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The COVID-19 pandemic disrupted medical conferences, where restrictions on public gatherings resulted in the postponement or cancellation of in-person meetings. Virtual events emerged as a substitute, providing a mechanism for scientific collaboration and continuing medical education with the additional benefit of low environmental impact. However, digital events may not meet all the needs of delegates, such as professional networking and social connection. In this report, we describe the methods used to minimise the carbon footprint of the 2023 Australian and New Zealand College of Anaesthetists' Annual Scientific Meeting, a conference with approximately 2000 in-person and 500 virtual delegates. A core group led the initiative, with all conference participants invited to contribute to this goal. A prospective prediction of carbon generation was undertaken, followed by the implementation of strategies to minimise and then measure the total carbon footprint of the event. Post-event calculations assessed the conference as better than carbon-neutral; however, delegate travel was not included in the analysis and therefore this result is tempered. Off-site workshops including virtual offerings were also not included in the analysis. We encourage medical conference organisers to collaborate with all stakeholders to embed low carbon-generation choices for their meetings where education, networking and social needs are also met. [ABSTRACT FROM AUTHOR]

In December 2020, 11 months after identifying the first laboratory-confirmed case of COVID-19 in the United States, the U.S. Food and Drug Administration authorized emergency use of two COVID-19 vaccines. To prepare the public for a large-scale vaccination campaign and build confidence in COVID-19 vaccines, the U.S. Centers for Disease Control and Prevention (CDC) funded more than 200 partners and developed a national Vaccinate with Confidence (VwC) COVID-19 framework to support Americans in their decision to get vaccinated. The evolving nature of the pandemic and highly variable confidence in vaccines across populations has resulted in many unique complexities and challenges to reaching universally high vaccination coverage. Here, we describe how 23 professional health associations and national partner organizations, focused solely on building vaccine confidence, operationalized CDC's VwC COVID-19 framework from February 2021 to March 2022. Capturing how partners deployed and adapted their activities to meet a shifting pandemic landscape, which began with high demand for vaccines that waned over time, is an important first step to understanding how this new strategy was utilized and could be implemented for future surges in COVID-19 cases and other routine immunization efforts. Going forward, evaluation of partner activities should be prioritized to capture learnings and assess VwC program effectiveness. [ABSTRACT FROM AUTHOR]

The Canadian Association of Radiologists supports equity, diversity, and inclusion (EDI) in employment. It is imperative that institutions implement recruitment and retention practices to ensure a diverse workforce. This requires considerable attention to each step in the process, including the job posting, candidate search, hiring committee composition, interviews, hiring decision, and retention and promotion. Job postings must be widely distributed and visible to underrepresented groups. The candidate search should be completed by a diverse committee with expertise in EDI. All committee members must complete EDI and anti-bias training and conduct a broad search that ensures underrepresented groups are encouraged to apply. Interviews must be offered to all candidates. The hiring decision must avoid the use of subjective criteria. Recruitment of members of underrepresented groups ensures a diverse workforce, and organizations should commit resources to the retention and promotion of these members. Mentorship programs must be implemented and incentives provided to faculty members to serve as mentors. Transparent guidelines for promotion made universally available on department or institution websites. Recruiting a diverse workforce in Medical Imaging will only be achieved if EDI are central to the organization's goals and strategic plan. All organizational policies, practices, and procedures must be reviewed with an intersectional lens to identify potential gaps, areas for improvement, and areas of strength in the recruitment and retention of members of underrepresented groups. [ABSTRACT FROM AUTHOR]

Additive manufacturing (AM) is gaining popularity worldwide due to its potential to revolutionize manufacturing processes, improve product customization, and reduce waste. Nevertheless, small- and medium-sized enterprises (SMEs) encounter major challenges when implementing AM technologies. The objective of this research is to utilize the fuzzy analytic hierarchy process (FAHP) to identify and prioritize the critical challenges that impede the implementation of AM for SMEs. The study employs a two-stage methodology. First, a thorough literature review and expert discussions identify 15 major barriers to AM adoption. Second, a systematic model is proposed to establish a ranking of these barriers, which is based on the FAHP. The results are validated using sensitivity analysis to ensure the robustness of the findings. Additionally, potential solutions to overcome these barriers are discussed. The research indicates that the two most significant barriers for SMEs are the high costs of equipment and the scarcity of skilled designers. The model that has been presented is a valuable resource for SME managers and practitioners, as it allows them to make strategic and informed decisions that facilitate the efficient implementation of AM. This research is groundbreaking in its comprehensive analysis of the prioritization and ranking of AM implementation barriers, with a particular emphasis on SMEs. It offers essential insights for future research and practical applications. [ABSTRACT FROM AUTHOR]

Value capture theory, or the application of cooperative game theory to theory and pedagogy in strategic management, has been growing in influence, but its potential for empirical research is underexploited. I briefly review value capture theory and then offer thoughts on how it may motivate and inform empirical research that both tests specific elements of value capture theory and uses insights and econometric models based on value capture theory to deepen our understanding of many topics of interest to strategy scholars and practitioners. [ABSTRACT FROM AUTHOR]

Academic theories of entrepreneurship and applied theories of entrepreneurship have historically been siloed. In this article, we connect the Lean Startup, a widely used and applied approach toward entrepreneurship, with selected academic theories of entrepreneurship. In doing so, we clarify the assumptions and terminology within the Lean Startup. We observe that while the Lean Startup and selected theories of entrepreneurship are compatible in assumptions and central challenges, scholarship and the practice of entrepreneurship are likely to benefit from a closer connection between the academic literature and the Lean Startup. We propose several areas of potential integration between the Lean Startup and the academic literature and suggest potential areas of future research. [ABSTRACT FROM AUTHOR]

