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Stakeholder Perceptions (stakeholder + perception)
Selected AbstractsWorkplace-based assessment for general practitioners: using stakeholder perception to aid blueprinting of an assessment batteryMEDICAL EDUCATION, Issue 1 2008Douglas J Murphy Context, The implementation of an assessment system may be facilitated by stakeholder agreement that appropriate qualities are being tested. This study investigated the extent to which stakeholders perceived 8 assessment formats (multiple-choice questions, objective structured clinical examination, video, significant event analysis, criterion audit, multi-source feedback, case analysis and patient satisfaction questionnaire) as able to assess varying qualities of doctors training in UK general practice. Methods, Educationalists, general practice trainers and registrars completed a blueprinting style of exercise to rate the extent to which each evaluation format was perceived to assess each of 8 competencies derived primarily from the General Medical Council document Good Medical Practice. Results, There were high levels of agreement among stakeholders regarding the perceived qualities tested by the proposed formats (G = 0.82,0.93). Differences were found in participants' perceptions of how well qualities were able to be assessed and in the ability of the respective formats to test each quality. Multi-source feedback (MSF) was expected to assess a wide range of qualities, whereas Probity, Health and Ability to work with colleagues were limited in terms of how well they could be tested by the proposed formats. Discussion, Awareness of the perceptions of stakeholders should facilitate the development and implementation of workplace-based assessment (WPBA) systems. These data shed light on the acceptability of various formats in a way that will inform further investigation of WPBA formats' validity and feasibility, while also providing evidence on which to base educational efforts regarding the value of each format. [source] Developing co-management in an artisanal gill net fishery of a deep hydro-electric reservoir in Sri LankaFISHERIES MANAGEMENT & ECOLOGY, Issue 5 2002S. NATHANAEL Abstract Victoria, is a recently (1984) impounded, deep, hydro-electric reservoir in Sri Lanka with an established commercial fishery. Participatory appraisal of the fishing community revealed decreasing reliance on fishing income with many fishermen moving away to supplementary occupations because of declining fish catches. Illegal fishing and theft of fishing gear resulting from open access, difficulties encountered in enforcing fisheries regulations and the need for fishermen to find alternative sources of income during low water levels are the major management problems. The top,down centralized management approach previously practised was ineffective in addressing any of these issues. Therefore, the possibilities and limitations for introducing co-management as an alternative management strategy were discussed. Financial hardship coupled with perceived benefits through state sponsored welfare schemes caused a positive attitude change among fishermen, making them respond favourably to fishery management. Establishing a licensing system for controlled access, ensuring greater user-group participation through equitable distribution of state sponsored benefits among members, attempting to enforce penalties for illegal fishing linked with surprise checks to enforce management regulations, and obtaining stakeholder perceptions regarding management issues are some of the recent steps taken by the Fishermen's Co-operative Society which would positively contribute towards developing effective co-management in this reservoir. [source] The New Accountancy Foundation: A Credible Form of Regulation for UK Listed Company Audit?INTERNATIONAL JOURNAL OF AUDITING, Issue 3 2002Ian P Dewing This paper considers the new system of regulation of the accountancy profession in the UK, based on the Accountancy Foundation. It explores how the system compares with: principles of regulation produced by the Better Regulation Task Force and National Consumer Council; stakeholder perceptions on the nature of an independent regulatory body for UK listed company audit; new and emerging developments arising from the review of competition in professions by the Office of Fair Trading; recommendations of the Company Law Review Steering Group and establishment of the Financial Services Authority; and, events set in train in the UK as a result of the collapse of Enron in the US. The paper concludes it is ironic that the new system, enthusiastically endorsed so recently by government, should be called into question so fundamentally, and so rapidly, by events outside its jurisdiction. [source] 100 years of change: examining agricultural trends, habitat change and stakeholder perceptions through the 20th centuryJOURNAL OF APPLIED ECOLOGY, Issue 2 2009Martin Dallimer Summary 1The 20th century has witnessed substantial increases in the intensity of agricultural land management, much of which has been driven by policies to enhance food security and production. The knock-on effects in agriculturally dominated landscapes include habitat degradation and biodiversity loss. We examine long-term patterns of agricultural and habitat change at a regional scale, using the Peak District of northern England as a case study. As stakeholders are central to the implementation of successful land-use policy, we also assess their perceptions of historical changes. 2In the period 1900 to 2000, there was a fivefold rise in sheep density, along with higher cattle density. We found a reduction in the number of farms, evidence of a shift in land ownership patterns, and increased agricultural specialization, including the virtual disappearance of upland arable production. 3Despite previous studies showing a substantial loss in heather cover, we found that there had been no overall change in the proportion of land covered by dwarf shrub moor. Nonetheless, turnover rates were high, with only 55% of sampled sites maintaining dwarf shrub moor coverage between 1913 and 2000. 4Stakeholders identified many of the changes revealed by the historical data, such as increased sheep numbers, fewer farms and greater specialization. However, other land-use changes were not properly described. For instance, although there had been no overall change in the proportion of dwarf shrub moor and the size of the rural labour force had not fallen, stakeholders reported a decline in both. Spatial heterogeneity of the changes, shifting baselines and problems with historical data sources might account for some of these discrepancies. 