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Administrative Level (administrative + level)

Distribution by Scientific Domains

Medical Sciences	50%

Selected Abstracts

Keeping the spirit high: why trauma team training is (sometimes) implemented

ACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 3 2008
T. WISBORG
Background: Systematic and multiprofessional trauma team training using simulation was introduced in Norway in 1997. The concept was developed out of necessity in two district general hospitals and one university hospital but gradually spread to 45 of Norway's 50 acute-care hospitals over the next decade. Implementation in the hospitals has varied from being a single training experience to becoming a regular training and part of quality improvement. The aim of this study was to better understand why only some hospitals achieved implementation of regular trauma team training, despite the intentions of all hospitals to do so. Methods: Focus group interviews were conducted with multiprofessional respondents in seven hospitals, including small and large hospitals and hospitals with and without regular team training. Interviews were transcribed and analyzed using a Grounded Theory approach. Results: ,Keeping the spirit high' appeared to be the way to achieve implementation. This was achieved through ,enthusiasm,',strategies and alliances,' and ,using spin-offs.' It seems that the combination of enthusiasts, managerial support, and strategic planning are key factors for professionals trying to implement new activities. Conclusions: Committed health professionals planning to implement new methods for training and preparedness in hospitals should have one or more enthusiasts, secure support at the administrative level, and plan the implementation taking all stakeholders into consideration. [source]

Organizational structures that support internal program evaluation

NEW DIRECTIONS FOR EVALUATION, Issue 120 2008
Michael T. Lambur
This chapter explores how the structure of large complex organizations such as Cooperative Extension affects their ability to support internal evaluation of their programs and activities. Following a literature review of organizational structure and its relation to internal evaluation capacity, the chapter presents the results of interviews with 10 selected Extension evaluators. Four structures for evaluation in Extension organizations are identified: (1) a separate evaluation unit, (2) within an administrative unit, (3) within a program area, and (4) within an academic department or school. The interviews addressed the philosophy and approach to program evaluation, what evaluators do, the perceived effects of organizational structure on evaluation, and reflections on the optimal structure for program evaluation in Extension. Several conclusions are presented: the evaluation function should be associated with a high administrative level in the organization, locating the evaluation function in program units appears to be preferred, roles and responsibilities of internal evaluators need to be clearly specified, internal evaluators need to work closely with administration and management to carry out their roles effectively and to incorporate evaluation into organizational decision making, and internal evaluators often assume other roles beyond their primary role as evaluator. © Wiley Periodicals, Inc. [source]

Government and NGO partnership in managing community-based water resources in Vietnam: a case study of Thai Long Dam Project

BUSINESS STRATEGY AND THE ENVIRONMENT, Issue 2 2002
Bach Tan Sinh
Economic reform policy called ,Doi Moi' introduced by the Government of Vietnam at the end of 1980s opened new opportunities of community-based involvement in the policy and decision-making at various local levels. Innovations such as decentralization of decision-making power to lower administrative level, and recognition of the local community's role in managing their natural resources, e.g. transfer of irrigated water management right to local communities, were introduced. Significantly, this new institutional framework also facilitated greater civil society involvement in Vietnam. The Water Users Cooperative (WUC) set up through the Thai Long Dam Project mobilized local farmers to participate and manage their local resources in a sustainable manner. Through this process, the WUC was able to strengthen itself as a civil society institution that mediates between the individual and the state, as well as a forum for increasing government responsiveness and accountability. The success of the WUC of the Thai Long Project implies that the Vietnamese civil society is playing a more active role in the decision-making process. Copyright © 2002 John Wiley & Sons, Ltd. and ERP Environment [source]

Incivility and Bullying in the Workplace and Nurses' Shame Responses

JOURNAL OF OBSTETRIC, GYNECOLOGIC & NEONATAL NURSING, Issue 2 2008
Dianne M. Felblinger
ABSTRACT Incivility and bullying in the workplace are intimidating forces that result in shame responses and threaten the well-being of nurses. Some nurses are accustomed to tolerating behaviors that are outside the realm of considerate conduct and are unaware that they are doing so. These behaviors affect the organizational climate, and their negative effects multiply if left unchecked. Interventions for incivility and bullying behaviors are needed at both individual and administrative levels. [source]