Building Exercise Research Articles

Eyes Toward Tomorrow Program Enhancing Collaboration, Connections, and Community Using Bioinspired Design.

The goal of our Eyes Toward Tomorrow Program is to enrich the future workforce with STEM by providing students with an early, inspirational, interdisciplinary experience fostering inclusive excellence. We attempt to open the eyes of students who never realized how much their voice is urgently needed by providing an opportunity for involvement, imagination, invention, and innovation. Students see how what they are learning, designing, and building matters to their own life, community, and society. Our program embodies convergence by obliterating artificially created, disciplinary boundaries to go far beyond STEM or even STEAM by including artists, designers, social scientists, and entrepreneurs collaborating in diverse teams using scientific discoveries to create inventions that could shape our future. Our program connects two recent revolutions by amplifying Bioinspired Design with the Maker Movement and its democratizing effects empowering anyone to innovate and change the world. Our course is founded in original discovery. We explain the process of biological discovery and the importance of scaling, constraints, and complexity in selecting systems for bioinspired design. By spotlighting scientific writing and publishing, students become more science literate, learn how to decompose a biology research paper, extract the principles, and then propose a novel design by analogy. Using careful, early scaffolding of individual design efforts, students build the confidence to interact in teams. Team building exercises increase self-efficacy and reveal the advantages of a diverse set of minds. Final team video and poster project designs are presented in a public showcase. Our program forms a student-centered creative action community comprised of a large-scale course, student-led classes, and a student-created university organization. The program structure facilitates a community of learners that shifts the students' role from passive knowledge recipients to active co-constructors of knowledge being responsible for their own learning, discovery, and inventions. Students build their own shared database of discoveries, classes, organizations, research openings, internships, and public service options. Students find next step opportunities so they can see future careers. Description of our program here provides the necessary context for our future publications on assessment that examine 21st century skills, persistence in STEM, and creativity.

Anti-liberal ideas and institutional change in Central and Eastern Europe

ABSTRACT Three decades since the collapse of communism in Central and Eastern Europe, the ideal of liberal democracy is under considerable strain. Recent developments in the region show that democratic institutions do not only evolve and consolidate, but they can also decay. The article intends to provide a comprehensive theoretical account to shed light on the ongoing multifaceted and multi-layered processes of change in the region. Drawing on the literature on the role of ideas and on the body of research explaining ongoing transformations in Central and Eastern Europe, it conceptualises the normative core of anti-liberal ideas. It shows that this core is embedded in a set of narratives pitted against liberal democracy, which take the form of causal stories, put forward values and solutions, being ultimately used to legitimise institutional change in politics (i.e. agency and the social power structures) policies (i.e. how economic nationalism alters the neoliberal model) and the polity (i.e. the rules of the political game). This conceptual map, which is derived inductively from the literature, is meant to guide future empirical studies and theory building exercises seeking to understand institutional change in the region and beyond.

Building consensus on inpatient discharge pathway components in the management of blunt thoracic injuries: An e-Delphi study amongst an international professional expert panel

IntroductionAccess to a standardised and evidence informed approach to blunt thoracic injury (BTI) management remains challenging across organised trauma systems globally. It remains important to optimise recovery through pathway-based interventions. The aim of this study was to identify components of care that are important in the effective discharge process for patients with BTI and pinpoint core and optional components for a patient pathway-based intervention. MethodsComponents of care within the hospital discharge process after BTI were identified using existing literature and expert opinion. These initial data were entered into a three-round e-Delphi consensus method where round one involved further integrating and categorising components of discharge care from the expert panel. The panel comprised of an international interdisciplinary group of healthcare professionals with experience in the management of BTI. All questionnaires were completed anonymously using an online survey and involved rating care components using Likert scales (Range: 1-6). The final consensus threshold for pathway components were defined as a group rating of greater than 70% scoring in either the moderate importance (3-4) or high importance category (5-6) and less than 15% of the panel scoring within the low importance category (1-2). ResultsOf 88 recruited participants, 67 (76%) participated in round one. Statements were categorised into nine themes: (i) Discharge criteria; (ii) Physical function and Self-care; (iii) Pain management components; (iv) Respiratory function components; (v) General care components; (vi) Follow-up; (vii) Psychological care components; (viii) Patient, family and communication; (ix) ‘Red Flag’ signs and symptoms. Overall, 70 statements were introduced into the consensus building exercise in round two. In round three, 40 statements from across these categorises achieved consensus amongst the expert panel, forming a framework of core and optional care components within the discharge process after BTI. ConclusionsThese data will be used to build a toolkit containing guidance on developing discharge pathways for patients with BTI and for the development of audit benchmarks for analysing healthcare provision in this area. It is important that interventions developed using this framework are validated locally and evaluated for efficacy using appropriate research methodology.

