3,987 research outputs found

    Ethical Dilemmas and Nursing Practice

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    An analysis of the day supervisor's activities

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    Thesis (M.S.)--Boston Universit

    Design thinking and innovation: synthesising concepts of knowledge co-creation in spaces of professional development

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    This paper explores how design thinking connects to concepts of knowledge creation and innovation. A case study of a knowledge sharing network in the social services sector is used to illustrate how design thinking supports Ba, the spaces for knowledge creation. Further exploration of the four enabling conditions for Ba resulted in delineation of two distinct types: relational and structural. Relational enablers support three groups of enabling conditions: interaction, shared values and communication. It is proposed that design thinking aligns well with relational enabling conditions for Ba to create the ideal spaces for knowledge creation. The group of structural enablers can assist or obstruct change and relate to the culture and management approaches of an organization, which may or may not be assisted by design thinking. However, to ensure that design thinking is not undermined, and innovation is achieved, the presence of an appropriate structural enabler is critical for success

    Coordination of Care by Primary Care Practices: Strategies, Lessons and Implications

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    Documents successful strategies for coordinating care within primary care settings, including family and caregivers; with specialists; with hospital settings; and with community-based services. Discusses challenges, lessons learned, and implications

    Framing audience prefigurations of The Hobbit: An Unexpected Journey: The roles of fandom, politics and idealised intertexts

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    Audiences for blockbuster event-film sequels and adaptations often formulate highly developed expectations, motivations, understandings and opinions well before the films are released. A range of intertextual and paratextual influences inform these audience prefigurations, and are believed to frame subsequent audience engagement and response. In our study of prefigurative engagements with Peter Jackson’s 2012 film, The Hobbit: An Unexpected Journey, we used Q methodology to identify five distinct subjective orientations within the film’s global audience. As this paper illustrates, each group privileges a different set of extratextual referents – notably J.R.R. Tolkien’s original novels, Peter Jackson’s The Lord of The Rings film trilogy, highly localised political debates relating to the film’s production, and the previous associations of the film’s various stars. These interpretive frames, we suggest, competed for ascendancy within public and private discourse in the lead up to The Hobbit’s international debut, effectively fragmenting and indeed polarising the film’s prospective global audience

    Do all countries follow the same growth process?

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    We estimate a finite mixture model in which countries are sorted into groups based on the similarity of the conditional distributions of their growth rates. We strongly reject the hypothesis that all countries follow a common growth process in favor of a model in which there are two classes of countries, each with its own distinct growth process. Group membership does not conform to the usual categories used to control for parameter heterogeneity such as region or income. However, we find strong evidence that one country characteristic that helps to sort countries into different regimes is the quality of institutions, specifically, the degree of law and order. Once institutional features of the economy are controlled for, we find no evidence that geographic characteristics play a role in determining the country groupings.finite mixture models; multiple equilibria; institutional quality

    The West Wind Blows in Pittsford Town

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    Learning through Museum Controversies Three Canadian Examples

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    La controversia ha acechado siempre a los museos, en especial, pero desde luego no de forma exclusiva, a aquellos museos de arte que exponen el arte moderno y contemporĂĄneo. Probablemente siempre habrĂĄ controversias, ya que son ocasiones en las que el museo ha de enfrentarse directamente a un interrogatorio pĂșblico sobre sus decisiones y procesos, a menudo demasiado ocultas y con frecuencia mal entendidas. Dado el creciente reconocimiento de que ya no es suficiente para los museos coleccionar, conservar y mostrar, sino mĂĄs bien que los museos deben ahora comprometerse fundamental y directamente con sus comunidades, ÂżcĂłmo pueden los museos gestionar la controversia? ÂżPueden los museos aprender de la controversia para descubrir formas mejores de trabajar con sus pĂșblicos? Este artĂ­culo examinarĂĄ tres controversias en los museos canadienses – Los cantos del espĂ­ritu, Voz de Fuego y Vanitas o El vestido de carne - en un intento de analizar estas preguntas usando los conceptos ANT de Bruno Latour.Controversy has bedeviled museums forever, especially but certainly not exclusively those art museums which show modern and contemporary art. Controversies will probably always be likely, for they are an occasion on which the museum is directly confronted by a public questioning the museum’s decisions and processes, often too hidden and frequently misunderstood. Given the increasing recognition that it is no longer sufficient for museums to collect, conserve and display, but rather that museums must now engage fundamentally and directly with their communities, how can museums manage controversy? Can museums learn from controversy to discover better ways of working with their publics? This paper will examine three controversies in Canadian museums – The Spirit Sings, Voice of Fire and Vanitas or the Meat Dress - in an attempt to analyze these questions using the ANT concepts of Bruno Latour

    Perceptions and practices of rural Indian women in contraception, abortion, and sexual health: a cross sectional study

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    Background: Maternal mortality is an important target of health care policies, especially in India. While numerical indicators of maternal health improve, this can only be sustained with change in the knowledge, attitudes, and practices of women. Gender empowerment is a neglected aspect of health care policy, and there is a need to assess the perceptions of Indian women, the true torch-bearers of change.Methods: This was a hospital based cross sectional quasi-quantitative study in a sub-district hospital in the town of Ballabgarh, Haryana, India. Married women attending the outpatient clinic, antenatal clinic, labor ward, and primary health centres in the age group of 20 to 40 years were interviewed using a semi-structured questionnaire with both closed and open-ended questions. Health concerns were concurrently addressed.Results: Author interviewed 956 women. No form of modern contraception had ever been used by 58.36% of the women. Intra-uterine contraceptive devices were discontinued by 76.12% of the women who had used them. Emergency contraception was a concept known to 49.89% of the women, but fraught with misconceptions. Induced abortions was being used as a form of family planning, with nearly 90% of the women having taken over-the-counter abortifacients. Women were receptive to contraception, and many expressed an interest in long acting contraceptives other than IUCDs.Conclusions: This study provides insight into the thinking of Indian women regarding family planning. This may help guide family planning policies
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