The purpose of this scoping review was to identify research-based resources that explore vocational rehabilitation-related business engagement strategies as they relate to three steps: (a) understanding business needs, (b) marketing to businesses, and (c) supporting businesses. In doing so, this review begins to identify strategies that may support vocational rehabilitation agencies and their compliance with the business engagement requirements mandated by the Workforce Innovation and Opportunity Act. The search of several databases and gray literature identified 153 resources with titles and abstracts that met screening criteria, 54 of which met the inclusion criteria after a review of the full text. Because the purpose of a scoping review is to describe the landscape of available literature on a given topic, this review did not vet studies for quality, nor did it exclude studies of interventions that did not lead to successful business engagement outcomes. Given its goal of identifying broadly relevant information available, the review included resources from non–peer-reviewed, practitioner-oriented sources. [ABSTRACT FROM AUTHOR]

Violence against children (VAC) in the home, or by household members, is a human rights and social problem with long-lasting consequences for individuals and society. Global policy instruments like the INSPIRE package have proposed strategies to prevent VAC, including Implementation and enforcement of laws, Norms and values, Safe environments, Parent and caregiver support, Income and economic strengthening, Response and support services, and Education and life skills. This systematic review of reviews aimed to synthesize the recent evidence base (i.e., published since 2000) for each INSPIRE strategy to reduce VAC in the home or by household members. We searched four databases using controlled vocabularies and keywords and searched for additional records in prior reviews of reviews. A total of 67 studies were included in this review, including literature reviews, meta-analyses, systematic reviews, and other types of reviews. We found extensive evidence supporting the effectiveness of parent and caregiver support interventions. However, reviews on other INSPIRE strategies were scarce. We also found a vast underrepresentation of samples from low- and- middle-income countries, children with disabilities, and families affected by forced displacement and conflict. In sum, this systematic review suggests that there are several promising strategies to prevent VAC (e.g., home visiting and parent education), but further research is necessary to strengthen the current body of evidence and effectively inform the implementation and scale-up of evidence-based interventions to protect children from violence globally. [ABSTRACT FROM AUTHOR]

While the benefits of experiential learning are well established throughout management and business courses, they are used less often when teaching strategic management. Yet, many concepts in strategy, such as the value chain, are difficult for students to understand. The abstract nature of these topics, coupled with the limited real-life exposure to strategy, make these topics difficult for students to understand and apply. The Golden Ticket exercise is designed to help students correctly apply the VRIO framework and conduct a value chain analysis. This exercise uses redirection as a learning tool, incorporating several independent myopic parts to create ambiguity, where students are initially unable to see how the exercise connects to the "big picture." It is not until the end of the exercise that students can see how these parts connect (creating the big picture perspective), as they are able to identify the firm's value creating activities, core competencies, and create the value chain for the firm. This exercise can be used in undergraduate and graduate-level strategy, marketing, and management classes, and can be taught face-to-face or online. Student feedback suggests that this exercise is engaging, practical, and an enlightening way to learn about value chain analysis and core competencies. [ABSTRACT FROM AUTHOR]

The burden of childhood visual impairment and disparities in access to pediatric vision care remain pressing issues in the United States. School-based vision programs (SBVPs) serve as one approach to advancing health equity. Operating at the intersection of schools and healthcare, SBVPs can increase access to pediatric vision services, improve academic performance, and facilitate referrals to community vision care providers. To maximize their impact, SBVPs must tailor their services to the individual needs and resources of local school communities. School nurses, who have strong ties to school health care services and the school community, are trusted partners in building SBVPs. This article aims to facilitate SBVP development, implementation, and sustainability processes by offering guidance for school nurses and other stakeholders who aim to build a SBVP, support local programs, or learn more about how SBVPs operate. [ABSTRACT FROM AUTHOR]

Introduction: Preceptorships offer prelicensure nursing students the opportunity to meet their clinical objectives by working one-on-one with a registered nurse (RN). Although preceptorships can be provided for any clinical course, most prelicensure nursing programs offer them during the final semester. Preceptorships provide a bridge between academic study and the real world of nursing. By acting as a teacher, role model, evaluator, and person who can help a student to socialize with the profession, a preceptor can reduce the reality shock experienced by new nurses and provide them with realistic expectations about the nursing profession. The recent nursing shortage has inadvertently led to a preceptor shortage and forced the nursing leadership to become dependent on available RNs, including those without preceptor training or experience. Purpose: This practice update paper aimed to address the facilitators and barriers associated with preceptorships for prelicensure nursing students and discuss the proposed solutions for effective clinical preceptorship based on evidence and the author's personal reflections. Conclusion: The major facilitators were the discussion of nursing program expectations, the selection of teaching strategies with real-world examples, the creation of a structured weekly plan to promote learning, and the consideration of alternative teaching approaches. The major barriers were preceptors' dual responsibilities to students and patients, challenging students, and the lack of experienced preceptors. The proposed solutions included obtaining support from the nursing leadership team to ensure that the preceptor had a balanced workload, developing the emotional competence of the preceptor, addressing challenging students through a three-way conference with the student, the preceptor, and the clinical faculty and a written plan to ensure student progress, having the nursing leadership conduct periodic assessments of the preceptor pool, and ensuring that appropriate training was offered to candidates who were willing to become preceptors. [ABSTRACT FROM AUTHOR]

The author reflects on the strategic direction for the journal in the short and long term, focusing on its commitment to the indigenous peoples of Canada, the release of its revised Equity and Justice joint position statement, and its priority on its structure and brand.

Majpadu Bricks Sdn. Bhd. was a Malaysian company incorporated in 1996. Majpadu's business was in manufacturing and supplying compressed clay bricks, known as dry pressed earth brick (DPEB), a type of bricks manufactured using high-density compression technology. Unlike other bricks that were widely available in the market (also known as ordinary baked bricks), Majpadu's bricks were not 'fired' in kilns; as such, DPEB was claimed to be more eco-friendly, cooler in temperature and yet very durable. Majpadu's expertise was within the engineering process as well as the technical knowledge of DPEB. Apart from its main business, it also offered consultancy services to the industry. Over the years, Majpadu saw the company face several internal and external circumstances that affected its bottom line. By early 2017, the situation had become more serious, forcing Mr Zaki Hayat, the Managing Director of Majpadu, to implement a strategy to tackle the problems faced by the company. [ABSTRACT FROM AUTHOR]