The COVID-19 pandemic and organisational learning for disaster planning and management: A perspective of tourism businesses from a destination prone to consecutive disasters

Organisational learning is critical for building disaster-resilient tourism businesses. Limited research has examined the mechanisms of organisational learning in tourism enterprises operating in disaster-prone destinations. The COVID-19 pandemic provides an opportunity to investigate how past disasters have reinforced organisational resilience of tourism businesses. This paper evaluates the effect of past disasters on organisational learning of tourism businesses in Bali. It finds that limited human and social capital restricts their organisational learning, exposing vulnerability of the Balinese tourism industry to future disastrous events. Stakeholder capacity building exercises are required to enhance disaster resilience of tourism businesses and their host destination.

Teachers’ preparedness to deliver remote adapted physical education from different European perspectives: Updates to the European Standards in Adapted Physical Activity

ABSTRACT When schools were closed due to the COVID-19 restrictions, teachers were challenged to engage children with Special Educational Needs (SEN) through remote teaching, particularly in physical education. The European Standards in Adapted Physical Activity (EUSAPA) have been used to define the competencies of adapted physical education (APE) teachers. Through a consensus building exercise, the standards were updated in this paper to include technologically supported pedagogy. Evidence from 125 APE teachers, who completed a technological communication inventory, modified versions of the technology, pedagogy and content knowledge scale (TPACK-21), and self-efficacy on including students with disabilities in physical education scale (SE-PETE-D), were used to inform experts to create technological indicators for the EUSAPA. Teachers used 3 to 4 technologies (email, phone, SMS, Whatsapp) to communicate with students and colleagues, and many reported low levels of technological content knowledge. Experts considered the need to add 13 new functions to the EUSAPA. Most of the functions were considered to be feasible to implement in existing practices and the other requiring extra resources or skills. As further training is planned, consideration of expertise is warranted when mapped against meeting standards.

Selecting, implementing and evaluating patient-reported outcome measures for routine clinical use in cancer: the Cancer Care Ontario approach

BackgroundThe use of Patient-Reported Outcome Measures (PROMs) in routine clinical care can help ensure symptoms are identified, acknowledged and addressed. In 2007, the provincial cancer agency, Cancer Care Ontario, began to implement routine symptom screening with the Edmonton Symptom Assessment System (ESAS) for ambulatory cancer patients. Having had a decade of experience with ESAS, the program developed a strategic interest in implementing new and/or additional measures. This article describes the development of a streamlined PROM selection and implementation evaluation process with core considerations.MethodsDevelopment of the PROM selection and implementation evaluation process involved analysis of quantitative and qualitative data as well as consensus building through a multi-stakeholder workshop. Core PROM selection considerations were developed through a literature scan, review and refinement by a panel of methodological experts and patient advisors, and testing via a test case. Core PROM implementation evaluation considerations were developed through analysis of PROM evaluation frameworks, and review and refinement by a committee of provincial implementation leads.ResultsCore PROM selection considerations were identified under three overarching themes: symptom coverage, usability and psychometric properties. The symptom coverage category assesses each PROM to determine how well the PROM items address the most prevalent and burdensome symptoms in the target patient population. The usability category aims to assess each measure on characteristics key to successful implementation in the clinical setting. The psychometric properties category assesses each PROM to ensure the data collected is credible, meaningful and interpretable. A scoring system was developed to rate PROM performance by assigning a grade of “weak”, “average” or “good” for each category. The process results in a summary matrix which illustrates the overall assessment of each PROM. Implementation evaluation considerations were identified under three overarching concepts: acceptability, outcomes, and sustainability. A consensus building exercise resulted in the further identification of patient, provider, and clinic specific indicators for each consideration.ConclusionTo address the need for a systematic, evidence-based approach to selection, implementation and evaluation of PROMs in the clinical setting, Cancer Care Ontario defined a process with embedded core considerations to facilitate decision-making and encourage standardization.

