Strategies Health Care Leaders Use to Implement Strategic Change Initiatives Successfully

Health care leaders who fails to implement strategic change successfully will lose a significant competitive edge. The purpose of this qualitative multiple case study was to explore strategies health care leaders use to implement strategic change initiatives successfully. The participants comprised of 4 strategic change leaders from 2 health care organizations. Data were collected from semistructured interviews, company documents, and archival records. Themes emerged were situational awareness, communication, and leadership strategies. Health care leaders who approach strategic change implementation from a holistic approach increase execution success which is necessary to improve the health and well-being of community members. Recommended Citation Brown, S. F. (2020, October 1-2). Strategies health care leaders use to implement strategic change initiatives successfully [Poster presentation]. Walden University Research Conference 2020 (online). https://scholarworks.waldenu.edu/researchconference/2020/posters/19

Entre Piedra y Pared: A Multi-Level Analysis of Housing and Immigration Policies’ Effect on Undocumented Immigrants in Mexico City

The effects of global migratory movements generate discourse between countries, opposing political parties, international media outlets, and NGOs like the UN. However, the observable impact of these movements is often felt within the cities that are hubs for migration. This thesis examines the intersection between the issues of immigration and housing in Mexico City, and how policy, public opinion, and the organization of civil society arises as a result of external influences. A key finding of this thesis is that the indirect system effects model, as presented by Stephen Chaudoin, is best for understanding the ramifications of the international environment on domestic variables. These domestic variables include the flows and types of migrants coming into Mexico and the pressures on Mexican immigration policy from the U.S. and Central America. The model reveals how variables like flows and types of migrants coming into Mexico and the pressures on national policy impact the outputs of interest: i) immigrants’ needs once they are in the city, ii) civil society and political response to immigrants, and iii) attitudes toward immigrants. This reveals a distinct lack of institutional support for immigrants, most notably in the domain of housing, which is detrimental to the overall development of Mexico City. The indirect system effects model illuminates the pathways to consider with regard to the nuanced intersection of international, domestic, and local variables and relationships, thus providing a useful framework for similar future studies in intricate areas of interest

Controversies on cosmetic outcomes in black women after breast conservation therapy: hyperperception or hyperpigmentation?

Multiple studies have reported inferior cosmetic outcomes after breast conservation surgery and adjuvant radiation therapy in black women. However, cosmetic analysis scales contemporarily utilized in the field of radiation oncology rely largely on subjective visual and tactile perception. These methods are undeniably fraught with intraobserver and interobserver variability. Herein, we uncover how and why these methods may unwittingly and disparately misjudge cosmetic outcomes in black women, and the clinical ramifications thereof. In addition, we highlight more objective cosmetic outcomes assessment programs that promise to yield more reproducible and unbiased results

Forms of Exile: Contemporary Palestinian Life Writing

This thesis is an examination of contemporary exilic Palestinian life writing in English. Attentive to the ongoing nature of Palestinian dispossession since 1948, it focuses on how exile is narrated and the ways in which it informs models of selfhood within a context of conflict and loss. This involves adopting a framework of settler colonialism in order to understand the conflict. Broadly speaking, the thesis conceives of Palestinian life writing as a form of testimony posing an urgent and necessary counternarrative to the hegemony of the Israeli discourse on Palestine/Israel. The thesis examines life writing by different generations of Palestinians, from those who experienced the Nakba of 1948, to those born as second-generation Palestinians in their parents' adopted homelands. It does not limit itself to examining the work of those at a geographical distance from Palestine but also looks at narratives by those who live, or have lived, under Israeli occupation. This has required paying particular attention to the difference between 'internal' and 'external' exile. Recognising that Palestinians who live in Palestine/Israel still sometimes articulate their experience as a form of exiling is an integral aspect of this research. The thesis argues that while the ongoing conflict impacts the identity formation and experiences of all the writers under consideration, nonetheless each author is inevitably guided by distinct geographies, temporalities, imaginings and frames of reference, which ultimately determine their relationship to Palestine and what it means to consider themselves exiled. I am, therefore, particularly mindful of the plurality of exilic experience, even while ideas of communality are still hugely important. The thesis consists of three author-led chapters - on Edward Said, Ghada Karmi and Rema Hammami - followed by a final chapter on anthologised life writing, which looks at the work of seven authors. Raising questions of form and how one deals with both the commonality and complexity of exile, this final chapter aims to show recent developments in English-language Palestinian life writing. By demonstrating the distinct ways in which exiled Palestinians relate to Palestine/Israel, this thesis seeks to contribute in particular towards two areas of study that have, for the most part, failed to engage substantially enough with Palestine (or, indeed, with each other): postcolonial and auto/biography studies. These subfields of cultural criticism and their wealth of scholarship therefore provide the necessary tools for this research, but they are also held to account for the relative lack of attention paid to Palestine and the extant nature of the conflict. Ultimately, I hope to demonstrate that exilic Palestinian life writing sheds its own light on matters of great import to postcolonial and auto/biography studies - matters such as statelessness, belonging, testimony, selfhood and self- representation - and that there are intersecting aesthetic and ethical reasons for ensuring the visibility of Palestine within these areas of study