On 18 November 2021, Paytm, India's leading digital payments and financial services company, went public, but its shares were listed at a surprising 9% discount from the initial price. This underperformance of Paytm's highly anticipated ₹183 billion IPO, the largest in India, stunned the market despite the BSE Sensex index hitting an all-time high in October 2021 with a 50% increase over the previous year. While other unicorns like Zomato (thirty-eight times oversubscribed) and Nykaa (nearly eighty-two times oversubscribed) saw tremendous success in the capital market, Paytm struggled on the stock exchange. This raised questions about why a prominent brand with 3.33 billion customers could not effectively engage with stakeholders and failed to excite investors as Zomato and Nykaa did. Raghavendra Das, a communications consultant seeking to work with Paytm, assessed the company's communication strategy and shared insights with MD and CEO Vijay Shekhar Sharma. The big question now is, what steps should Paytm and Sharma take next? [ABSTRACT FROM AUTHOR]

Most healthcare professionals agree on the "why" behind encouraging administrators to embrace Lifestyle Medicine as a means of treating chronic conditions and improving health. It is the "how" that often evades us. How do we build our business case to justify the sustained commitment to this approach to care? Each entity has unique obstacles and opportunities inherent in their business model and organizational culture. Attempts to position Lifestyle Medicine as a fundamental means for reshaping healthcare sometimes fall flat despite the value of the requests. Advance preparation including strategic planning and a well-designed approach can make the difference by addressing barriers and opening doors. Each business case will be unique, but there are critical elements that should be common to every strategic plan. We can identify foundational tactics to substantiate the need for integration of Lifestyle Medicine as a critical part of healthcare institutions and their financial plans. Given the momentum in Lifestyle Medicine as a discipline, recommendations can be based on successful practices in the development of business cases, program pilots, sustained budgets and outcomes that justify expansion. [ABSTRACT FROM AUTHOR]

A widely accepted benefit of corporate political activities (CPA) is lowering a firm's overall level of uncertainty. Yet CPA is fundamentally an exchange: something is given for the benefit received. The exchange concept is important, as how a firm is strategically oriented will influence whether it deems the exchange worthwhile. We unpack one of the things given up in the CPA exchange – the loss of strategic flexibility, which occurs because CPA binds firms to the government, tends to be sticky in nature, and costs finite resources that firms could otherwise use to pursue different opportunities. In other words, CPA is a creative constraint, and this is too hefty a burden for entrepreneurially oriented (EO) firms, which are less offput by uncertainty and prioritize experimentation with market opportunities relative to their low EO counterparts. We also examine how the calculus of CPA changes based on two major ways the government treats rival firms: the provision of subsidies or the imposition of regulatory sanctions. We test our hypotheses on a sample of S&P 1500 firms and find support for our theorized model. [ABSTRACT FROM AUTHOR]

Despite the prevalence and importance of multiple goals for organizations, research on how organizations respond to performance on multiple goals continues to be limited and has examined only search intensity as the focal response, ignoring that search may occur in different locations. We extend the research on multiple goals by developing and testing novel theory on the relationship between performance feedback on multiple goals and the locus of search. Drawing upon the behavioral theory of the firm and using panel data from global pharmaceutical firms, we first show that when performance is below aspirations on a primary goal, a firm's propensity to engage in distal search increases along both the technological (i.e., familiar vs. unfamiliar search) and the organizational dimension (i.e., internal vs. external search). However, building on more recent literature that points to the need to consider multiple goals of unequal importance and, specifically, the self-enhancement perspective, we argue and find that performance on a secondary goal modifies this pattern, particularly when performance on a primary goal is unsatisfactory. Under feedback inconsistency, where performance on a primary goal is low but performance on a secondary goal is high, decision-makers decrease distal search to both unfamiliar technological areas and areas external to the organization. Our theory and findings highlight the importance of performance feedback regarding multiple goals in regulating the key locus of search choices and extend research on self-enhancement and learning from performance feedback. [ABSTRACT FROM AUTHOR]

The China–Pakistan Economic Corridor (CPEC) is a collection of infrastructure projects as part of China's broad strategic design One Belt One Road (OBOR) initiative. Initially valued at $46 billion, the value of CPEC projects as of 2020 has mounted to worth $62 billion. The project is intended to further strengthen China's strategic ties with Pakistan apart from the broader strategic aims of the former. On 20 April 2015, the then Chinese President, Xi Jinping, visited Pakistan to inaugurate this project. Both countries have since decided to establish the CPEC to connect Beijing's Kashgar with strategically vital Pakistan's Gwadar port through a network of roads, proposed railway tracks, an energy pipeline and fibre optic lines. The project is seen as an initiative to have enormous economic significance for both countries. For Beijing, the CPEC is a part of its grand strategic design, especially for the Indo-Pacific region, and for Islamabad, it is an opportunity to boost its development and investment indices, more importantly to boost its throttling economy. As the India factor plays a key role in binding China and Pakistan together and India is fighting a two-front war with these two adversaries, it is quite natural for New Delhi to be concerned about CPEC and respond accordingly. This article gives a general introduction about the CPEC and a theoretical understanding, followed by an attempt to answer such questions as what CPEC means for China and Pakistan and its prospects and challenges. Finally, this article attempts to analyse the impact of CPEC on India and its response. The study has adopted the qualitative method of inquiry by using the historical and analytical approach. [ABSTRACT FROM AUTHOR]

Automating a perceptual-motor task will not win you a perceptual-motor contest. Despite claims that mindless automaticity is the essence of expertise, the view espoused here is that automaticity is worthwhile only because it enables the expert to plan and strategize. Indeed, the purpose of learning to manually shift gears is to eventually ignore that function to focus instead on actual driving. To perform well, the expert must transition their attention from a task's low-level components to its high-level nuances. This is best understood in real-world scenarios (e.g. driving, in which performance is dynamic and sometimes competitive). This argument is based on a years-long, longitudinal case study of learning to play the puzzle game, Tetris. Tetris is intensively perceptual-motor with complicated manual routines needed to manage expert game speeds. For this case study, the player began as an advanced novice but successfully transitioned to championship level in the 2020 Classic Tetris World Championship. Initially, the challenge was gaining enough skill to make and execute perceptual-motor decisions in a fraction of a second. However, once that process became automatic, the player could spend those freed mental resources elsewhere. Performance was better for all games when the player was mentally engaged and used their focused attention to plan ahead rather than just automatically respond to the game pieces. We argue that the end goal for automating perceptual-motor skills in competitive, dynamic environments is to free cognitive space in the brain for the user to excel strategically. [ABSTRACT FROM AUTHOR]

