Cultural Change Research Articles

A qualitative exploration of professionals' perspectives on the implementation of reablement intervention programs in community care.

Reablement is considered a complex intervention due to its multicomponent, person-centered, holistic approach promoting older adults' active participation in daily activities. It is important to consider the unique context in which complex interventions are implemented, as contextual factors may interact and influence implementation outcomes. As part of the European TRANS-SENIOR project, this qualitative study aimed to gain insight into professionals' experiences with reablement implementation in Dutch community care. Using the Consolidated Framework for Implementation Research, four focus groups were conducted comprising 32 professionals. Two groups were formed: one at operational level, including therapists, nursing staff, social workers, and domestic support; and one at organizational/strategic level, including project leaders, managers, directors, municipality representatives and health insurers. Participating care organizations had at least 6 months of experience with deploying and implementing reablement. Findings reflected three themes: (1) strength of interdisciplinary collaboration; highlighting significance of sharing goals and beliefs, (2) integrating the reablement philosophy into the organization; underscoring managements role in fostering support across all organizational layers, and (3) achieving a culture change in the healthcare system; emphasizing current funding models impeding value-based care tailored to the individual's goals and needs. The results offer valuable insights for implementation of complex interventions, like reablement.

Facilitating conversations about race: staff views on the importance of accountability and trust in a student-led project

ABSTRACT Significant conversations provide a private and safe space for teachers to develop their thinking about teaching and learning. These conversations are important to academic development but may be limited by their privacy, although Roxå & Mårtensson noted that it was possible to create a culture which led to extended networks. This study explores how the concept of such conversations can be developed further to contribute to institutional change and the development of inclusive learning communities. Led by students of colour, a project, ‘The Big Change’, was designed to provide an empowering space for open and non-judgemental conversations between students and staff about the experiences of student of colour in a modern university. The paper explores the experiences of the staff (N = 15) who participated in online focus groups in which they explored their experiences of the project and the complexities of vulnerability and public discourses. Within these focus groups we provided a space for conversations in which trust and accountability were identified as key factors for meaningful change, particularly in a sensitive area of work such as anti-racism. This approach, based on student-led interventions plus safe conversations, provides a model for facilitating cultural change within higher education.

Rigid Culture and Social Change: How African NGOs Educate about LGBTI Rights

Rigid Culture and Social Change: How African NGOs Educate about LGBTI Rights

Carbon Pricing Policy to Support Net Zero Emission: A Comparative Study of Indonesia, Finland and Sweden

The Nationally Determined Contribution (NDC) of Indonesia in the Paris Agreement targeted emission reductions of 29% on its own and 41% with international cooperation in 2030, followed by Net Zero Emissions (NZE) in 2060. To achieve NZE, Indonesia enacted a carbon tax policy on April 1, 2022. The 2022–2024 carbon tax is limited to Steam Power Plants and will be imposed on other sectors by 2030. This research examines the ratio legis of carbon cost policies in Indonesia and compares the core of carbon tax policies in Indonesia with Sweden and Finland. Indonesia is starting to implement a Carbon Pricing policy under the ‘Cap-and-Tax’ scheme. The Cap scheme will be a means to force changes in the business culture in Indonesia, so the companies will pay attention to and reduce the carbon emission produced to avoid paying penalties for carbon exceeding the limits. Meanwhile, the Carbon Tax will provide economic resources to Indonesia to develop environmentally friendly technologies, fund research on renewable energy, and provide incentives for environmentally friendly businesses during the transition process to a carbon culture in Indonesia. Referring to the results of the comparison of carbon pricing policies in Finland and Sweden, Indonesia can gradually increase the cost of carbon taxes starting from Rp30,000/US$2 per ton CO2 equivalent to US$10 per ton CO2 equivalent. Meanwhile, for the imposition of high carbon tax rates, such as in Finland (US$73.02 per ton CO2 equivalent) and Sweden (US$137 per ton CO2 equivalent), Indonesia must carry out tax reforms, so the applied carbon tax is able to reduce carbon emissions without causing adverse impacts for the Indonesian economy.

Computational Legal Studies Comes of Age

Computational analysis techniques are transforming empirical legal scholarship. Two paradigms have emerged: law-as-code, which seeks to represent legal rules in a logical, executable format; and law-as-data, which leverages quantitative analysis of legal texts to reveal patterns and insights. This article surveys these approaches, emphasizing recent developments in large language models and generative artificial intelligence (AI). Law-as-code systems have enabled applications from tax preparation software to smart contracts, but realizing the vision of fully computational law has proven challenging. Law-as-data techniques like natural language processing and machine learning have charted the semantic relationship between courts and illuminated changes in judicial culture. Generative models showcase AI's explosive progress, with impressive feats like passing the U.S. bar example, but they also highlight limitations like factual inaccuracy and interpretability issues. Hybrid approaches integrating computational law, data science, and AI offer a promising research direction. As these tools spread, legal scholars can analyze more legal data than ever before, but they must remain cognizant of challenges like biased or low-quality data and linguistic/cultural limitations. Used judiciously alongside traditional methods, computational analysis has the potential to revolutionize empirical legal studies.

