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Greater Participation (greater + participation)
Selected AbstractsProcedural skills quality assurance among Australasian College for Emergency Medicine fellows and traineesEMERGENCY MEDICINE AUSTRALASIA, Issue 3 2006David McD Taylor Abstract Objective: Presently, no objective quality control mechanism exists for monitoring procedural skills among Australasian College for Emergency Medicine trainees. The present study examined trainee and fellow procedural experience and perceived competency, participation in accredited training courses and support for a procedural logbook. Methods: A cross-sectional mail survey of Australasian College for Emergency Medicine advanced trainees and fellows was performed. Experience and perceived competency in 23 common and important ED procedures were examined. Results: In total, 202 fellows and 264 trainees responded (overall response rate 39.0%). Overall, fellow procedural experience and perceived competency were reasonable. However, some fellows had never performed a number of procedures including some common procedures (e.g. nasal packing, fracture reduction) and there were reports of ,very poor' competency for 17 (73.9%) procedures. Trainee experience and perceived competency were less than the fellows but showed similar patterns. Perceived numbers of each procedure required to achieve competency varied considerably between the procedures and among the respondents. However, there were no significant differences in the perceived numbers reported by the trainees and the fellows (P > 0.05). Variable proportions of trainees and fellows had undertaken courses that incorporated procedural skills training. More fellows (75.7%, 95% confidence interval 69.1,81.4) than trainees (59.9%, 95% confidence interval 53.6,65.8) supported the use of a procedural logbook (P = 0.003). Conclusions: Lack of experience in some procedures among some fellows, especially commonly performed procedures, might represent a deficiency in existing quality assurance mechanisms for procedural skills training. Greater participation in skills courses, to improve experience in difficult and uncommonly encountered procedures, is recommended. Improved quality assurance mechanisms, including a procedural logbook, should be considered. [source] An active role for patients in clinical research?DRUG DEVELOPMENT RESEARCH, Issue 3 2006Deirdre O'Connell Abstract In the context of stricter control of clinical research, more informed patients, and a growing number of patient organizations, an active role for patients in clinical research has more than one meaning. Patient involvement in research as subjects is insufficient and can be improved by the information provided by patient groups and by better collaboration between the research community and patient groups. Knowledge about and understanding of clinical trials is central to greater participation. Involvement in the research process provides another role for patients and patient groups and a number of studies have examined such involvement. Patient advocacy groups are involved in training initiatives to enable effective patient involvement in the administration and conduct of clinical research. Various national and European research and regulatory organizations now work with patient representatives, often providing training for them. A third role for patient organizations lies in supporting the research community in lobbying for increased funding, especially for independent clinical research. The area of clinical research outside randomized clinical trials needs also to be carefully considered, in particular the Outcomes Research field. Drug Dev. Res. 67:188,192, 2006. © 2006 Wiley-Liss, Inc. [source] Nation to Nation: Defining New Structures of Development in Northern QuebecECONOMIC GEOGRAPHY, Issue 4 2004Caroline Desbiens Abstract: In February 2002, the Crees of Quebec and the Quebec government signed a new agreement that was designed to implement new structures of economic development in northern Quebec. The document, known as "La Paix des Braves" (Peace of the Braves), was characterized as a "nation-to-nation" agreement and promises greater participation by the Crees in the management and exploitation of natural resources on the territory. Starting from the premise that the Crees and the Québécois do not simply compete for the resources of James Bay but can be said to define and firm up the boundaries of their respective nation in and through the use of these resources, this article explores the close intertwining of colonialism, culture, and the economy in James Bay, as well as its potential impact on the new agreement. First, it analyzes how the Crees and the Québécois have articulated nationhood in relation to land and resources, particularly over the past three decades. Second, it examines how these discourses are informed by a third national scale, that of Canada. The intersection among nature, nation, and economic development in northern Quebec is a key example of how resources are embedded in complex national geographies that are shaped across a broad historical span. Although sustainability is often defined in terms of the needs of future generations, this article calls for greater attention to past colonial and political relations in defining structures of development that ensure the renewal of resources. [source] Moving Beyond Postdevelopment: