses. Following this, in a 2nd study, a different group of participants rated the 18 most frequently mentioned natural elements on thematic scales derived from the initial interpretive analysis. Participants in the 1st study mentioned 33 different movies at least twice and 5 themes that captured the meaning of nature in these films. Correlational results derived from the 2nd study indicated that rating scales reflecting these 5 themes formed 2 distinct groups; the first group described settings in which nature is experienced as adversarial and plays a significant role in dramatic action, and the second group defined settings in which nature is viewed either as a place of refuge or simply as a locale in which ongoing narrative action occurs. The general conclusion reached in both studies concerns the often noted but not always appreciated fact that movies--similar to everyday events and actions--always take place in specific settings and that neither life events nor dramatic narratives can be understood apart from specific settings.
Stunden-abstract (Class-Hour Plan)
ERIC Educational Resources Information Center
Hohmann, Heinz-Otto
1977-01-01
Offers a class-hour plan for Grade 11 on the theme of "James Thurber, 'The Peacelike Mongoose' - Discussion of Text," dividing the treatment into stages: Introduction and Reading, Text Elucidation, Comprehension Check, Summarizing Content, Reflection, Written Homework. Possible alternative approaches are discussed. (Text is in German.)…
Goal Reconstruction: How Teton Blends Situated Action and Planned Action
1989-11-03
DTIC FILE COPY CV), Goal reconstruction: How Teton blends N situated action and planned action N Tec~jcal Report PCG- 16 Kurt VanLehn I William Bali...situated action and planned action Technical Report PCG- 16 Kurt VanLehn William Bail Departments of Psychology and Computer Science Carnegie-Mellon...Research, under contract N00014-88-K-0086 and by the Information Sciences Division, Office of Naval Research, under contract N00014-K-0678
49 CFR 1106.3 - Actions for which Safety Integration Plan is required.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 49 Transportation 8 2010-10-01 2010-10-01 false Actions for which Safety Integration Plan is... TRANSPORTATION BOARD CONSIDERATION OF SAFETY INTEGRATION PLANS IN CASES INVOLVING RAILROAD CONSOLIDATIONS, MERGERS, AND ACQUISITIONS OF CONTROL § 1106.3 Actions for which Safety Integration Plan is required. A SIP...
Countywide Cooperative Library Service, Lincoln County, Oregon. An Action Plan.
ERIC Educational Resources Information Center
Dalton, Phyllis I.
This comprehensive action plan addresses eight areas important to the development of county-wide cooperative library service: the utilization of total library resources and services, accessibility of library service, organization, financing, special services for special needs, short range action plans, and long-range planning. Additional sections…
Insights from Australian parents into educational experiences in the early postnatal period.
McKellar, Lois V; Pincombe, Jan I; Henderson, Ann M
2006-12-01
to investigate the provision of parent education during the early postnatal period in order to gain insight that, through stakeholder collaboration, will contribute to the development of innovative strategies to enhance the provision of postnatal education in a contemporary health-care environment. the study comprises the first stage of an action-research project. The first stage of research sought to explore the experiences of mothers and fathers in the early postnatal period by conducting a questionnaire within 4 weeks of the birth of their baby. The data obtained from the questionnaire is to inform an action-research group for stage two of the project. The Children, Youth and Women's Health Service, a large city maternity hospital in South Australia, covering a range of socio-economic strata. 85 parents completed and returned the questionnaire, comprising 52 mothers and 33 fathers. an anonymous self-report questionnaire was purpose designed to provide each parent with an opportunity to reflect on their own experience, with particular emphasis given to the provision of education and support during the early postnatal period. a number of themes emerged, including a window of opportunity during the postnatal hospital stay to provide education and support, despite the reduction in the length of stay; the need for a family-centred approach to maternity services; and the significance of self and social network in the early transition to parenthood. The findings from this stage of the research, combined with a review of the literature, provide insight that will contribute to stage two of the study. At this stage, an action-research group will continue planning to develop specific actions to enhance the provision of education to parents in the early postnatal period. These actions will subsequently be implemented and assessed.
Biodiversity in School Grounds: Auditing, Monitoring and Managing an Action Plan
ERIC Educational Resources Information Center
Mansell, Michelle
2010-01-01
The idea of using site biodiversity action plans to introduce biodiversity management initiatives into school grounds is outlined. Selected parts of a case study, involving the use of such an action plan to record, monitor and plan for biodiversity on a university campus, are described and ideas for applying a similar plan to a school setting are…
Code of Federal Regulations, 2010 CFR
2010-04-01
... likely to be remedied in a cost-effective manner through the Restructuring Plan. (3) Exception for sale... Restructuring Plan because of actions or omissions of owner or affiliate or project condition. 401.403 Section...-MARKET) Restructuring Plan § 401.403 Rejection of a request for a Restructuring Plan because of actions...
LDEF Materials Workshop 1991, part 1
NASA Technical Reports Server (NTRS)
Stein, Bland A. (Compiler); Young, Philip R. (Compiler)
1992-01-01
The workshop comprised a series of technical sessions on materials themes, followed by theme panel meetings. Themes included materials, environmental parameters, and data bases; contamination; thermal control and protective coatings and surface treatments; polymers and films; polymer matrix composites; metals, ceramics, and optical materials; lubricants adhesives, seals, fasteners, solar cells, and batteries. This report contains most of the papers presented at the technical sessions. It also contains theme panel reports and visual aids. This document continues the LDEF Space Environmental Effects on Materials Special Investigation Group (MSIG) pursuit of its charter to investigate the effects of LEO exposure on materials which where not originally planned to be test specimens and to integrate this information with data generated by principal investigators into an LDEF materials data base.
Astrøm, Anne Nordrehaug
2008-06-01
Using a prospective design and a representative sample of 25-yr-old Norwegians, this study hypothesized that action planning and coping planning will add to the prediction of flossing at 4 wk of follow-up over and above the effect of intention and previous flossing. This study tested the validity of a proposed 3-factor structure of the measurement model of intention, action planning, and coping planning and for its invariance across gender. A survey was conducted in three Norwegian counties, and 1,509 out of 8,000 randomly selected individuals completed questionnaires assessing the constructs of action planning and coping planning related to daily flossing. A random subsample of 500 participants was followed up at 4 wk with a telephone interview to assess flossing. Confirmatory factor analysis (CFA) confirmed the proposed 3-factor model after respecification. Although the chi-square test was statistically significant [chi(2) = 58.501, degrees of freedom (d.f.) = 17), complementary fit indices were satisfactory [goodness-of-fit index (GFI) = 0.99, root mean squared error of approximation (RMSEA) = 0.04]. Multigroup CFA provided evidence of complete invariance of the measurement model across gender. After controlling for previous flossing, intention (beta = 0.08) and action planning (beta = 0.11) emerged as independent predictors of subsequent flossing, accounting for 2.3% of its variance. Factorial validity of intention, action planning and coping planning, and the validity of action planning in predicting flossing prospectively, was confirmed by the present study.
Quality in the pharmaceutical industry - A literature review.
Haleem, Reham M; Salem, Maissa Y; Fatahallah, Faten A; Abdelfattah, Laila E
2015-10-01
The aim of this study is to:a.Highlight the most important guidelines and practices of quality in the pharmaceutical industry.b.Organize such guidelines and practices to create a guide to pave the way for other researchers who would like to dig deeper into these guidelines and practices. A review was conducted of 102 publications; 56 publications were concerned with the pharmaceutical quality directly while 46 publications were concerned with the general quality practices. The content of those sources was analyzed and the following themes were identified:a.Research theme 1: Guidelines of the pharmaceutical quality.b.Research theme 2: General practices recently applied in the pharmaceutical industry. The following guidelines were identified and reviewed: WHO guidelines, FDA guidelines, EU guidelines and ICH guidelines in the research theme I. In research theme II; the following topics were identified and reviewed: quality risk management, quality by design, corrective actions and preventive actions, process capability analysis, Six Sigma, process analytical technology, lean manufacturing, total quality management, ISO series and HACCP. Upon reviewing the previously highlighted guidelines and the practices that are widely applied in the pharmaceutical industry, it was noticed that there is an abundant number of papers and articles that explain the general guidelines and practices but the literature lack those describing application; case studies of the pharmaceutical factories applying those guidelines and significance of those guidelines and practices. It is recommended that the literature would invest more in the area of application and significance of guidelines and practices. New case studies should be done to prove the feasibility of such practices.
James, Inger; Fredriksson, Carin; Wahlström, Catrin; Kihlgren, Annica; Blomberg, Karin
2014-01-01
Background: In a larger action research project, guidelines were generated for how a meaningful daily life could be developed for older persons. In this study, we focused on the nurse assistants’ (NAs) perspectives, as their knowledge is essential for a well-functioning team and quality of care. The aim was to learn from NAs’ experiences and knowledge about how to develop a meaningful daily life for older persons in nursing homes and the meaning NAs ascribe to their work. Methods: The project is based on Participatory and Appreciative Action and Reflection. Data were generated through interviews, participating observations and informal conversations with 27 NAs working in nursing homes in Sweden, and a thematic analysis was used. Result: NAs developed a meaningful daily life by sensing and finding the “right” way of being (Theme 1). They sense and read the older person in order to judge how the person was feeling (Theme 2). They adapt to the older person (Theme 3) and share their daily life (Theme 4). NAs use emotional involvement to develop a meaningful daily life for the older person and meaning in their own work (Theme 5), ultimately making each other’s daily lives meaningful. Conclusion: It was obvious that NAs based the development of a meaningful daily life on different forms of knowledge: the oreticaland practical knowledge, and practical wisdom, all of which are intertwined. These results could be used within the team to constitute a meaningful daily life for older persons in nursing homes. PMID:25246997
Developing a Global Green Freight Action Plan
This Climate and Clean Air Coalition (CCAC) presentation gives an overview of the Global Green Freight Action Plan to improve the energy efficiency and environmental performance of freight operations worldwide along with developing an action plan.
Department of Transportation Radionavigation Action Plan Summary
DOT National Transportation Integrated Search
1979-04-01
The first issue by the Department of Transportation (DOT) of its Radionavigation Action Plan Summary is presented herein. The DOT Radionavigation Action Plan Summary describes major DOT activities and decisions relating to navigation through 1985. Th...
van Osch, Liesbeth; Beenackers, Mariëlle; Reubsaet, Astrid; Lechner, Lilian; Candel, Math; de Vries, Hein
2009-01-01
Background Large discrepancies between people's intention to eat a healthy diet and actual dietary behavior indicate that motivation is not a sufficient instigator for healthy behavior. Research efforts to decrease this 'intention - behavior gap' have centered on aspects of self-regulation, most importantly self-regulatory planning. Most studies on the impact of self-regulatory planning in health and dietary behavior focus on the promotion of health protective behaviors. This study investigates and compares the predictive value of action planning in health protective behavior and the restriction of health risk behavior. Methods Two longitudinal observational studies were performed simultaneously, one focusing on fruit consumption (N = 572) and one on high-caloric snack consumption (N = 585) in Dutch adults. Structural equation modeling was used to investigate and compare the predictive value of action planning in both behaviors, correcting for demographics and the influence of motivational factors and past behavior. The nature of the influence of action planning was investigated by testing mediating and moderating effects. Results Action planning was a significant predictor of fruit consumption and restricted snack consumption beyond the influence of motivational factors and past behavior. The strength of the predictive value of action planning did not differ between the two behaviors. Evidence for mediation of the intention - behavior relationship was found for both behaviors. Positive moderating effects of action planning were demonstrated for fruit consumption, indicating that individuals who report high levels of action planning are significantly more likely to translate their intentions into actual behavior. Conclusion The results indicate that the planning of specific preparatory actions predicts the performance of healthy dietary behavior and support the application of self-regulatory planning in both health protective and health risk behaviors. Future interventions in dietary modification may turn these findings to advantage by incorporating one common planning protocol to increase the likelihood that good intentions are translated into healthy dietary behavior. PMID:19825172
We the People: Law Day USA 1987. 1987 Planning Guide.
ERIC Educational Resources Information Center
American Bar Association, Chicago, IL.
"We the People" is the theme for the 1987 American Bar Association's 30th annual Law Day USA, observed May 1. This guide brings together information to help plan and execute programs which call attention to the principles and practices of United States law and justice. The guide contains facts about Law Day; tips for planning a Law Day…
ERIC Educational Resources Information Center
Specht, Linda; Lackey, David
This three-week high school American Literature lesson plan guides students to show how cultural artifacts from "The Grapes of Wrath" support one of the book's many themes. The teacher's guide describes the five lessons that constitute this lesson plan: (1) ethnography; (2) photo analysis; (3) oral history; (4) material artifacts and…
Uyeno, Jennifer; Heck, Carol S.
2014-01-01
ABSTRACT Purpose: To examine discharge planning of patients in general internal medicine units in Ontario acute-care hospitals from the perspective of physiotherapists. Methods: A cross-sectional study using an online questionnaire was sent to participants in November 2011. Respondents' demographic characteristics and ranking of factors were analyzed using descriptive statistics; t-tests were performed to determine between-group differences (based on demographic characteristics). Responses to open-ended questions were coded to identify themes. Results: Mobility status was identified as the key factor in determining discharge readiness; other factors included the availability of social support and community resources. While inter-professional communication was identified as important, processes were often informal. Discharge policies, timely availability of other discharge options, and pressure for early discharge were identified as affecting discharge planning. Respondents also noted a lack of training in discharge planning; accounts of ethical dilemmas experienced by respondents supported these themes. Conclusions: Physiotherapists consider many factors beyond the patient's physical function during the discharge planning process. The improvement of team communication and resource allocation should be considered to deal with the realities of discharge planning. PMID:25125778
Efficiency in Rule- vs. Plan-Based Movements Is Modulated by Action-Mode
Scheib, Jean P. P.; Stoll, Sarah; Thürmer, J. Lukas; Randerath, Jennifer
2018-01-01
The rule/plan motor cognition (RPMC) paradigm elicits visually indistinguishable motor outputs, resulting from either plan- or rule-based action-selection, using a combination of essentially interchangeable stimuli. Previous implementations of the RPMC paradigm have used pantomimed movements to compare plan- vs. rule-based action-selection. In the present work we attempt to determine the generalizability of previous RPMC findings to real object interaction by use of a grasp-to-rotate task. In the plan task, participants had to use prospective planning to achieve a comfortable post-handle rotation hand posture. The rule task used implementation intentions (if-then rules) leading to the same comfortable end-state. In Experiment A, we compare RPMC performance of 16 healthy participants in pantomime and real object conditions of the experiment, within-subjects. Higher processing efficiency of rule- vs. plan-based action-selection was supported by diffusion model analysis. Results show a significant response-time increase in the pantomime condition compared to the real object condition and a greater response-time advantage of rule-based vs. plan-based actions in the pantomime compared to the real object condition. In Experiment B, 24 healthy participants performed the real object RPMC task in a task switching vs. a blocked condition. Results indicate that plan-based action-selection leads to longer response-times and less efficient information processing than rule-based action-selection in line with previous RPMC findings derived from the pantomime action-mode. Particularly in the task switching mode, responses were faster in the rule compared to the plan task suggesting a modulating influence of cognitive load. Overall, results suggest an advantage of rule-based action-selection over plan-based action-selection; whereby differential mechanisms appear to be involved depending on the action-mode. We propose that cognitive load is a factor that modulates the advantageous effect of implementation intentions in motor cognition on different levels as illustrated by the varying speed advantages and the variation in diffusion parameters per action-mode or condition, respectively. PMID:29593612
Hill, Peter S; Huntington, Dale; Dodd, Rebecca; Buttsworth, Michael
2013-11-01
Using research from country case studies, this paper offers insights into the range of institutional and structural changes in development assistance between 2005 and 2011, and their impact on the inclusion of a sexual and reproductive health and rights agenda in national planning environments. At a global level during this period, donors supported more integrative modalities of aid - sector wide approaches, poverty reduction strategy papers, direct budgetary support - with greater use of economic frameworks in decision-making. The Millennium Development Goals brought heightened attention to maternal mortality, but at the expense of a broader sexual and reproductive health and rights agenda. Advocacy at the national planning level was not well linked to programme implementation; health officials were disadvantaged in economic arguments, and lacked financial and budgetary controls to ensure a connection between advocacy and action. With increasing competency in higher level planning processes, health officials are now refocusing the post-2015 development goals. If sexual and reproductive health and rights is to claim engagement across all its multiple elements, advocates need to link them to the key themes of sustainable development: inequalities in gender, education, growth and population, but also to urbanisation, migration, women in employment and climate change. Copyright © 2013 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.
29 CFR 1918.100 - Emergency action plans.
Code of Federal Regulations, 2010 CFR
2010-07-01
... emergency action or for reaction time for safe escape of employees from the workplace or the immediate work... 29 Labor 7 2010-07-01 2010-07-01 false Emergency action plans. 1918.100 Section 1918.100 Labor... action plans. (a) Scope and application. This section requires all employers to develop and implement an...
