Change Efforts Research Articles

A leadership-level culture cycle intervention changes teachers’ culturally inclusive beliefs and practices

Despite an abundance of support for culturally inclusive learning environments, there is little consensus regarding how to change educational contexts to effectively and sustainably foster cultural inclusion. To address this gap, we report findings from a research-practice partnership that leveraged the Culture Cycle Framework (CCF) to expand educators' praxis to include both independent and interdependent models of self. Most U.S. schools validate independent cultural models (i.e., those that prioritize individuality, uniqueness, and personal agency) and overlook interdependent models (i.e., those that prioritize connectedness, relationality, and collective well-being), which are more common among students from marginalized racial and socioeconomic backgrounds. Using a quasi-experimental longitudinal design, we trained school leadership to integrate ideas about cultural inclusion (i.e., validating the importance of both independent and interdependent cultural models) into school-wide flagship practices. We assessed downstream indicators of culture change by surveying teachers and students across the district and found that a) leadership-level training enhanced school-wide beliefs about cultural inclusion, b) teachers' endorsement of culturally inclusive beliefs predicted their use of culturally inclusive practices, and c) teachers' use of culturally inclusive practices predicted enhanced psychosocial and academic outcomes among students. This research represents a comprehensive culture change effort using the CCF and illustrates a means of fostering inclusion-focused educational culture change and assessing downstream consequences of culture change initiatives.

No increase of soil wind erosion with the establishment of center pivot irrigation system in Mu-Us sandy land

Center Pivot Irrigation system (CPIs) is widely used in newly exploited arable land in sandy lands. These sandy lands are currently stable because of climate change and ecological restoration efforts since the beginning of the 21st century in northern China. The exploitation of these fixed sandy lands to arable land with CPIs may affect the soil wind erosion, yet it remains unknown. The temporal changes of CPIs and its effect on wind erosion module were analyzed and modeled from 2000 to 2020 in Mu-Us sandy land using satellite images and Revised Wind Erosion Equation (RWEQ). The establishment of CPIs started from 2010, boomed in 2015 and peaked in 2020. They were mainly transformed from woodland, grassland, and barren land near rivers in east and southeast, and from cropland in inter-dunes in west and southwest of Mu-Us sandy land. The temporal and spatial pattern of CPIs well aligns with the land consolidation and requisition-compensation balance policies. In most of the Mu-Us sandy land, the annual erosion module is <25 t ha−1 a−1. Despite great variation, the annual, Winter and Spring erosion module of the Mu-Us sandy land or in Otog Qian and Yuyang, the CPIs concentrated counties, all decreased during 2000–2019. Although, wind erosion module in CPIs was lower than the surrounding area, it increased in 2019 given the same climate conditions as in 2010. Our results suggest 1) the establishment of CPIs in Mu-Us sandy land greatly depends on the local policy and natural endowment, and 2) although the set-up of CPIs showed no impact on the wind erosion with CPIs accounting for <1 % of Mu-Us sandy land, post-harvest of CPIs should be carefully concerned to prevent soil wind erosion.

Remind me that I matter: how self-worth bias can enhance employee support for organizational change efforts

PurposeThe purpose of this empirical study was to test whether presenting organizational change in a way that enhances employee self-worth will result in increased employee support for the identified change. In doing so, we developed a new measure, which includes a novel baseline element.Design/methodology/approachItems were developed, and then categorical validation data were collected through an online cross-sectional survey in which 222 respondents (adults over 18 years of age, and at least 6 months tenure) participated.FindingsWithin the items, we framed the activation of self-worth bias as requests for employee comments regarding change efforts. Results indicate there is a difference between asking for employee comment on change efforts, compared to asking for employee comment on change efforts and also providing feedback considerate of that input.Originality/valueThis study explores and presents a convergence between behavioral economics, management and applied psychology research – using both self-worth bias, and organizational change management communications; no other such comparable study or analysis could be found during the preparation of this research effort. Furthermore, a novel measure and innovative method is presented for developing and measuring self-worth bias during organizational change management communications.