Facilitating Indigenous Alternatives for "Development"ECONOMIC GEOGRAPHY, Issue 4 2003George N. Curry Using the example of smallholder oil-palm production in Papua New Guinea, this article illustrates how elements of a market economy and modernity become enmeshed and partly transformed by local place-based nonmarket practices. The persistence, even efflorescence, of indigenous gift exchange, in tandem with greater participation in the market economy, challenges conventional notions about the structures and meanings of development. The introduced market economy can be inflected to serve indigenous sociocultural and economic goals by place-based processes that transform market relations and practices into nonmarket social relationships. These kinds of inflections of the market economy are common and widespread and therefore worthy of consideration for their theoretical insights into processes of social and economic change and the meanings of development. The article concludes by outlining some preliminary thoughts on how development practice could be modified to provide more scope for this process of inflection, so that development strategies accord better with indigenous sociocultural meanings of development. [source] RETURNS TO EDUCATION IN AUSTRALIAECONOMIC PAPERS: A JOURNAL OF APPLIED ECONOMICS AND POLICY, Issue 3 2008ANDREW LEIGH Using data from the 2001,2005 waves of the Household, Income and Labour Dynamics in Australia survey, and taking account of existing estimates of ability bias and social returns to schooling, I estimate the economic return to various levels of education. Raising high school attainment appears to yield the highest annual benefits, with per-year gains as high as 30% (depending on the adjustment for ability bias). Some forms of vocational training also appear to boost earnings, with significant gains from Certificate Level III/IV qualifications (for high school dropouts only), and from Diploma and Advanced Diploma qualifications. At the university level, bachelor degrees and postgraduate qualifications are associated with significantly higher earnings, with each year of a bachelor degree raising annual earnings by about 15%. For high schools, slightly less than half the gains are due to increased productivity, with the rest being due to higher levels of participation. For vocational training, about one-third of the gains are from productivity, and two-thirds from greater participation. For universities, most of the gains are from productivity. I find some evidence that the productivity benefits of education are higher towards the top of the distribution, but the effects on hours worked are higher towards the bottom of the conditional earnings distribution. [source] Participation and/or/versus sustainability?ENVIRONMENTAL POLICY AND GOVERNANCE, Issue 4 2005Austria, Tensions between procedural, substantive goals in Two Local Agenda 21 processes in Sweden Abstract Local Agenda 21 (LA21) is committed to two types of goal: procedural goals substantiated primarily in the requirement to encourage greater participation in local decision making and substantive goals predominantly attached to the call for a sustainable development. In this article, we report on the LA21 processes of two communities, Helsingborg, Sweden, and Vienna, Austria. We analyse what kind of normative tension the two communities have experienced by concurrently striving for democracy and sustainability. We also discuss what impact the two LA21 processes have on local governance structures and what potentials for more fundamental system changes they hold. Our analysis shows that the challenge of actually reconciling possibly conflicting goals is far from easy. In Helsingborg, the apparent harmony of goals has been achieved partly by falling back on political rhetoric, partly by interpreting the two goals in a narrow way, i.e. sustainability policy has been reduced to environmental issues and citizen participation has been equated with ,paternalistic' consultation. The Viennese LA21 process has managed to implement the two goals in a more comprehensive way, but this has come at the cost of being marginalized by the central political actors. Copyright © 2005 John Wiley & Sons, Ltd and ERP Environment. [source] Participation Patterns in Home-Based Family Support Programs: Ethnic Variations,FAMILY RELATIONS, Issue 1 2003Karen McCurdy This study investigated the relationship between ethnicity and retention among families participating in a national network of home-based family support programs. Using archival data collected on 224 African American, 227 European American, and 219 Latino American mothers of newborns and 153 home visitors, multivariate analyses indicate greater participation by African American and Latino parents as compared with European American parents. Retention predictors vary by ethnicity. Strategies to form a supportive parent-provider alliance are discussed. [source] DEMOCRACY AND GOVERNANCE NETWORKS: COMPATIBLE OR NOT?PUBLIC ADMINISTRATION, Issue 3 2007ERIK-HANS KLIJN This paper investigates the relationship between representative democracy and governance networks at a theoretical level. It does so by offering four conjectures and their implications for theory and practice. The incompatibility conjectures rests on the primacy of politics and sees governance networks as a threat. The complementarity conjecture presents governance networks as a means of enabling