Goal Reconstruction: How Teton Blends Situated Action and Planned Action
1989-11-03
DTIC FILE COPy 00 P 1n GOAL RECONSTRUCTION: HOW TETON BLENDS N SITUATED ACTION AND PLANNED ACTION Technical Report AIP 125 Kurt VanLehn William Ball...distribiikn unlimited. so 08 21 2 GOAL RECONSTRUCTION: HOW TETON BLENDS SITUATED ACTION AND PLANNED ACTION Technical Report AlP 125 Kurt VanLehn William Ball...Architectures for Intelligence. This is the final report on the research supported by the Computer Science Division, Office of Naval Research, under
A female black bear denning habitat model using a geographic information system
Clark, J.D.; Hayes, S.G.; Pledger, J.M.
1998-01-01
We used the Mahalanobis distance statistic and a raster geographic information system (GIS) to model potential black bear (Ursus americanus) denning habitat in the Ouachita Mountains of Arkansas. The Mahalanobis distance statistic was used to represent the standard squared distance between sample variates in the GIS database (forest cover type, elevation, slope, aspect, distance to streams, distance to roads, and forest cover richness) and variates at known bear dens. Two models were developed: a generalized model for all den locations and another specific to dens in rock cavities. Differences between habitat at den sites and habitat across the study area were represented in 2 new GIS themes as Mahalanobis distance values. Cells similar to the mean vector derived from the known dens had low Mahalanobis distance values, and dissimilar cells had high values. The reliability of the predictive model was tested by overlaying den locations collected subsequent to original model development on the resultant den habitat themes. Although the generalized model demonstrated poor reliability, the model specific to rock dens had good reliability. Bears were more likely to choose rock den locations with low Mahalanobis distance values and less likely to choose those with high values. The model can be used to plan the timing and extent of management actions (e.g., road building, prescribed fire, timber harvest) most appropriate for those sites with high or low denning potential.
Nurses' requirements for relief and casualty support in disasters: a qualitative study.
Nekooei Moghaddam, Mahmoud; Saeed, Sara; Khanjani, Narges; Arab, Mansour
2014-04-01
Nurses are among the most important groups engaged in casualty support, regardless of the cause, and they are one of the largest care groups involved in disasters. Consequently, these workers should gain proper support and skills to enable effective, timely, responsible and ethical emergency responses. In this study, we investigated the needs of nurses for proper casualty support in disasters, to facilitate better planning for disaster management. This was a qualitative content analysis study. Interviews were performed with 23 nurses, at educational hospitals and the Faculty of Nursing at Kerman Medical University, who had a minimum of five years working experience and assisted in an earthquake disaster. Intensity and snowball sampling were performed. Data was collected through semi-structured interviews. Interviews were transcribed and coded into main themes and subthemes. Four major themes emerged from the data; 1) psychological support, 2) appropriate clinical skills education, 3) appropriate disaster management, supervision and programming, and 4) the establishment of ready for action groups and emergency sites. The participants' comments highlighted the necessity of training nurses for special skills including emotion management, triage and crush syndrome, and to support nurses' families, provide security, and act according to predefined programs in disasters. There are a wide range of requirements for disaster aid. Proper aid worker selection, frequent and continuous administration of workshops and drills, and cooperation and alignment of different governmental and private organizations are among the suggested initiatives.
Bajorek, Beata; Lemay, Kate; Magin, Parker; Roberts, Christopher; Krass, Ines; Armour, Carol
2017-06-01
In the management of hypertension, blood pressure (BP) monitoring and medication use are key strategies, but they are dependent on patients' motivation to practice self-care. To gauge patients' approaches to monitoring their blood pressure, as well as explore their attitudes toward, and actions relating to, high blood pressure readings, as the key components of their self-management of hypertension. This qualitative study, comprising individual telephone interviews, involved patients attending community pharmacies in Sydney (Australia). Patients' perspectives were elicited using a purpose-designed, semi-structured interview guide. The verbal responses were audio-recorded, transcribed verbatim, and thematically analysed. Three key themes arose: (1) approaches to monitoring blood pressure, (2) attitudes to variability in BP, (3) responses to high BP readings. Many patients self-regulated the frequency of monitoring based on perceived need and/or opportunity. Most were indifferent toward their readings, regarding BP fluctuations as 'normal'. When a high BP was detected, the action taken was highly variable, with no clear action plans in place. Several patients recognised a high BP to be a consequence of not taking their antihypertensive medication, triggering the resumption of short-term adherence to their preferred management strategy, i.e., self-medication with antihypertensives (i.e., restarting their medication) and/or self-management via lifestyle strategies. This study highlights patients' inappropriate self-management of hypertension. Misperceptions about hypertension, e.g., accepting BP fluctuations as normal, can produce indifferent attitudes as well as influence patients' self-management actions. This lack of insight undermines long-term adherence to antihypertensive therapy.
Ten-year urban forestry action plan
J.W." Jerry" Van Sambeek
2017-01-01
The Ten-year Urban Forestry Action Plan: 2016-2026 was published in September, 2015 (see http://www.urbanforestry.subr.edu/FinalActionPlan_Complete_11_17_15.pdf). This 260 page heavily illustrated document was prepared by the National Urban and Community Forestry Advisory Council (NUCFAC) under leadership and funding from the USDA Forest Service. The Plan's...
THE ROLE OF TEACHERS' ORGANIZATIONS IN EDUCATIONAL PLANNING. WCOTP THEME STUDY, 1966.
ERIC Educational Resources Information Center
World Confederation of Organizations of the Teaching Profession, Morges (Switzerland).
TO PROMOTE INTERNATIONAL EDUCATIONAL PLANNING--AIMED AT ECONOMIC GROWTH, SOCIAL DEVELOPMENT, POLITICAL STABILITY, ENHANCEMENT OF THE NATIONAL CULTURAL HERITAGE, AND DEVELOPMENT OF INDIVIDUAL POTENTIAL--FISCAL, DEMOGRAPHIC, AND PEDAGOGICAL DATA WERE SECURED BY MEANS OF A QUESTIONNAIRE TO 33 TEACHERS' ORGANIZATIONS REPRESENTING 29 COUNTRIES…
DOT National Transportation Integrated Search
2016-05-01
This report highlights key themes identified at the Regional Cooperation and Performance-Based Planning and Programming in Indiana Peer Exchange held on May 25, 2016 in Indianapolis, Indiana. The Regional Models of Cooperation Initiative, which...
DOT National Transportation Integrated Search
2016-06-07
This report highlights key themes identified at the Regional Cooperation and Environmental Justice in Transportation Planning in Ohio Peer Exchange held on December 15, 2015 in Columbus, Ohio. The Regional Models of Cooperation Initiative, whic...
DOT National Transportation Integrated Search
2016-04-01
This report highlights key themes identified at the Planes, Trains, & Semis: Keeping a Dynamic Economy on the Move: Greater Charlotte Regional Freight Mobility Plan Peer Exchange held on November 13, 2015 in Charlotte, North Carolina. This even...
Walk around the Block Curriculum.
ERIC Educational Resources Information Center
Center for Understanding the Built Environment, Prairie Village, KS.
This curriculum packet contains two teacher-developed lesson plans for upper elementary students focusing on the built environment. The first lesson plan, "The Built Environment--An Integrating Theme" (Liesa Schroeder), offers suggestions for developing a walking tour around the school neighborhood, a historic area, or a city square. It…
Asthma Action Plan Receipt among Children with Asthma 2-17 Years of Age, United States, 2002-2013.
Simon, Alan E; Akinbami, Lara J
2016-04-01
To examine national trends in the receipt of asthma action plans, an intervention recommended by the National Asthma Education and Prevention Program guidelines. We used data from the sample child component of the National Health Interview Survey from 2002, 2003, 2008, and 2013 to examine the percentage of children 2-17 years of age with asthma (n = 3714) that have ever received an asthma action plan. Bivariate and multivariate (with adjustment for sociodemographic characteristics and asthma outcomes consistent with greater disease severity) logistic regressions were conducted to examine trends from 2002 to 2013 and to examine, with 2013 data only, the relationship between having received an asthma action plan and both sociodemographic characteristics and indicators of asthma severity. The percentage of children with asthma that had ever received an asthma action plan increased from 41.7% in 2002 to 50.7% in 2013 (P < .001 for trend). In 2013, a greater percentage of non-Hispanic black (58.4%) than non-Hispanic white (47.4%) children (P = .028), privately insured (56.2%) vs those with public insurance only (46.3%) (P = .016), and users of inhaled preventive asthma medication vs those that did not (P < .001) had ever received an asthma action plan. Adjusted results were similar. The percentage of US children with asthma that had ever received an asthma action plan increased between 2002 and 2013, although one-half had never received an asthma action plan in 2013. Some sociodemographic and asthma severity measures are related to receipt of an asthma action plan. Published by Elsevier Inc.
Planning for Multiagent Using ASP-Prolog
NASA Astrophysics Data System (ADS)
Son, Tran Cao; Pontelli, Enrico; Nguyen, Ngoc-Hieu
This paper presents an Answer Set Programming based approach to multiagent planning. The proposed methodology extends the action language \\cal B in [12] to represent and reason about plans with cooperative actions of an individual agent operating in a multiagent environment. This language is used to formalize multiagent planning problems and the notion of a joint plan for multiagent in the presence of cooperative actions. Finally, the paper presents a system for computing joint plans based on the ASP-Prolog system.
Transcultural nursing as a global care humanizer, diversifier, and unifier.
Leininger, M M
1997-01-01
Three dominant themes of transcultural nursing as a global humanizer, diversifier, and unifier are discussed in relation to their meaning and uses in education, practice, research and consultation. The presenter takes the position that these three dominant themes are essential and imperative to promote, transform, and maintain desired care outcomes which are beneficial, satisfying, and healthy for people of diverse and similar cultures. The three themes are discussed within Leininger's theory of Culture Care Diversity and Universality with focus on the modes of action and decision-making. The author encourages transcultural nurses to take leadership to be an active global humanizer, diversifier, and unifier and transform nursing and health care into the 21st century.
14 CFR 152.407 - Affirmative action plan: General.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Affirmative action plan: General. 152.407... shall have an affirmative action plan that meets the requirements of § 152.409 and is kept on file for... on file for review by the FAA Office of Civil Rights, one of the following: (1) An affirmative action...
14 CFR 152.407 - Affirmative action plan: General.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Affirmative action plan: General. 152.407... shall have an affirmative action plan that meets the requirements of § 152.409 and is kept on file for... on file for review by the FAA Office of Civil Rights, one of the following: (1) An affirmative action...
Child Care and Education: The Critical Connection. Action Plan [and] Policy Statement.
ERIC Educational Resources Information Center
Child Care Action Campaign, New York, NY.
This document presents the action plan of the Child Care Action Campaign (CCAC) for improving the quantity and quality of child care services. The document also provides a policy statement on linking education and child care efforts. The action plan describes CCAC's vision of a streamlined system providing child care to infants and toddlers,…
ERIC Educational Resources Information Center
Graves, Susan; Jones, Marion
2008-01-01
This article explores whether using reflective dialogue in action learning sets on a foundation degree (FD) in educational support can develop the capacity for reflective practice of the students. Developing a reflective stance in relation to professional practice is a central theme of the programme, which is reinforced by the work-based learning…
ERIC Educational Resources Information Center
National Crime Prevention Council, Washington, DC.
Crime prevention works. This simple fact is often forgotten in the ongoing debate over crime and its causes. Prevention works when individuals take common-sense actions to protect themselves, their families and property. The theme from Crime Prevention Month 1995 goes back to these basics: good home security, self-protection skills for kids and…
ERIC Educational Resources Information Center
Collins, Loel; Collins, Dave
2017-01-01
This article continues a theme of previous investigations by the authors and examines the focus of in-action reflection as a component of professional judgement and decision-making (PJDM) processes in high-level adventure sports coaching. We utilised a thematic analysis approach to investigate the decision-making practices of a sample of…
ERIC Educational Resources Information Center
Uslu, Baris
2018-01-01
This research examined strategic actions in European universities through the institutional evaluation reports of the EUA. EUA reports for 21 universities from seven European countries were included in the data set. Qualitative inquiry was carried out and six sub-sections in the reports were used as established themes. The findings were then…
Determinants of effective clinical learning: a student and teacher perspective in Saudi Arabia.
Alhaqwi, A I; van der Molen, H T; Schmidt, H G; Magzoub, M E
2010-08-01
Graduating clinically competent medical students is probably the principal objective of all medical curricula. Training for clinical competence is rather a complex process and to be effective requires involving all stakeholders, including students, in the processes of planning and implanting the curriculum. This study explores the perceptions of students of the College of Medicine at King Abdul-Aziz Bin Saud University for Health Sciences (KASU-HS), Riyadh, Saudi Arabia of the features of effective clinical rotations by inviting them to answer the question: "Which experiences or activities in your opinion have contributed to the development of your clinical competence? This college was established in 2004 and adopted a problem-based learning curriculum. This question was posed to 24 medical students divided into three focus groups. A fourth focus group interview was conducted with five teachers. Transcriptions of the tape-recorded focus group interviews were qualitatively analyzed using a framework analysis approach. Students identified five main themes of factors perceived to affect their clinical learning: (1) the provision of authentic clinical learning experiences, (2) good organization of the clinical sessions, (3) issues related to clinical cases, (4) good supervision and (5) students' own learning skills. These themes were further subdivided into 18 sub-themes. Teachers identified three principal themes: (1) organizational issues, (2) appropriate supervision and (3) providing authentic experiences. Consideration of these themes in the process of planning and development of medical curricula could contribute to medical students' effective clinical learning and skills competency.
Hamilton, Kyra; Kothe, Emily J; Mullan, Barbara; Spinks, Teagan
2017-12-01
Examine the roles of action and coping planning on the intention-behaviour relationship for mothers' decisions for their young children's dietary behaviours. Prospective design with two waves of data collection, one week apart. Mothers (N = 197, M age = 34.39, SD = 5.65) of children aged 2-3 years completed a main questionnaire assessing planning constructs and intentions, and a one-week follow-up of the target behaviours - 'healthy eating' and 'discretionary choices'. Intention was the strongest predictor of behaviour for both dietary behaviours. For healthy eating, intention moderated the indirect relationship between intention-behaviour via planning; coping planning was less important when intention was strong. Further, intention was not a direct predictor of behaviour when intention was relatively low. Action planning was not a direct predictor of either behaviour after accounting for intention and coping planning; action planning on behaviour was mediated by coping planning (only for healthy eating). Intention was not a direct predictor of coping planning; intention on coping planning was mediated by action planning. Neither type of planning predicted discretionary choices. Current findings contribute novel information on the mechanisms underpinning the effect of action and coping planning on the intention-behaviour relationship.
Klein, David A; Malcolm, Nikita M; Berry-Bibee, Erin N; Paradise, Scott L; Coulter, Jessica S; Keglovitz Baker, Kristin; Schvey, Natasha A; Rollison, Julia M; Frederiksen, Brittni N
2018-04-01
LGBT clients have unique healthcare needs but experience a wide range of quality in the care that they receive. This study provides a summary of clinical guideline recommendations related to the provision of primary care and family planning services for LGBT clients. In addition, we identify gaps in current guidelines, and inform future recommendations and guidance for clinical practice and research. PubMed, Cochrane, and Agency for Healthcare Research and Quality electronic bibliographic databases, and relevant professional organizations' websites, were searched to identify clinical guidelines related to the provision of primary care and family planning services for LGBT clients. Information obtained from a technical expert panel was used to inform the review. Clinical guidelines meeting the inclusion criteria were assessed to determine their alignment with Institute of Medicine (IOM) standards for the development of clinical practice guidelines and content relevant to the identified themes. The search parameters identified 2,006 clinical practice guidelines. Seventeen clinical guidelines met the inclusion criteria. Two of the guidelines met all eight IOM criteria. However, many recommendations were consistent regarding provision of services to LGBT clients within the following themes: clinic environment, provider cultural sensitivity and awareness, communication, confidentiality, coordination of care, general clinical principles, mental health considerations, and reproductive health. Guidelines for the primary and family planning care of LGBT clients are evolving. The themes identified in this review may guide professional organizations during guideline development, clinicians when providing care, and researchers conducting LGBT-related studies.