How Can Research-Practice Partnerships Advance Multilingual Learner Equity? A Case Study of Partnership with State-Education-Agency Leaders

ABSTRACT Although multilingual learner (ML) students are present in nearly all K-12 settings, they tend to be served by schools and educators who are inadequately prepared to support them. While state education agency leaders may be well-positioned to address inequities in ML education, given their roles as policy intermediaries, their work is politically complex. Further, professional development support for state-level leaders has historically been limited. Research-practice partnerships (RPPs) represent a promising avenue for addressing this absence in state leadership support, as RPPs aim to promote educational transformation through collaboration between researchers and practitioners. In our case, we posit that state-education-agency leaders’ engagement in a cross-state RPP has the potential to support enactment of transformative-leadership practices, specifically through opportunities to think and work with role-alike colleagues and external researchers. Drawing on qualitative case study methods, our findings reveal how ongoing RPP collaboration in small groups supported state leaders’ enactment of transformative approaches, such as developing a statewide framework for ML education and supporting district leaders with using ML-specific funds in equity- and evidence-based ways. Findings shed light on specific RPP activities that supported leaders’ collaboration, which may inform how future partnerships are facilitated to advance equity-focused change efforts.

From multilevel to trans-level interventions: A critical next step for creating sustainable social change to improve mental health.

Eliminating mental health disparities requires simultaneously addressing numerous determinants of health, including social inequities. Although emphasis on multilevel change is growing, interventions typically involve separate efforts or people focusing on each level. We propose a trans-level conceptual model for mental health intervention that simultaneously facilitates change across multiple intersecting levels with four guiding principles: (1) emphasis on structural change; (2) involvement of people experiencing health and social inequities in achieving structural change by addressing the necessary preconditions of access to resources for basic needs, community membership and belonging, and knowledge or information to participate in social change efforts; (3) valuing and building on the expertise and strengths of individuals, families, and communities experiencing health inequities; and (4) dismantling unequal power dynamics of helping relationships through a focus on mutual learning and support and cocreation of change. Tracing the trajectory of a 23-year community-based mental health intervention partnership (the Refugee and Immigrant Well-Being Project), we illustrate the trans-level intervention model and describe its impact on individual mental health and sustainable change at multiple levels. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Breaking bad news in oncology practice: experience and challenges of oncology health professionals in Ethiopia – an exploratory qualitative study

ObjectiveTo explore the experience and challenges health professionals face during breaking bad news (BBN) to patients with cancer in the oncology centre of Black Lion Specialized Hospital (BLSH), Addis Ababa,...

Advancing collaborative social outcomes through place-based solutions—aligning policy and funding systems

Abstract More collaborative and human-centered approaches to tackle social problems of entrenched disadvantage have been introduced in many countries, including Australia, but with mixed results. Traditional programs that reinforce existing political and bureaucratic processes have been seen as blockers to collaborative modes of policymaking, governance, and delivery. Drawing on collaborative governance perspectives, this paper reports new research undertaken in conjunction with a not-for-profit organization (Collaboration for Impact) involved in supporting place-based collaborative community change efforts. Research findings, based on stakeholder perspectives, highlight not only the potential benefits of a more collaborative model (i.e., placed-based and community driven) but also the significant unresolved challenges for “backbone” coordination bodies, which have recently been established to achieve more “joined-up” policy, funding, and service delivery arrangements. The paper concludes by proposing a practice-driven focus on policy and funding systems, together with implications for policy learning and program design.

Radiation Oncology Resident Education: Is Change Needed?

