Administrative Intervention Research Articles

Effectiveness of interventions on the appropriate use of opioids for noncancer pain among hospital inpatients: A systematic review.

To summarise the effectiveness of interventions on appropriate opioid use for noncancer pain among hospital inpatients. Two reviewers independently searched 6 databases up to March 2018 original research articles reporting on quantitative outcomes of interventions on appropriate opioid use among hospital inpatients. Appropriate opioid use was measured by changes in prescribing, such as the lowest effective opioid dose and duration, or clinical outcomes such as adequate pain control. Quality and intervention complexity assessments were performed by 2 independent reviewers. The full methodological approach was published on PROSPERO (ID: CRD42019145947). Of 398 full-text articles assessed for eligibility, 37 articles were included in the review. Most articles had a moderate or high risk of bias (27 of 37 studies). Thirty-one articles primarily addressed appropriate opioid use and 6 articles targeted opioid safety as a secondary outcome. A multifaceted approach was the most common primary intervention (16 studies) and adequate pain control was the main outcome measured (14 studies). Health provider education, reinforced by hard-copy material and feedback, was associated with a 13.0 to 29.5% increase in the proportion of opioid prescriptions written in concordance with local guidelines and reduced pain scores ranging from 7.0 to 34.5%. Interventions to improve opioid safety in patient-controlled analgesia reduced medication errors by up to 89.1%. Interventions involving academic detailing and education, especially when reinforced by feedback, show positive effects on appropriate opioid use among hospital inpatients. Future studies investigating the impact of administrative interventions on opioid use and related outcomes are warranted.

On the Question Concerning the Creation of Unified Accounting Data Form “The Protocol of Cardiopulmonary Resuscitation” for Mobile Teams of Emergency Medical Services

Significant decrease in death rates from out-of-hospital cardiac arrest (OHCA) can be achieved by developing and implementing an integrated program of administrative interventions focused on improvements in the provision of the first aid and emergency medical care. However, both identification of the foreground and reasonable components of the program, and evaluation of its efficiency are impossible in the absence of reliable tools for collecting and analyzing data on epidemiology of OHCA and performance of the prehospital care system. This paper discusses the development of unified form for collecting data on cases of OHCA with attempted cardiopulmonary resuscitation (CPR), addresses the promising data form “The protocol of CPR” that is recommended by the Specialized Board on Emergency Medical Care of the Ministry of Health of Russia, and offers a set of proposals for optimizing the form with consideration for the international guidelines for uniform reporting of data from OHCA.Author declare lack of the conflicts of interests.

Improvement in Compliance With Smoke-Free Environment Regulations at Hotels and Restaurants in Vietnam After an Administrative Intervention.

Introduction:Vietnam is among the countries with the highest smoking prevalence among male adults, as well as high prevalence of secondhand smoke exposure at indoor places. In many countries, including Vietnam, exposure to tobacco smoking is greatest in restaurants/bars and hotels. This study aims to analyze the compliance of hotels and restaurants to smoke-free environment regulations before and after an intervention.Methods:Direct observations were done at the receptions, conference rooms, designated smoking areas, restaurants, and lobbies of 140 hotels and the dining rooms, kitchens, and toilets of 160 restaurants before and after an intervention. The intervention was a training course conducted by police officers followed by 3 monthly supervision visits by police officers. Compliance with smoke-free enviornment regulations was observed and assessed to generate a compliance score for each location and overall. Tobit regression was used to examine the relationship between compliance scores and the intervention and other variables such as hotel and restaurant characteristics.Results:Before the intervention, the highest compliance rates were found for “no tobacco advertisement” and “no cigarette selling” regulations (95%-100%) in almost all sites in hotels and restaurants. The lowest compliance rates were found for “having nonsmoking signs.” The rate of compliance with all regulations was only 5% for hotels and 0.06% of restaurants. Improvement after intervention was clearly observed, in the rate of compliance with all regulations by more hotels (15.7%) and overall compliance scores of hotels and restaurants.Conclusions:The intervention with participation of the police officers proved to be effective in improving compliance with smoke-free regulations. It is recommended to continue this intervention in the same areas as well as to expand the intervention to other areas.

