Developing social capital in implementing a complex intervention: a process evaluation of the early implementation of a suicide prevention intervention in four European countries

<p>Background: Variation in the implementation of complex multilevel interventions can impact on their delivery and outcomes. Few suicide prevention interventions, especially multilevel interventions, have included evaluation of both the process of implementation as well as outcomes. Such evaluation is essential for the replication of interventions, for interpreting and understanding outcomes, and for improving implementation science. This paper reports on a process evaluation of the early implementation stage of an optimised suicide prevention programme (OSPI-Europe) implemented in four European countries.</p> <p>Methods: The process analysis was conducted within the framework of a realist evaluation methodology, and involved case studies of the process of implementation in four European countries. Datasets include: repeated questionnaires to track progress of implementation including delivery of individual activities and their intensity; serial interviews and focus groups with stakeholder groups; and detailed observations at OSPI implementation team meetings.</p> <p>Results: Analysis of local contexts in each of the four countries revealed that the advisory group was a key mechanism that had a substantial impact on the ease of implementation of OSPI interventions, particularly on their ability to recruit to training interventions. However, simply recruiting representatives of key organisations into an advisory group is not sufficient to achieve impact on the delivery of interventions. In order to maximise the potential of high level ‘gatekeepers’, it is necessary to first transform them into OSPI stakeholders. Motivations for OSPI participation as a stakeholder included: personal affinity with the shared goals and target groups within OSPI; the complementary and participatory nature of OSPI that adds value to pre-existing suicide prevention initiatives; and reciprocal reward for participants through access to the extended network capacity that organisations could accrue for themselves and their organisations from participation in OSPI.</p> <p>Conclusions: Exploring the role of advisory groups and the meaning of participation for these participants revealed some key areas for best practice in implementation: careful planning of the composition of the advisory group to access target groups; the importance of establishing common goals; the importance of acknowledging and complementing existing experience and activity; and facilitating an equivalence of benefit from network participation.</p&gt

Kirkendall Effect on the Nanoscale

Kirkendall effect has been studied experimentally as well as theoretically for decades already. There are theoretical indications, that the Kirkendall effect must operate from the beginning of the diffusion process but there are practically no measurements on this short time and length scale. For that reason, diffusion on the nanometer scale was investigated experimentally in different binary systems in thin film geometry. We followed the diffusion process as well as the Kirkendall effect by different methods (TEM, SNMS and synchrotron X-ray waveguide technique). Investigations were performed in systems with complete solubility (Bi-Sb, Cu-Ni, Bi-Sb) as well as in systems forming intermetallic phase (Fe-Sb, Fe- Pd). It was found that with these methods the Kirkendall shift can be well followed on the nano-scale. In Fe-Sb system even the bifurcation of the Kirkendall plane was observed

Electron irradiation induced amorphous SiO 2 formation at metal oxide/Si interface at room temperature; electron beam writing on interfaces

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Headcount and FTE data in the European health workforce monitoring and planning process

Background: Health workforce (HWF) planning and monitoring processes face challenges regarding data and appropriate indicators. One such area fraught with difficulties is labour activity and, more specifically, defining headcount and full-time equivalent (FTE). This study aims to review national practices in FTE calculation formulas for selected EU Member States (MS). Methods: The research was conducted as a part of the Joint Action on European Health Workforce Planning and Forecasting. Definitions, categories and terms concerning the five sectoral professions were examined in 14 MS by conducting a survey. To gain a deeper understanding of the international data-reporting processes (Joint Questionnaire on Non-Monetary Health Care Statistics-JQ), six international expert interviews were conducted by using a semi-structured interview guide. Results: Of the 14 investigated countries, four MS indicated that they report FTE to the JQ and that they also calculate FTE data for national planning purposes. The other countries do not use FTE data for national purposes, but most of them do use special calculations and/or estimation methods for converting headcount to FTE. The findings revealed significant differences between national calculation methods when reporting FTE data to the JQ. This diversity in terms of calculations and estimations can lead to biases with respect to international comparisons. This finding was reinforced by the expert interviews, since the experts agreed that the activities of healthcare professionals are a fundamental factor in HWF monitoring and planning. Experts underscored that activity should also be measured by FTE, and not only by headcount. Conclusions: FTE and headcount are significant factors in HWF planning and monitoring therefore, national data collections should place emphasis on collecting data and calculating the appropriate indicators. National FTE could serve as a call to action for HWF planners due to the lack of matching international FTE data. At the international level, it is beneficial to monitor the trends and numbers regarding human resources and working time. For the moment, the exchange of information and mutual assistance for developing the capacity to apply common methodology could be a first step towards the standardisation of data collections. © 2016 The Author(s)

Investigation of the interplay of nickel dissolution and copper segregation in Ni/Cu() system

International audienc

Kirkendall Effect on the Nanoscale

Kirkendall effect has been studied experimentally as well as theoretically for decades already. There are theoretical indications, that the Kirkendall effect must operate from the beginning of the diffusion process but there are practically no measurements on this short time and length scale. For that reason, diffusion on the nanometer scale was investigated experimentally in different binary systems in thin film geometry. We followed the diffusion process as well as the Kirkendall effect by different methods (TEM, SNMS and synchrotron X-ray waveguide technique). Investigations were performed in systems with complete solubility (Bi-Sb, Cu-Ni, Bi-Sb) as well as in systems forming intermetallic phase (Fe-Sb, Fe- Pd). It was found that with these methods the Kirkendall shift can be well followed on the nano-scale. In Fe-Sb system even the bifurcation of the Kirkendall plane was observed

Kirkendall Effect on the Nanoscale

Kirkendall effect has been studied experimentally as well as theoretically for decades already. There are theoretical indications, that the Kirkendall effect must operate from the beginning of the diffusion process but there are practically no measurements on this short time and length scale. For that reason, diffusion on the nanometer scale was investigated experimentally in different binary systems in thin film geometry. We followed the diffusion process as well as the Kirkendall effect by different methods (TEM, SNMS and synchrotron X-ray waveguide technique). Investigations were performed in systems with complete solubility (Bi-Sb, Cu-Ni, Bi-Sb) as well as in systems forming intermetallic phase (Fe-Sb, Fe- Pd). It was found that with these methods the Kirkendall shift can be well followed on the nano-scale. In Fe-Sb system even the bifurcation of the Kirkendall plane was observed

IR Microimaging of Direction‐Dependent Uptake in MFI‐Type Crystals

Covering MFI‐type zeolite crystals with Al2O3 by atomic layer deposition is shown to make the external zeolite crystal impermeable for guest molecules. By corresponding manipulations of the crystal certain faces can be opened for guest molecules. In this way, IR microimaging can be applied to record the evolution of transient intracrystalline concentration profiles along the crystals longitudinal extension. The introduced method of covering may provide the possibility of observing fluxes of reactant and product molecules within single zeolite crystals during catalytic reactions