Leading successful change efforts first requires assessment of the "before change" environment and culture. At our institution, the radiation oncology (RO) residents follow a longitudinal didactic learning program consisting of weekly 1-h lectures, case conferences, and journal clubs. The resident didactic education series format has not changed since its inception over 10years ago. We evaluated the perceptions of current residents and faculty about the effectiveness of the curriculum in its present form. Two parallel surveys were designed, one each for residents and attendings, to assess current attitudes regarding the effectiveness and need for change in the RO residency curriculum, specifically the traditional didactic lectures, the journal club sessions, and the case conferences. We also investigated perceived levels of engagement among residents and faculty, whether self-assessments would be useful to increase material retention, and how often the content of didactic lectures is updated. Surveys were distributed individually to each resident (N = 10) and attending (N = 24) either in-person or via Zoom. Following completion of the survey, respondents were informally interviewed about their perspectives on the curriculum's strengths and weaknesses. Compared to 46% of attendings, 80% of RO residents believed that the curriculum should be changed. Twenty percent of residents felt that the traditional didactic lectures were effective in preparing them to manage patients in the clinic, compared to 74% of attendings. Similarly, 10% of residents felt that the journal club sessions were effective vs. 42% of attendings. Finally, 40% of residents felt that the case conferences were effective vs. 67% of attendings. Overall, most respondents (56%) favored change in the curriculum. Our results suggest that the perceptions of the residents did not align with those of the attending physicians with respect to the effectiveness of the curriculum and the need for change. The discrepancies between resident and faculty views highlight the importance of a dedicated change management effort to mitigate this gap. Based on this project, we plan to propose recommended changes in structure to the residency program directors. Main changes would be to increase the interactive nature of the course material, incorporate more ways to increase faculty engagement, and consider self-assessment questions to promote retention. Once we get approval from the residency program leadership, we will follow Kotter's "Eight steps to transforming your organization" to ensure the highest potential for faculty to accept the expectations of a new curriculum.

Dental antimicrobial stewardship: a qualitative study of perspectives among Canadian dentistry sector leaders and experts in antimicrobial stewardship.

Dentistry is a significant contributor to the burden of antimicrobial overprescribing and hence to the global problem of antimicrobial resistance. However, antimicrobial stewardship in Canadian dentistry is nascent, with an acknowledged need for research and coordinated stewardship efforts. This study aimed to gain insights into the perspectives of Canadian dentistry sector leaders and experts on the main drivers of dental antibiotic overprescribing and potential stewardship strategies. Exploratory qualitative design. Data collection: four one-time, 1 h focus group discussions with 22 experts and stakeholders in antimicrobial stewardship in Canada, recruited through a mix of purposive and snowball sampling. Data analysis: inductive thematic analysis. The analysis yielded five themes: outdated patterns; antimicrobials as a Band-Aid; fear and risk aversion; behavioural change; and why reinvent the wheel? Overprescription in dentistry stems primarily from a perpetuation of outdated prescribing patterns, ubiquitous use of antibiotics as a temporary solution, and an overly cautious antibiotic use by risk-averse providers. Stewardship strategies should be grounded on behavioural change (motivation, robust data and enactment of new behaviours) and may be modelled after tested medical interventions. This study presents a roadmap for behavioural change in dental antibiotic prescribing, and points to the fact that the success of a stewardship actionable plan for Canadian dentistry may depend more on concerted efforts for change than on the creation of novel strategies. Hence, contextualizing and testing medical stewardship programmes in Canadian dentistry may be effective in combatting antibiotic overprescription, thereby contributing to global efforts to reduce antimicrobial resistance.

Recognizing dominant cultures around assessment and educational change in physics programs

Leaders, policymakers, and researchers have called attention to the need to improve critical aspects of physics programs, from teaching and pedagogy to making physics more diverse and equitable. As such programmatic changes are challenging and require a second-order change to be effective, many physics faculty responsible for carrying them out are not equipped with the necessary experience and support to do so. This can result in a significant waste of resources and time. Moreover, while there is a robust body of literature in higher education focusing on institutional and cultural change, there is a limited understanding of the baseline of the culture of physics programs (where physics programs are starting from), a critical aspect that shapes the change effort. Dr. David Craig and Dr. Joel Corbo with the support of the American Physical Society and the American Association of Physics Teachers developed the Departmental Action Leadership Institutes (DALIs) to meet the needs of the physics community by supporting physics faculty to effectively design and implement departmental change focusing on areas needing improvement. In this research project, we developed case studies of five DALI-active physics programs from two DALI cohorts. We use a cultural dynamics lens to document facets of the dominant culture around how physics faculty approach and pursue change work. We see evidence of DALI participants’ growing awareness of taken-for-granted assumptions about educational change processes and assessment practices within their departmental cultures and coming to recognize and value alternative ways of collaborating and enacting change in their local contexts. We found that physics faculty typically approach change work in a rushed and way ignoring the use of formal evidence. In particular, we found that any data collection efforts are the primary responsibility of a single person, rarely becoming the focus of joint attention. Whenever data did receive joint attention, it was approached in a cursory way without meaningfully informing collective change efforts. This study lays the foundation to explore critical aspects of the dominant physics culture that may constrain enacting particular forms of programmatic change. In future work, we document the cultural shifts made by these DALI-active departments around change work. Published by the American Physical Society 2024