ОСОБЕННОСТИ ПРОЯВЛЕНИЯ ЭМОЦИОНАЛЬНОГО ВЫГОРАНИЯУ ТРЕНЕРОВ ПО ФУТБОЛУ

Sports trainers are in the field of care professions — the person-person system. Their livelihoods are carried out in an environment associated with additional stressors: high requirements for victory, administrative and parental intervention or indifference, disciplinary problems, variety of roles. The above and other professionally significant components of the activity to a greater extent determine the premature development of professional burnout of trainers. It can manifest itself at different levels of personality organization and with its different behavioral manifestations. The professional burnout of football coaches can adversely affect their performance. The level of burnout of specialists in this field depends on their professional growth. The results obtained by studying the sources that affect burnout provide an opportunity to improve the system of early diagnosis and selection of personnel for the pedagogical profession, in particular, trainers in sports who deal with children, which explains their practical value. To the factors that reduce burnout, coaches include sports and the entertainment of football. However, this only delay their emotional burnout.

Where Does Indian Medical Education Stand Amidst a Pandemic?

The recent outbreak of COVID-19, declared a pandemic, has affected medical education globally. The scenario is no different for medical students in India as they find themselves at a crossroads in their careers, with clinical and elective postings called off. Missing out on the opportunity to learn from “first-hand” clinical observation stands to threaten the quality of medical education and learning procured by Indian medical students which is extremely essential to deal with the vast patient load that awaits them in their impending future as healthcare professionals. Is the Indian medical education system being able to cope with the challenges imposed by the increasing burden of COVID-19? The authors propose few administrative and on-ground interventions that must seek to work collectively with all government and private medical institutions in order to help students/interns and residents in coping with stress, anxiety or academic losses incurred due to the pandemic.

4. Eroding Academic Freedom through the Assessment of Academic Practice

<?page nr="67"?>Abstract The article addresses the practice of program and learning outcomes assessment adopted by many American universities. Arguing that the justification of administrative intervention into faculty’s teaching is based upon the separation of the content of a course or program from the form of that material, the article demonstrates that the form/content distinction is a false opposition. Further, the article demonstrates that administrative efforts to assess learning outcomes based on the idea that they will not affect the content follows an older and outmoded transmission theory of learning. To impose outcomes assessment upon faculty is to also impose the transmission theory of learning. This would constitute a threat to academic freedom. The article concludes with a call for faculty full participation into the assessment process including the design of assessments. Only when faculty are in the forefront of the process can academic freedom be preserved.

Land use regulation and urban land value: Evidence from China

Land use regulation has always been regarded as one of the most crucial means of macro-control of urban growth, which can affect a city’s land values directly and further determine related urban economic well-being. Since the New Type Urbanization Strategy proposed by the government in 2014, China’s mode of urban growth has been transformed from addressing “quantity” to “quality" in the urbanization process. In this case, the regulation of land use by the Chinese government plays a more important role in urban growth. With their planned land regulatory scheme, the various instruments employed by Chinese governments have quite different mechanisms influencing land prices. However, there are no rigorous studies focusing on the land use regulation system and its impact on land values to date, particular in China. This study seeks to explore how land use regulation affects urban land values through the systematic lens. We summarize the main land use regulatory instruments based on the analysis of China’s planned land use system and urban land banking system, including the construction land quota, constraints on the allowed floor area ratio (FAR) of each land transaction parcel, and land supply restrictions. A new dataset based on land transaction data from 2007 to 2016 that covers 286 prefectural cities from the country’s coastal, central, and western regions is used in the empirical analysis. The results show that the effects of the floor area ratio (FAR) on land values are significant and positive, with the residential and commercial land supply ratio being a key factor. Moreover, the results imply that the effects of constraints on FAR and commercial land supply vary between regions. These findings indicate that the Chinese land market is considerably distorted by excessive administrative interventions by local governments, in the stage of urban transition guided, the capable regulatory instruments could play an important role in adjusting urban land prices and hence impact on urban growth.

Subsidies, loans, and companies' performance: evidence from China's photovoltaic industry

China’s Photovoltaic (PV) industry plays a critical role in the global PV industry. Between 2013 and 2015, Chinese PV companies were restricted in their access to debt financing. However, to date there has been a lack of studies investigating this “Credit Restriction Policy“. This paper innovatively builds a dynamic game model to analyze the behavior of governments, banks and the PV companies in the process of financing PV companies and is the first attempt to use the quasi-natural experiment in the PV industry to investigate the impact of loan restriction on firm performance. The game analysis shows that both the governments' support behavior and companies' loan decisions have nothing to do with the cost of governments' support to companies. Using the panel data for China's listed PV companies from 2007 to 2017, the empirical results reveal that restricting access to bank loan undermines PV companies’ performance, but government subsidies have little impact on the operating performance of PV companies. The results suggest that while restriction of financial access has negative impact on PV companies, government’s administrative intervention is not desirable and instead government should improve the institutions for bank lending.