A green social work perspective on social work during the time of COVID-19.

COVID‐19 has challenged social workers to engage with health pandemics and provide essential services in conditions of uncertainty and high risk. They have safeguarded children, older adults and diverse adults in ‘at risk’ groups under tough conditions mediated by digital technologies, adhered to government injunctions, maintained social and physical distancing under lockdown and worked from home remotely. Social workers and social care workers have risen to the challenges, providing services with inadequate personal protective equipment and limited supervision and support. This article highlights the degraded physical environments, socio‐economic and political contexts that intensify precariousness and constraints that neoliberalism imposed on professional capacity before and during this health pandemic. It provides guidelines to protect practitioners and service users. It concludes that practitioners ought to understand zoonotic diseases, environmental concerns, acquire disaster expertise and training, widen their practice portfolio and value their contributions to this pandemic.Key Practitioner Message: • Develop technological skills and innovate to support stressed individuals, safeguard children, adolescents and elders and deal with poverty and unemployment; • Use digital technologies involving peers to explore tricky situations, examine ethical dilemmas through scenario building exercises, and tips for self‐care; • Contribute to environmental protections that prevent the spread of zoonotic diseases like COVID‐19; • Seek supervision and support for disaster‐based training from your line manager.

Enhancing the use of stakeholder analysis for policy implementation research: towards a novel framing and operationalised measures

BackgroundPolicy is shaped and influenced by a diverse set of stakeholders at the global, national and local levels. While stakeholder analysis is a recognised practical tool to assess the positions...

The COVID-19 Pandemic and the Relevance of Ayurveda's Whole Systems Approach to Health and Disease Management.

The COVID-19 Pandemic and the Relevance of Ayurveda's Whole Systems Approach to Health and Disease Management.

How to run successful meetings in person and virtually

Running successful meetings is an essential operation for all businesses and team building exercises. The Covid-19 pandemic has further highlighted the need for effective communication within and between teams, as...

The impact of a first-year orientation team building exercise

Experience and anecdotal evidence indicate that first-year students experience challenges in terms of adapting to our university construction management course environment. The purpose of the study is to determine the impact of a team building event on first-year students’ skills, core competencies, ability to manage themselves, work as a team, interface with each other, strategize, plan, evolve tactics, and take action.. A quantitative approach using a questionnaire survey in a South African university post completion of the event determined the perceptions of the students. Findings include that the team building activities contributed to enhancing participants’ skills, their understanding and appreciation of core competencies and the development thereof, and their ability to communicate with first-year colleagues; built confidence in their abilities including that of completing a task, and enhanced participants’ alternative thought processes, ability to be creative, strategize, evolve tactics, take action, and plan. The students benefited from, enjoyed the team building activities and believed that it contributed to improving their time management skills. Based upon the findings, conclusions are that the one-day first-year orientation team-building event had the desired impact in terms of the development of the first-year students’ abilities. Recommendations are that the one-day first-year orientation team-building event is staged annually, and a study pertaining to the impact of the intervention on student performance be determined following the completion of a full academic year and again post-graduation.

Towards understanding power and agency in policy implementation: A stakeholder analysis of a primary care NCD policy in the Philippines