Introduction: To improve the capacity of diabetic foot ulcer (DFU) patients for self-management of wound care, there is a renewed need for self-care on their part, as well as an increase in their readiness to deal with issues and heal their wounds. Therefore, this review empirically assessed contemporary evidence on how patients with DFU can perform self-treat wound care. Methods: This integrative literature review assessed how patients with DFU could perform self-treat wound care. Whittemore and Knafl integrative information literature review involved searching four databases (Scopus, PubMed, Web of Science, and Google Scholar), which resulted in 2,595 published articles, between 2010 and 2023. Nineteen articles satisfied the requirements for inclusion and quality assessment, and the PRISMA review checklist was followed. Results: No research has addressed DFU patients' self-treatment of wound care. The integration of evidence from quantitative and qualitative studies was achieved in three categories: (1) motivation, (2) self-wound care strategy, and (3) self-wound care performance by DFU patients. Conclusion: To equip themselves to perform wound care independently, patients with DFU must receive training to clean wounds, apply wound medication, and perform dressings. There is a need for research that develops a self-treat wound care intervention model in patients with DFU. [ABSTRACT FROM AUTHOR]

Several countries are facing significant troubles of health services, particularly rising prices. Innovative technologies and services are expected to help boost medical quality and cut costs. In this sense, there is a lack of innovative work in spite of a growing interest in open innovation and approaches that advocate for expanded cooperation among various actors in healthcare. This article describes the findings of a study concerning the commitment of the healthcare sector to open innovation. The search for literature focused on English-language papers up to 12 January 2020. Based on the indicated criteria for inclusion, 29 articles were included. The results show that most experiments concentrate on the areas of pharmaceutical research (drug discovery) and health informatics (health information systems and infrastructures) that were brought out as concepts or applied as pilots and prototypes. The participation of the healthcare sector is limited in open innovation, and more work is required with an emphasis on how to get open innovation. [ABSTRACT FROM AUTHOR]

The growing number of older individuals with complex needs and chronic illnesses is a major challenge to the health sector. This has led to a transfer of responsibilities from specialist to the primary healthcare sector. The aim of the study was to explore how healthcare professionals experience setting up and operating a municipal acute bed unit (MAU) in primary healthcare. Three focus groups of health professionals were recruited through purposeful sampling in 2019, and the 10 participants came from different professions. The study has a qualitative design with a hermeneutic approach. The findings identified three themes: (a) Strategic planning and coordinated services, (b) collaborative practice and learning and (c) flexible and family-centred care. The healthcare personnel experienced strengthened quality in the health services, improved work processes and increased safety for patients with relevant diagnoses. The interplay between internal and external factors seems to have been a successful innovation in planning and implementing an MAU in a medical facility in Mid-Norway. We assessed that being prepared for challenges is an important part of innovation in health services. The presence of an 'inherent capital' to meet unforeseen challenges in the future should be a prerequisite for innovation. [ABSTRACT FROM AUTHOR]

The medical tourism industry has been observing significant developments in Iran. This country has been attracting tourists from countries in the Middle East and different regions of the world for a long time. However, nowadays, the Iran medical tourism industry faces serious barriers and challenges which deteriorate its participation in the global medical tourism market. The present article aims to investigate the barriers to the development of medical tourism in this country. In this regard, by reviewing the related literature and a weighted content validity ratio (CVR) analysis, 17 critical barriers were identified and finalised. Then, their casual relations were determined using a fuzzy cognitive mapping (FCM) methodology. The data gathered by a panel consisted of 10 experts in the field of medical tourism. The results show that five barriers, including managers' lack of knowledge, lack of strategic planning, lack of cooperation and coordination, weak government support and lack of enabling tourism sector, are considered the most important. The findings of this research provide opportunities for practitioners and policymakers to concentrate on Iran's medical tourism in order to overcome the barriers and consequently enhance the development of this lucrative industry. [ABSTRACT FROM AUTHOR]

The 'Child First' guiding principle for practice in the Youth Justice System of England and Wales has a growing international evidence-base and is fully embedded in policy/strategy, yet remains underdeveloped in consistent, coherent practice across local agencies and areas. This raises the potential for a policy–strategy practice implementation gap. Focus-group consultations (n = 11) with professional stakeholder groups (community, custody, strategy, inspectorate, and research) explored perceptions of the practice challenges to understanding, implementing and supporting Child First. Qualitative analysis identified child-centrism, professional relationships and cognisance as pivotal features of the effective realisation of Child First in practice. [ABSTRACT FROM AUTHOR]

Sporting success among nations provides a sense of value and national pride. This paper evaluated the perceptions and experiences of national coaches on the enablers and hindrances of international sporting success by elite athletes from historically disadvantaged areas (HDA) using the SPLISS framework. A qualitative research study design was employed for this study. Ten internationally recognised coaches (46.7 ± 12.9 years) volunteered for the study. Data was collected through semi-structured interviews. A thematic analysis was used to analyse data. Data was analysed using a computer software programme. Governance, organisation and sports policies, coach provision, local/international competition access, bursaries/scholarships and sport volunteerism were perceived as enablers, while lack of financial support, foundation level participation, school sport, athlete retention, sports facilities, reliable transport system and scientific support were perceived to be hindrances to sporting success. The findings highlight the need for policymakers to oversee and ensure a systemic governance approach with an integrated sports support system and effective policies, institutions and strategic planning, coupled with an adequate budget allocation in support of this system to facilitate elite sports success. [ABSTRACT FROM AUTHOR]