Conversion practices in Aotearoa New Zealand: Developing a holistic response to spiritual abuse.

Research arising from conversion practices, also known as conversion therapy and sexual orientation and gender identity change efforts, has generally been underpinned by an emancipatory discourse that has evolved to counter harmful practices by evidencing associated harms and estimating prevalence. Little attention, however, has focused on what is required to support survivors, inclusive of those currently or those having previously experienced conversion efforts. Within a context of Aotearoa New Zealand having recently criminalised conversion practices, this study adopted an in-depth qualitative research design, informed by a dual adherence to life history and an empowerment methodology. Twenty-three religious conversion practice survivors, who had experienced religious conversion practices across a range of Christian identified faith settings, were interviewed. Participants had a median age of 34 and the majority identified as New Zealand European, cisgender, and gay. Participant narratives were discursively analysed. Three primary discourses were identified that inform the needed development of interventions and supports: 1) pervasive framing of conversion practices as harm, rather than spiritual abuse, has minimised the impacts of conversion practices. Rather, conceptualising conversion as spiritual abuse positions conversion practices as requiring urgent intervention and ongoing support, inclusive of the development of policy and operational responses; 2) the coercive nature of spiritual abuse needs to be appreciated in terms of spiritual, social, and structural entrapment; 3) the metaphor of a pipeline was enlisted to encapsulate the need for a multidimensional array of interventions to ensure those entrapped within spiritual abuse have a "pipeline to safety". Holistic survivor-centric conversion-related responses to spiritual abuse are required. These need to be informed by an understanding of entrapment and the associated need for holistic responses, inclusive of extraction pathways and support for those entrenched within abusive religious settings, support immediately after leaving abusive environments, and support throughout the survivors' healing journeys.

Storytelling as a Tool for Activist Public Relations: A Qualitative Study in Case of Women

This study focuses on storytelling in activist public relations. Stories emerge as an important "activist public relations" tool in non-governmental organizations' social change and awareness-raising efforts. The research aims to investigate both short and long-term effects of storytelling on emotions, awareness levels, and behavioral changes across different age groups. To illustrate the use of storytelling in activist public relations within the cosmetics industry, the researchers selected the short film "Save Ralph," produced by Humane Society International in 2021. The short film tells in an emotional tone, from the mouth of a rabbit, what happened to him during cosmetic experiments. The research, employing a qualitative research design, comprises three stages. Firstly, a survey was conducted among 30 women from various age groups to gather insights into their definitions of cosmetic products, usage frequency, and factors influencing their preferences. In the second stage, participants were shown the selected short film, followed by in-depth interviews. Lastly, follow-up interviews were conducted with the same group of women three months later. The findings revealed that storytelling had the most significant impact on emotions, awareness levels, and behavioral changes among women aged 18-23. This underscores the effectiveness of storytelling as a strategy for driving social change and raising awareness within activist public relations initiatives.