Improvements in Physician Clinical Workflow Measures After Implementation of a Dashboard Program

PurposeTo determine whether a combination of data-driven, personalized feedback and implementation of a graduated, sequential intervention model improved key measures of physician workflow and quality in radiation treatment planning. Methods and MaterialsAll radiation oncologists across 3 facilities at a single academic institution were prospectively evaluated on 5 predefined metrics of timeliness and accuracy in the treatment-planning process using a web-based institutional data repository and an institutional incident learning system. The study period encompassed 10 quarters from 2014 to 2016, with 2013 serving as a retrospective baseline. Physicians received quarterly individualized reports of their compliance metrics (a practice labeled the Physician Dashboard), and administrative interventions were initiated if >20% noncompliance with any metric was exceeded within a quarter. Consecutive quarters of noncompliance resulted in escalating interventions, including progress meetings with department leadership, and culminated in financial penalties. Rates of noncompliance were compared before and after implementation of this model. ResultsThree thousand six hundred sixty pre-Dashboard and 9497 post-Dashboard simulations were analyzed. After Dashboard implementation, significant reductions were observed in the rates of simulation orders requiring signature by a covering physician (14.1% vs 7.4%, P < .001), and the submission of plan contours ≥1 day (43.1% vs 23.1%, P < .001) or ≥2 days (30.8% vs 18.3%, P = .002) after the due date. There was some decrease in rates of inaccurate or incomplete plan submissions (6.2% vs 3.9%, P = .08). Seven of the 12 physicians received at least 1 intervention, with only 2 receiving all levels of intervention. ConclusionsRegular assessment and targeted feedback using the Physician Dashboard significantly improved radiation oncologist compliance with clinically meaningful treatment planning responsibilities at a high-volume academic center.

The Association of State Opioid Misuse Prevention Policies With Patient- and Provider-Related Outcomes: A Scoping Review.

In the midst of an opioid crisis in the United States, an influx of state opioid misuse prevention policies has provided new opportunities to generate evidence of policy effectiveness that can inform policy decisions.We conducted a scoping review to synthesize the available evidenceon the effectiveness of US state interventions to improve patient and provider outcomes related to opioid misuse and addiction. We searched six online databases to identify evaluations of state opioid policies. Eligible studies examined legislative and administrative policy interventions that evaluated (a) prescribing and dispensing, (b) patient behavior, or (c) patient health. Seventy-one articles met our inclusion criteria, including 41 studies published between 2016 and 2018. These articles evaluated nine types of state policies targeting opioid misuse. While prescription drug monitoring programs (PDMPs) have received considerable attention in the literature, far fewer studies addressed other types of state policy. Overall, evidence quality is very low for the majority of policies due to a small number of evaluations. Of interventions that have been the subject of considerable research, promising means of reducing the volume and dosages of opioids prescribed and dispensed include drug supply management policies and robust PDMPs. Due to low study number and quality, evidence is insufficient to draw conclusions regarding interventions targeting patient behavior and health outcomes, including naloxone access laws and Good Samaritan laws. Recent research has improved the evidence base on several state interventions targeting opioid misuse. Specifically, moderate evidence suggests that drug supply management policies and robust PDMPs reduce opioid prescribing. Despite the increase in rigorous evaluations, evidence remains limited for the majority of policies, particularly those targeting patient health-related outcomes.

Work-Related Attitudes of Teachers and Intention to Leave Teaching Profession

This study examined the work-related attitudes of teachers and their intention to leave teaching profession. The objective of the study was to identify the work-related attitudes of teachers at secondary level and their intention to leave the profession at secondary level and to see how these work-related attitudes, effect the teachers and enforce them to think that he/she should leave the profession and to compare the difference in views of teachers with respect to their demographics. Population of the study was secondary schools teachers of Lahore city. Purposive sampling technique was applied to select the respondents who represented the population. Two hundred male and female secondary school teachers were selected to collect the data. Questionnaire was developed to collect the data. The nature of questionnaire was likert scale. Researchers collected data from respondents personally. Descriptive and inferential statistics were applied to analyze the data. Most of the teachers were satisfied, committed and involved in job and showed less intention to leave the profession. Administrative intervention requires financial expenditure to achieve the desired results. Thus, the government needs to improve upon the level of funding to the secondary education sector . Keywords: Work-related attitudes, Teachers, Intention, Teaching Profession DOI : 10.7176/RHSS/9-23-06 Publication date: December 31 st 2019