ACHP | Native American Traditional Cultural Landscapes
action plan in November 2011. The plan calls for the ACHP and the Department of the Interior (DOI) to Summit Implementation of the action plan is a long-term commitment of the ACHP. This Web page will serve Landscapes Action Plan Information on Cultural Landscapes Fact Sheet on the ACHP's Native American
ACHP | News | ACHP Updates Tribal Consultation Plan
for each federal agency to submit to OMB within 90 days a plan of action to implement President Bill tribal consultation. To implement the provisions of the tribal policy, the ACHP adopted an action plan in 2003 which provides program direction to the staff. The action plan is available here. To comply with
Morowatisharifabad, Mohammad Ali; Mazloomi-Mahmoodabad, Seyed Saied; Afshani, Seyed Alireza; Ardian, Nahid; Vaezi, Ali; Refahi, Seyed Ali Asghar
2018-05-20
The present study sought to explore the experiences of participants in divorce process according to the theory of planned behaviour. This qualitative study was conducted using content analysis method. In this research, 27 participants involved in the divorce process were selected. The data were coded, and the qualitative content analysis was performed. Based on four constructs of the theory of planned behaviour, the subcategories of instrumental attitude were "Divorce as the last solution" and "Divorce as damage for individuals and society". From the perceived behavioural control theme, two subcategories of behavioural control and self-efficacy were drawn; the first subtheme included "Others' meddling in the married life", "Social problems reducing behavioural control power" and "Personality characteristics affecting the behavioural control power"; and the second one included: "Education as a means for developing self-efficacy" and "barriers to self-efficacy". The injunctive norms theme included three subcategories of "Others help to reconcile", "Others meddling and lack of reconciliation", and "Families support to reconcile". The descriptive norms theme was "High divorce rate and misuse of satellite channels and social networks as factors making reconciliation difficult". It seems that education and counselling, within a predefined framework, such as applied theories, can be useful.
DOT National Transportation Integrated Search
2017-09-08
This report highlights key themes identified at the Freight Planning and Regional Cooperation in the Piedmont Atlantic Megaregion Peer Exchange held on January 31, 2017 and February 1, 2017 in Atlanta, Georgia. The Regional Models of Cooperatio...
Martin Luther King, Jr. Teacher's Resource Manual.
ERIC Educational Resources Information Center
Connecticut State Dept. of Education, Hartford.
This Connecticut teachers' manual on Martin Luther King, Jr. includes: (1) teacher background information; (2) five excerpts from King's speeches; (3) four themes for lesson plans; and (4) sample lesson plans. The teacher's background information provides biographical sketches of King and his precursors. The five speeches reproduced here are…
"Pride and Prejudice". [Lesson Plan].
ERIC Educational Resources Information Center
Soderquist, Alisa
Based on Jane Austen's novel "Pride and Prejudice," this lesson plan presents activities designed to help students understand that classics are those pieces of literature that continue to be popular long after they were written; classics tend to have universal themes; and Austen's writing has been updated and dramatized and, most likely, will…
Health Disparities: Bridging the Gap. From Cells to Selves.
ERIC Educational Resources Information Center
National Inst. of Child Health and Human Development (NIH), Bethesda, MD.
This document details the strategic plan of the National Institute of Child Health and Human Development to address disparities in health and developmental outcomes among Americans, particularly between and among racial and ethnic groups. Following a description of the plan's development, scientific areas of interest, and important themes, the…
Creating a Succession-Planning Instrument for Educational Leadership
ERIC Educational Resources Information Center
Parfitt, Christopher M.
2017-01-01
Businesses, non-profit entities, medical units, governmental departments, and other organizations have utilized succession planning for over 30 years, yet the field of education has been slow to adopt models used in other disciplines. Upon review of the literature from various disciplines, themes for developing and assessing quality succession…
Language Planning and Language Policy in Australia.
ERIC Educational Resources Information Center
Liddicoat, Anthony, Ed.
1991-01-01
A five-year period of particular activity in Australian language policy and language planning culminated with the 1991 publication of the White Paper called Australia's Language, which outlines proposed government programs in languages until 1994. Many of the papers in this theme issue of the journal of the Applied Linguistics Association of…
How to Plan and Implement a Workshop.
ERIC Educational Resources Information Center
Howell, Jacquie
These guidelines were developed to assist school administrators who have the responsibility of organizing a one- to three-day professional development program. The first section outlines the tasks involved in planning and implementing a workshop. The remaining sections cover the following: (1) developing and utilizing the workshop theme; (2)…
ERIC Educational Resources Information Center
Graham, Robert
1976-01-01
The forward plan for health for 1978-1982 represents the Public Health Service's view of the health world for the next five-year period. Six main themes are outlined: knowledge development; prevention of illness; improving the health-care system; assuring the quality of health care; health-care financing; and tracking and evaluation. (LBH)
Teaching East Asia: China, Japan, Korea. Lesson Plans for Middle School Teachers. Volume II.
ERIC Educational Resources Information Center
Beville, Francie; Boone, Mark; Chapman, Kelly; Crump, Claudia; Curtis, Lonnie; Erickson, Stacy; Kaiser-Polge, Tami; Klus, John A.; Luebbehusen, Mary Lou; Rea, Patrick S.; Ward, Mary E.
This volume contains 23 lesson plans that were written for middle school teachers to help students learn about East Asia. The lessons are organized across six themes: (1) "People, Places & Environment"; (2) "Technology, Production, Distribution & Consumption"; (3) "Cultures, Continuity, and Change"; (4)…
ERIC Educational Resources Information Center
Kohnke, Lucas
2011-01-01
This article describes two lesson plans based on the theme: "Your Country," developed using Gilly Salmon's 5 step model in creating e-tivities. The lesson plan model contains five steps that include: (1) Access and motivation where learners will gain experience in using technology, relevant and authentic tasks which will provide explicit…
Ring, Nicola; Jepson, Ruth; Hoskins, Gaylor; Wilson, Caroline; Pinnock, Hilary; Sheikh, Aziz; Wyke, Sally
2011-11-01
To understand better what helps and/or hinders asthma action plan use from the professionals and patients/carers perspective. Systematic review and qualitative synthesis (using meta-ethnography). Nineteen studies (20 papers) were included in an analysis of patients/carers' and professionals' views. Seven main influences on action plan implementation were identified including perceived un-helpfulness and irrelevance of the plans. Translation and synthesis of the original authors' interpretations suggested that action plan promotion and use was influenced by professional and patient/carers' asthma beliefs and attitudes and patient/carer experiences of managing asthma. Action plan use is hindered because professionals and patients/carers have different explanatory models of asthma, its management and their respective roles in the management process. Patients/carers, based on their experiential knowledge of their condition, perceive themselves as capable, effective in managing their asthma, but health professionals do not always share this view. Professionally provided medically focused action plans that do not 'fit' with and incorporate the patients'/carers' views of asthma, and their management strategies, will continue to be under-utilised. Professionals need to develop a more patient-centred, partnership-based, approach to the joint development and review of action plans, recognising the experiential asthma knowledge of patients/carers. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
Cairo conference affirms CEDPA priorities.
1995-01-01
The International Conference on Population and Development (ICPD) that was held in Cairo during September adopted a 20-year Programme of Action endorsing the empowerment of women as the foundation of sustainable development. 178 countries and more than a 1000 nongovernmental organizations (NGOs), including the Centre for Development and Population Activities (CEDPA), from 100 countries attended the conference and the parallel NGO forum. The final document sets out specific steps for achievement of universal access to a full range of voluntary, quality family planning and reproductive health services for women and men; provision of services for the special needs of adolescents; closure of the gender gap in education; and empowerment of women via education, health care, and economic options. The CEDPA network of alumnae from 30 countries had worked over the 3 years prior to the conference for the inclusion of women's priorities in policies and to achieve consensus among the government and NGO caucuses. 14 alumnae, including Peggy Curlin (CEDPA President and US delegate), were appointed to their countries' delegations and directly influenced the Programme of Action. The NGO Forum provided a place to exchange experiences and expertise; CEDPA mounted an exhibit, "Empowering Women." The network's theme was "Access, Choice, and Participation." With support from the United Nations Population Fund, CEDPA developed a manual, "After Cairo: A Handbook on Advocacy for Women Leaders," which has been distributed at training sessions and workshops and was translated into French (with support from the US Agency for International Development in Mali) for distribution at the Dakar conference in November in preparation for the World Conference on Women. CEDPA and The Global Committee for Cairo honored the secretary-general of the conference, Dr. Nafis Sadik, for her leadership of the ICPD and UNFPA, and Aziza Hussein, co-chair of the NGO steering committee, at a luncheon; Dr. Sadik received the Global Committee for Cairo Award. Planning the implementation of the Programme of Action has already begun among CEDPA partners and network NGOs. Advocacy networks have already been organized in India and Kenya, with support from CEDPA, to monitor and promote the Programme of Action.
ERIC Educational Resources Information Center
North East Association for Institutional Research.
The proceedings of the annual conference of the North East Association for Institutional Research, whose theme was "Planning for Quality," are presented. The 26 papers were divided into the following topics: admissions, assessment, enrollment, faculty and staff, outcomes, planning, programs and retention, the environment, and the field of…
Exploiting map plans as resources for action
NASA Technical Reports Server (NTRS)
Payton, David
1989-01-01
When plans are used as programs for controlling the action of autonomous or teleoperated robots, their abstract representation can easily obscure a great deal of the critical knowledge that originally led to the planned course of action. An autonomous vehicle experiment is highlighted which illustrates how the information barriers created by abstraction can result in undesirable action. It is then shown how the same task can be performed correctly using plans as a resource for action. As a result of this simple change in outlook, problems requiring opportunistic reaction to unexpected changes in the environment can be solved.
NORTH AMERICAN REGIONAL ACTION PLAN ON MERCURY
The North American Regional Action Plan (NARAP) on Mercury is one of a number of action plans that stem from the North American Agreement on Environmental Cooperation between the governments of Canada, Mexico and the United States. That Agreement established the Commission for En...
Workshop on the preparation of climate change action plans. Workshop summary
DOE Office of Scientific and Technical Information (OSTI.GOV)
NONE
1999-05-24
Over 130 participants from more than 27 countries shared experiences of developing and transition countries in preparation and development of their climate change national action plans. International experts guided countries in preparation of their climate change national action plans.
NEW MICROBIAL INDICATORS OF FECAL POLLUTION
Recent legislation and EPA action plans, including the Clean Water Action Plan, the Beach Action Plan, and the Beach Act of 2000, have identified new requirements to protect recreational waters and people's health. To meet these requirements, a new health study (task 9656), condu...
Effects of written action plan adherence on COPD exacerbation recovery.
Bischoff, Erik W M A; Hamd, Dina H; Sedeno, Maria; Benedetti, Andrea; Schermer, Tjard R J; Bernard, Sarah; Maltais, François; Bourbeau, Jean
2011-01-01
The effects of written action plans on recovery from exacerbations of chronic obstructive pulmonary disease (COPD) have not been well studied. The aims of this study were to assess the effects of adherence to a written action plan on exacerbation recovery time and unscheduled healthcare utilisation and to explore factors associated with action plan adherence. This was a 1-year prospective cohort study embedded in a randomised controlled trial. Exacerbation data were recorded for 252 patients with COPD who received a written action plan for prompt treatment of exacerbations with the instructions to initiate standing prescriptions for both antibiotics and prednisone within 3 days of exacerbation onset. Following the instructions was defined as adherence to the action plan. From the 288 exacerbations reported by 143 patients, start dates of antibiotics or prednisone were provided in 217 exacerbations reported by 119 patients (53.8% male, mean age 65.4 years, post-bronchodilator forced expiratory volume in 1 s (FEV(1)) 43.9% predicted). In 40.1% of exacerbations, patients adhered to their written action plan. Adherence reduced exacerbation recovery time with statistical (p=0.0001) and clinical (-5.8 days) significance, but did not affect unscheduled healthcare utilisation (OR 0.94, 95% CI 0.49 to 1.83). Factors associated with an increased likelihood of adherence were influenza vaccination, cardiac comorbidity, younger age and lower FEV(1) as percentage predicted. This study shows that adherence to a written action plan is associated with a reduction in exacerbation recovery time by prompt treatment. Knowing the factors that are associated with proper and prompt utilisation of an action plan permits healthcare professionals to better focus their self-management support on appropriate patients.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Matthews, Patrick
2014-01-01
The purpose of this Corrective Action Decision Document/Closure Report is to provide justification and documentation supporting the recommendation that no further corrective action is needed for CAU 105 based on the implementation of the corrective actions. Corrective action investigation (CAI) activities were performed from October 22, 2012, through May 23, 2013, as set forth in the Corrective Action Investigation Plan for Corrective Action Unit 105: Area 2 Yucca Flat Atmospheric Test Sites; and in accordance with the Soils Activity Quality Assurance Plan, which establishes requirements, technical planning, and general quality practices.
Baur, Cynthia; Harris, Linda; Squire, Elizabeth
2017-01-01
This chapter presents the U.S. National Action Plan to Improve Health Literacy and its unique contribution to public health and health care in the U.S. The chapter details what the National Action Plan is, how it evolved, and how it has influenced priorities for health literacy improvement work. Examples of how the National Action Plan fills policy and research gaps in health care and public health are included. The first part of the chapter lays the foundation for the development of the National Action Plan, and the second part discusses how it can stimulate positive organizational change to help create health literate organizations and move the nation towards a health literate society.
What contributes to action plan enactment? Examining characteristics of physical activity plans.
Fleig, Lena; Gardner, Benjamin; Keller, Jan; Lippke, Sonia; Pomp, Sarah; Wiedemann, Amelie U
2017-11-01
Individuals with chronic conditions can benefit from formulating action plans to engage in regular physical activity. However, the content and the successful translation of plans into action, so-called plan enactment, are rarely adequately evaluated. The aim of this study was to describe the content of user-specified plans and to examine whether participants were more likely to enact their plans if these plans were highly specific, viable, and instrumental. The study presents secondary analyses from a larger behavioural intervention in cardiac and orthopaedic rehabilitation. The content of 619 action plans from 229 participants was evaluated by two independent raters (i.e., qualitative analyses and ratings of specificity) and by participants themselves (i.e., instrumentality and viability). Plan enactment was also measured via self-reports. Multilevel analyses examined the relationship between these plan characteristics and subsequent plan enactment, and between plan enactment and aggregated physical activity. Participants preferred to plan leisure-time physical activities anchored around time-based cues. Specificity of occasion cues (i.e., when to act) and highly instrumental plans were positively associated with plan enactment. Interestingly, individuals who planned less specific behavioural responses (i.e., what to do) were more likely to enact their plans. Plan enactment was positively associated with aggregated behaviour. Interventions should not only emphasize the importance of planning, but also the benefits of formulating specific contextual cues. Planning of the behavioural response seems to require less precision. Allowing for some flexibility in executing the anticipated target behaviour seems to aid successful plan enactment. Statement of Contribution What is already known on this subject? Action planning interventions are efficacious in promoting health behaviour. Characteristics of plan content (i.e., specificity) matter for unconditional behaviour change. Plan enactment (i.e., degree to which plan is followed through) is positively linked to behaviour change. What does this study add? Specificity of occasion cues (i.e., when to act) and highly instrumental plans were positively associated with plan enactment. Individuals who planned less specific behavioural responses (i.e., what to do) were more likely to enact their plans. Planning interventions should focus on specificity of context cues but flexibility of behavioural action. © 2017 The British Psychological Society.
ERIC Educational Resources Information Center
Galligani, Dennis J.
This second volume of the University of California, Irvine (UCI), Student Affirmative Action (SAA) Five-Year Plan contains the complete student affirmative action plans as submitted by 33 academic and administrative units at UCI. The volume is organized by type of unit: academic units, academic retention units, outreach units, and student life…
Healthy eating at different risk levels for job stress: testing a moderated mediation.
Fodor, Daniel P; Antoni, Conny H; Wiedemann, Amelie U; Burkert, Silke
2014-04-01
Health behavior, like fruit and vegetable consumption (FVC), is affected by unfavorable job conditions. However, there is little research to date that combines job stress models and health-behavior change models. This longitudinal study examined the contribution of risk factors associated with job stress to the intention-planning-FVC relationship. In the context of the Health Action Process Approach, action planning (when-where-how plans) and coping planning (plans to overcome anticipated barriers) have been shown to be successful mediators in the translation of health-related intentions into action. Risk factors for job stress are operationalized as the interaction of job demands and job resources in line with the Job Demands-Resources (JD-R) model. Two hundred seventy-two employees (mean age 41.2 years, 73.9% female) from different jobs completed measures of intention at baseline (t1), action planning and coping planning 2 weeks later (t2), and FVC another 2 weeks later (t3). Job demands and job resources were assessed at t1 and t2. A moderated mediation analysis indicated that risk factors for job stress moderate the translation of intention into action planning (B = -0.23, p < .05) and coping planning (B = -0.14, p < .05). No moderation effect of the planning-FVC relationship by risk factors for job stress was found. However, coping planning directly predicted FVC (B = 0.36, p < .001). Findings suggest that employees intending to eat healthily use action planning and coping planning when job demands exceed job resources. For increasing FVC, coping planning appears most beneficial.
40 CFR 280.66 - Corrective action plan.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 40 Protection of Environment 26 2010-07-01 2010-07-01 false Corrective action plan. 280.66 Section 280.66 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED... additional information or to develop and submit a corrective action plan for responding to contaminated soils...