From Physics to Environmental Policy: Exploring Boltzmann Distribution for Carbon Trading Permit Allocation

Combating climate change and reducing atmospheric CO2 emissions are imperative. While carbon trade, including taxes and trading systems, has been proposed, the allocation of initial permits is challenging. This study addresses this issue, exploring the application of the Boltzmann distribution for carbon emission permit allocation in carbon trading. The Boltzmann distribution method uniquely considers each country's environmental and economic contexts, assigning more responsibility to nations with larger populations and higher emissions, and providing incentives to lower-emission countries. This promotes fairness in global climate change efforts and influences national environmental policies. High-emission countries like China receive a high number of permits, encouraging stronger environmental policies, whereas countries with lower emissions, such as Italy, benefit from additional permits as compared to conventional distribution models, bolstering their existing environmental conservation. This paper applies the Boltzmann distribution to eight countries, considering population, economic size, and CO2 emissions. It effectively balances permits between egalitarianism (population-based) and sovereignty (emission-based) principles, suitable for international carbon trading. This flexible approach provides a practical framework for international emissions rights allocation along with potential applications in broader contexts. Implementation of the Boltzmann distribution in real-world policy faces challenges due to the dynamic nature of international politics and economics. This research offers insights into the process of integrating this method into existing environmental policy frameworks, demonstrating its potential as a tool for enhancing global environmental sustainability. Future research should explore its application in the complex international political and economic environment, furthering its role in global climate policy.

Climate change and migration harm malaria elimination efforts

Climate change and migration harm malaria elimination efforts

Cold Ironing and the Study of RES Utilization for Maritime Electrification on Lesvos Island Port

The maritime industry is addressing environmental issues, and “cold ironing” offers a promising solution. This method involves supplying ships at port with energy, reducing fossil fuel dependence and emissions, and aiding in global climate change efforts. It is especially important for islands like Lesvos, which suffer from high energy costs and environmental issues due to imported fossil fuel reliance. However, research gaps exist in using renewable energy sources (RES) for cold ironing, mainly due to insufficient data on power needs and lack of monitoring for precise calculations and the very limited applications for the case of non-interconnected islands. This study uses real data from the port of Lesvos to evaluate power requirements for cold ironing and assesses the viability of a wind power park for an electrified port with the novelty and uniqueness of developing the application on a non-interconnected island. It also examines potential CO2 emission reductions. Data from Marine Traffic S.A. were used, considering factors like ship arrivals, hoteling duration, and engine types. This study also includes a simulation using RETScreen software for a 20 MW wind park intended for port operations. The findings show that the monthly energy demand at Mytilene port is around 6118 MWh, with an average power demand of 8.2 MW. The simulated wind park could supply about 72,080 MWh yearly, with a significant surplus (14,956 MWh annually) exportable to the grid. However, demand fluctuations mean the port might need an extra 924 MWh from the main grid. This underscores the need for additional strategies like energy storage and demand–response practices to fully transition to 100% RES-powered operations.

Divorcing ‘Global Health’ from ‘global health’: Theories for the future of a social organization and an idea

As conversations and thinking concerning changing the field that calls itself “global health” have proliferated over the past three years, a key predicament has emerged. While almost all in the field agree that something must change, for the vast majority a world without this complex, massive project and apparatus is still unimaginable and undesirable. Arguing that the vagueness yet moral encasing of the field created a situation in which efforts of change must end at preserving the field, I argue that ‘Global Health’ is not ‘global health,’ and understanding this leads to greater possibilities of what the field could be and how to change it. Engaging with a wide range of critical scholarship, I divorce Global Health—a loosely configured global apparatus—from global health—a utopian idea—I show how both this social system and this idea are constructed and exist in plurality. Through then denaturalizing widely accepted and embedded myths of the field’s necessity and moral transcendence to the world, I map the possibilities of what efforts of changing Global Health could be when these myths are rejected and reorient focus on how critical public health scholarship can be used to aid these efforts.

Military culture: Understanding deeper dynamics through the warrior archetype

This paper proposes a new psycho-sociological approach to understanding military culture change, built on the notion of warrior archetype, in line with psychiatrist Carl Jung’s concept of archetype. It contends that military culture and its related institutional forms fundamentally seek to mobilize on an ongoing basis human energy produced through the activation of the warrior archetype. The archetype is built on enhancing feelings of strength in numbers, and empowerment through socially sanctioned actions and potential use of violence. It uses the example of the Canadian Armed Forces culture change effort to illustrate that any such planned organizational culture change will fail if it does not remain consistent with activating the warrior archetype, as its central dynamic and purpose.

