A Cross-Sectional Examination of Factors Affecting Graduation Rates Across the School Divisions in the State of Virginia.

When citizens look to the government, there are multiple services that are expected to be provided. One of the most fundamental services is the access to an education to better prepare the nation’s children for the future. Education is not just a service that is expected, it is a necessity in the global world that the United States is competing in. Currently the United State of America is facing large numbers of high school students who are dropping out. This is a major concern for the future productivity and welfare of the nation. What is the problem that has caused the questioning of the United States educational system? Education is a major expense to society. Yet, while education is expensive, it is the fundamental building block upon which our society has been built. Consequently, questions about what is going wrong with the educational system are raised, since it appears that the number of students who drop out increases every year. This study looks at a range of possible factors that are believed to have an influence on graduation rates across the one hundred and thirty school divisions in Virginia. Eleven variables were tested based on their theoretical explanation of graduation rates. In following sections past studies, the models used, the results, and policy implications will be examined. Multiple regressions were performed, and after conducting this analysis, five variables were found to have explanatory power in terms of the differences in graduation rates. Thirty five point two percent of the deviation in the graduation rate was explained using those variables. The variables that were found to explain the deviation were: the educational attainment of the community, expenditures per pupil, per capita income, percentage of the school population that is white, and the population density of the school divisions

Shared communication processes within healthcare teams for rare diseases and their influence on healthcare professionals' innovative behavior and patient satisfaction

<p>Abstract</p> <p>Background</p> <p>A rare disease is a pattern of symptoms that afflicts less than five in 10,000 patients. However, as about 6,000 different rare disease patterns exist, they still have significant epidemiological relevance. We focus on rare diseases that affect multiple organs and thus demand that multidisciplinary healthcare professionals (HCPs) work together. In this context, standardized healthcare processes and concepts are mainly lacking, and a deficit of knowledge induces uncertainty and ambiguity. As such, individualized solutions for each patient are needed. This necessitates an intensive level of innovative individual behavior and thus, adequate idea generation. The final implementation of new healthcare concepts requires the integration of the expertise of all healthcare team members, including that of the patients. Therefore, knowledge sharing between HCPs and shared decision making between HCPs and patients are important. The objective of this study is to assess the contribution of shared communication and decision-making processes in patient-centered healthcare teams to the generation of innovative concepts and consequently to improvements in patient satisfaction.</p> <p>Methods</p> <p>A theoretical framework covering interaction processes and explorative outcomes, and using patient satisfaction as a measure for operational performance, was developed based on healthcare management, innovation, and social science literature. This theoretical framework forms the basis for a three-phase, mixed-method study. Exploratory phase I will first involve collecting qualitative data to detect central interaction barriers within healthcare teams. The results are related back to theory, and testable hypotheses will be derived. Phase II then comprises the testing of hypotheses through a quantitative survey of patients and their HCPs in six different rare disease patterns. For each of the six diseases, the sample should comprise an average of 30 patients with six HCP per patient-centered healthcare team. Finally, in phase III, qualitative data will be generated via semi-structured telephone interviews with patients to gain a deeper understanding of the communication processes and initiatives that generate innovative solutions.</p> <p>Discussion</p> <p>The findings of this proposed study will help to elucidate the necessity of individualized innovative solutions for patients with rare diseases. Therefore, this study will pinpoint the primary interaction and communication processes in multidisciplinary teams, as well as the required interplay between exploratory outcomes and operational performance. Hence, this study will provide healthcare institutions and HCPs with results and information essential for elaborating and implementing individual care solutions through the establishment of appropriate interaction and communication structures and processes within patient-centered healthcare teams.</p

The theory of the firm and its critics: a stocktaking and assessment

Includes bibliographical references."Prepared for Jean-Michel Glachant and Eric Brousseau, eds. New Institutional Economics: A Textbook, Cambridge, Cambridge University Press.""This version: August 22, 2005."Since its emergence in the 1970s the modern economic or Coasian theory of the firm has been discussed and challenged by sociologists, heterodox economists, management scholars, and other critics. This chapter reviews and assesses these critiques, focusing on behavioral issues (bounded rationality and motivation), process (including path dependence and the selection argument), entrepreneurship, and the challenge from knowledge-based theories of the firm

The role of conversation in health care interventions: enabling sensemaking and learning

<p>Abstract</p> <p>Background</p> <p>Those attempting to implement changes in health care settings often find that intervention efforts do not progress as expected. Unexpected outcomes are often attributed to variation and/or error in implementation processes. We argue that some unanticipated variation in intervention outcomes arises because unexpected conversations emerge during intervention attempts. The purpose of this paper is to discuss the role of conversation in shaping interventions and to explain why conversation is important in intervention efforts in health care organizations. We draw on literature from sociolinguistics and complex adaptive systems theory to create an interpretive framework and develop our theory. We use insights from a fourteen-year program of research, including both descriptive and intervention studies undertaken to understand and assist primary care practices in making sustainable changes. We enfold these literatures and these insights to articulate a common failure of overlooking the role of conversation in intervention success, and to develop a theoretical argument for the importance of paying attention to the role of conversation in health care interventions.</p> <p>Discussion</p> <p>Conversation between organizational members plays an important role in the success of interventions aimed at improving health care delivery. Conversation can facilitate intervention success because interventions often rely on new sensemaking and learning, and these are accomplished through conversation. Conversely, conversation can block the success of an intervention by inhibiting sensemaking and learning. Furthermore, the existing relationship contexts of an organization can influence these conversational possibilities. We argue that the likelihood of intervention success will increase if the role of conversation is considered in the intervention process.</p> <p>Summary</p> <p>The generation of productive conversation should be considered as one of the foundations of intervention efforts. We suggest that intervention facilitators consider the following actions as strategies for reducing the barriers that conversation can present and for using conversation to leverage improvement change: evaluate existing conversation and relationship systems, look for and leverage unexpected conversation, create time and space where conversation can unfold, use conversation to help people manage uncertainty, use conversation to help reorganize relationships, and build social interaction competence.</p

Perceptions of river managers of institutional constraints on floodplain restoration in the UK

The restoration of river environments has been of growing importance to river management and planning in the UK. The extension of ecological restoration to floodplains as well as river channels is more complex, partly because of the range of stakeholders and the diversity of relevant management institutions. This paper draws on a qualitative survey of river managers in the UK to identify institutional factors relevant to the success or failure of floodplain restoration projects.

Conservatives and champions: river managers and the river restoration discourse in the United Kingdom

We discuss two contrasting discourses of environmental management for the management of rivers and floodplain environments in the United Kingdom. Through the 1990s a long-established flood defence discourse gave way to a new discourse of river and floodplain restoration. We draw on qualitative interviews with river managers to set out these discourses, and consider the engagement between them. We consider particularly the way in which flood defence engineers have resisted and gradually been won over to aspects of the new restoration discourse, and the role of champions in that discourse transition.