Abstract The growing NCD burden of demands collective action from many stakeholders. This is often difficult to achieve, largely due to the limited understanding of how actors interact and shape policy processes, especially in LMICs. CVD accounts for a third of deaths in the Philippines, where a national primary care policy for NCD control has been enacted. We describe how we assessed the capacities, power and level of stakeholder engagement in implementing the programme within the Philippine health system and identified ways to support implementation. A scoping review developed an analytical framework for stakeholder analysis, peer reviewed by health policy experts. Four characteristics were identified: level of knowledge, interest, power, and position of stakeholders. Interviews and a consensus building exercise were used to operationalize it. Respondents were purposively sampled via document review and a snowball technique. National government has high power but offers moderate support for implementation. Decentralized local governments also have high power but offer varying degrees of support for implementation given competing priorities and limited resources. Frontline health workers and civil society are both supportive but have little power. Professional societies have only moderate power but are an important conduit to reach private providers. The capacities of some actors are not fully mobilized. Understanding of the power and capacity of actors facilitates approaches to control NCDs in the Philippines. Engagement with national and local governments must be strengthened to improve uptake of the NCD control policy. Frontline health workers, if empowered, can make a key contribution to policy implementation. Professional societies can play an important facilitating and convening role to build collaborations across public and private sectors. Finding the optimal balance and synergies between these diverse roles may be critical for NCD programme implementation.

English

English

A consensus building exercise to determine research priorities for silver trauma

BackgroundEmergency care research into ‘Silver Trauma’, which is simply defined as major trauma consequent upon relatively minor injury mechanisms, is facing many challenges including that at present, there is no clear prioritisation of the issues. This study aimed to determine the top research priorities to guide future research.MethodsThis consensus-based prioritization exercise used a three-stage modified Delphi technique. The study consisted of an idea generating (divergent) first round, a ranking evaluation in the second round, and a (convergent) consensus meeting in the third round.ResultsA total of 20 research questions advanced to the final round of this study. After discussing the importance and clinical significance of each research question, five research questions were prioritised by the experts; the top three research priorities were:What are older people’s preferred goals of trauma care?Beyond the Emergency Department (ED), what is the appropriate combined geriatric and trauma care?Do older adults benefit from access to trauma centres? If so, do older trauma patients have equitable access to trauma centre compared to younger adults?ConclusionThe results of this study will assist clinicians, researchers, and organisations that are interested in silver trauma in guiding their future efforts and funding toward addressing the identified research priorities.

Building capacities of Auxiliary Nurse Midwives (ANMs) through a complementary mix of directed and self-directed skill-based learning\u2014A case study in Pune District, Western India

Auxiliary nurse midwives (ANMs) play a pivotal role in provision of maternal and newborn health at primary level in India. Effective in-service training is crucial for upgrading their knowledge and skills for providing appropriate healthcare services. This paper aims at assessing the effectiveness of a complementary mix of directed and self-directed learning approaches for building essential maternal and newborn health-related skills of ANMs in rural Pune District, India.MethodsDuring directed learning, the master trainers trained ANMs through interactive lectures and skill demonstrations. Improvement and retention of knowledge and skills and feedback were assessed quantitatively using descriptive statistics. Significant differences at the 0.05 level using the Kruskal-Wallis test were analysed to compare improvement across age, years of experience, and previous training received. The self-directed learning approach fulfilled their learning needs through skills mall, exposure visits, newsletter, and participation in conference. Qualitative data were analysed thematically for perspectives and experiences of stakeholders. The Kirkpatrick model was used for evaluating the results.ResultsDirected and self-directed learning was availed by 348 and 125 rural ANMs, respectively. Through the directed learning, ANMs improved their clinical skills like maternal and newborn resuscitation and eclampsia management. Less work experience showed relatively higher improvement in skills, but not in knowledge. 56.6% ANMs either improved or retained their immediate post-training scores after 3 months.Self-directed learning helped them for experience sharing, problem-solving, active engagement through skill demonstrations, and formal presentations. The conducive learning environment helped in reinforcement of knowledge and skills and in building confidence. This intervention could evaluate application of skills into practice to a limited extent.ConclusionsIn India, there are some ongoing initiatives for building skills of the ANMs like skilled birth attendance and training in skills lab. However, such a complementary mix of skill-based ‘directed’ and ‘self-directed’ learning approaches could be a plausible model for building capacities of health workforce. In view of the transforming healthcare delivery system in India and the significant responsibility that rests on the shoulder of ANMs, a transponder mechanism to implement skill building exercises at regular intervals through such innovative approaches should be a priority.