The purpose of this study is to assess the implementation success of strategic information systems planning (SISP) in Ghanaian organizations. The study adopted the qualitative approach and interviewed 20 managers from large organizations in diverse sectors and used content analysis in analyzing the data. The results indicate that the success of SISP depends largely on the Alignment of an organization's Business Strategy to its IT Strategy, the Awareness of Top Management to utilize SISP in strategic planning, the Cooperation of all the functional units/levels of management in utilizing IS in their operations and the Capabilities of the employees in the firm. Findings further suggest that the available resources of the firms also play a key role in the SISP implementation Success. The study, therefore, concludes that adequate resources in terms of highly skilled manpower, financial resources, and financial commitment must be made available always to ensure SISP implementation success. In addition, policies should be formulated around these factors to ensure SISP implementation success for organizations that embark on SISP implementation. [ABSTRACT FROM AUTHOR]

The Manawatū Food Action Network (MFAN) is a collective of social service and environmental organizations and community stakeholders that work together to promote collaboration, education and awareness of issues surrounding food security, food resilience, and localization in the local community. In 2021, the 4412 neighborhood was identified as requiring urgent assistance, with approximately one third of residents experiencing food insecurity. The 4412 Kai Resilience Strategy was developed with the community to move from food insecurity to food resilience and sovereignty. Recognizing that food security is complex and based on multiple causes, six interwoven workstreams were identified to create a multifaceted, coordinated strategy. This includes education, food economy, community, food support, māra kai, and social enterprise. The strategy cultivates local ownership and commitment to change. It creates a broader constituency of support, balancing the urgent need to feed people today with the long-term need to change systems through step-change initiatives. Through this approach, communities can better make sustainable and meaningful changes to their lives and circumstances rather than relying on external resources. [ABSTRACT FROM AUTHOR]

As vocational rehabilitation (VR) agencies continue to implement provisions of the Workforce Innovation and Opportunity Act (WIOA) to provide employment-related transition services to youth with disabilities, it is unclear if implementation plans include predictors of post-school employment and evidence-based transition practices. We conducted a content analysis of 54 state/territory VR agency WIOA plans from 2020 to determine the extent to which research-based transition recommendations (RBTRs) were included. Our findings indicate that there was substantial variability in the number of RBTRs present within plans but that most plans (n = 46) included between 50% and 70% of RBTRs. Career awareness, interagency collaboration, and general work experience activities were most frequently represented. Of note, student involvement in transition planning, technology skills instruction, and career technical education did not appear as frequently in plans. Implications for policy and practice are discussed. [ABSTRACT FROM AUTHOR]

The mainstream approach of social vulnerability to flood risk faces some challenges regarding its ability to address the complexity of its causal processes. The objective of this study was to analyse the causal processes of social vulnerability to flood impacts from a relational perspective. To this end, a social network analysis was performed that identified the conditions and causes of social vulnerability and systematically articulated the relationships between them. This analysis was tested on the specific case of flood risk on the coast of the province of Alicante (SE Spain). To ascertain the conditions and causes of social vulnerability to flood risk, a multidisciplinary group of local experts was consulted, and the resulting data processed in a relational way using Atlas.ti and Gephi softwares. The result was a social vulnerability network comprising 84 nodes and 189 edges distributed into four dimensions: the adaptive capacity of tourists, socio-economic structure, land use planning and risk management. The information was ranked for betweenness centrality, revealing the components with highest causal power of social vulnerability to social impacts in flooding events: low flood risk awareness, economic growth based on real estate boom, property speculation and lack of political interest in flood risk management. This proposal places emphasis on the driving forces of social vulnerability and not exclusively on the specific adaptive conditions of the population, which allows a strategic identification and management of generative forces that ultimately induce the social impacts of floods. [ABSTRACT FROM AUTHOR]

Trauma-informed care (TIC) is an approach to care emerging in research and in practice that involves addressing the needs of individuals with histories of trauma. The aim of this scoping review was to examine the current literature relating to TIC interventions used in pediatric mental health inpatient and residential settings. We sought to answer the following two research questions: (a) What are the TIC interventions used in pediatric inpatient and residential treatment mental healthcare settings and what are their components? and (b) What are the implementation goals and strategies used with these TIC interventions? We conducted this scoping review according to JBI (formerly Joanna Briggs Institute) methodology for scoping reviews. We included any primary study describing a TIC intervention that was implemented at a specific site which identified and described implementation strategies used. Of 1,571 identified citations and 54 full-text articles located by handsearching, 49 met the eligibility criteria and were included, representing 21 distinct TIC interventions. We present the reported aim, ingredients, mechanism, and delivery (AIMD) of TIC interventions as well as the implementation goals and strategies used, which varied in detail, ranging from very little information to more detailed descriptions. In the context of these findings, we emphasize the complexity of TIC and of TIC interventions, and the importance of identifying and clearly reporting TIC intervention goals, intervention details, and implementation strategies. We suggest applying intervention frameworks or reporting guidelines to support clear and comprehensive reporting, which would better facilitate replication and synthesis of published TIC interventions. [ABSTRACT FROM AUTHOR]

Background: Racial/ethnic disparities in maternal and infant morbidity and mortality (MIM&M) is a wicked problem that is reinforced and perpetuated by our system[s] of care. Life Course Theory (LCT) helps to explain drivers of health disparities, but its application is challenged. An upstream approach that promotes systemic change requires the implementation of an expanded prevention framework that includes primordial and quaternary prevention. Research Design: We developed an innovative expanded Whole System Prevention Framework (WSPF) that incorporates LCT, prevention (including primordial and quaternary prevention) and systems thinking. Study Sample: We implemented this new conceptual Framework with two Healthy Start community partnerships through training, service mapping, and strategic planning to address upstream drivers of MIM&M. Data Collection and Analysis: Service mapping revealed few Healthy Start upstream activities/services with the predominance being delivered downstream at the program (microsystem) level. Results: Service mapping provided a snapshot of the current service distribution of services across the systems. The preponderance were primary, secondary and tertiary prevention activities (75.5% and 65.6%) delivered at the program level (58.2% and 68%), revealing opportunities for upstream strategies to promote equity. The implementation process provided a new way to frame strategic planning and develop upstream strategies to promote health equity and reduce MIM&M. Conclusion: The Whole System Prevention Framework and its implementation methodology could be applied to address other wicked problems. [ABSTRACT FROM AUTHOR]