Learning from local knowledge on changes in tree-cover and water availability: the case of the contested agroforested landscape of the Mt. Elgon Water Tower, Uganda

Participatory Rural Appraisal was used to compare stakeholder perceptions of spatial and temporal variation in tree cover and water availability using Uganda’s Mt. Elgon Water Tower as a case study. This study was guided by the research question: How do multi-level stakeholders’ perceptions of changes in tree-cover and water availability vary across spatial and temporal scales of the water tower? Five Participatory Rural Appraisal tools were applied to understand multi-level stakeholders’ perspectives on the changes in tree-cover and water availability. Data was collected from farmers’ focus group discussions, key experts from local government offices and structured household interviews with local communities. This study focused on the upper and lower zones of the water tower, which differ in terms of proximity to Mt. Elgon National Forest Park, household water-use, elevation, and tree-cover. Results showed that there are both similarities and differences in perceptions of changes in tree cover and water availability among stakeholders. Farmers and key experts perceived a decrease in water availability and a decrease in overall tree cover for the period 1990–2020. There are differences in stakeholders’ perceptions of water availability across the zones and sub-catchments. For instance, more farmers in Sipi River Sub-catchment perceived a decrease in water availability during 2006–2020 compared to 1990–2005 period. There were notable contradictions in farmers’ and key experts’ perceptions on tree cover. Farmers’ perceptions of 1990–2020 precipitation were in agreement with trends in existing precipitation data. Declining trends of natural tree cover especially outside the Mt. Elgon national forest park pose great threat to water resources originating from forests. Changes in tree cover and water availability in the study area can be partly explained by the tree species grown. Local stakeholders’ perceptions complemented the existing data gaps in explaining the changes in tree cover and water availability. Participatory Rural Appraisal tools are helpful for documenting the perceptions of local communities. However, this cannot replace reliable data resulting from large-scale efforts for monitoring changes and variations in tree-cover and water availability. The findings of this paper can be valuable to inform strategies for community involvement in sustainable agroforested landscape management.

An end to the "muffin meeting": Conceptualizing power and navigating tokenism in patient engagement for health leaders.

Patient engagement is emerging as a priority for Canadian health leaders. Alongside the proliferation of patient engagement efforts in healthcare organizations and networks, awareness that tokenism can potentially occur within such efforts, as well as strategies to mitigate it, are gaining increased attention. While many actions associated with more tokenistic forms of patient engagement have been identified, this article posits there is a need to pay critical attention to the concept and role of power in enabling these actions in the first place. Of particular importance is how power and knowledge work to shape healthcare organizations and can create unequal relations with the patients they seek to engage. Drawing on the literature, this article serves as a theoretical roadmap for health leaders to think critically about power, as well as a set of prompts that can be used to reflexively consider their role in navigating power dynamics in the context of patient engagement efforts. This article contends that building awareness of power is a critical step for health leaders and organizations and that navigating power differences is a necessary leadership competency for engaging patients in decision-making throughout all stages of healthcare improvement and organizational change efforts.

Fluid Forms of Organizing Volunteering: Producing Civic Action Through Organizational Maintenance

This article explores the evolving nature of volunteering in fluid forms of organizing and their potential for civic action. While previous research suggests that highly individualized volunteering can undermine collectivity and disconnect tasks from change-oriented goals, thus diminishing its civic character, this study employs Lichterman and Eliasoph’s conceptual framework of civic action and Dewey’s concept of ends-in-view to demonstrate how civic action arises in fluid forms of organizing through the ongoing coordination of organizational maintenance. Drawing on an 18-month ethnographic study of female breakers aiming to improve women’s access to a male-dominated street dance scene, we find that fluid organizing produces a distinct form of volunteering that invigorates a collective and change-oriented endeavor. Our findings highlight the importance of understanding and investigating new contexts and forms of volunteering to shed new light on contemporary volunteerism, its multifaceted nature, and its potential to mobilize collective efforts for societal change.