Problems of state regulation of agriculture of Ukraine

The problems of state support of agriculture of Ukraine are analyzed. Scientific publications are dominated by criticism of existing support systems without conventional approaches to improving it. Even the interpretation of the concept of “state support” is debatable. The development of state support programs is complicated by the unformed market environment, the high level of monopolization of the agricultural procurement sector, and the difficulty of bringing small producers to target market segments. It is concluded that because of this, the possibility of creating private farms without their registration as legal entities is not realized. There has been a tendency for the emergence and accelerated development of particularly large farms focused on production for the export of raw materials while aggravating the social problems of the village. Only by government support will the negative trends in cattle reductions be offset. It is proposed to increase the effectiveness of state support programs by creating self-regulatory vertical marketing systems, in which the interests of all participants of these systems, ensuring their sustainable development, will be coordinated without direct state administrative intervention. Organizationally, it is easiest to create vertical marketing systems based on the initiative of existing processing plants, for which this is a way of procuring the required amount of raw materials with specified characteristics. Such raw materials can produce competitive products both domestically and internationally. Public financial support for such systems will ensure that their processes of origin and development are intensified. The organization's discussion on the cooperative principles of small processing is critically evaluated. It is shown that the main advantage of organizing such processing is to overcome market monopolization, to ensure without price interference stabilization of prices and their formation at a level acceptable to all members of the cooperative association. The risk of expected price uncertainty is reduced and bank loans may be attracted accordingly. Business plans for the development of individual enterprises and industries can be developed based on the expected price. The development of state targeted programs for agricultural development is simplified. Direction of state targeted programs of agricultural development and achievement of strategic goals, orientation to the data of the purpose of individual economic entities implies constant research and forecasting of market trends. Even large agricultural enterprises or business associations cannot carry out such research on their own. They provide for taking into account the expected values of macroeconomic indicators, and taking into account the international integration of Ukraine and the situation of the international market. Such research by state institutions, dissemination of information on the results of research, bringing information to all participants of the agrarian market is more important state support than direct state financial support.

Conceptual frameworks and degrees of patient engagement in the planning and designing of health services: A scoping review of qualitative studies

Increasingly, patients are being recognized as essential partners in the solutions to healthcare system problems. Patient engagement has been referred to as the “holy grail” and next “blockbuster drug” of health care because it may be revolutionary for transforming the design, delivery, and responsiveness of health services. Patients engage in a variety of healthcare activities, and there are multiple frameworks that depict the degrees of patient engagement in these activities. The literature also uses a variety of terms and concepts to depict the degrees of patient engagement. Moreover, meaningful patient engagement is a concept widely utilized in the literature without a clear definition. The conceptual boundaries and differences between degrees of engagement are unclear. This scoping review summarizes the descriptive characteristics, the degrees of engagement, and examines the terms used to depict meaningful engagement as conceptualized by studies on planning and designing of administrative or health services and interventions. The research questions for this study are: What are the descriptive and study characteristics of studies where patients engage in planning and designing activities? What terms do studies use to depict meaningful patient engagement? This review found a variety of terms used by the literature to depict meaningful engagement: collaboration, cooperation, co-production, active involvement, partnership, and consumer and peer leadership. This review also found that studies seldom use patient engagement frameworks to identify the degree of engagement. The implications of these findings are discussed in light of the literature on patient engagement and recommendations for future practice are provided.

Ensuring Workplace Safety: Evidence Supporting Interventions for Nurse Administrators.

Healthcare workplace violence is a growing concern among nurses; however, nurse administrators and managers may not be fully aware of the level, frequency, or extent of the trauma that staff nurses experience. This information gap is influenced by nurses' failure to report violent incidents, their belief that they are expected to care for violent/assaultive patients, time required for extensive documentation about these incidents, and perceptions that minimal follow-up to mitigate future episodes will occur. This article describes the evidence-based structures, processes, and practices supported to minimize organizational risk and protect nurses and other staff from being physically or emotionally injured and/or traumatized in the workplace.