Gee, Melanie; Cooke, Jo
2018-03-22
Research that is integral into a 'learning healthcare system' can promote cost effective services and knowledge creation. As such, research is defined as a 'core function' in UK health service organisations, and is often planned through research and development (R&D) strategies that aim to promote research activity and research capacity development (RCD). The discussion focuses around the content of ten R&D strategies for healthcare organisations in England and Scotland, with respect to RCD. These organisations were engaged with a research interest network called ACORN (Addressing Organisational Capacity to do Research Network) that included two Scottish Health Boards, four community and mental health trusts, two provincial district hospitals, and two teaching hospitals. We undertook a thematic documentary analysis of the R&D strategies which identified 11 'core activities' of RCD. The potential for building research capacity in these 'core activities' was established by reviewing them through the lens of a RCD framework. Core activities aimed to 'hard wire' RCD into health organisations. They demonstrated a complex interplay between developing a strong internal organisational infrastructure, and supporting individual career planning and skills development, in turn enabled by organisational processes. They also included activities to build stronger inter-organisational relationships and networks. Practitioner, manager and patient involvement was a cross cutting theme. The potential to demonstrate progress was included in plans through monitoring activity across all RCD principles. Strategies were primarily aimed at research production rather than research use. Developing 'actionable dissemination' was poorly addressed in the strategies, and represents an area for improvement. We describe strengths of RCD planning activities, and opportunities for improvement. We explore how national policy and research funders can influence health systems' engagement in research.
40 CFR 265.224 - Response actions.
Code of Federal Regulations, 2010 CFR
2010-07-01
... action plan. The response action plan must set forth the actions to be taken if the action leakage rate... paragraph (b) of this section. (b) If the flow rate into the leak detection system exceeds the action leakage rate for any sump, the owner or operator must: (1) Notify the Regional Administrator in writing of...
Quality in the pharmaceutical industry – A literature review
Haleem, Reham M.; Salem, Maissa Y.; Fatahallah, Faten A.; Abdelfattah, Laila E.
2013-01-01
Objectives The aim of this study is to:a.Highlight the most important guidelines and practices of quality in the pharmaceutical industry.b.Organize such guidelines and practices to create a guide to pave the way for other researchers who would like to dig deeper into these guidelines and practices. Design A review was conducted of 102 publications; 56 publications were concerned with the pharmaceutical quality directly while 46 publications were concerned with the general quality practices. The content of those sources was analyzed and the following themes were identified:a.Research theme 1: Guidelines of the pharmaceutical quality.b.Research theme 2: General practices recently applied in the pharmaceutical industry. Main outcome measures The following guidelines were identified and reviewed: WHO guidelines, FDA guidelines, EU guidelines and ICH guidelines in the research theme I. In research theme II; the following topics were identified and reviewed: quality risk management, quality by design, corrective actions and preventive actions, process capability analysis, Six Sigma, process analytical technology, lean manufacturing, total quality management, ISO series and HACCP. Results Upon reviewing the previously highlighted guidelines and the practices that are widely applied in the pharmaceutical industry, it was noticed that there is an abundant number of papers and articles that explain the general guidelines and practices but the literature lack those describing application; case studies of the pharmaceutical factories applying those guidelines and significance of those guidelines and practices. Conclusions It is recommended that the literature would invest more in the area of application and significance of guidelines and practices. New case studies should be done to prove the feasibility of such practices. PMID:26594110
43 CFR 3482.2 - Action on plans.
Code of Federal Regulations, 2013 CFR
2013-10-01
... Exploration and Resource Recovery and Protection Plans § 3482.2 Action on plans. (a)(1) Exploration plans. The.... The authorized officer may impose additional conditions to conform to the rules of this part. In... with the approval terms of the exploration plan. (2) Resource recovery and protection plans. No...
43 CFR 3482.2 - Action on plans.
Code of Federal Regulations, 2014 CFR
2014-10-01
... Exploration and Resource Recovery and Protection Plans § 3482.2 Action on plans. (a)(1) Exploration plans. The.... The authorized officer may impose additional conditions to conform to the rules of this part. In... with the approval terms of the exploration plan. (2) Resource recovery and protection plans. No...
43 CFR 3482.2 - Action on plans.
Code of Federal Regulations, 2012 CFR
2012-10-01
... Exploration and Resource Recovery and Protection Plans § 3482.2 Action on plans. (a)(1) Exploration plans. The.... The authorized officer may impose additional conditions to conform to the rules of this part. In... with the approval terms of the exploration plan. (2) Resource recovery and protection plans. No...
Plant, Jennifer; Li, Su-Ting T; Blankenburg, Rebecca; Bogetz, Alyssa L; Long, Michele; Butani, Lavjay
2017-11-01
To explore when and in what form pediatric faculty and residents practice reflection. From February to June 2015, the authors conducted focus groups of pediatric faculty and residents at the University of California, Davis; Stanford University; and the University of California, San Francisco, until thematic saturation occurred. Transcripts were analyzed based on Mezirow's and Schon's models of reflection, using the constant comparative method associated with grounded theory. Two investigators independently coded transcripts and reconciled codes to develop themes. All investigators reviewed the codes and developed a final list of themes through consensus. Through iterative discussions, investigators developed a conceptual model of reflection in the clinical setting. Seventeen faculty and 20 residents from three institutions participated in six focus groups. Five themes emerged: triggers of reflection, intrinsic factors, extrinsic factors, timing, and outcome of reflection. Various triggers led to reflection; whether a specific trigger led to reflection depended on intrinsic and extrinsic factors. When reflection occurred, it happened in action or on action. Under optimal conditions, this reflection was goal and action directed and became critical reflection. In other instances, this process resulted in unproductive rumination or acted as an emotional release or supportive therapy. Participants reflected in clinical settings, but did not always explicitly identify it as reflection or reflect in growth-promoting ways. Strategies to enhance critical reflection include developing knowledge and skills in reflection, providing performance data to inform reflection, creating time and space for safe reflection, and providing mentorship to guide the process.
Attentional selection in visual perception, memory and action: a quest for cross-domain integration
Schneider, Werner X.; Einhäuser, Wolfgang; Horstmann, Gernot
2013-01-01
For decades, the cognitive and neural sciences have benefitted greatly from a separation of mind and brain into distinct functional domains. The tremendous success of this approach notwithstanding, it is self-evident that such a view is incomplete. Goal-directed behaviour of an organism requires the joint functioning of perception, memory and sensorimotor control. A prime candidate for achieving integration across these functional domains are attentional processes. Consequently, this Theme Issue brings together studies of attentional selection from many fields, both experimental and theoretical, that are united in their quest to find overreaching integrative principles of attention between perception, memory and action. In all domains, attention is understood as combination of competition and priority control (‘bias’), with the task as a decisive driving factor to ensure coherent goal-directed behaviour and cognition. Using vision as the predominant model system for attentional selection, many studies of this Theme Issue focus special emphasis on eye movements as a selection process that is both a fundamental action and serves a key function in perception. The Theme Issue spans a wide range of methods, from measuring human behaviour in the real word to recordings of single neurons in the non-human primate brain. We firmly believe that combining such a breadth in approaches is necessary not only for attentional selection, but also to take the next decisive step in all of the cognitive and neural sciences: to understand cognition and behaviour beyond isolated domains. PMID:24018715
40 CFR 77.4 - Administrator's action on proposed offset plans.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 40 Protection of Environment 17 2013-07-01 2013-07-01 false Administrator's action on proposed offset plans. 77.4 Section 77.4 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) EXCESS EMISSIONS § 77.4 Administrator's action on proposed offset plans. (a...
18 CFR 12.23 - Time for filing emergency action plan.
Code of Federal Regulations, 2010 CFR
2010-04-01
... might endanger construction workers or otherwise endanger public health or safety, a temporary... REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER THE FEDERAL POWER ACT SAFETY OF WATER POWER PROJECTS AND PROJECT WORKS Emergency Action Plans § 12.23 Time for filing emergency action plan. (a...
36 CFR 906.5 - Administration of affirmative action plan.
Code of Federal Regulations, 2011 CFR
2011-07-01
... CORPORATION AFFIRMATIVE ACTION POLICY AND PROCEDURE Development Program § 906.5 Administration of affirmative action plan. (a) The developer shall appoint an Affirmative Action Officer, and for projects exceeding $10 million in cost, the person appointed must have affirmative action as a primary responsibility. (b...
36 CFR 906.5 - Administration of affirmative action plan.
Code of Federal Regulations, 2010 CFR
2010-07-01
... CORPORATION AFFIRMATIVE ACTION POLICY AND PROCEDURE Development Program § 906.5 Administration of affirmative action plan. (a) The developer shall appoint an Affirmative Action Officer, and for projects exceeding $10 million in cost, the person appointed must have affirmative action as a primary responsibility. (b...
Professionalizing action research--a meaningful strategy for modernizing services?
Hall, Julie E
2006-04-01
This paper outlines how a specific action research approach can be used to secure practice development in services which have found sustained change difficult. For the purpose of this paper discussion focuses upon using professionalizing action research (a form of action research) to secure transformation in acute inpatient mental health services. This speciality has experienced long-term difficultly in meaningful practice change. Not limited to this context parallels can be made with other health and social care services requiring significant modernization. The aim is to critically discuss the use of professionalizing action research as an approach to sustainable change. clarifies whether this method is a suitable vehicle for change, which is ideally suited to services which have a poor record of practice development. A review of action research and practice development literature forms the basis of this paper. The literature is sourced through bulletin boards, electronic databases and the British Library Classification Scheme. Keywords searched are action research, team learning, managing change and practice development. Following definition; the components of professionalizing action research are analysed using the themes of educative base, problem focus, improvement and involvement. The educative base of professionalizing action research is collaborative reflective practice which is used to initiate meaningful change, rooted in everyday practice. The benefit of this is that change actions are based in real-time situations. The problem focus component of professionalizing action research is used to emphasize the views of service users and carers. This is positive in terms of the patient and public involvement agenda although this theme does emphasize limitations of the approach. The final components are involvement and improvement, these are debated as pluralistic notions and the implications of this are acknowledged. Reviewing the literature and theoretical application indicates the value of professionalizing action research as a process for modernization. The strength of the approach lies in the opportunity for team learning and change which is grounded in the context of services and pursued through collaboration.
NASA Technical Reports Server (NTRS)
Holland, Geoffrey
1992-01-01
Listening to the case studies that were presented it became quite evident that the best data management systems were the ones where data managers and research scientists worked as a team developed in the early stages of project planning. Examples that were given included WOCE Data Assembly Centres e.g., Drifters, the Global Temperature Salinity Pilot Project (GTSPP) collaboration with Joint Analyses Centres in the U.S. and Australia, and JGOFS/BOFS development of Topical Centres. While each of these has some elements unique to the project, each had brought together 'teams' of Principal Investigators (PI's) and data management experts at an early stage of project development. Conversely, projects which had considered data management as a totally separate activity with lower priority often failed to provide the service required to meet scientific objectives. Therefore, the following actions should be brought to the attention of relevant groups within the IOC and other international organizations: (1) Publicize, at the national and international level, underway data/scientist collaborations that may be used as models in planning for the future. (2) Reduce adversarial situations where data managers and scientists appear to be in competition. (3) Colocation and other forms of collaboration often results in very high quality data sets and more timely data submission. Improved timeliness of data submissions was a common theme throughout the workshop and must be considered an important element in all future plans. Improvements in timely submission of data were noted. In order to continue this trend the advantages of timely submission of data must be stressed to those planning new ocean science projects.
Community participation to design rural primary healthcare services.
Farmer, Jane; Nimegeer, Amy
2014-03-21
This paper explores how community participation can be used in designing rural primary healthcare services by describing a study of Scottish communities. Community participation is extolled in healthcare policy as useful in planning services and is understood as particularly relevant in rural settings, partly due to high social capital. Literature describes many community participation methods, but lacks discussion of outcomes relevant to health system reconfiguration. There is a spectrum of ideas in the literature on how to design services, from top-down standard models to contextual plans arising from population health planning that incorporates community participation. This paper addresses an evidence gap about the outcomes of using community participation in (re)designing rural community health services. Community-based participatory action research was applied in four Scottish case study communities in 2008-10. Data were collected from four workshops held in each community (total 16) and attended by community members. Workshops were intended to produce hypothetical designs for future service provision. Themes, rankings and selections from workshops are presented. Community members identified consistent health priorities, including local practitioners, emergency triage, anticipatory care, wellbeing improvement and health volunteering. Communities designed different service models to address health priorities. One community did not design a service model and another replicated the current model despite initial enthusiasm for innovation. Communities differ in their receptiveness to engaging in innovative service design, but some will create new models that fit in a given budget. Design diversity indicates that context influences local healthcare planning, suggesting community participation impacts on design outcomes, but standard service models maybe useful as part of the evidence in community participation discussions.
ERIC Educational Resources Information Center
Riggall, Anna, Ed.; Churches, Richard, Ed.; Elwick, Alex, Ed.
2014-01-01
This report is based on seven action research projects undertaken by teachers in CfBT academies in the school year 2012/13. The schools received research support that included training in research methods and undertook a smallscale research project within one of three thematic strands. Schools chose the themes for their research themselves and…
Hromi-Fiedler, Amber; Chapman, Donna; Segura-Pérez, Sofia; Damio, Grace; Clark, Pamela; Martinez, Josefa L.; Pérez-Escamilla, Rafael
2016-01-01
Objective Identify barriers and facilitators to improve prenatal fruit and vegetable (F&V) intake among WIC eligible Latinas using the Health Action Process Approach framework. Design Qualitative data were collected via audiotaped in-depth interviews as part of a larger study to design an intervention to increase prenatal F&V intake. Setting Hartford, Connecticut. Participants Forty-five WIC eligible Latinas completed the study. Included women were: a) ≥ 18 years old; b) in 2nd or 3rd trimester; c) having a singleton pregnancy; d) overweight or obese (i.e. pregravid BMI ≥ 25); e) not on a restricted diet; h) nonsmokers. Phenomenon of Interest Prenatal factors that promote and hinder F&V intake. Analysis Transcripts were independently read, coded, and consensus was reached about emerging themes. Results Ten factors influenced prenatal F&V intake: i) social support, ii) family structure, iii) F&V access, iv) F&V preferences, v) F&V knowledge, vi) F&V health outcome expectations, vii) self-efficacy, viii) intentions, ix) F&V action/coping planning strategies, and x) maternal health status. Conclusions and Implications Social support from family/friends emerged as the primary distal factor driving prenatal F&V intake. Interventions designed to empower pregnant Latinas to gain the access, confidence, knowledge, and strategies necessary to consume more F&Vs need to consider strengthening support to achieve the desired outcome. PMID:27373861
Translating evidence-based guidelines to improve feedback practices: the interACT case study.
Barton, Karen L; Schofield, Susie J; McAleer, Sean; Ajjawi, Rola
2016-02-09
There has been a substantial body of research examining feedback practices, yet the assessment and feedback landscape in higher education is described as 'stubbornly resistant to change'. The aim of this paper is to present a case study demonstrating how an entire programme's assessment and feedback practices were re-engineered and evaluated in line with evidence from the literature in the interACT (Interaction and Collaboration via Technology) project. Informed by action research the project conducted two cycles of planning, action, evaluation and reflection. Four key pedagogical principles informed the re-design of the assessment and feedback practices. Evaluation activities included document analysis, interviews with staff (n = 10) and students (n = 7), and student questionnaires (n = 54). Descriptive statistics were used to analyse the questionnaire data. Framework thematic analysis was used to develop themes across the interview data. InterACT was reported by students and staff to promote self-evaluation, engagement with feedback and feedback dialogue. Streamlining the process after the first cycle of action research was crucial for improving engagement of students and staff. The interACT process of promoting self-evaluation, reflection on feedback, feedback dialogue and longitudinal perspectives of feedback has clear benefits and should be transferable to other contexts. InterACT has involved comprehensive re-engineering of the assessment and feedback processes using educational principles to guide the design taking into account stakeholder perspectives. These principles and the strategies to enact them should be transferable to other contexts.
Composing the theme of city to be diverse and sustainable
NASA Astrophysics Data System (ADS)
Wiranegara, H. W.
2018-01-01
To give a path for developing a city needs a theme. City’s goal stated in a document of a spatial plan were too broad and insufficient detail in giving a direction. To make more detail and precise, every city has to compose a city theme. It is developed based on the potential, the uniqueness, the excellence, and the sustainability of its human resources, natural resources, and man-made resources. An integration among the three of resources which have the highest score become a theme of the city. The aim of this research was to formulate the conceptual framework to compose a city theme. The research design was the interview survey in Banda Aceh, Banjarmasin, and Kupang. Informants were the government officials, academics, figures, the private sector and public who considered related to the intended information being collected. Having set the conceptual framework, the interview directed to check the implementation in realities. The result was that the conceptual framework could accommodate the phenomenon of composing the theme of the city. Yet, it was a preliminary in nature and needed more research to get a complete result.
Planning actions in robot automated operations
NASA Technical Reports Server (NTRS)
Das, A.
1988-01-01
Action planning in robot automated operations requires intelligent task level programming. Invoking intelligence necessiates a typical blackboard based architecture, where, a plan is a vector between the start frame and the goal frame. This vector is composed of partially ordered bases. A partial ordering of bases presents good and bad sides in action planning. Partial ordering demands the use of a temporal data base management system.