Introduction: In 2018, The Live Well Allegheny: Lifting Wellness for African Americans (LWA2) Initiative was developed to support six priority, Black communities in Allegheny County, Pennsylvania to address health equity in chronic disease. The LWA2 coalition members participated in ongoing anti-racism and racial equity sessions with a nationally recognized anti-racist facilitation team. The sessions included a 2-days experience in January 2020 along with follow up meetings throughout 2020. Methods: Surveys were administered to understand their perceptions related to anti-racism and oppression and subsequent actions as a result of the sessions. Additionally, we conducted nine in-depth interviews with organizational partners (January -May 2020) to evaluate the overall effectiveness of the coalition and inform future activities. Results: Ten participants completed the post session surveys. Seven out of 10 survey respondents felt they had a good understanding of how oppression (racism, sexism, capitalism) influenced their life and work. However, the majority indicated needing the tools to implement anti-racist strategies in their work. The in-depth interviews with organizational partners revealed that racial equity was of concern to all partners but there was variability in intentionality around racial equity as a core element of each organization's mission, goals and subsequent actions. Discussion: As a result of the interviews, coalition members developed a racial equity statement and theory of change for implementation in the coalition work and within individual organizations along with a plan for implementing an equity audit of the coalition. Coalitions of this kind should be intentional about implementing continuous strategies related to anti-racism for structural changes toward achieving racial equity in their overall work. [ABSTRACT FROM AUTHOR]

The growing literature at the intersection of executives' characteristics and stakeholders' evaluations argues that executives' characteristics not only have "first-order effects" on their organizations' actions and outcomes, as in upper echelons theorizing, but also give rise to "second-order effects" or "opportunity structures," whereby stakeholders evaluate and react to focal executives' organizations based on those characteristics. Despite many insights from the burgeoning literature on the second-order effects of executives' characteristics on stakeholders' evaluations and reactions, the literature lacks a comprehensive framework with core tenets by which stakeholders form evaluations of executives' characteristics that drive their actions (or, reactions, as it were) based on such characteristics and the ensuing outcomes. In turn, knowledge from the proliferating literature on how stakeholders react on the basis of their evaluations of referent organizations' executives' characteristics is fragmented, consisting of a series of disconnected findings and attendant insights scattered across various theoretical and topical domains. We conducted a framework synthesis of the literature to iteratively derive a conceptual framework from extant research—which we call the stakeholder view of upper echelons —that synthesizes knowledge at the intersection of executives' characteristics and stakeholders' reactions around this framework. In doing so, we provide the foundation for future research to help extend knowledge in this important domain. We identify several avenues that are important for future work to address and provide practical implications from our framework. [ABSTRACT FROM AUTHOR]

The EU currently promotes a radical transition towards a green, digital and more inclusive economy, which for its realization relies on the European Investor State's financial architecture. As the transition generates losers, not only winners, instruments like the Just Transition Mechanism (JTM) are designed to provide a compensatory function. However, our research shows that it might miss its mark of 'leaving no one behind'. JTM is a fascinating extension of European Investor State as it seeks to service the losers through investments rather than compensations. Firstly, JTM mirrors the vision of the InvestEU program and doubles down on industrial transformation and strategic investments that rely substantially on private sector involvement. Secondly, as a process, the JTM requires local stakeholder coordination and national institutional capacity – both of which can pose additional challenges to newer member states without enhancing local capabilities. Thirdly, based on the process design, much like other EU programs, JTM has a level of complexity that leaves beneficiaries highly reliant on technical assistance. As such, investment gaps in the newer member states might be extended, and not compressed by the current compensatory financial tools of the EU. Using an in-depth case study method, we develop a multi-dimensional evaluation of the Just Transition process in the most affected region of the Jiu Valley in Romania. Through an original local stakeholder mapping, we find that while the local and national authorities have the highest influence in determining the Just Transition process in Romania, they are also very much distrusted by other local actors. Our findings reveal that it is not just the often-cited weakness in institutional capacity, but also that of poor stakeholder consensus that impede the strategic planning and implementation of new EU investment tools at the level of targeted beneficiaries. [ABSTRACT FROM AUTHOR]

Stress management programs have been developed to improve teacher coping and prevent burnout. While many of these programs have promise, few have included special educators in intervention studies. Intervention programs may be beneficial for teachers in special education to increase their awareness of stress and use of coping skills, which in turn can be modeled for students in their classrooms. Encouraging individual stress management can improve well-being and student outcomes, but may be insufficient without additional classroom management and contextual support. The purpose of this paper is to use the Garwood paper as a springboard to identify potential stress management programs that might be helpful for special educators.. [ABSTRACT FROM AUTHOR]

This study extends prior research by manipulating both intervention and skill difficulty using a multiple baseline across participants design with changing phases in a virtual tutoring environment. Participants were four U.S. students from third and fifth grades for whom appropriate and challenging instructional targets were selected following diagnostic assessment using curriculum-based measurement. Instructional strategies were selected to align or misalign with those instructional targets. The multiple baseline design was used to determine the functional relationship between the instructional strategies (acquisition or fluency-building) with appropriate and challenging skills. Results suggested that indicated intervention strategies aligned with students' skill proficiency resulted in improvements but that contraindicated intervention strategies that were misaligned with students' skill proficiency did not. Furthermore, most students rated the contraindicated intervention strategies as less acceptable or reported higher levels of math anxiety. [ABSTRACT FROM AUTHOR]

Project management has emerged as an important component of strategy implementation. In the private sector, traditional "waterfall" project management approaches have been supplemented by "agile" methods that are more iterative and recursive. However, less attention has been paid to the efficacy of agile project management approaches in the public sector. This study examines the contextual effectiveness of waterfall, agile, and hybrid project management approaches in public organizations. Regression analysis of 207 strategic initiatives from 43 US municipalities confirms that the effectiveness of project management approach is contingent upon implementation complexity. Further, a descriptive analysis indicates there is no discernable pattern to project management approach by these municipalities, therefore risking the viability of their adopted strategies by selecting ineffective project management methods. These findings emphasize that public organizations should thoughtfully employ project management as they implement strategic plans. [ABSTRACT FROM AUTHOR]