5Synthesis and applications. A marked increase in sheep numbers, combined with general agricultural intensification, have been the dominant land-use processes in the Peak District during the 20th century. Stakeholders only correctly perceived some land-use changes. Policy and management objectives should therefore be based primarily on actual historical evidence. However, understanding stakeholder perceptions and how they differ from, or agree with, the available evidence will contribute to the successful uptake of land management policies and partly determine the costs of policy implementation. [source] ,Extra information a bit further down the line': Rheumatoid arthritis patients' perceptions of developing educational material about the cardiovascular disease riskMUSCULOSKELETAL CARE, Issue 4 2009Holly John BM BS, MRCP Abstract Objective:,There are no patient education programmes addressing the increased risk of cardiovascular disease (CVD) associated with rheumatoid arthritis (RA). This is the second in a pair of studies exploring stakeholder perceptions of developing such educational material. Healthcare professionals' perceptions were explored in the first study; here, we explore the perceptions of people with RA. Methods:,Semi-structured interviews were held individually with 18 people with RA, purposively sampled to include participants with no co-morbid history of CVD, those with CVD risk factors and those who had experienced a CVD event. The interview transcripts were analysed using interpretative phenomenological analysis. Results:,Four superordinate themes were identified: experiences of living with RA; reactions to learning about co-morbid CVD; implementing lifestyle changes; and expectations of education. Participants found being diagnosed with RA a devastating experience and were mostly unaware of their increased risk of CVD co-morbidity. They explained how information about CVD would be overwhelming and irrelevant at diagnosis, but they would have coped with ,extra information a bit further down the line'. Conclusion:,There is a need to develop educational material or programmes. Their design must consider factors which facilitate lifestyle change, such as motivation or receiving personalized advice, and factors that inhibit change, such as depression or fatalism. Emphasizing the positive effects that some CVD lifestyle changes may have on RA symptom control may be particularly persuasive. Group education would be a popular format. These findings can be directly translated into clinical practice. Copyright © 2009 John Wiley & Sons, Ltd. [source] The development of risk criteria for high severity low frequency events,PROCESS SAFETY PROGRESS, Issue 1 2009Fred Henselwood Abstract Quantitative risk assessments (QRAs) are used within the field of process safety to decide the allocation of resources and risk reduction investments. Typically risk assessments involve the evaluation of probabilistic measures that estimate the average expected value for the situation being considered across a range of potential outcomes. The resulting expected value is then used to determine if a situation represents an acceptable or unacceptable risk based on a threshold value allotted to the risk. This approach often gives guidance that is at odds with the thoughts and behaviors of some stakeholders as illustrated by the "but what if it does happen?" type of question. This inconsistency results from the inherent limitation associated with expected value approaches in that the methodology is based on whether or not a mean assessed risk represents an acceptable risk while overlooking the possibility that a single scenario could represent an intolerable event. This article looks at an adjustment to traditional QRAs so as to assess both the acceptability of risk and the tolerability of the associated consequences relative to risk criteria. These adjustments have been found to better represent stakeholder perceptions of risk, more closely relate risk tolerance to corporate values and resources, and to better justify the use of various risk transfer strategies. © 2008 American Institute of Chemical Engineers Process Saf Prog, 2009 [source] Repeat dispensing of prescriptions in community pharmacies: a systematic review of the UK literatureINTERNATIONAL JOURNAL OF PHARMACY PRACTICE, Issue 1 2006Charles W. Morecroft Research associate Objective To identify, review and evaluate the published literature that focused on the impact of repeat dispensing in community pharmacies in the United Kingdom. Method Electronic databases (e.g. Medline, Embase and CINAHL) were searched from 1992 to May 2005. This was supplemented by searching PJ-online, IJPP online conference abstracts and the bibliographies of retrieved articles. Analysis of the findings explored the quality of the assessed papers, stakeholders' perceptions of repeat dispensing, the impact on professional relationships and workload, quality of care and prescription cost savings. Key findings Four randomised controlled trials (RCTs) and one before-and-after study were identified; most studies also incorporated a qualitative component. The findings indicated that patients' satisfaction with repeat dispensing was high, mainly as the service was seen as more convenient and time saving. While pharmacists considered that their relationship with patients had improved, one study found that patients did not necessarily agree and considered that pharmacists still remained in their dispensaries. Quality of care was considered in two RCTs, which indicated that more adverse reactions and compliance issues were identified in the intervention group. However, no direct comparisons were reported in differences in rates between intervention and control groups. Likewise, it was not possible to determine if any of the reported cost savings were solely attributable to repeat dispensing, as direct comparisons between groups were not reported. Conclusions Definitive conclusions about the effectiveness and impact of repeat dispensing are difficult to draw given a lack of transparency and systematicity when reporting these studies. Nevertheless, the findings suggest that there are high levels of patient satisfaction with the service. Likewise, it was not possible to draw conclusions about the possible savings on the NHS drug budget. Important policy decisions are being made about the implementation of repeat dispensing; however they are currently been made in a vacuum of adequate information. [source] A sensemaking approach to trade-offs and synergies between human and ecological elements of corporate sustainabilityBUSINESS STRATEGY AND THE ENVIRONMENT, Issue 4 2010Tamsin Angus-Leppan Abstract This paper considers the complex relationships between the human and ecological elements of sustainability that exist in the minds of stakeholders and argues that a sensemaking approach allows these to be better understood and compared. This is supported by the results of a study, set in a financial institution, exploring the relationships between these non-financial elements of corporate sustainability. The viewpoints of middle management, branch and contact centre employees, executives, a community consultative council, suppliers and a community partner of a large Australian bank obtained in in-depth interviews are analysed and compared utilizing an innovative methodology of semantic analysis. We find that these stakeholders' perceptions of the human,ecological relationship differ by group, containing different mixes of trade-offs and synergies between the non-financial elements of corporate sustainability. Copyright © 2010 John Wiley & Sons, Ltd and ERP Environment. [source] | ||||||||||