ERIC Educational Resources Information Center
de Hoog, Natascha; Bolman, Catherine; Berndt, Nadine; Kers, Esther; Mudde, Aart; de Vries, Hein; Lechner, Lilian
2016-01-01
Smoking cessation is the most effective action for cardiac patients who smoke to improve their prognosis, yet more than one-half of cardiac patients continue to smoke after hospital admission. This study examined the influence of action plans, coping plans and self-efficacy on intention to quit and smoking cessation in cardiac patients. Cardiac…
ERIC Educational Resources Information Center
Department of Indian Affairs and Northern Development, Ottawa (Ontario).
Gathering Strength is an integrated government-wide plan to address the key challenges facing Canada's Aboriginal people. Following an initial section on reconciliation of historic grievances, this report describes initiatives in the four areas addressed by the action plan: (1) partnerships (all schools received public awareness materials;…
Planning Under Continuous Time and Resource Uncertainty: A Challenge for AI
NASA Technical Reports Server (NTRS)
Bresina, John; Dearden, Richard; Meuleau, Nicolas; Smith, David; Washington, Rich; Clancy, Daniel (Technical Monitor)
2002-01-01
There has been considerable work in Al on decision-theoretic planning and planning under uncertainty. Unfortunately, all of this work suffers from one or more of the following limitations: 1) it relies on very simple models of actions and time, 2) it assumes that uncertainty is manifested in discrete action outcomes, and 3) it is only practical for very small problems. For many real world problems, these assumptions fail to hold. A case in point is planning the activities for a Mars rover. For this domain none of the above assumptions are valid: 1) actions can be concurrent and have differing durations, 2) there is uncertainty concerning action durations and consumption of continuous resources like power, and 3) typical daily plans involve on the order of a hundred actions. We describe the rover problem, discuss previous work on planning under uncertainty, and present a detailed. but very small, example illustrating some of the difficulties of finding good plans.
Lagerin, Annica; Törnkvist, Lena; Hylander, Ingrid
2016-09-01
Aims This study had two aims: to describe the dialogue between district nurses (DNs) and older people in preventive home visits (PHVs) from the perspective of the DNs, and to identify barriers to and facilitators of this dialogue as perceived by the DNs. The number of older people is rapidly increasing in all western countries, and as people's age increases, the probability that they will have multiple diseases also increases. Planned actions are therefore needed to promote health and prevent diseases among older people so they can remain in good health and live in their homes for as long as possible. In Sweden, PHVs to 75-year-olds by DNs are one such action. This qualitative study included five group interviews with 20 DNs. Data were analysed with qualitative content analysis. Findings DNs' experiences of barriers to and facilitators of a successful health dialogue were sorted into five domains. Together, these domains provided a systematic description of the interaction between the DN and the older person in the PHV. The domains included: establishing trustful contact, conducting a structured interview, making an overall assessment, proposing health-promoting activities and offering follow-up. The barriers and facilitators could be related to the older person, the DN or the home environment. The latent content of the interviews was evident in three themes that were related to the DNs' experiences of barriers and facilitators. These themes illustrated professional dilemmas that the DNs had to resolve to achieve the purpose of the PHV. The study demonstrates that the interaction between a DN and an older person in a PHV can be described as a complex social process in which the DN balances a personal and professional approach, combines a person-oriented and a task-oriented approach and employs both a salutogenic and pathogenic perspective.
Underwood, J. Michael; Lakhani, Naheed; Rohan, Elizabeth; Moore, Angela; Stewart, Sherri L.
2015-01-01
Introduction Centers for Disease Control and Prevention’s (CDC) National Comprehensive Cancer Control Program (NCCCP) funds states, the District of Columbia, tribal organizations, territories, and jurisdictions across the USA develop and implement jurisdiction-specific comprehensive cancer control (CCC) plans. The objective of this study was to analyze NCCCP action plan data for incorporation and appropriateness of cancer survivorship-specific goals and objectives. Methods In August 2013, NCCCP action plans maintained within CDC’s Chronic Disease Management Information System (CDMIS) from years 2010 to 2013 were reviewed to assess the inclusion of cancer survivorship objectives. We used the CDMIS search engine to identify “survivorship” within each plan and calculated the proportion of programs that incorporate cancer survivorship-related content during the study period and in each individual year. Cancer survivorship objectives were then categorized by compatibility with nationally accepted, recommended strategies from the report A National Action Plan for Cancer Survivorship: Advancing Public Health Strategies (NAP). Results From 2010 to 2013, 94 % (n=65) of NCCCP action plans contained survivorship content in at least 1 year during the time period and 38 % (n=26) of all NCCCP action plans addressed cancer survivorship every year during the study period. Nearly 64 % (n=44) of NCCCP action plans included cancer survivorship objectives recommended in NAP. Conclusion Nearly all NCCCP action plans addressed cancer survivorship from 2010 to 2013, and most programs implemented recommended cancer survivorship efforts during the time period. Implications for Cancer Survivors NCCCP grantees can improve cancer survivorship support by incorporating recommended efforts within each year of their plans. PMID:25732543
77 FR 61024 - Notice of Public Meeting and Request for Comments
Federal Register 2010, 2011, 2012, 2013, 2014
2012-10-05
... public meeting and public comments--The National Christmas Tree Lighting and the subsequent 26-day event... National Christmas Tree Lighting and the subsequent 26-day event. The general plan and theme for the event... comments and suggestions on the planning of the 2012 National Christmas Tree Lighting and the subsequent 26...
Leading the Way: Success. 2013-18 Master Plan
ERIC Educational Resources Information Center
West Virginia Higher Education Policy Commission, 2013
2013-01-01
This is the second paper in the West Virginia State Higher Education Policy Commission's series concerning the major areas of the Commission's new master plan and compact process. Each paper elaborates on a particular theme sharing additional best practices and insights. It is the intention of the Commission that these additional resources assist…
Leading the Way: Impact. 2013-18 Master Plan
ERIC Educational Resources Information Center
West Virginia Higher Education Policy Commission, 2013
2013-01-01
This is the third and final paper in the Commission's series concerning the major areas of the Commission's new master plan and compact process. Each paper elaborates on a particular theme sharing additional best practices and insights. It is the intention of the Commission that these additional resources assist in fostering discourse among…
"Sports Splash" 1980. A Librarian's Planning Handbook.
ERIC Educational Resources Information Center
Thomas, James L.; Thomas, Carol H.
This handbook has been developed as an aid for librarians in planning summer 1980 reading programs on a sports theme for children from preschool through the elementary years. The program encourages children to visit the library, become familiar with its resources, and promote reading and enjoyment of books. The handbook is complemented by…
Summer Splash. 1988 Wisconsin Summer Library Program Manual. Bulletin No. 8230.
ERIC Educational Resources Information Center
Lamb, Donald K.; And Others
A compilation of materials contributed by and developed with the cooperation of Wisconsin librarians and Ohio's 1987 summer reading program, this planning manual provides guidelines for planning and promoting summer programs for young people by librarians in the state of Wisconsin. The theme of the program, "Summer Splash," is intended…
War Literature. [Lesson Plan].
ERIC Educational Resources Information Center
Soderquist, Alisa
Based on Stephen Crane's poems about war and his novel "The Red Badge of Courage," this lesson plan presents activities designed to help students understand that Crane examined war-related themes in prose and poetry; that close study of a poem for oral presentation helps readers see meaning or techniques not noted earlier; and that not all readers…
Policy, Planning and Management of Education in Small States.
ERIC Educational Resources Information Center
Lillis, Kevin M., Ed.
This book offers a range of original perspectives on issues of planning and managing education in small systems. It is based on the proceedings of a conference held at the University of London's Institute for Education, supported by the European Community Directorate General for Development. The conference addressed a range of themes relevant to…
Concepts and Policy Innovations in the National Education Plan
ERIC Educational Resources Information Center
Yinfu, Yang
2017-01-01
The theme of the "Outline of the National Mid- to Long-Term Plan for Education Reform and Development (2010-2020)" is building a nation rich in human resources, its primary thread is promoting the scientific development of education, and its soul is reform and innovation. The important concepts and policy innovations of the National…
Celebration: A Planning Guide for Ethnic Heritage and Culture Weeks.
ERIC Educational Resources Information Center
New York City Board of Education, Brooklyn, NY. Div. of Curriculum and Instruction.
This guide is designed to help teachers and supervisors in planning activities for observing Ethnic Heritage and Culture Weeks in the New York City Board of Education calendar. The first sections discuss goals and general heritage and culture themes, activities, and materials. The following sections each present suggestions for individual ethnic…
2013-06-14
whereas the military focuses more on projects with immediate short term returns .53 A comprehensive reconciliation plan led by the host nation is a...to allow leaders to develop creative plans adapted to their circumstances. It is useful to take principles as themes in order to determine if these...
Ten Benefits of Participant Action Planning.
ERIC Educational Resources Information Center
Youker, Robert B.
1985-01-01
Describes the Participant Action Planning Approach (PAPA) process that requires each trainee to prepare a list of concrete actions or changes he or she plans to make back on the job once the training program is over. Benefits of PAPA are discussed, including transfer of learning, verbalization, and commitment. (CT)
Federal Register 2010, 2011, 2012, 2013, 2014
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23 CFR 450.328 - TIP action by the FHWA and the FTA.
Code of Federal Regulations, 2014 CFR
2014-04-01
... 23 Highways 1 2014-04-01 2014-04-01 false TIP action by the FHWA and the FTA. 450.328 Section 450.328 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PLANNING AND RESEARCH PLANNING ASSISTANCE AND STANDARDS Metropolitan Transportation Planning and Programming § 450.328 TIP action...
23 CFR 450.328 - TIP action by the FHWA and the FTA.
Code of Federal Regulations, 2012 CFR
2012-04-01
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23 CFR 450.328 - TIP action by the FHWA and the FTA.
Code of Federal Regulations, 2013 CFR
2013-04-01
... 23 Highways 1 2013-04-01 2013-04-01 false TIP action by the FHWA and the FTA. 450.328 Section 450.328 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PLANNING AND RESEARCH PLANNING ASSISTANCE AND STANDARDS Metropolitan Transportation Planning and Programming § 450.328 TIP action...
47 CFR 214.4 - Planned actions.
Code of Federal Regulations, 2014 CFR
2014-10-01
... 47 Telecommunication 5 2014-10-01 2014-10-01 false Planned actions. 214.4 Section 214.4 Telecommunication OFFICE OF SCIENCE AND TECHNOLOGY POLICY AND NATIONAL SECURITY COUNCIL PROCEDURES FOR THE USE AND COORDINATION OF THE RADIO SPECTRUM DURING A WARTIME EMERGENCY § 214.4 Planned actions. (a) Whenever it is...
47 CFR 214.4 - Planned actions.
Code of Federal Regulations, 2012 CFR
2012-10-01
... 47 Telecommunication 5 2012-10-01 2012-10-01 false Planned actions. 214.4 Section 214.4 Telecommunication OFFICE OF SCIENCE AND TECHNOLOGY POLICY AND NATIONAL SECURITY COUNCIL PROCEDURES FOR THE USE AND COORDINATION OF THE RADIO SPECTRUM DURING A WARTIME EMERGENCY § 214.4 Planned actions. (a) Whenever it is...
7 CFR 1210.362 - Influencing government action.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 7 Agriculture 10 2011-01-01 2011-01-01 false Influencing government action. 1210.362 Section 1210... RESEARCH AND PROMOTION PLAN Watermelon Research and Promotion Plan Miscellaneous § 1210.362 Influencing government action. No funds received by the Board under this Plan shall in any manner be used for the purpose...
7 CFR 1210.362 - Influencing government action.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 7 Agriculture 10 2010-01-01 2010-01-01 false Influencing government action. 1210.362 Section 1210... RESEARCH AND PROMOTION PLAN Watermelon Research and Promotion Plan Miscellaneous § 1210.362 Influencing government action. No funds received by the Board under this Plan shall in any manner be used for the purpose...
23 CFR 450.328 - TIP action by the FHWA and the FTA.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 23 Highways 1 2010-04-01 2010-04-01 false TIP action by the FHWA and the FTA. 450.328 Section 450.328 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PLANNING AND RESEARCH PLANNING ASSISTANCE AND STANDARDS Metropolitan Transportation Planning and Programming § 450.328 TIP action...
47 CFR 214.4 - Planned actions.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 47 Telecommunication 5 2010-10-01 2010-10-01 false Planned actions. 214.4 Section 214.4 Telecommunication OFFICE OF SCIENCE AND TECHNOLOGY POLICY AND NATIONAL SECURITY COUNCIL PROCEDURES FOR THE USE AND COORDINATION OF THE RADIO SPECTRUM DURING A WARTIME EMERGENCY § 214.4 Planned actions. (a) Whenever it is...
47 CFR 214.4 - Planned actions.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 47 Telecommunication 5 2011-10-01 2011-10-01 false Planned actions. 214.4 Section 214.4 Telecommunication OFFICE OF SCIENCE AND TECHNOLOGY POLICY AND NATIONAL SECURITY COUNCIL PROCEDURES FOR THE USE AND COORDINATION OF THE RADIO SPECTRUM DURING A WARTIME EMERGENCY § 214.4 Planned actions. (a) Whenever it is...
23 CFR 450.328 - TIP action by the FHWA and the FTA.
Code of Federal Regulations, 2011 CFR
2011-04-01
... 23 Highways 1 2011-04-01 2011-04-01 false TIP action by the FHWA and the FTA. 450.328 Section 450.328 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PLANNING AND RESEARCH PLANNING ASSISTANCE AND STANDARDS Metropolitan Transportation Planning and Programming § 450.328 TIP action...
Regional accents. The RCN policy unit compares NHS plans across the UK.
2003-09-01
All three NHS plans that form the modernization agenda can be characterised by three themes: Centralization Partnership Culture change. Despite the absence of a Northern Ireland plan, the issues and themes that emerge in the other three plans are prevalent in Northern Ireland too. CENTRALISATION: The tendency to centralize has led to a greater involvement of health ministers, rather than civil servants, in the day-to-day running of the health services, but ministers are preparing to hand over operational control of new policies. PARTNERSHIP: Partnership underpins many of the new structural arrangements, with an emphasis on increased inter-professional working and education, but merged health and social care structures create funding tensions. CULTURE CHANGE: Culture change focuses on creating patient-centred care and dismantling the power of the health professions, while the curbing of professional autonomy is central to enhancing and improving patients' overall experience of the NHS. The cumulative effect of these developments is likely to lead to increasing debate about the future funding, provision and accountability of the NHS as regional and country differences continue to develop.
Joliet Junior College and the 2015 International Year of Light's Cosmic Light Theme
NASA Astrophysics Data System (ADS)
D'Cruz, Noella L.
2015-01-01
We teach "Descriptive Astronomy" and "Life in the Universe" courses for non-science majors at Joliet Junior College, Joliet IL. We also occasionally present planetarium shows at the college's planetarium. In 2015, we plan to highlight the "Cosmic Light" theme of the 2015 International Year of Light through some of our teaching and outreach activities. For several years, together with our students, we have participated in the Globe at Night light pollution program. In 2015, we plan to continue our participation in this program and we will continue to encourage our students to participate on their own from other locations. We will present a live planetarium show on Light Pollution in Spring 2015 as part of the college's Brown Bag Lecture Series. We plan to develop and present one or two live planetarium presentations that focus on studying astronomical objects across the electromagnetic spectrum during 2015. Also in Spring 2015, we plan to include projects that highlight the International Year of Light in our Descriptive Astronomy course offerings. Our poster will provide details of these "Cosmic Light" activities.
Choy-Brown, Mimi; Hamovitch, Emily K; Cuervo, Carolina; Stanhope, Victoria
2016-12-01
This study aimed to understand multiple stakeholder perspectives implementing a recovery-oriented approach to service planning in supportive housing programs serving people with lived experience of mental illnesses. Multiple stakeholders (N = 57) were recruited to participate in focus groups (N = 8), including 4 with tenants, 2 with service coordinators, 1 with supervisors, and 1 with leadership. Supportive housing programs were purposively sampled from a recovery-oriented organization serving 1,500 people annually. Stakeholders' experiences with service planning and implementing a recovery-oriented approach to service planning were explored. The authors conducted inductive thematic analyses combined with a conceptual matrix, which yielded themes across and within multiple stakeholder focus groups. Three themes emerged: (a) an institutional reminder-service planning experiences elicited negative emotions and served to remind people of experiences in institutional settings, (b) one-size-fits-all service planning-stakeholders perceived the use of quality assurance tools within the planning process as rigid to others' interests beyond their own, and (c) rules and regulations-reconciling funder requirements (e.g., completion dates) while also tailoring services to tenants' particular situations challenged providers. Even in a recovery-oriented organization, findings suggest that service planning in supportive housing has limitations in responding to each tenant's iterative recovery process. Further, in this context where people can make their home, stakeholders questioned whether the very presence of ongoing service planning activities is problematic. However, tenant-service coordinator relationships predicated on mutual respect and esteem overcame some service planning limitations. (PsycINFO Database Record (c) 2016 APA, all rights reserved).