Practice guidelines for early childhood education (ECE) and clinical autism interventions (Naturalistic Developmental Behavioral Intervention, NDBI) have emerged separately in history, represent different disciplines, and operate within different service systems in the United States. This article identifies priorities, principles, and practices that are shared across the NDBI and ECE frameworks, unique to each framework but compatible with the other, or in conflict. Both frameworks support converging inclusive ECE models focused on autism in that they are both grounded in responsive relationships, natural learning environments, and strategies to promote children's motivation and active engagement. While compatible in general, each framework extends the other in important ways. For example, NDBI goes beyond the ECE frameworks by focusing on a more fine-grained examination of learning strategies and targets. Opportunities for bridging gaps are identified, including the use of implementation science frameworks to integrate perspectives from different stakeholder groups, supporting the scale-up of inclusion preschools in community settings. [ABSTRACT FROM AUTHOR]

Background: The Translational Science Benefit Model (TSBM) was developed to broadly capture systematic measures of health and societal benefits from scientific research, beyond traditional outcome measures. We aimed to develop a systematic process for the application of the TSBM and to then provide an example of a novel application of the TSBM to an ongoing Return-to-Learn (RTL) after youth concussion project involving partnerships with community stakeholders. Methods: We invited investigators, project advisory board, and participants of the RTL project to participate in a modified Delphi process. We first generated a list of potential translational benefits using the indicators of the TSBM as guideposts. We then prioritized the benefits on an adapted Eisenhower matrix. Results: We invited 35 concussion care or research experts to participate, yielding 20 ranked translational benefits. Six of these recommendations were ranked high priority, six were regarded as investments, and eight were ranked as either low yield or low priority. Discussion: This study found that activities such as education and training of stakeholders, development of policy and consensus statements, and innovation in dissemination, were perceived as higher priority than other activities. Our approach using a modified Delphi process and incorporating the TSBM can be replicated to generate and prioritize potential benefits to society from research studies. [ABSTRACT FROM AUTHOR]

Expedited implementation of evidence into practice and policymaking is critical to ensure the delivery of effective care and improve health-care outcomes. Implementation science deals with the designing of methods and strategies for increasing and facilitating the uptake of evidence into practice and policymaking. Nevertheless, the process of designing and selecting methods and strategies for implementing evidence is complicated because of the complexity of health-care settings where implementation is desired. Artificial intelligence (AI) has revolutionized a range of fields, including genomics, education, drug trials, research, and health care. This commentary discusses how AI can be leveraged to expedite implementation science efforts for transforming health-care practice. Four key aspects of AI use in implementation science are highlighted: (a) AI for implementation planning (e.g., needs assessment, predictive analytics, and data management), (b) AI for developing implementation tools and guidelines, (c) AI for designing and applying implementation strategies, and (d) AI for monitoring and evaluating implementation outcomes. Use of AI along the implementation continuum from planning to delivery and evaluation can enable more precise and accurate implementation of evidence into practice. [ABSTRACT FROM AUTHOR]

Little is known about the experience and impact of intersectional stigma experienced by rural young people (15–25 years) who have a parent with mental health challenges. The StigmaBeat project employed a co-design approach to create short films to identify and challenge mental health stigma from the perspective of young people who have experienced this phenomenon. The aim of this paper is to describe the co-design methodological approach used in StigmaBeat, as an example of a novel participatory project. We describe one way that co-design can be employed by researchers in collaboration with marginalised young people to produce films aimed at reducing mental health stigma in the community. Through describing the processes undertaken in this project, the opportunities, challenges, and tensions of combining community development methods with research methods will be explored. Co-design with young people is a dynamic and engaging method of collaborative research practice capable of harnessing lived experience expertise to intervene in social issues and redesign or redevelop health services and policies. The participatory approach involved trusting and implementing the suggestions of young people in designing and developing the films and involved creating the physical and social environment to enable this, including embedding creativity, a critical element to the project's methodological success. Intensive time and resource investment are needed to engage a population that is often marginalised in relation to stigma discourse. [ABSTRACT FROM AUTHOR]

Within hospitality research, corporate social responsibility (CSR) has attracted plenty of interest, but few studies have investigated a strategic approach to CSR management. Strategic CSR assumes that by systematic investment in responsibility that matches customer demand, a business can earn additional profit while fulfilling societal expectations. However, the details of how such systematic management can be achieved are missing. This leaves the business case for customer-focused, strategic CSR largely conceptual, and offers little advice to hospitality managers wishing to pursue such a strategy. To fill these gaps, our study investigated guest willingness to pay for initiatives that were selected based on a model of strategic CSR management that incorporates key aspects of customer behavior. The results provide empirical evidence on how strategic CSR management can contribute to financial performance and support the need for understanding the guest comprehensively during the strategy development process to achieve the gains. [ABSTRACT FROM AUTHOR]

Bayesian analysis offers strategy scholars numerous benefits. In addition to aligning empirical and theoretical endeavors by incorporating prior knowledge, the Bayesian approach allows researchers to estimate and visualize relationships that reflect the probability distributions many strategy researchers mistakenly interpret from conventional techniques. Yet, strategy scholars have proven hesitant to adopt Bayesian methods. We suggest that this is because there is no accessible template for employing the technique with the types of data strategy researchers tend to encounter. The central objective of our research is to synthesize disparate contributions from the Bayesian literature that are relevant for strategy scholarship, especially for nested data. We provide an intuitive overview of Bayesian thinking and illustrate how scholars can employ Bayesian techniques to analyze nested data using an example dataset involving CEO compensation. Our results show how using Bayesian models may lead to substantively different interpretations and conclusions compared to traditional approaches based on frequentist techniques. [ABSTRACT FROM AUTHOR]

