Reframing childhood obesity:The role of local communities in change implementation failure

Childhood obesity remains one of the defining challenges of our time, with government response around the world being largely ineffective. This has been particularly the case in the USA, which continues to suffer high rates of childhood obesity despite numerous legislative interventions to combat it. In order to develop insight into this ongoing catastrophic change failure, we engaged in a three-year qualitative study of the implementation of policies in the USA designed to reduce childhood obesity through school-based interventions. We found that leaders in schools, as in many organizations, were faced with numerous, often conflicting, pressures from federal, state, and local community stakeholders. The resultant ambivalence led to change failure being reframed as success to in order to fit with locally expressed priorities. In bringing light to an understudied aspect of change implementation, local community pressure, we further theoretical understanding of why large change interventions often fail. We also offer insights more generally into the (re)framing of change and the influence of local communities on organizations. Policy and managerial implications are also discussed

Three-Dimensional Venturi Sensor for Measuring Extreme Winds

A three-dimensional (3D) Venturi sensor is being developed as a compact, rugged means of measuring wind vectors having magnitudes of as much as 300 mph (134 m/s). This sensor also incorporates auxiliary sensors for measuring temperature from -40 to +120 F (-40 to +49 C), relative humidity from 0 to 100 percent, and atmospheric pressure from 846 to 1,084 millibar (85 to 108 kPa). Conventional cup-and-vane anemometers are highly susceptible to damage by both high wind forces and debris, due to their moving parts and large profiles. In addition, they exhibit slow recovery times contributing to an inaccurately high average-speed reading. Ultrasonic and hot-wire anemometers overcome some of the disadvantages of the cup and-vane anemometers, but they have other disadvantageous features, including limited dynamic range and susceptibility to errors caused by external acoustic noise and rain. In contrast, the novel 3D Venturi sensor is less vulnerable to wind damage because of its smaller profile and ruggedness. Since the sensor has no moving parts, it provides increased reliability and lower maintenance costs. It has faster response and recovery times to changing wind conditions than traditional systems. In addition, it offers wide dynamic range and is expected to be relatively insensitive to rain and acoustic energy. The Venturi effect in this sensor is achieved by the mirrored double-inflection curve, which is then rotated 360 to create the desired detection surfaces. The curve is optimized to provide a good balance of pressure difference between sensor ports and overall maximum fluid velocity while in the shape. Four posts are used to separate the two shapes, and their size and location were chosen to minimize effects on the pressure measurements. The 3D Venturi sensor has smart software algorithms to map the wind pressure exerted on the surfaces of the design. Using Bernoulli's equation, the speed of the wind is calculated from the differences among the pressure readings at the various ports. The direction of the wind is calculated from the spatial distribution and magnitude of the pressure readings. All of the pressure port sizes and locations have been optimized to minimize measurement errors and to reside in areas demonstrating a stable pressure reading proportional to the velocity range

Beyond communication: The role of standardized protocols in a changing health care environment

Background: Communication errors have grave consequences in health care settings. The situationYbackgroundY assessmentYrecommendation (SBAR) protocol has been theorized to improve communication by creating a common language between nurses and physicians in acute care situations. This practice is gaining acceptance across the health care field. However, as yet, there has been little investigation of the ways in which SBAR may have an impact on how health care professionals operate beyond the creation of a common language. Purpose: The purposes of the study were to explore the implementation of the SBAR protocol and investigate the potential impact of SBAR on the day-to-day experiences of nurses. Methods: We performed a qualitative case study of 2 hospitals that were implementing the SBAR protocol. We collected data from 80 semistructured interviews with nurses, nurse manager, and physicians; observation of nursing and other hospital activities; and documents that pertained to the implementation of the SBAR protocol. Data were analyzed using a thematic approach. Findings: Our analysis revealed 4 dimensions of impact that SBAR has beyond its use as a communication tool: schema formation, development of legitimacy, development of social capital, and reinforcement of dominant logics

Interpreting change as controllable: The role of network centrality and self-efficacy

Interpreting organizational change initiatives as controllable can mean the difference between achieving positive or negative outcomes. However, little is known about the factors that underpin such interpretations. This study examines how interpretations of controllability are influenced by individual centrality in social networks and change-related self-efficacy. Drawing on a sample of 148 US public school teachers facing a significant organizational transformation, our analysis reveals that change-related self-efficacy fully mediates relationships between centrality within instrumental and expressive organizational social networks and individual interpretations of change controllability. Network centrality, and the associated access to information and social support that accompany it, are theorized to provide the confidence necessary to interpret change as within one\u27s control. Drawing upon social network theory, we provide insights into how change is interpreted as controllable, and how the nature of change may dictate which types of centrality are most important for such interpretations. Implications for the broader understanding of change are also discussed. © The Author(s) 2012