Bienkowska-Gibbs, Teresa; Exley, Josephine; Saunders, Catherine L; Marjanovic, Sonja; Chataway, Joanna; MacLure, Calum; McDonald, Ruth; Ling, Tom
2016-06-20
The Department of Health's Innovation, Health and Wealth (IHW) strategy aimed to introduce a more strategic approach to the spread of innovation across the NHS. This study represents the first phase of a three-year evaluation and aims to map progress towards the IHW strategy and its component actions. This evaluation used a combination of quantitative and qualitative methods: document review, key informant interviews and stakeholder survey. This study also forms the basis for selecting case studies for phase two of the evaluation. Our findings from the interviews and survey suggest broad stakeholder support for the overarching ambitions of the IHW strategy. However, we found variable progress towards the overarching objectives of the eight IHW themes and an ambiguous relationship between many of the themes' objectives and their actions. It was difficult to assess progress on IHW's actions as commitment to the actions, implementation guidance and expected outcomes of the actions were not clearly articulated. The Academic Health Science Networks (AHSNs) and the Small Business Research Initiative (SBRI) were reported to be working well, which may be attributed to their clear structures of accountability and earmarked budgets. However, survey respondents and interviewees raised concerns that budgetary pressures may limit the impact of both AHSNs and the SBRI. The main challenges identified for ongoing action were the resources available for their implementation (e.g. Medtech Briefings), lack of awareness of the initiative (e.g. the NICE Implementation Collaborative) and the design of the actions (e.g. the Innovation Scorecard, web portal and High Impact Innovations).
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2013-07-15
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2013-04-15
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Farmer, Didi Bertrand; Berman, Leslie; Ryan, Grace; Habumugisha, Lameck; Basinga, Paulin; Nutt, Cameron; Kamali, Francois; Ngizwenayo, Elias; Fleur, Jacklin St; Niyigena, Peter; Ngabo, Fidele; Farmer, Paul E; Rich, Michael L
2015-01-01
Background: While Rwanda has achieved impressive gains in contraceptive coverage, unmet need for family planning is high, and barriers to accessing quality reproductive health services remain. Few studies in Rwanda have qualitatively investigated factors that contribute to family planning use, barriers to care, and quality of services from the community perspective. Methods: We undertook a qualitative study of community perceptions of reproductive health and family planning in Rwanda’s southern Kayonza district, which has the country’s highest total fertility rate. From October 2011 to December 2012, we conducted interviews with randomly selected male and female community members (n = 96), community health workers (n = 48), and health facility nurses (n = 15), representing all 8 health centers’ catchment areas in the overall catchment area of the district’s Rwinkwavu Hospital. We then carried out a directed content analysis to identify key themes and triangulate findings across methods and informant groups. Results: Key themes emerged across interviews surrounding: (1) fertility beliefs: participants recognized the benefits of family planning but often desired larger families for cultural and historical reasons; (2) social pressures and gender roles: young and unmarried women faced significant stigma and husbands exerted decision-making power, but many husbands did not have a good understanding of family planning because they perceived it as a woman’s matter; (3) barriers to accessing high-quality services: out-of-pocket costs, stock-outs, limited method choice, and long waiting times but short consultations at facilities were common complaints; (4) side effects: poor management and rumors and fears of side effects affected contraceptive use. These themes recurred throughout many participant narratives and influenced reproductive health decision making, including enrollment and retention in family planning programs. Conclusions: As Rwanda continues to refine its family planning policies and programs, it will be critical to address community perceptions around fertility and desired family size, health worker shortages, and stock-outs, as well as to engage men and boys, improve training and mentorship of health workers to provide quality services, and clarify and enforce national policies about payment for services at the local level. PMID:26085021
George, David L; Smith, Michael J; Draugalis, JoLaine R; Tolma, Eleni L; Keast, Shellie L; Wilson, Justin B
The Centers for Medicare and Medicaid Services (CMS) is moving toward a value-based model, which includes the Five-Star Quality Rating System (Star Ratings). Prescription Drug Plans include multiple pharmacy measures associated with adherence and patient safety that contribute to CMS Star Ratings scores. This study, using the Theory of Planned Behavior (TPB), explored factors associated with community pharmacists' beliefs to improve Star Ratings scores. Exploratory, qualitative, use of focus groups, and the TPB. Focus groups were performed in conference rooms at the College of Pharmacy main and satellite campuses. Participants were community retail pharmacists with an active Oklahoma license and 1 year of work experience. Each focus group was audio recorded and the recording transcribed to documents and analyzed with the use of a hybrid deductive and inductive qualitative approach rooted in a constant comparative framework. Coding of the data back to the TPB constitutes a deductive approach. The generation of themes and subthemes from other coded nodes constitutes an inductive approach. Analysts agreed on common themes, differences in findings, and saturation of the data gathered. Four focus groups were conducted with 26 participants in 2 categories: pharmacists with and without experience improving Star Ratings. Pharmacists shared and contrasted in salient, normative, and control beliefs about patient outcomes, data, financial implications, staff, technology, and other stakeholders associated with performance of improving Star Ratings. Themes regarding medication adherence, patient safety, and intention were also found. The TPB was used to explore beliefs of community pharmacists about improving Star Ratings scores. Themes that were identified will assist in future research for measuring intention to improve CMS Star Ratings scores and the development of training and education programs. Published by Elsevier Inc.
Zoellner, Jamie; Krzeski, Erin; Harden, Samantha; Cook, Emily; Allen, Kacie; Estabrooks, Paul A
2012-11-01
Despite strong scientific data indicating associations among sugar-sweetened beverages (SSB) and numerous adverse health outcomes, little is known about culturally specific beliefs and potential individual-level behavioral strategies to reduce SSB intake. The primary objective of this formative study targeting adults residing in rural southwest Virginia was to apply the Theory of Planned Behavior to investigate culturally specific attitudes, subjective norms, and perceived behavioral control constructs related to the consumption of SSB, water, and artificially sweetened beverages. Using a homogenous sampling strategy, eight focus groups were conducted with 54 adult participants who exceeded recommendations of <1 cup of SSB/day. An experienced moderator and co-moderator utilized a semi-structured script, grounded in the Theory of Planned Behavior, to execute the focus group. All focus groups were audiotaped and transcribed verbatim. Three researchers independently coded meaning units to the major themes and subsequently met to gain consensus in coding. Important beverage-specific themes emerged for attitudes, subjective norms, perceived behavioral control, and intentions. Across all beverages, the most notable themes included taste (n=161 meaning units), availability/convenience (n=95 meaning units), habit/addiction (n=57 meaning units), and cost (n=28 meaning units). Health consequences associated with beverages and water-quality issues also surfaced, as well as normative beliefs, including the influence of doctors and peers. The identified themes and subthemes provide critical insight into understanding culturally relevant context and beliefs associated with beverage consumption behaviors and helps inform the development and evaluation of future intervention efforts targeting SSB consumption in the health disparate region of southwest Virginia. Copyright © 2012 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.
76 FR 33726 - National Ocean Council; Strategic Action Plan Content Outlines
Federal Register 2010, 2011, 2012, 2013, 2014
2011-06-09
...On July 19, 2010, President Obama signed Executive Order 13547 establishing a National Policy for the Stewardship of the Ocean, our Coasts, and the Great Lakes (``National Ocean Policy''). The National Ocean Policy provides an implementation strategy, which describes nine priority objectives that seek to address some of the most pressing challenges facing the ocean, our coasts, and the Great Lakes. The National Ocean Council is responsible for developing strategic action plans for each of the nine priority objectives. As a first step, Federal interagency writing teams have developed content outlines for each draft strategic action plan. The NOC is seeking public review and comment of these content outlines. The purpose of the draft content outlines (outlines) is to provide the public with an initial view of potential actions that could be taken to further the national priority objectives. As such, they are an interim step toward development of the first full draft of each strategic action plan. In developing the outlines, the writing teams were informed by the comments received during an initial public scoping period that closed on April 29. Each outline presents in bulleted form potential actions to further the particular priority objective. It describes the reasons for taking the action, expected outcomes and milestones, gaps and needs in science and technology, and the timeframe for completing the action. The outlines also provide an overview of the priority objective, greater context for the strategic action plan in implementing the National Ocean Policy, and an overview of the preparation of the plan . Public comments received on the outlines will be collated and posted on the NOC Web site. The comments on the outlines will inform the preparation of full draft strategic action plans, which will be released for public review in the fall of 2011, allowing additional opportunity for the public to provide comments. Final strategic action plans are expected to be completed by early 2012.
NASA Technical Reports Server (NTRS)
1976-01-01
Preliminary (1977-1983), intermediate (1982-1988), and long term (1989+) phases of the search for extraterrestrial intelligence (SETI) program are examined as well as the benefits to be derived in radioastronomy and the problems to be surmounted in radio frequency interference. The priorities, intrinsic value, criteria, and strategy for the search are discussed for both terrestrial and lunar-based CYCLOPS and for a space SETI system located at lunar liberation point L4. New initiatives related to antenna independent technology, multichannel analyzers, and radio frequency interference shielding are listed. Projected SETI program costs are included.
Social Justice as the Moral Core of Family Medicine: A Perspective from the Keystone IV Conference.
Schroeder, Steven A
2016-01-01
A recurring conference theme was the essential place of social justice within family medicine, especially the need to focus on denominator populations, exalt the personal and caring qualities of doctoring, and address social determinants of health. Many expressed solidarity with "community," but it is not always easy to define community in our large and diverse nation. Exhortations for health advocacy were frequently voiced, but putting these into meaningful action agendas is a challenge. There was general agreement that medicine is in flux and that the many expressions of "commodity-centered consumerism" have altered organization and financing. The increasing demands by "consumers", who want low cost, instant availability, and shared decision-making, and yet change doctors when health plans alter coverage also differentially impact high-volume, low-margin specialties such as family medicine. Additional challenges were the electronic health record and calibrating an appropriate work/life balance. Five action steps are recommended: 1) speak out on the important social and moral issues; 2) be the experts on personal care; 3) make common cause with potential allies; 4) help institutions perceive the value of generalism; and 5) help find ways to enrich generalist disciplines to increase the joy of medicine and decrease the threat of burn out. © Copyright 2016 by the American Board of Family Medicine.
Population and Australian development assistance.
Jones, R
1992-07-01
Australia's position on international population issues is consistent with the major international statements on population: the World Population Plan of Action (1974), the Mexico City Declaration (1984), and the Amsterdam Declaration (1989). Australia's policy emphasizes the importance of population policies as an integral part of social, economic, and cultural development aimed at improving the quality of life of the people. Factors that would promote smaller families include improving economic opportunities, old-age security, education and health (particularly for women), as well as improving the accessibility and quality of family planning services. The quality of care approach is directly complementary to the Australian International Development Assistance Bureau (AIDAB)'s Women-In-Development Policy and its Health Policy, which stresses the theme of Women And Their Children's Health (WATCH). Australia's support for population programs and activities has increased considerably over the last few years. Total assistance for the year 1990/91 was around $7 million out of a total aid program of $1216 million. In recent years AIDAB has funded family planning activities or health projects with family planning components in a number of countries in the Asia-Pacific region. In the South Pacific region AIDAB has funded a reproductive health video project taking into consideration the cultural sensitivities and customs of the peoples of the region. AIDAB has supported a UN Population Fund project in Thailand that aims to strengthen the capacity of the National Statistical Office to collect population data. The US currently accounts for around 40% of all population-related development assistance to improve the health of women and children through family planning. The other major donors are Japan, the Scandinavian countries, and the Netherlands. Funding for population has been a relatively low percentage of overall development assistance budgets in OECD countries. In the future, Australian aid will improve the accessibility and quality of family planning services, and integrate family planning with health, education, environment, and poverty alleviation.
Social-cognitive antecedents of hand washing: Action control bridges the planning-behaviour gap.
Reyes Fernández, Benjamín; Knoll, Nina; Hamilton, Kyra; Schwarzer, Ralf
2016-08-01
To examine motivational and volitional factors for hand washing in young adults, using the Health Action Process Approach (HAPA) as a theoretical framework. In a longitudinal design with two measurement points, six weeks apart, university students (N = 440) completed paper-based questionnaires. Prior hand washing frequency, self-efficacy, outcome expectancies, intention and action planning were measured at baseline, and coping planning, action control and hand washing frequency were measured at follow-up. A theory-based structural equation model was specified. In line with the HAPA, the motivational factors of self-efficacy and outcome expectancies predicted intention, whereas the volitional factors of planning and action control mediated between intention and changes in hand washing frequency. Action control was confirmed as the most proximal factor on hand washing behaviour, thus representing a bridge of the planning-behaviour gap. Both motivational and volitional processes are important to consider in the improvement of hand hygiene practices. Moreover, the statistically significant effects for planning and action control illustrate the importance of these key self-regulatory factors in the prediction of hand hygiene. The current study highlights the importance of adopting models that account for motivational and volitional factors to better understand hand washing behaviour.
Hattar, Anne; Pal, Sebely; Hagger, Martin S
2016-03-01
We tested the adequacy of a model based on the Health Action Process Approach (HAPA) in predicting changes in psychological, body composition, and cardiovascular risk outcomes with respect to physical activity participation in overweight and obese adults. Measures of HAPA constructs (action and maintenance self-efficacy, outcome expectancies, action planning, risk perceptions, intentions, behaviour), psychological outcomes (quality of life, depression, anxiety, stress symptoms), body composition variables (body weight, body fat mass), cardiovascular risk measures (total cholesterol, low density lipoprotein), and self-reported physical activity behaviour were administered to participants (N = 74) at baseline, and 6 and 12 weeks later. Data were analysed using variance-based structural equation modelling with residualised change scores for HAPA variables. The model revealed effects of action self-efficacy and outcome expectancies on physical activity intentions, action self-efficacy on maintenance self-efficacy, and maintenance self-efficacy and intentions on action planning. Intention predicted psychological and body composition outcomes indirectly through physical activity behaviour. Action planning was a direct predictor of psychological, cardiovascular, and body composition outcomes. Data supported HAPA hypotheses in relation to intentions and behaviour, but not the role of action planning as a mediator of the intention-behaviour relationship. Action planning predicted outcomes independent of intentions and behaviour. © 2016 The International Association of Applied Psychology.
Improving the implementation of marine monitoring in the northeast Atlantic.
Turrell, W R
2018-03-01
Marine monitoring in the northeast Atlantic is delivered within identifiable monitoring themes, established through time and defined by the geographical area and policy drivers they serve, the sampling methodologies they use, their assessment methodologies, their funding and governance structures and the people or organisations involved in their implementation. Within a monitoring theme, essential components for effective monitoring are governance, strategy and work plan, sampling protocols, quality assurance, and data and assessment structures. This simple framework is used to analyse two monitoring theme case studies; national ecosystem health monitoring, and regional fish stock monitoring. Such essential component analyses, within marine monitoring themes, can help improve monitoring implementation by identifying gaps and overlaps. Once monitoring themes are recognised, explicitly defined and streamlined, travel towards integrated monitoring may be made easier as the current lack of clarity in thematic marine monitoring implementation is one barrier to integration at both national and regional scales. Copyright © 2018 The Author. Published by Elsevier Ltd.. All rights reserved.
Statewide ITS development and deployment plan
DOT National Transportation Integrated Search
2002-10-01
This plan was developed to create a means to implement the ongoing, short-term and long-term activities identified in the Statewide ITS Action Plan. As part of the process for organizing the approximately seventy-five Action Plan activities, these we...
Krzeski, Erin; Harden, Samantha; Cook, Emily; Allen, Kacie; Estabrooks, Paul A.
