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Changing Practice (changing + practice)
Selected AbstractsChanging practice: The National Literacy Strategy and the politics of literacy policyLITERACY, Issue 3 2004Gemma Moss Abstract Drawing on a recent ESRC-funded research project,1 this paper will explore some of the contradictory structural features of the National Literacy Strategy (NLS), which have helped shape its evolution over time, and reflect on some of the tension points which have arisen at different levels of implementation as the Strategy unfolds. In the process, the paper will consider NLS not so much as a neutral means of transferring ,what works' from one site to another, but rather as itself constituting a new social context in which literacy teaching and learning take place. It will pay particular attention to the new pace of teaching that NLS has ushered in and the way in which this is driven by the kind of planning regime that NLS introduced. [source] Shareholding Versus Stakeholding: a critical review of corporate governanceCORPORATE GOVERNANCE, Issue 3 2004Steve Letza The current debate and theorising on corporate governance has been polarised between a shareholder perspective and a stakeholder perspective. While advocates and supporters of each camp attempt to justify the superiority, rationality and universality of each model in theory, they rarely pay attention to the age-old conceptions, assumptions and presuppositions underpinning their perspectives which are less credible and valid in matching the continually changing practice of corporate governance. This paper serves as a survey and critical review of major current theories on corporate governance. In so doing, it reveals the inadequacy of conventional approaches employed in corporate governance theorising. It calls for a new mode of thinking in analysing corporate governance and concludes by outlining a new direction of research in this field. [source] Increasing practice nurse access to alcohol trainingDRUG AND ALCOHOL REVIEW, Issue 3 2002ANN DEEHAN Abstract Policy makers have repeatedly placed emphasis on the role of primary care in screening for at-risk alcohol consumption and delivering public health messages to the general population. Research has pointed to primary care staff holding negative attitudes towards alcohol misusing patients. Training has traditionally been seen as the key to increasing the capacity of the medical field to engage with alcohol misusing patients but little work has been undertaken to examine the potential barriers to training take up. Consequently, the aim of this study was to explore the willingness of practice nurses to be trained in alcohol screening and brief intervention, and whether identifiable barriers to training exist and how they may be overcome. All practice nurses (n = 82) in an outer London (UK) Health Authority Area were twice mailed an invitation to an alcohol training seminar and a telephone invitation was made to all of those who did not reply to the mailings. Those who did not attend (n = 66) were contacted to take part in a short structured telephone interview ,89% (59/66) were contacted successfully and interviewed. Respondents were experienced in primary care and viewed health promotional activity as a valid part of their role. Few had undertaken previous alcohol training and as a group they were highly active in attending training events with training undertaken tending to be related directly to perceived practice needs and priorities: thus this group could not be characterized as unwilling to be trained. Barriers to training at alcohol events were found to be either personal or work-related, with most nurses interested in receiving further training or information. These data imply that the ways in which training is organized and delivered require sensitivity to identifiable barriers if it is to reach and effect changing practice among practice nurses successfully. A range of possibilities are identified as alternative approaches to the provision of elective training events which may be more acceptable to the target population of health-care staff. [source] ,Playing the Game called Writing': Children's Views and VoicesENGLISH IN EDUCATION, Issue 2 2003Teresa Grainger Abstract Teachers' perceptions of their changing practice in the context of the National Literacy Strategy have been well documented in recent years. However, few studies have collected pupils' views or voices. As part of a collaborative research and development project into the teaching and learning of writing, 390 primary pupils' views were collected. A marked difference in attitude to writing and self-esteem as writers was found between Key Stages 1 and 2, as well as a degree of indifference and disengagement from in-school writing for some KS2 writers. A strong desire for choice and greater autonomy as writers was expressed and a preference for narrative emerged. This part of the research project ,We're Writers' has underlined the importance of listening to pupils' views about literacy, in order to create a more open dialogue about language and learning, and to negotiate the content of the curriculum in response to their perspectives. [source] Consumer input into standards revision: changing practiceJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 1 2007G. BEAL rn phd cpmhn(c) As part of ongoing quality improvement initiatives, the Canadian Standards for Psychiatric-Mental Health Nursing were recently revised. For the first time since the standards were published in 1995, the input of consumers of mental health services was sought. Thirty-one consumers from across Canada participated in focus groups, and answered questions related to the domains of practice as identified in the standards document. Through this input, consumers were able to inform the committee regarding areas of satisfaction and dissatisfaction from their unique perspective. Through this article, the process of consumer collaboration is illustrated in relation to how it shaped Standards revision, and finally how it affected the practitioners involved. [source] Evidence-Based Child and Adolescent Mental Health Services: Oxymoron or Brave New Dawn?CHILD AND ADOLESCENT MENTAL HEALTH, Issue 2 2001Paul Ramchandani Professionals working in child and adolescent mental health services are increasingly encouraged to examine the evidence underlying their clinical practice. Embracing evidence-based practice can present difficulties, as barriers to changing practice exist. These difficulties are examined, along with the meaning of evidence-based practice in a multidisciplinary speciality, and the potential benefits that develop from it. [source] FASHIONS AND FUNDAMENTALISMS IN FIN-DE-SIÈCLE YEMEN: Chador Barbie and Islamic SocksCULTURAL ANTHROPOLOGY, Issue 2 2007ANNE MENELEY This article examines the complex relationships between changing forms of commodity production and consumption and changing styles of religiosity in Zabid, the Republic of Yemen. I examine a couple of prominent logics of veiling in Fin-de-Siècle Yemen: Some reformist women add "Islamic socks" and gloves to their already fully modest garb, while other women don chadors that decorate these garments with embroidery, making them into items of fashionable consumption and adornment. Other commodities, like a Chador Barbie that I found in Yemen's suq, are used to think through changing practices of consumption, adornment, and women's sociability in Zabid. [source] The experiences of staff concerning the introduction and impact of a fall prevention intervention in aged care facilities: a qualitative studyAUSTRALASIAN JOURNAL ON AGEING, Issue 4 2003Meg Butler Objective: Falls in aged care facilities are a major public health concern. A pilot study tested the acceptability of a falls risk management intervention. Method: Focus group discussions with care giving staff and falls coordinators and individual interviews with principal nurse managers were taped and transcribed and thematic analysis identified main issues for staff in utilising the intervention. Results: Acceptance of the intervention was high for principal nurse managers and falls coordinators, although the paper work was found to be time consuming. While most caregivers found undertaking fall prevention strategies worthwhile, others found such strategies were irrelevant to them as they "knew" their residents. Conclusions: Among all levels of staff, falls among residents were regarded as stressful events. While the general acceptunce of the intervention programme was high, resistance to changing practices of care by some staff could limit the wider implementation of such a programme. Further research is needed to examine appropriate delivery of educational messages for caregivers, which include multiple cultural understandings. [source] A 10-year experience of managing ureteric calculi: changing trends towards endourological intervention,is there a role for open surgery?BJU INTERNATIONAL, Issue 3 2001M.H. Ather Objectives To study changing practices in the management of ureterolithiasis with the introduction of newer technologies, the efficacy and safety of endourology, extracorporeal shock wave lithotripsy (ESWL) and open surgery, and to determine if any indication remains for open ureterolithotomy in a tertiary endourology unit. Patients and methods A 12-year retrospective review (1987,1998) was conducted of all primary ureteric stones treated by ESWL, endoscopy, intracorporeal shock wave lithotripsy (ISWL) administered via ureteroscopy, and open surgery. Results In all, 1195 patients were treated for primary ureteric stones, 44% by ESWL, 37% by ureteroscopy and ISWL, and 20% by open surgery. At the 3-month follow-up the stone-free rates for ESWL monotherapy, ureteroscopy and open surgery were 95%, 85% and 97%, giving an efficiency quotient of 73%, 64% and 94%, respectively. The overall complication rate for ESWL was 13%, for ISWL 32% and for open surgery 13%, but the complications of open surgery were often serious and potentially life-threatening. Conclusions With recent advances in endourology the indications for open surgery have decreased considerably, from 26% in 1987,95 to 8% in 1996,98. However, the remaining indications for open ureterolithotomy include failure of less invasive modalities, the presence of medical/anatomical abnormalities, a concomitant open procedure, and the presence of large impacted calculi for which patients prefer to avoid multiple procedures. [source] | ||||||||||||||||