Body Perception and Self-Esteem in Individuals Performing a Bodybuilding Exercise Program

Objective: The aim of this study was to determine the relationship of body, upper extremity, lower extremity endurances and core functionality with body perception and self-esteem in individuals who continued a body building exercise program.

The Problematizing Review: A Counterpoint to Elsbach and Van Knippenberg’s Argument for Integrative Reviews

AbstractIn this paper we provide a counterpoint to conventional views on integrative reviews in knowledge development, as exemplified by Elsbach and Van Knippenberg (2020). First, we critique their proposed integrative review by identifying and problematizing several key assumptions underlying it, particularly their idea that the integrative review can simply build on existing studies and lead the way to knowledge. Second, based on this critique, we propose as an alternative the problematizing review, which is based on the following four core principles: the ideal of reflexivity, reading more broadly but selectively, not accumulating but problematizing, and the concept that ‘less is more’. In contrast to the integrative review, which regards reviews as a ‘building exercise’, the problematizing review regards reviews as an ‘opening up exercise’ that enables researchers to imagine how to rethink existing literature in ways that generate new and ‘better’ ways of thinking about specific phenomena.

Costs of avoided carbon emission from thermal and renewable sources of power in India and policy implications

India is the third-largest carbon emitter after the USA and China due to its over-reliance on low-efficiency coal-fired power plants. To reduce carbon emission, India has set up an ambitious target to harness power from renewable energy resources. To examine whether solar and wind are the least cost options to reduce carbon emission, the study estimates the cost of avoided carbon emission from thermal and renewable power generation in India. The study first estimates the Levelized Cost of Electricity Generation (LCOE). These LCOE estimates are then extended to calculate the avoided cost of carbon emission (CAC) from coal-based super and ultra-supercritical technologies along with solar, wind, and combined cycle gas-based power with respect to the subcritical power plant. The study also conducts sensitivity analysis and scenario building exercises. It establishes that super and ultra-supercritical power plants and not the solar or wind are the least-cost options for India to reduce its carbon emission. The study concludes with a set of important policy prescriptions.

Pre-schoolers' transport imaginaries: Moving towards sustainable futures?

Being on the move is part of children's everyday life in cities. However, little is known about how young children experience transport systems or their aspirations for mobility in cities. In this paper, we explore pre-schoolers' experiences with the mobile world and show their affinity with different transport modes and hopes for their current transport system. We draw on a participatory research project that engaged children in class discussions, a tile-based city building exercise and neighbourhood walks. Findings suggest that although the voices of children aged 3–5 years are absent in mobility or transport debates, children are fascinated by mobility and transport related activities and services. Pre-schoolers from Dunedin, New Zealand, though recognising a predominantly motorised transport system, also showed creative or alternative modes making their way into their own transport systems. In this paper we argue that children should be introduced to and experience alternative modes of transport in the early years to allow for more imaginary transport geographies creating greater support for more sustainable, liveable urban environments for all ages.

Impact of increased focus on pharmacovigilance on knowledge and attitude towards adverse drug reaction reporting among medical students in India.

Recent years have seen a surge in pharmacovigilance (PV) related activities in India. In the present study the impact of these initiatives on medical students from across the country was evaluated to identify their effectiveness, lacunae and arrive at remedial measures. A cross-sectional, questionnaire based study was conducted. The survey questionnaire consisted of 28 multiple response items. The areas covered included subject knowledge (theoretical and practical), attitude and awareness towards pharmacovigilance. The survey participants (n = 253) were from 71 medical colleges and 17 states across India. While 60% of the participants were familiar with the term 'Pharmacovigilance', many could not distinguish side effect and adverse drug reaction. The majority was unaware that 'Periodic Safety Update Report' (PSURs) is a mandatory pharmacovigilance activity by the industry. 91% felt reporting is a useful practice and causes for under-reporting are a lack of awareness followed by attitude, misconceptions about what to report, fear of litigation and interestingly the least important is lack of time. However, most were reluctant to have reporting as mandatory tool; they would rather use it voluntary. In spite of collaborative and synchronized efforts by various agencies there is a need to further improve the PV milieu in India by confidence building exercises, imparting training on PV programme, updating of the current knowledge on PV and also sustaining motivation.