Prospective Study on the Efficacy of Orally Administered Tranexamic Acid and Goreisan for the Prevention of Recurrence After Chronic Subdural Hematoma Burr Hole Surgery

This prospective study investigated whether tranexamic acid and Goreisan effectively prevent recurrence after burr hole surgery for chronic subdural hematoma. A total of 297 patients with chronic subdural hematoma underwent initial burr hole surgery at our hospital from April 2014 to March 2018. Of these, 206 patients (250 hematomas) consented to participate in this study. Patients were randomly divided into the nonadministration, tranexamic acid, and Goreisan groups based on age. The oral administration intervention was implemented from the day after surgery, after which there was a 3-month follow-up. Recurrence rates were measured, and head computed tomography scan was used to measure the volume of residual hematoma 1 day, 1 week, and 1, 2, and 3 months after surgery. A total of 193 patients (232 hematomas) were followed-up for 3 months (82 hematomas in the nonadministration group, 72 hematomas in the tranexamic acid group, and 78 hematomas in the Goreisan group). There were no significant between-group differences in demographic characteristics, current drug treatment, comorbidities, hematoma, operation side (bilateral or unilateral), preoperative hematoma volume, and recurrence rates. At 1, 2, and 3 months, the residual hematoma volume was significantly smaller in the tranexamic acid group than in the other 2 groups. Oral administration of tranexamic acid or Goreisan does not minimize recurrence after chronic subdural hematoma burr hole surgery; however, tranexamic acid can reduce the hematoma volume.

AN INSTITUTIONAL APPROACH TO THE ANALYSIS OF KLEPTOCRATIC ECONOMY IN THE CONTEXT OF EUROPEANIZATION

Relevance. Kleptocratic economy, as an institutional system, is oriented towards a key function that involves gaining wealth by the ruling elite through the introduction of non-market transaction costs for companies and households, which is based on administrative, bureaucratic, and political violence. For this purpose, the kleptocratic states create such systems of state institutional management that give the authorities the possibility of rent-oriented behaviour, which impedes the functioning of the real sector of the economy and encourages the shadow one. Under such circumstances, transaction costs are redirected to administrative intervention into the market mechanism, rather than aimed at increasing its efficiency; property rights are not clearly specified; the level of uncertainty about rules and norms of economic behaviour increases, and the motivational system of business activity is distorted. As a result, on the one hand, inefficient allocation of resources and slow economic growth (decline) are observed, and on the other hand, there is the redistribution of income in favour of the ruling elite and its excessive enrichment, that is detrimental to the welfare of the majority of the population. The aim of the article is to analyse the political-economic formation of a kleptocratic basis, which in the future transforms the state and its economy into kleptocratic formations; defining ways of counteraction and institutional capacity for transformations in the direction of Ukraine’s aspirations for European integration. Methodological basis. The methodological basis of the research is the work of domestic and foreign scientists in the field of institutionalism and kleptocratic economy. The models of the development of a kleptocratic state and the influence of kleptocratic factors on the socio-economic processes in the country have been studied with the application of the method of analysis, systematization, and generalization. Results. It is determined that in order to liquidate the grounds of kleptocratic economy, it is of primary necessity to eliminate institutional obstacles that interfere with the unification of the legal and shadow sectors of the economy and ensure their institutional formalization. This requires the introduction of effective ways of restraining the ruling elite in order to restrict corruption abuses of the government and its close reigning coalition with special privileges and bureaucracies and form an institutional structure, in which firms and households have clearly defined property rights and also have the possibility to protect contractual rights provided by formal institutes. Particular attention should be paid to the ways of civil society’s monitoring the state information policy and methods of adopting laws, which is, the institutional foundation that guarantees the openness of information as to the actions of government institutions. According to the results of the study, definite measures are proposed, the implementation of which will ensure the opportunities for Europeanization, particularly in Ukraine. The emphasis is placed on the fact that the important factors of counteracting the kleptocratic economy are the wage reform and the “transparent” selection of employees in the public administration sector on the basis of their professional qualities only.