Compelled to Narrate: Politics, Cairo and the Common Ground in Ahdaf Soueif’s Life Writing

This article seeks to examine the impact that urban space has had on the development of political consciousness as represented in the autobiographical work of the Anglo-Arab writer, Ahdaf Soueif. The article focuses on Mezzaterra: Fragments from the Common Ground (2004) and Cairo: My City, Our Revolution (2012) in order to argue that Soueif’s broad political affiliations, which extend beyond Egypt, nonetheless emerge from her relationship with the city of her birth, Cairo

Lindsey Moore. Narrating Postcolonial Arab Nations: Egypt, Algeria, Lebanon, Palestine.

Narrating Postcolonial Arab Nations is a study of literary narratives spanning the Middle East over the last half-century. Its focus is on works that both observe and perform revolt against repressive power structures, whether colonial or part of its aftermaths. Setting the stage for analysis and its intervention in postcolonial studies, the book opens with a reflection on the cover image chosen for The Oxford Handbook of Postcolonial Studies (2013): a photograph of a protester in Cairo’s Tah..

History and efficacy of the ketogenic diet

The ketogenic diet is a trending diet garnering much attention and interest. But do people know what it is, how it works, and where it came from? The ketogenic diet is a high-fat, low-carbohydrate diet that was originally created to treat childhood epilepsy but has been found useful for many other things. Because of its low carbohydrate allowance, the body is deprived of glucose, its main fuel source, and instead burns stored fat into ketone bodies for energy. This process of ketosis promotes weight loss in a highly controversial way and can implicate unhealthy consequences. Ketosis can quickly worsen into ketoacidosis, a life-threatening condition that dangerously lowers the pH of the blood. In addition, the ketogenic diet's recommended high fat intake can increase LDL cholesterol levels, which can quickly become detrimental to health. Not only this, it may promote rapid weight loss in a short period of time, but does not guarantee that weight loss will be sustained. Several articles are under examination to determine the ketogenic diet's efficacy and if it is trending for all the right or wrong reasons. Low-carbohydrate (ketogenic) diets and low-fat diets are compared in numerous studies and ways, including weight loss results, cholesterol and lipid levels, but somehow inconsistent results prevail. Through the use of randomized control trials, case reports, and several systematic reviews with meta-analyses, the ketogenic diet's history, worldwide prevalence, and uses beyond weight loss, including treatment of certain cancers, are brought to light in a way that reveals the truth and significant bodily effects behind its trending name

Strategies Health Care Leaders Use to Implement Strategic Change Initiatives Successfully

Health care organizations lose a significant competitive edge when leaders fail to align strategic change initiatives with necessary operational activities. Health care leaders who struggle to maintain a competitive edge are at high risk for failure. Pettigrew and Whipp\u27s content, process, and context strategic change management and Hoshin Kanri (HK) program deployment models constituted the composite conceptual framework for this study. The purpose of this qualitative multiple case study was to explore strategies health care leaders use to implement strategic change initiatives successfully. The participants comprised of 4 strategic change leaders from 2 health care organizations in Manhattan, New York, who successfully implemented strategic change initiatives. Data were collected from semistructured interviews, company documents, and archival records and analyzed using methodological triangulation, coding, and thematic analysis. Themes emerged were situational awareness, communication, and leadership strategies. A key recommendation includes the need for health care leaders to approach strategic change implementation from a holistic approach to increase execution success. The implications for positive social change include the potential for health care leaders to create employment opportunities and improve the health and well-being of members in the community

Analysis of Student Performance Outcomes Using Virtual Dispensing Exercises

The objective of this study was to compare performance outcomes between PY1 and PY2 students on an identical exercise required during their final objective structured clinical exam (OSCE)