Beyond communication: The role of standardized protocols in a changing health care environment

Background: Communication errors have grave consequences in health care settings. The situationYbackgroundY assessmentYrecommendation (SBAR) protocol has been theorized to improve communication by creating a common language between nurses and physicians in acute care situations. This practice is gaining acceptance across the health care field. However, as yet, there has been little investigation of the ways in which SBAR may have an impact on how health care professionals operate beyond the creation of a common language. Purpose: The purposes of the study were to explore the implementation of the SBAR protocol and investigate the potential impact of SBAR on the day-to-day experiences of nurses. Methods: We performed a qualitative case study of 2 hospitals that were implementing the SBAR protocol. We collected data from 80 semistructured interviews with nurses, nurse manager, and physicians; observation of nursing and other hospital activities; and documents that pertained to the implementation of the SBAR protocol. Data were analyzed using a thematic approach. Findings: Our analysis revealed 4 dimensions of impact that SBAR has beyond its use as a communication tool: schema formation, development of legitimacy, development of social capital, and reinforcement of dominant logics

Adolescent obesity, educational attainment, and adult earnings

We estimate the effects of being obese during adolescence on the likelihood of high school graduation, post-secondary educational attainment and labour market earnings as an adult (over 13 years later). We use longitudinal data from the National Longitudinal Survey of Adolescent Health (Add Health), conducted by the Carolina Population Center of the University of North Carolina at Chapel Hill. This is a nationally representative sample of students in grades 7 through 12 for the 1994-1995 first wave survey. Three subsequent waves of follow-up interviews occurred in 1996, 2001-2002 and finally in 2007-2008, when the sample was aged 25-31. Probit and linear regression models with a large set of controls (to minimize any bias that may result from omitting factors related to both adolescent obesity and adult outcomes) are fitted to carry out analyses separately by gender or racial groups. Pathological body weights are most notably present among males, blacks and Hispanics, suggesting possibility that diverging obesity effects may be found across race and gender groups. Unlike some prior research, we find no significant effects of adolescent obesity on high school graduation, but for some demographic groups, negative effects are found on college graduation and future income. Policy implications are discussed. © 2014 Taylor & Francis

Residence time and potential range : crucial considerations in modelling plant invasions

Wilson, J.R.U., et al. 2007. Residence time and potential range: crucial considerations in modelling plant invasions. Diversity and Distributions, 13:11-22. doi:10.1111/j.1366-9516.2006.00302.xThe original publication is available at https://onlinelibrary.wiley.com/journal/14724642A prime aim of invasion biology is to predict which species will become invasive, but retrospective analyses have so far failed to develop robust generalizations. This is because many biological, environmental, and anthropogenic factors interact to determine the distribution of invasive species. However, in this paper we also argue that many analyses of invasiveness have been flawed by not considering several fundamental issues: (1) the range size of an invasive species depends on how much time it has had to spread (its residence time); (2) the range size and spread rate are mediated by the total extent of suitable (i.e. potentially invasible) habitat; and (3) the range size and spread rate depend on the frequency and intensity of introductions (propagule pressure), the position of founder populations in relation to the potential range, and the spatial distribution of the potential range. We explored these considerations using a large set of invasive alien plant species in South Africa for which accurate distribution data and other relevant information were available. Species introduced earlier and those with larger potential ranges had larger current range sizes, but we found no significant effect of the spatial distribution of potential ranges on current range sizes, and data on propagule pressure were largely unavailable. However, crucially, we showed that: (1) including residence time and potential range always significantly increases the explanatory power of the models; and (2) residence time and potential range can affect which factors emerge as significant determinants of invasiveness. Therefore, analyses not including potential range and residence time can come to misleading conclusions. When these factors were taken into account, we found that nitrogen-fixing plants and plants invading arid regions have spread faster than other species, but these results were phylogenetically constrained. We also show that, when analysed in the context of residence time and potential range, variation in range size among invasive species is implicitly due to variation in spread rates, and, that by explicitly assuming a particular model of spread, it is possible to estimate changes in the rates of plant invasions through time. We believe that invasion biology can develop generalizations that are useful for management, but only in the context of a suitable null model.DST-NRF Centre of Excellence for Invasion Biology. GDRI project ‘France South Africa — Dynamics of biodiversity in Southern African ecosystems and sustainable use in the context of global change: processes and mechanisms involved’ ARC-Plant Protection Research Institute provided funding for the SAPIA Project.https://onlinelibrary.wiley.com/doi/10.1111/j.1366-9516.2006.00302.xPublisher’s versio