Combating the Teleological Drift of Life Insurance Solvency Regulation: The Case for a Meta-Risk Management Approach to Principles-Based Reserving

This Article presents the recent U.S. “principles-based reserving” (PBR) reform of life insurance solvency regulation as a case study of how regulatory systems can “drift” from their putative objectives when the complexity of the regulated market outpaces the capabilities of traditional regulatory tools to effectuate those objectives. As the life insurance industry developed new products and investment strategies to confront interest rate volatility and the competitive effects of deregulation, regulators perceived the traditional, rigid formula-based methodologies of statutory accounting for reserves – which comprise by good measure insurers’ largest set of liabilities – as increasingly out of touch with market realities. Under the PBR reform, the statutory accounting system will allow firms to account for their reserves based on their own probabilistic estimates of the future economic value of those liabilities, taking into account past experience and predictive statistical models used in the firms’ internal risk management systems. The statutory reserving regime is a linchpin of life insurance solvency regulation, so regulators should only change it so drastically if they are certain the new approach will promote solvency. The Article considers the PBR reform in this context.The Article begins by explaining the purpose of solvency regulation in the insurance industry (of which statutory accounting is a central pillar) as a public administrative intervention into the insurance market to remedy corporate governance gaps due to insurers’ unique capital structures. It then distinguishes statutory accounting system from GAAP accounting by elaborating the former’s traditional conservatism and emphasis on long-term viability and solvency over short-term optimization metrics such as share price and earnings. The Article then draws on “new governance” and “reliability” theories to analyze the PBR reform as an attempt to restore meaning to the statutory accounting system in the face of the new market complexities and dynamism by tapping into regulated firms’ proprietary risk management systems. The Article considers, and finds unlikely, the possibility that firms will themselves adopt a conservative, reliability-focused outlook that privileges long-term solvency over short-term optimization metrics. Under such circumstances, the central task for regulators should be to create a system of “meta-risk management” that aims to encourage the institutionalization of social responsibility and reliability on the part of industry actors. The Article explains how the PBR reform is unlikely to embed conservative reliability-focused principles into insurers’ corporate governance structure, and recommends several modifications that might increase PBR’s effectiveness. Whether statutory accounting can in fact recoup its conservative underpinning is but a single manifestation of a larger problematic concerning the viability of public regulatory control in light of the immanent instability of financial capitalism.

Influence of administrative intervention on the availability, utilization, and competency for the use of defibrillators in primary hospitals.

Influence of administrative intervention on the availability, utilization, and competency for the use of defibrillators in primary hospitals.

Pengaruh Paket Menu Sehat terhadap Peningkatan Kadar Hb Remaja Putri

&lt;p&gt;&lt;span lang="IN"&gt;Female teenager is one of the vulnerable groups to suffer anemia. Anemia prevalence of female teenager belongs to a public health problem. The objective of this research was to find out the influences of the healthy menu to female teenager Hb level improvement in the Roudhlatul Qur’an Islamic Boarding School in Metro in 2018. This research used &lt;/span&gt;&lt;em&gt;quasi-experiment pretest and posttest with control group&lt;/em&gt;&lt;span data-preserver-spaces="true"&gt; design by comparing two groups with the intervention of healthy menu package administration to a treatment group and giving no treatment to control group. The population was 60 female teenagers in Roudhlatul Qur’an Islamic Boarding School. Data were collected by conducting Hb examination by using Haemock before and after treatment. Data were processed and analyzed by using &lt;/span&gt;&lt;em&gt;an independent t-test&lt;/em&gt;&lt;span data-preserver-spaces="true"&gt;. The average result of Hb level of respondents having health menu package treatment was 14.76gr% with standard of deviation of 1.37 and 13.56gr% in control group respondent with a standard of deviation of 1.05. The statistic test result derived p-value 0.000 with an alpha of 5%, and this indicated that there was a significant difference in Hb level average between treatment group and control group. There is an effect of healthy menu packages on Improvement Young Women HB Levels.&lt;/span&gt;&lt;/p&gt;

The Impact of Racial Identity and Social Spaces on the Academic Experiences of Biracial Students: A Phenomenographic Study for School Administrative Intervention

This study explored the identity and social spaces that affects academic performances, and behavioral difficulties of biracial students. As teachers have direct experiences with biracial students in every working days in school, these serve as an opportunity for the researcher to study the academic experiences of biracial learners. This research paper is qualitative research that used the phenomenographic approach. Phenomenography is investigative, and, explanatory as, it charts the different ways on how the participants understand, conceptualize, perceive and observe the different aspects of a phenomenon in the environment around them. The participants were grade school teachers wherein their experiences with the biracial students were explored. The researcher interviewed the participants, and the interviews were transcribed verbatim. As findings, five themes were drawn by the researcher from the interview. These are: classroom profile of biracial students, academic performances, behavioral difficulties, racial identity shaped by the parents and environment, and the intervention.