4,580,031 research outputs found

    Constituting best practice in management consulting

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    This paper offers critical reflections on the construction and propagation of ‘best practice’: a concept which has become increasingly important in the business world and in civic life more generally. Focusing upon the activities of the Management Consultancies Association (MCA) we offer an analysis of the awards process instituted to applaud ‘best practice’ in the arena of consulting. Departing from existing academic representations of the advice industry which generally exclude this trade body from the analytical frame we consider the role which the MCA performs in the field of consulting. Situating the MCA’s attempt to constitute best practice within the work of Bruno Latour we argue that this construct depends upon the mobilization of an extended network of allies, advocates and spectators whose interactions have been written-out of academic analysis. The paper concludes by proposing the need for further research designed to explore, both, the heterogeneity and the porosity of the networks that construct, convey and applaud key knowledge products such as ‘best practice’

    SUPPLY MANAGEMENT: CONCEPT AND PRACTICE

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    Demand and Price Analysis,

    Assessing framing of uncertainties in water management practice

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    Dealing with uncertainties in water management is an important issue and is one which will only increase in light of global changes, particularly climate change. So far, uncertainties in water management have mostly been assessed from a scientific point of view, and in quantitative terms. In this paper, we focus on the perspectives from water management practice, adopting a qualitative approach. We consider it important to know how uncertainties are framed in water management practice in order to develop practice relevant strategies for dealing with uncertainties. Framing refers to how people make sense of the world. With the aim of identifying what are important parameters for the framing of uncertainties in water management practice, in this paper we analyze uncertainty situations described by decision-makers in water management. The analysis builds on a series of ¿Uncertainty Dialogues¿ carried out within the NeWater project with water managers in the Rhine, Elbe and Guadiana basins in 2006. During these dialogues, representatives of these river basins were asked what uncertainties they encountered in their professional work life and how they confronted them. Analysing these dialogues we identified several important parameters of how uncertainties get framed. Our assumption is that making framing of uncertainty explicit for water managers will allow for better dealing with the respective uncertainty situations. Keywords Framing - Uncertainty - Water management practic

    Outcomes for youth work : coming of age or master’s bidding?

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    Abstract Providing evidence in youth work is a current and important debate. Modern youth work has, at least to some degree, recognised the need to produce practice information, through its various guises, with limited success as requirements and terminology have continually changed. In Scotland, the current demands for youth work to “prove” itself are through a performance management system that promotes outcome-based practice. There are some difficulties with this position because outcome-based practice lacks methodological rigour, is aligned with national governmental commitments and does not adequately capture the impact of youth work practice. This paper argues that youth workers need to develop both a theoretical and methodological approach to data collection and management,which is in keeping with practice values, captures the voice of the young person and enhances youth work practice. Youth work should not be used as a mechanism to deliver the government’s policies but be liberated from centralist control to become a “free practice” so that some of the perennial problems, such as democratic disillusionment, partly caused by this “performance management industry”, can be effectively dealt with. The generation of evidence for youth work should enable it to freely investigate and capture its impact, within the practice, based on the learning that has taken place, the articulation of the learners’ voice with the most appropriate form of data presentation

    Comprehensive Medication Management: Implications for the Patient and Pharmacist

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    Since 1979, state pharmacy practice laws have begun to allow pharmacists to provide advanced levels of care in collaboration with prescribers. These might be termed medication therapy management, collaborative practice, comprehensive medication management and other variations. Invariably, pharmacists working closely with prescribers and patients in care of chronic disease have achieved dramatic results including improvement in surrogate markers, decreased rates of secondary large organ disease, decreased mortality, decreased hospitalizations, and as a result decreased spending.1-28 This paper will discuss the profound impact of advanced practice models on patient care and the health care system, the current status of New York’s collaborative drug therapy management law, the comprehensive medication management proposal in Governor Cuomo’s fiscal year 2018 Budget bill, and its potential impact on morbidity and mortality when applied to chronic disease

    A Guide to Integrated Pest Management for Brassica - Insect Pest, Disease, Virus, Nematode and Weed Control

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    This guide outlines the key issues that should be considered in relation to the implementation of Integrated Pest Management (IPM) for brassica crops on a whole of crop basis. The guide addresses the key control methods and their rating in an IPM system for the major insect pests, disease, virus, nematode and weed control. The guide should be used in conjunction with the posters; “Brassica crop protection products – A guide to potential impacts on beneficials” and the “Best Practice IPM – Overview”. The guide should also be used alongside other publications such as the, “Field Guide to – Pests,Diseases and Disorders of Vegetable Brassicas

    Clinical practice guidelines for the foot and ankle in rheumatoid arthritis: a critical appraisal

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    Background: Clinical practice guidelines are recommendations systematically developed to assist clinical decision-making and inform healthcare. In current rheumatoid arthritis (RA) guidelines, management of the foot and ankle is under-represented and the quality of recommendation is uncertain. This study aimed to identify and critically appraise clinical practice guidelines for foot and ankle management in RA. Methods: Guidelines were identified electronically and through hand searching. Search terms 'rheumatoid arthritis', 'clinical practice guidelines' and related synonyms were used. Critical appraisal and quality rating were conducted using the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument. Results: Twenty-four guidelines were included. Five guidelines were high quality and recommended for use. Five high quality and seven low quality guidelines were recommended for use with modifications. Seven guidelines were low quality and not recommended for use. Five early and twelve established RA guidelines were recommended for use. Only two guidelines were foot and ankle specific. Five recommendation domains were identified in both early and established RA guidelines. These were multidisciplinary team care, foot healthcare access, foot health assessment/review, orthoses/insoles/splints, and therapeutic footwear. Established RA guidelines also had an 'other foot care treatments' domain. Conclusions: Foot and ankle management for RA features in many clinical practice guidelines recommended for use. Unfortunately, supporting evidence in the guidelines is low quality. Agreement levels are predominantly 'expert opinion' or 'good clinical practice'. More research investigating foot and ankle management for RA is needed prior to inclusion in clinical practice guidelines
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