greater participation in the policy process and sensitivity in programme implementation. The transitional conjecture posits a wider evolution of governance forms towards network relationships. The instrumental conjecture views governance networks as a powerful means through which dominant interests can achieve their goals. Illustrative implications for theory and practice are identified, in relation to power in the policy process, the public interest, and the role of public managers. The heuristic potential of the conjectures is demonstrated through the identification of an outline research agenda. [source] Enhancing the effectiveness of policy-relevant integrative research in rural areasAREA, Issue 4 2009Piran C L White There has been much debate about the importance of policy-relevant research in geography over the last decade. There has also been an increasing recognition by policymakers of the importance of integrative (interdisciplinary and transdisciplinary) approaches to policy-relevant research. However, geographers have been more reluctant than their colleagues in other social and natural sciences to embrace integrative research collaborations. For integrative research to achieve its full potential and to encourage greater participation from the geographical research community, we need to increase our understanding of its potential value, but also some of the challenges that it poses, and how these can be overcome. In this paper, we consider the processes involved in conducting successful integrative research from the perspective of researchers involved in these projects. We base our analysis on the results of a questionnaire survey of international integrative research programmes on environmental issues in rural areas, combined with our own experiences of working in integrative research. We conclude that effective integrative research depends on the establishment of a clear conceptual framework, the use of appropriate temporal and spatial scales in the research, effective language and communication, time and commitment, and trust and respect. We also highlight the value of stakeholder involvement in integrative research to ensure the policy relevance of the work and provide a mechanism to assist with effective knowledge transfer of the results. [source] Inclusion , the heart of the matter: trainee teachers' perceptions of a parent's journeyBRITISH JOURNAL OF SPECIAL EDUCATION, Issue 2 2006Chris Forlin The importance of parental choice, and parents' participation in educational processes, continue to be highlighted in strategies, acts and policies around the world. Partnership with parents is given an even higher profile in relation to educational opportunities for children with special needs. Yet many trainee teachers have only limited understandings of the impact on family life of a child with special needs; are uncertain how best to work with parents; and are not confident about the choices that parents may wish to make for their children. In this article, Chris Forlin, Visiting Professor at the Hong Kong Institute of Education, and Treena Hopewell, MEd student at Edith Cowan University, Western Australia, report the responses of a group of fourth year trainee teachers after listening to the story of a mother of a child with high support needs. Their discussion focuses on three themes emerging from the reflective comments written by the trainee teachers after the session: empathy, understanding and personal growth. Chris Forlin and Treena Hopewell review the value of this approach as a means of establishing in trainee teachers a greater desire to work more collaboratively with parents and family members. They also provide excerpts from the mother's story to enable readers to experience the passionate spirit of the storyteller; to further appreciate the needs of parents; and to understand their desire for greater participation in decisions regarding their children. [source] Representing children's views and best interests in court: an international comparisonCHILD ABUSE REVIEW, Issue 4 2005Andy Bilson Abstract This paper provides a comparison of a number of alternative models of international practice in relation to the appointment and organization of guardians ad litem and other children's representatives in child care and family proceedings. The paper notes that, in their attempts to address the need for children to have representation in matters affecting their welfare, English-speaking countries have tended to conflate the two salient Articles of the United Nations Convention on the Rights of the Child, that is, Article 3, which deals with the child's best interests, and Article 12, which deals with their right to express their wishes and feelings. Where systems other than ,stand alone' legal representation have been put in place, the child's representative is charged with both assessing their best interests and, often as a secondary duty, communicating their views. The paper concludes that for some groups of children in public or private law proceedings, an advocate (rather than a best interest oriented guardian, and where necessary in addition to a legal representative) may enable better representation of the child in the courts and greater participation by children in legal proceedings, an increased role for children as citizens and a fuller implementation of their rights. Copyright © 2005 John Wiley & Sons, Ltd. [source] | |||||||||||||