2012-01-01
Despite strong scientific data indicating associations among sugar-sweetened beverages (SSB) and numerous adverse health outcomes, little is known about culturally specific beliefs and potential individual-level behavioral strategies to reduce SSB intake. The primary objective of this formative study targeting adults residing in rural southwest Virginia was to apply the Theory of Planned Behavior (TPB) to investigate culturally specific attitudes, subjective norms and perceived behavioral control constructs related to the consumption of SSB, water, and artificially sweetened beverages. Using a homogenous sampling strategy, eight focus groups were conducted with 54 adult participants who exceeded recommendations of <1 cup of SSB/day. An experienced moderator and co-moderator utilized a semi-structured script, grounded in the TPB, to execute the focus group. All focus groups were audio taped and transcribed verbatim. Three researchers independently coded meaning units (MU) to the major themes and subsequently met to gain consensus in coding. Important beverage specific themes emerged for attitudes, subjective norms, perceived behavioral control, and intentions. Across all beverages, the most notable themes included taste (n= 161 MU), availability/convenience (n= 95 MU), habit/addiction (n=57 MU), and cost (n= 28 MU). Health consequences associated with beverages and water quality issues also surfaced, as well as normative beliefs including the influence of doctors and peers. The identified themes and sub-themes provides critical insight into understanding culturally-relevant context and beliefs associated with beverage behaviors and helps inform the development and evaluation of future intervention efforts targeting SSB consumption in the health disparate region of southwest Virginia. PMID:23102176
Vizeshfar, Fatemeh; Momennasab, Marzieh; Yektatalab, Shahrzad; Iman, Mohamad Taghi
2018-01-01
Introduction: Health volunteers are employed to execute governmental health promotion programs in most countries around the world. The present study aimed to assess the challenges of health volunteers program to provide a better understanding of the present situation. Methods: This study was conducted using a qualitative approach. 14 participants were selected purposively selected from two comprehensive health care centers in the southwest of Iran. The data were collected through 14 semi-structured interviews, 2 observations, and 3 diaries and analyzed using content analysis. Results: Data analysis resulted in emergence four themes, namely role confusion, the inefficiency of volunteers training, the inefficiency of attraction and maintenance of volunteers, and being unknown to people. Unfertilized capacity is the main theme extracted from all themes. Conclusion: Health volunteers' perfect accomplishment of roles will have a positive impact on the provision of primary healthcare services and health objectives. Hence, comprehensive planning based on the needs of health volunteers will change them into a strong arm in the health system. Thus, managerial support and precise planning seem to be necessary for facing these challenges.
Vizeshfar, Fatemeh; Momennasab, Marzieh; Yektatalab, Shahrzad; Iman, Mohamad Taghi
2018-01-01
Introduction:Health volunteers are employed to execute governmental health promotion programs in most countries around the world. The present study aimed to assess the challenges of health volunteers program to provide a better understanding of the present situation. Methods:This study was conducted using a qualitative approach. 14 participants were selected purposively selected from two comprehensive health care centers in the southwest of Iran. The data were collected through 14 semi-structured interviews, 2 observations, and 3 diaries and analyzed using content analysis. Results:Data analysis resulted in emergence four themes, namely role confusion, the inefficiency of volunteers training, the inefficiency of attraction and maintenance of volunteers, and being unknown to people. Unfertilized capacity is the main theme extracted from all themes. Conclusion:Health volunteers’ perfect accomplishment of roles will have a positive impact on the provision of primary healthcare services and health objectives. Hence, comprehensive planning based on the needs of health volunteers will change them into a strong arm in the health system. Thus, managerial support and precise planning seem to be necessary for facing these challenges. PMID:29696067
Landscapes Action Plan emphasizes consultation early in project planning and identification of areas of Cultural Landscapes Forum Provides Action Plan Theresa Pasqual and Kevin Cannell participate in the forum
Education for All: National Plan of Action, 2003-2015
ERIC Educational Resources Information Center
Online Submission, 2005
2005-01-01
Background: The Lao People's Democratic Republic (PDR) Education for All National Plan of Action (EFA NPA) for 2003-2015 seeks to accomplish three major tasks: equitable access, improved quality and relevance and strengthened education management. Purpose: To design a National Education For All Action Plan for basic education in Lao PDR which…
12 CFR 704.10 - Investment action plan.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Investment action plan. 704.10 Section 704.10... CREDIT UNIONS § 704.10 Investment action plan. (a) Any corporate credit union in possession of an investment, including a derivative, that fails to meet a requirement of this part must, within 30 calendar...
12 CFR 704.10 - Investment action plan.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 12 Banks and Banking 6 2011-01-01 2011-01-01 false Investment action plan. 704.10 Section 704.10... CREDIT UNIONS § 704.10 Investment action plan. (a) Any corporate credit union in possession of an investment, including a derivative, that fails to meet a requirement of this part must, within 30 calendar...
42 CFR 431.992 - Corrective action plan.
Code of Federal Regulations, 2013 CFR
2013-10-01
... Estimating Improper Payments in Medicaid and CHIP § 431.992 Corrective action plan. (a) The State agency must develop a separate corrective action plan for Medicaid and CHIP, which is not required to be approved by... which the State's Medicaid or CHIP error rates are posted on the CMS contractor's Web site. (d) The...
42 CFR 431.992 - Corrective action plan.
Code of Federal Regulations, 2012 CFR
2012-10-01
... Estimating Improper Payments in Medicaid and CHIP § 431.992 Corrective action plan. (a) The State agency must develop a separate corrective action plan for Medicaid and CHIP, which is not required to be approved by... which the State's Medicaid or CHIP error rates are posted on the CMS contractor's Web site. (d) The...
42 CFR 431.992 - Corrective action plan.
Code of Federal Regulations, 2014 CFR
2014-10-01
... Estimating Improper Payments in Medicaid and CHIP § 431.992 Corrective action plan. (a) The State agency must develop a separate corrective action plan for Medicaid and CHIP, which is not required to be approved by... which the State's Medicaid or CHIP error rates are posted on the CMS contractor's Web site. (d) The...
ACHP | The Protection of Indian Sacred Sites
signatories issued an action plan for implementation of the MOU and in March 2014, issued a progress report , Action Plan, Progress Report, and other information may be accessed by clicking the links below: 2016 Action Plan ACHP News Announcement Department of the Interior Press Release DOI/Forest Service Updates
78 FR 19709 - Agency Information Collection Activities; Proposed Collection; Public Comment Request
Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-02
... Request Title: Evaluation of Implementation of the Viral Hepatitis Action Plan. Abstract: In response to the viral hepatitis epidemic in the United States, the Department of Health and Human Services (HHS) released the Action Plan for the Prevention, Care, and Treatment of Viral Hepatitis (Action Plan) in May...
Prairie Conservation in Canada: The Prairie Conservation Action Plan Experience
Dean Nernberg; David Ingstrup
2005-01-01
In Canada, grassland conservation has been mobilized and directed through the development of Prairie Conservation Action Plans and Action Plan Committees in the three prairie provinces of Alberta (45 partner agencies and organizations), Saskatchewan (26 partners), and Manitoba (26 partners). In Alberta, 43 percent of the native prairie remains; in Saskatchewan and...
29 CFR 1910.157 - Portable fire extinguishers.
Code of Federal Regulations, 2010 CFR
2010-07-01
... not intended for employee use and the employer has an emergency action plan and a fire prevention plan... employees from the workplace upon the sounding of a fire alarm signal and which includes an emergency action... be provided. (2) Where the employer has an emergency action plan meeting the requirements of § 1910...
Do Endogenous and Exogenous Action Control Compete for Perception?
ERIC Educational Resources Information Center
Pfister, Roland; Heinemann, Alexander; Kiesel, Andrea; Thomaschke, Roland; Janczyk, Markus
2012-01-01
Human actions are guided either by endogenous action plans or by external stimuli in the environment. These two types of action control seem to be mediated by neurophysiologically and functionally distinct systems that interfere if an endogenously planned action suddenly has to be performed in response to an exogenous stimulus. In this case, the…
21 CFR 120.10 - Corrective actions.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 21 Food and Drugs 2 2010-04-01 2010-04-01 false Corrective actions. 120.10 Section 120.10 Food and... actions. Whenever a deviation from a critical limit occurs, a processor shall take corrective action by... develop written corrective action plans, which become part of their HACCP plans in accordance with § 120.8...
Crowther, Martha R; Huang, Chao-Hui Sylvia; Allen, Rebecca S
2015-01-01
This exploratory study examined the context and consequences of custodial grandparenting, along with attitudes and preferences regarding future planning among 22 African-American custodial grandmothers. A mixed-method research design was employed. Based on our integration of two theories regarding future planning and health behavior change, caregiving, emotional distress, religiosity and spirituality, and future planning were assessed using questionnaires along with semi-structured interviews. African-American custodial grandmothers (mean age M = 53.64, SD = 9.58) perceived their caregiving role as rewarding (72%) yet challenging (86%). More than 40% reported significant emotional distress (CES-D ≥ 16) that warrants clinical attention. Findings showed that while 64% of study participants had future plans regarding who will substitute in their caregiving role if they become incapacitated, only 9% had completed a living will. Three major themes emerged regarding custodial grandmothers' caregiving role which includes: (1) rewards; (2) challenges including feeling overwhelmed and health concerns; and (3) caregiving decisions including conflicts between 'My plan was…/put self on-hold' for grandchildren and difficulty with future planning. These themes highlighted the dynamics of caregiving across time, including current context and the ongoing process of decision-making. Findings suggest that while African-American custodial grandmothers find caregiving rewarding, they face unique challenges in contemplating and developing future plans. Custodial grandmothers think about substitute caregivers for their grandchildren but need assistance communicating a plan focused on their own needs for future care. Culturally sensitive interventions designed to facilitate effective utilization of future plans within this caregiver population are needed.
Collaborating for Climate Education - A Look at Strategic Partnerships
NASA Astrophysics Data System (ADS)
Bozuwa, J.; Lewis, C.
2015-12-01
Collaborating for Climate Education WeekEarth Day Network (EDN) developed Climate Education Week toolkit, a turnkey online resource for grades K-12 that provided teachers with everything they needed to deliver lessons, activities, contests, and service learning projects that related to climate science during Climate Education Week (April 18-25). EDN assembled an Advisory Group to develop the survey, lesson plans and activities, and resources. The Advisory Group consisted of experts and partners in environmental education, including representatives from other government and non-governmental organizations working with the White House on Climate Education, as well as educators in our Educator's Network. EDN's Climate Education Week Advisory Board brought together top academics and major stakeholders in climate education throughout the development and outreach processes. The Advisory Board included representatives from the Alliance for Climate Education (ACE), The CLEAN Network, NOAA, The Department of Energy, and NASA. The representatives from the board helped to identify and streamline the most effective and necessary lesson plans, strategic themes to maintain throughout the toolkit, and avenues for increased outreach. EDN also partnered with Connect4Climate, PBS's Plum Landing, Young Voices of Climate Change, FEMA, and The Wild Center to develop content and to broaden the reach of the toolkit. Each of the seven days had a different theme that addressed a specific climate education topic, with highlighted activities and resources for elementary, middle and high school levels. The toolkit provided educators with a comprehensive view of climate change—beginning with the science, the anthropogenic causes, and societal impacts and then providing solutions, ways to take action, and the green economy transition. This online resource connected educators to a network of effective resources from our partners, all of which saw a significant uptick in their online viewership. Using the highly recognized Earth Day platform, the high level of involvement from partners and Advisory Board members, and EDN's ever-growing network, EDN had the ability to reach thousands of educators and students, and further the climate conversation.
NASA Astrophysics Data System (ADS)
Ezin, Jean-Pierre
2010-02-01
Physics, which is widely touted as the most fundamental of the sciences, underpins the progress in all other branches of science and has a wide range of applications in economic development, including in health, energy research, food security, communication technology and climate change. The African Union (AU) Commission articulates the continental vision of its Member States and its programs are designed to directly contribute to its social and economic development and integration efforts. In the area of science and technology the Department has developed Africa's Science and Technology Consolidated Plan of Action as a strategic policy document through the AU system of conference of ministers responsible for science to guide the continent on common priority programs. The programs in this plan of action that have been transformed into bankable projects under the Book of ``lighthouse projects Phase 1'', adequately respond to Africa's challenges and development needs using science. They can be summarized into three main themes: a pan-African university (PAU) initiative (to combine higher education and scientific research as a network of differentiated PAU in each of the five African regions), African research grants (to strengthen the research capacity of the African institutions and upgrading infrastructures, consolidating their accumulated asset of scientific knowledge), popularization of science and technology and promotion of public participation (to build public understanding and raising awareness on science and technology as a driving agent for social and economic progress for Africa and its integration process) and a science and technology institutional capacity building program). This talk will review these programs as well as the vision of the African Development Bank role in it. )
Parent, Florence; Kahombo, Gérard; Bapitani, Josué; Garant, Michèle; Coppieters, Yves; Levêque, Alain; Piette, Danielle
2004-01-01
Background The problem of training human resources in health is a real concern in public health in Central Africa. What can be changed in order to train more competent health professionals? This is of utmost importance in primary health care. Methods Taking into account the level of training of secondary-level nurses in the Democratic Republic of the Congo (DRC), a systemic approach, based on the PRECEDE PROCEED model of analysis, led to a better understanding of the educational determinants and of the factors favourable to a better match between training in health sciences and the expected competences of the health professionals. This article must be read on two complementary levels: one reading, focused on the methodological process, should allow our findings to be transferred to other problems (adaptation of a health promotion model to the educational sphere). The other reading, revolving around the specific theme and results, should provide a frame of reference and specific avenues for action to improve human resources in the health field (using the results of its application in health science teaching in the DRC). Results The results show that it is important to start this training with a global and integrated approach shared by all the actors. The strategies of action entail the need for an approach taking into account all the aspects, i.e. sociological, educational, medical and public health. Conclusions The analysis of the results shows that one cannot bring any change without integrated strategies of action and a multidisciplinary approach that includes all the complex determinants of health behaviour, and to do it within the organization of local structures and institutions in the ministry of health in the DRC. PMID:15585060
Morowatisharifabad, Mohammad Ali; Mazloomi-Mahmoodabad, Seyed Saied; Afshani, Seyed Alireza; Ardian, Nahid; Vaezi, Ali; Refahi, Seyed Ali Asghar
2018-01-01
AIM: The present study sought to explore the experiences of participants in divorce process according to the theory of planned behaviour. MATERIAL AND METHODS: This qualitative study was conducted using content analysis method. In this research, 27 participants involved in the divorce process were selected. The data were coded, and the qualitative content analysis was performed. RESULTS: Based on four constructs of the theory of planned behaviour, the subcategories of instrumental attitude were “Divorce as the last solution” and “Divorce as damage for individuals and society”. From the perceived behavioural control theme, two subcategories of behavioural control and self-efficacy were drawn; the first subtheme included “Others’ meddling in the married life”, “Social problems reducing behavioural control power” and “Personality characteristics affecting the behavioural control power”; and the second one included: “Education as a means for developing self-efficacy” and “barriers to self-efficacy”. The injunctive norms theme included three subcategories of “Others help to reconcile”, “Others meddling and lack of reconciliation”, and “Families support to reconcile”. The descriptive norms theme was “High divorce rate and misuse of satellite channels and social networks as factors making reconciliation difficult”. CONCLUSION: It seems that education and counselling, within a predefined framework, such as applied theories, can be useful. PMID:29875872
Molecular Foundry? Research Themes Strategic Plan (PDF) Foundry Careers Foundry Facts Bay Cam Other User -art instrumentation and expertise. Having merged with the Molecular Foundry in 2014, the facility
From conscious thought to automatic action: A simulation account of action planning.
Martiny-Huenger, Torsten; Martiny, Sarah E; Parks-Stamm, Elizabeth J; Pfeiffer, Elisa; Gollwitzer, Peter M
2017-10-01
We provide a theoretical framework and empirical evidence for how verbally planning an action creates direct perception-action links and behavioral automaticity. We argue that planning actions in an if (situation)-then (action) format induces sensorimotor simulations (i.e., activity patterns reenacting the event in the sensory and motor brain areas) of the anticipated situation and the intended action. Due to their temporal overlap, these activity patterns become linked. Whenever the previously simulated situation is encountered, the previously simulated action is partially reactivated through spreading activation and thus more likely to be executed. In 4 experiments (N = 363), we investigated the relation between specific if-then action plans worded to activate simulations of elbow flexion versus extension movements and actual elbow flexion versus extension movements in a subsequent, ostensibly unrelated categorization task. As expected, linking a critical stimulus to intended actions that implied elbow flexion movements (e.g., grabbing it for consumption) subsequently facilitated elbow flexion movements upon encountering the critical stimulus. However, linking a critical stimulus to actions that implied elbow extension movements (e.g., pointing at it) subsequently facilitated elbow extension movements upon encountering the critical stimulus. Thus, minor differences (i.e., exchanging the words "point at" with "grab") in verbally formulated action plans (i.e., conscious thought) had systematic consequences on subsequent actions. The question of how conscious thought can induce stimulus-triggered action is illuminated by the provided theoretical framework and the respective empirical evidence, facilitating the understanding of behavioral automaticity and human agency. (PsycINFO Database Record (c) 2017 APA, all rights reserved).
McPherson, Anna; Hill, Peter S; Kama, Mike; Reid, Simon
2018-03-30
Fiji has a high burden of leptospirosis, with endemic infection and epidemic outbreaks with high mortality, often associated with flooding and cyclones. As a zoonosis, leptospirosis control requires interventions in sectors beyond the usual control of health-in Fiji, the dairy and sugar industries, and water and sanitation and rodent control in communities. This paper presents the findings of qualitative research to inform policy around governance for a One Health multisectoral approach to leptospirosis control. Key informants from relevant government agencies and industry organizations were interviewed in late 2014, and the interviews analyzed and triangulated with documentary analysis. The analysis identified 5 themes: perceptions of the impact of leptospirosis, governance processes, models for collaboration, leptospirosis control, and preferred leadership for leptospirosis management. Data were limited, with poor communication between ministries, and limited awareness of leptospirosis outside outbreaks. Collaboration during outbreaks was positive but not sustained in endemic periods. Mechanism for enhanced collaboration was developed for endemic and outbreak situations. The findings informed a One Health governance approach to leptospirosis, framed within a National Strategic Plan, with a specific National Action Plan for Leptospirosis. The process provides a research based One Health template for application to other zoonotic diseases. Copyright © 2018 John Wiley & Sons, Ltd.