The strategy-by-doing perspective argues that firms operating in highly dynamic environments can benefit from taking strategic actions in lieu of advance planning because such actions have learning effects that help the firm keep pace with changes in the environment. The implicit assumption is that strategy by doing is effective in dynamic environments but likely not in stable environments. This study challenges this notion and expands the purview of the strategy-by-doing perspective. We first argue that strategy by doing is generally an effective strategy due to the organizational learning it facilitates. We next discuss how environmental dynamism is multidimensional, encompassing both market and technological dynamism. The positive effects of strategy by doing on product-market performance are amplified in highly dynamic environments that feature high levels of both market and technological dynamism. We go on to argue that stable environments are also suitable for strategy by doing, where it can facilitate opportunity creation. However, strategy by doing may hinder performance in mixed environments where one form of dynamism is present and the other is not. Focusing on strategy by doing in the form of product changes, our analysis of 4,000 firms over a period of 20 years shows support for our arguments about environmental contingencies affecting the relationship between strategy by doing and performance. We discuss how these findings have implications for theory and practice. [ABSTRACT FROM AUTHOR]

Problematic Internet Use (PIU) is a growing problem among children. Insecure attachment has been associated with PIU and emotion dysregulation. Furthermore, there is evidence suggesting that maladaptive Cognitive Emotion Regulation Strategies (CERS), such as Self-blame, Rumination, Catastrophizing and Other-blame, lead to PIU, nevertheless, the mediating role of CERS between attachment and PIU has not been explored. A sample of 641 children (M = 10.15; SD =.89) participated in the study. The findings showed that there were significant differences between problematic and non-problematic users in terms of secure attachment and emotion dysregulation. Results show a negative association between attachment security and PIU and a negative association between attachment and maladaptive CERS, whilst maladaptive CERS were positively related with PIU. Finally, maladaptive CERS, particularly Rumination, were found to mediate the relationship between attachment security and PIU. However, Catastrophizing and Other Blame partially mediated the relationship between maternal attachment, but not the relationship between Father attachment and PIU. Limitations and implications are discussed, motivating the promotion of prevention and intervention programs. [ABSTRACT FROM AUTHOR]

Disability is a common component of human diversity, yet people with disabilities (PWD) are underrepresented in the workplace despite known benefits to PWD and companies alike. There is an urgent need to promote inclusion of PWD in the workplace. The purpose of this study was to explore employer-perceived challenges and strategies for employing, retaining, and promoting people with physical disabilities (PWPD) and to describe the policies, supports, and job accommodations they provide to PWPD. We administered a cross-sectional, online survey to employers in the Midwestern United States (n = 53). Employers had an average of 8.5 years of experience in their job roles and represented diverse industries and company sizes. Employers provide a range of job accommodations; however, many reported lacking comprehensive disability policies such as training managers on how to support PWPD, providing employee resource groups for PWPD, and having a specific job accommodation fund. Major challenges reported by employers were related to lacking competencies in supporting employees with physical disabilities. However, employers endorsed the utility of strategies to address these challenges, including providing education and training and increasing buy-in from leadership. Study findings inform employers on ways to best support PWPD and improve diversity, equity, and inclusion in the workplace. [ABSTRACT FROM AUTHOR]

There are three major microvascular complications of diabetes, retinopathy, nephropathy, and neuropathy, among which diabetic retinopathy (DR) is the most common. Several studies suggest that the Hispanic/LatinX population exhibit the highest cases of both diabetes and DR. Strategies aimed at reducing risk factors that could minimize the likelihood of DR development or progression could be beneficial. This retrospective study assessed DR in the Hispanic/LatinX population in pharmacist-managed cardiovascular risk reduction services. A chart review was conducted for 60 individuals who visited clinics led by both a pharmacist and a primary care physician (intervention group) and 178 individuals who saw physicians only (control group). Demographics, metabolic parameters, DR severity, and pharmacist appointment data were collected. The highest benefit of pharmacist intervention was observed in terms of a greater but insignificant decrease in HbA1c; however, there was no benefit of pharmacist's intervention on DR in general, likely due to the longer duration of diabetes and higher HbA1c at the beginning of the study. When the DR progression was examined based on the frequency of pharmacy visits, individuals who met a pharmacist more than two times per year showed more stable and lesser worsening of DR. Overall, our studies suggest that pharmacist intervention could benefit retinopathy outcome; however, well-known determinants of DR such as good glycemic control and duration of diabetes still play a critical role, in addition to challenges in receiving healthcare by the Hispanic/LatinX population. Future strategies in a prospective manner could help retinopathy outcomes in these at-risk patient populations. [ABSTRACT FROM AUTHOR]

We examined the evolutionary stability of preferences (altruism and envy) in an evolutionary game that infinitely repeats a stage game. In the stage game, players who survived the previous game compete for survival in pairs. By solving the evolutionary game, we show that the survival advantage between altruism and envy depends on whether players' efforts in the stage game are strategic complements or substitutes. With strategic complements, altruistic players have an advantage in survival. With strategic substitutes, envious players have advantages. [ABSTRACT FROM AUTHOR]

Health services research is underpinned by partnerships between researchers and health services. Partnership-based research is increasingly needed to deal with the uncertainty of global pandemics, climate change induced severe weather events, and other disruptions. To date there is very little data on what has happened to health services research during the COVID-19 pandemic. This paper describes the establishment of an Australian multistate Decolonising Practice research project and charts its adaptation in the face of disruptions. The project used cooperative inquiry method, where partner health services contribute as coresearchers. When the COVID-19 pandemic hit, data collection needed to be immediately paused, and when restrictions started to lift, all research plans had to be renegotiated with services. Adapting the research surfaced health service, university, and staffing considerations. Our experience suggests that cooperative inquiry was invaluable in successfully navigating this uncertainty and negotiating the continuance of the research. Flexible, participatory methods such as cooperative inquiry will continue to be vital for successful health services research predicated on partnerships between researchers and health services into the future. They are also crucial for understanding local context and health services priorities and ways of working, and for decolonising Indigenous health research. [ABSTRACT FROM AUTHOR]