Brooks, Elizabeth; Dailey, Nancy K; Bair, Byron D; Shore, Jay H
2016-09-01
Many work to ensure that women veterans receive appropriate and timely health care, yet the needs of those living in rural areas are often ignored. This is a critical oversight given the multitude of reports documenting rural access problems and health disparities. Lacking this, we are unable to plan for and evaluate appropriate care for this specific group. In this project, we spoke with rural women veterans to document service needs and quality of care from their perspective. Rural women veterans' views about health care access and quality were ascertained in a series of five, semistructured focus groups (n = 35) and completion of a demographic questionnaire. Content analysis documented focus-group themes. Participants said that local dental, mental health, and gender-specific care options were needed, as well as alternative healing options. Community-based support for women veterans and interaction with female peers were absent. Participants' support for telehealth was mixed, as were requests for gender-specific care. Personal experiences in the military impacted participants' current service utilization. Action by both Veterans Affairs and the local community is vital to improving the health of women veterans. Service planning should consider additional Veterans Affairs contracts, mobile health vans, peer support, and enhanced outreach. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.
Implementing Health Policy: Lessons from the Scottish Well Men's Policy Initiative.
Douglas, Flora; van Teijlingen, Edwin; Smith, Cairns; Moffat, Mandy
2015-01-01
Little is known about how health professionals translate national government health policy directives into action. This paper examines that process using the so-called Well Men's Services (WMS) policy initiative as a 'real world' case study. The WMS were launched by the Scottish Government to address men's health inequalities. Our analysis aimed to develop a deeper understanding of policy implementation as it naturally occurred, used an analytical framework that was developed to reflect the 'rational planning' principles health professionals are commonly encouraged to use for implementation purposes. A mixed-methods qualitative enquiry using a data archive generated during the WMS policy evaluation was used to critically analyze (post hoc) the perspectives of national policy makers, and local health and social care professionals about the: (a) 'policy problem', (b) interventions intended to address the problem, and (c) anticipated policy outcomes. This analysis revealed four key themes: (1) ambiguity regarding the policy problem and means of intervention; (2) behavioral framing of the policy problem and intervention; (3) uncertainty about the policy evidence base and outcomes, and; (4) a focus on intervention as outcome . This study found that mechanistic planning heuristics (as a means of supporting implementation) fails to grapple with the indeterminate nature of population health problems. A new approach to planning and implementing public health interventions is required that recognises the complex and political nature of health problems; the inevitability of imperfect and contested evidence regarding intervention, and, future associated uncertainties.
EPA's Drinking Water Action Plan serves as a national call to action, urging all levels of government, utilities, community organizations, and other stakeholders to work together to increase the safety and reliability of drinking water.
Åstrøm, Anne N; Lie, Stein Atle; Gülcan, Ferda
2018-05-31
Understanding factors that affect dental attendance behavior helps in constructing effective oral health campaigns. A socio-cognitive model that adequately explains variance in regular dental attendance has yet to be validated among younger adults in Norway. Focusing a representative sample of younger Norwegian adults, this cross-sectional study provided an empirical test of the Theory of Planned Behavior (TPB) augmented with descriptive norm and action planning and estimated direct and indirect effects of attitudes, subjective norms, descriptive norms, perceived behavioral control and action planning on intended and self-reported regular dental attendance. Self-administered questionnaires provided by 2551, 25-35 year olds, randomly selected from the Norwegian national population registry were used to assess socio-demographic factors, dental attendance as well as the constructs of the augmented TPB model (attitudes, subjective norms, descriptive norms, intention, action planning). A two-stage process of structural equation modelling (SEM) was used to test the augmented TPB model. Confirmatory factor analysis, CFA, confirmed the proposed correlated 6-factor measurement model after re-specification. SEM revealed that attitudes, perceived behavioral control, subjective norms and descriptive norms explained intention. The corresponding standardized regression coefficients were respectively (β = 0.70), (β =0.18), (β = - 0.17) and (β =0.11) (p < 0.001). Intention (β =0.46) predicted action planning and action planning (β =0.19) predicted dental attendance behavior (p < 0.001). The model revealed indirect effects of intention and perceived behavioral control on behavior through action planning and through intention and action planning, respectively. The final model explained 64 and 41% of the total variance in intention and dental attendance behavior. The findings support the utility of the TPB, the expanded normative component and action planning in predicting younger adults' intended- and self-reported dental attendance. Interventions targeting young adults' dental attendance might usefully focus on positive consequences following this behavior accompanied with modeling and group performance.
Design and Implementation of Collaborative Research Approaches
NASA Technical Reports Server (NTRS)
Venti, Mike W.; Berger, David E.
2009-01-01
This poster reviews the collarborative research approaches that NASA has been designing and implementing for the Integrated Vehicle Health Management (IVHM) Project. The inputs for the technical plan are reviewed, the Research Test and Integration Plan (RTIP) WIKI, is used to create and propose a multi-themed and multi-partner research testing opportunities. The outputs are testing opportunities.
Teaching Consumer Education and Financial Planning: A Manual for School and Classroom Use.
ERIC Educational Resources Information Center
Council for Family Financial Education, Silver Spring, MD.
This manual, designed for both the teacher and curriculum planner, is organized around six major themes: planning, buying, borrowing, protecting, investing, and sharing. These major areas are used in place of more conventional topical categories because the emphasis here is upon each individual's behavior. A chart is provided that shows the…
ERIC Educational Resources Information Center
Brounley, Lindy
2010-01-01
The University of Florida (UF) established a Strategic Communications Planning Committee in May 2009 to coordinate a campuswide effort to promote strategic communications planning, strengthen the university's brand, unify key themes and messages, maximize use of available research and resources, and identify and propagate best practices and…
Considering communities in forest management planning in western Oregon.
Ellen M. Donoghue; N. Lynnae Sutton; Richard W. Haynes
2007-01-01
A recurrent theme in the development of U.S. forest policies has been the assertion of strong positive relations among communities, economies, and natural resource management. Now as a new round of federal land management planning is getting underway, questions are being raised about the strength of that assertion and how to view communities following a decade of...
ERIC Educational Resources Information Center
City Univ. of New York, NY. Hunter Coll.
Intended to extend the existing science and health education curriculum at junior and senior high school levels, the curriculum presents four mini-units on specific disabilities. The first section provides lesson plans about hearing impairments, and includes four lesson plans listing themes, objectives, and discussion guidelines for such topics as…
Editorial: What do we mean by "landscape"?
Paul H. Gobster; Wei-Ning Xiang
2012-01-01
As a prelude to revising the Aims and Scope of Landscape and Urban Planning (LAND), our last editorial discussed the journalâs "intellectual landscape" as revealed by an analysis of conceptual and proximal relationships between articles published in LAND and 50 other research journals. The six conceptual themes we identified--ecology, planning and management...
Defining the role of silvicultural research in the Northeastern Forest Experiment Station
Chris Nowak; Susan Stout; John Brissette; Laura Kenefic; Gary Miller; Bill Leak; Dan Yaussy; Tom Schuler; Kurt Gottschalk
1997-01-01
Research planning in the Northeastern Forest Experiment Station has followed a grass roots model for more than two years-ROADMAP, a research and development management plan. The goals for research within ROADMAP include understanding, protecting, managing, and utilizing forest ecosystems. There are nine research themes set to help achieve these goals, each with a set...
An integrated science plan for the Lake Tahoe basin: conceptual framework and research strategies
Zachary P. Hymanson; Michael W. Collopy
2010-01-01
An integrated science plan was developed to identify and refine contemporary science information needs for the Lake Tahoe basin ecosystem. The main objectives were to describe a conceptual framework for an integrated science program, and to develop research strategies addressing key uncertainties and information gaps that challenge government agencies in the theme...
LDEF Materials Workshop 1991, part 2
NASA Technical Reports Server (NTRS)
Stein, Bland A. (Compiler); Young, Philip R. (Compiler)
1992-01-01
The LDEF Materials Workshop 1991 was a follow-on to the Materials Sessions at the First LDEF Post-Retrieval Symposium held in Kissimmee, Florida, June 1991. The workshop comprised a series of technical sessions on materials themes, followed by theme panel meetings. Themes included materials, environmental parameters, and data bases; contamination; thermal control and protective coating and surface treatments; polymers and films; polymer matrix composites; metals, ceramics, and optical materials; lubricants adhesives, seals, fasteners, solar cells, and batteries. This document continues the LDEF Space Environmental Effects on Materials Special Investigation Group (MSIG) pursuit to investigate the effects of LEO exposure on materials which were not originally planned to be test specimens. Papers from the technical sessions are presented.
Backer, Hermanni; Leppänen, Juha-Markku; Brusendorff, Anne Christine; Forsius, Kaj; Stankiewicz, Monika; Mehtonen, Jukka; Pyhälä, Minna; Laamanen, Maria; Paulomäki, Hanna; Vlasov, Nikolay; Haaranen, Tarja
2010-05-01
The Helsinki Commission (HELCOM) Baltic Sea Action Plan, adopted by the coastal countries of the Baltic Sea and the European Community in November 2007, is a regional intergovernmental programme of measures for the protection and management of the marine environment explicitly based on the Ecosystem Approach. The Action Plan is structured around a set of Ecological Objectives used to define indicators and targets, including effect-based nutrient input ceilings, and to monitor implementation. The Action Plan strongly links Baltic marine environmental concerns to important socio-economic fields such as agriculture and fisheries and promotes cross-sectoral tools including marine spatial planning. Due to complementarities with the European Union (EU) Marine Strategy Framework Directive, the Action Plan is in essence a pilot for this process without neglecting the important role of the Russian Federation - the only Baltic coastal country not a member of the EU. (c) 2009 Elsevier Ltd. All rights reserved.
Perceived Rewards of Nursing Among Christian Nursing Students in Bangalore, India.
Garner, Shelby L; Prater, Llewellyn S; Putturaj, Meena; Raj, Leena
2015-12-01
Nurses in India face significant challenges and often migrate to practice nursing abroad. Few studies have focused on the rewards of nursing in India. The aim of this study was to illuminate perceived rewards of nursing among Christian student nurses in Bangalore, India. Photovoice, a participatory action methodology was used, and 14 Christian student nurses participated in the study. Thematic interpretation of photographs, journals, critical group dialog sessions, and observational field notes resulted in the identification of two main themes. These themes included intrinsic rewards and lifelong benefits of nursing in India.
Using Action Plans to Support Communication Programming for Children Who Are Deafblind
ERIC Educational Resources Information Center
Bruce, Susan M.
2008-01-01
The author describes the use of action plans to support 2 teachers' post-in-service implementation of communication strategies with 3 children who are deafblind. In the action plans, the teachers recorded changes in thinking and instructional practices under the 4 aspects of communication: form, function, content, and context. They also recorded…
30 CFR 254.23 - What information must I include in the “Emergency response action plan” section?
Code of Federal Regulations, 2010 CFR
2010-07-01
...) Your methods to implement your dispersant use plan and your in situ burning plan. ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false What information must I include in the â... must I include in the “Emergency response action plan” section? The “Emergency response action plan...
ORD Strategic Action Plan for Information Management / Information Technology 2011
ORD's Strategic Action Plan for IM/IT (2011) was collaboratively developed with input from ORD research and administrative personnel. It identifies actions necessary to support ORD's priority IM and IT needs.
This document presents outcomes of implementing a number of the actions described in the November 2013 Superfund Remedial Program Review (SPR) Action Plan . It also describes ongoing Action Plan efforts and projects future outcomes anticipated in FY 2015
Air pollution and vulnerability: solving the puzzle of prioritization.
Wright, Caradee Y; Diab, Roseanne
2011-01-01
While ambient air pollution levels in excess of prescribed health standards are generally unacceptable, the exceedance is even more serious in areas where people reside. Vulnerability caused by poverty, disease, lack of education, and poor living conditions exacerbates the problem. Air quality management plans identify prioritized strategies for improved air quality independent of consideration of vulnerability. A population exposure and vulnerability risk prioritization framework comprising five themes (air pollution sources; air pollution levels; air pollution potential; community awareness, observations, perceptions, and actions; and vulnerability factors) was proposed and applied to the eThekwini Municipality (Durban, South Africa). Data were scored according to predetermined risk threshold values to ascertain at-risk communities. While those urban wards located in a known air pollution hotspot had the highest air pollution levels, a periurban ward with moderate exposure levels was most vulnerable. This framework will prove invaluable for the development of focused interventions to reduce vulnerability and air pollution-associated adverse health impacts.
An exploratory sequential design to validate measures of moral emotions.
Márquez, Margarita G; Delgado, Ana R
2017-05-01
This paper presents an exploratory and sequential mixed methods approach in validating measures of knowledge of the moral emotions of contempt, anger and disgust. The sample comprised 60 participants in the qualitative phase when a measurement instrument was designed. Item stems, response options and correction keys were planned following the results obtained in a descriptive phenomenological analysis of the interviews. In the quantitative phase, the scale was used with a sample of 102 Spanish participants, and the results were analysed with the Rasch model. In the qualitative phase, salient themes included reasons, objects and action tendencies. In the quantitative phase, good psychometric properties were obtained. The model fit was adequate. However, some changes had to be made to the scale in order to improve the proportion of variance explained. Substantive and methodological im-plications of this mixed-methods study are discussed. Had the study used a single re-search method in isolation, aspects of the global understanding of contempt, anger and disgust would have been lost.
[Publicizing the fundamental state policy and strengthening population research].
Zheng, G
1983-11-29
In June 1983, a conference on population research was held at Fudan University. A total of more than 40 papers were presented to the conference, and participating scholars vigorously discussed the theme of "controlling population quantity and improving population quality," a policy guideline recommended by Primer Zhao Ziyang. All participants at the conference agreed that China's population growth has reached a climax and that population growth, especially the growth in rural areas, should be put under immediate control. Ideological education is needed to develop family work. In addition, appropriate economic measures in national finance, taxation, material incentives, and business and trade should be taken and linked with national family planning policy. In the area of population quality, more action should be taken to improve birth quality and infant care. Early education for young children should also be emphasized to develop their virtue, wisdom, and physical health in a comprehensive way. Studies of population science should be encouraged, and studies of methodology in population science should be strengthened.
ERIC Educational Resources Information Center
Galligani, Dennis J.
This first volume of the University of California, Irvine, (UCI) Student Affirmative Action (SAA) Five-Year Plan provides an overview of the plan and the planning process, lists campus SAA goals and objectives, summarizes campus SAA activities, and describes the research and evaluation components of the plan. Topics include: the historical context…
An evaluation of end-point trajectory planning during skilled kicking.
Ford, Paul; Hodges, Nicola J; Mark Williams, A
2009-01-01
There is evidence that actions are planned by anticipation of their external effects, with the strength of this effect being dependent on the amount of prior practice. In Experiment 1, skilled soccer players performed a kicking task under four conditions: planning in terms of an external action effect (i.e., ball trajectory) or in terms of body movements, either with or without visual error feedback. When feedback was withheld, a ball focus resulted in more accurate outcomes than a body focus. When visual feedback was allowed, there was no difference between these two conditions. In Experiment 2, both skilled and novice soccer players were tested with the addition of a control condition and in the absence of visual feedback. For both groups there was evidence that a ball focus was more beneficial for performance than a body focus, particularly in terms of movement kinematics where correlations across the joints were generally higher for body rather than ball planning. Most skilled participants reported that ball planning felt more normal than body planning. These experiments provide some evidence that actions are planned in terms of their external action effects, supporting the common-coding hypothesis of action planning.
75 FR 3680 - Revisions to the California State Implementation Plan
Federal Register 2010, 2011, 2012, 2013, 2014
2010-01-22
... the California State Implementation Plan AGENCY: Environmental Protection Agency (EPA). ACTION... Pollution Control District (SJVAPCD) portion of the California State Implementation Plan (SIP). These... are taking comments on this proposal and plan to follow with a final action. DATES: Any comments must...
18 CFR 12.22 - Contents of emergency action plan.
Code of Federal Regulations, 2012 CFR
2012-04-01
... action plan. 12.22 Section 12.22 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY... plans for notifying potentially affected persons, appropriate Federal, state, and local agencies... nuclear power plants—1) Radiological response plan. If the personnel operating any powerhouse or any...
18 CFR 12.22 - Contents of emergency action plan.
Code of Federal Regulations, 2011 CFR
2011-04-01
... action plan. 12.22 Section 12.22 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY... plans for notifying potentially affected persons, appropriate Federal, state, and local agencies... nuclear power plants—1) Radiological response plan. If the personnel operating any powerhouse or any...