Strategy for Implementing Agile Governance in Creating an Integrity Zone in the Rindam XIV/Hasanuddin Unit

This research aims to develop a strategy for implementing Agile Governance as an effective approach in realizing an Integrity Zone in the Rindam XIV/Hasanuddin Unit. The main focus of the research is to analyze how Agile Governance principles can be integrated in the context of military organizations. By using qualitative research methods, the research results show that the application of Agile Governance contributes to efforts to achieve the Integrity Zone in the Rindam XIV/Hasanuddin Unit. Nonetheless, some challenges emerged, such as resistance to cultural change and the need to cope with the complexity of military duties. Recommendations are given in the form of: strengthening training and socialization, improving communication between units, and optimizing organizational adaptability in facing change. Ultimately, this research is expected to provide valuable insights for stakeholders in the military sector and contribute to the understanding of the application of Agile Governance in the context of bureaucratic reform.

“Proud, brave, and tough”: women in the Canadian combat arms

Canada’s defence policy, Strong, Secure, Engaged, emphasizes the importance of leveraging Canada’s diversity to strengthen the Canadian Armed Forces. Currently, women in the Canadian military are underrepresented across most elements and occupations, especially in the combat arms occupations, including among officers and non-commissioned personnel in combat units such as infantry, armored corps, artillery, and combat engineering. Research suggests that the benefits associated with the inclusion of women in combat arms occupations include an increase in collective intelligence, operational effectiveness, task cohesion, and diversity. This article explores the gender gap in the Canadian combat arms by examining the findings from two recent qualitative research studies on the perceptions of women in the Regular Force and Primary Reserve. The authors analyze female military personnel’s perceptions of women serving in the combat arms, and the ways to increase their inclusion in the military. The key findings reveal the following themes on women’s perceptions of servicewomen in the combat arms: great job for those who want it; challenging environment (e.g., working within a masculinized culture, necessary toughness, tokenism and the “pink list,” being treated differently, and family loyalty); unique challenges faced by women in combat roles; combat takes a toll on women’s mental and physical health; and benefits of women’s participation in multinational operations. The discussion highlights the need to increase diversity, equity, and inclusion, promote a culture change that fosters greater inclusion of women in the combat arms, and increase operational effectiveness through training and policies.

ANEKA DISRUPSI PEMBELAJARAN BAHASA ARAB DI PONDOK PESANTREN

<p style="text-align: justify;"><em>Islamic boarding schools, as traditional Islamic educational institutions in Indonesia, play a central role in preserving and promoting Islamic religious and cultural traditions. One of the important elements of education in Islamic boarding schools is the teaching of Arabic. Arabic is not only a means of understanding the teachings of Islam but also a gateway to the rich intellectual heritage of the Islamic world. This qualitative research uses open questionnaires as a data collection technique. The questionnaires were distributed to Arabic teachers in seven Islamic boarding schools in Situbondo. The results cite the strengths of Islamic boarding schools in the form of their long-standing tradition of teaching Arabic and Islamic culture, the presence of knowledgeable teachers, a focus on memorizing the Quran, and a communal learning environment. However, weaknesses in the traditional curriculum may overlook practical aspects such as the use of digital technology in Arabic language learning in the modern world. To improve Arabic language learning in Islamic boarding schools, it is important to address the practical aspects of the language, maximize opportunities for collaboration and adoption of technology, and address challenges such as cultural and social change and competition from formal educational institutions offering Arabic language instruction.</em></p>

The true cost of losing employees and how to avoid them

The cost of losing a seasoned associate veterinarian can be as high as 2-3 times their annual salary, and for other staff mem­bers, it has been measured to be between 5.3% and 213% of their annual salary depending on the importance of the posi­tion and their time in that position. Reducing employee turn­over is important for the financial health of the practice, team health and the client and patient health. Eliminating those factors that have been shown to be reasons for an employee to leave are important first steps in reducing employee turnover. Recent cultural and socioeconomic changes have produced changes in the labor market that will require “mind shifts” in the hiring, mentoring and managing the work force.

SURGICAL WASTE AND A CIRCULAR MEDICAL TEXTILE ECONOMY

IntroductionThe health sector contributes the equivalent of 4.4% of global net emissions to the climate carbon footprint. It has been suggested that between 20% and 70% of health care waste originates from a hospital's operating room, the second greatest component of this are the textiles used, and up to 90% of waste is sent for costly and unneeded hazardous waste processing.Waste from common orthopaedic operations was quantified, the carbon footprint calculated, and cost of disposal assessed. A discussion of the circular economy of textiles, from the author of the textile guidance to the Green Surgery Report follows.MethodsThe amount of waste generated from a variety of trauma and elective orthopaedic operations was calculated across a range of hospital sites. The waste was separated primarily into clean and contaminated, paper or plastic. The carbon footprint and the cost of disposal across the hospital sites was subsequently calculated.ResultsElective procedures can generate up to 16.5kg of plastic waste per procedure. Practices such as double draping the patient contribute to increasing the quantity of waste. The cost to process waste vary widely between hospital sites, waste disposal contractors and the method of waste disposal.ConclusionThis study sheds new light on the environmental impact of waste produced in trauma and elective orthopaedic procedures. Mitigating the environmental impact of the operating room requires a collective drive for a culture change to sustainability and social responsibility. Each clinician can impact upon the carbon footprint of their operating theatre. Consideration should be given to the type of textiles used within the operating theatre.

Branding countries through multicultural events: a quantitative analysis of the impact of the FIFA World Cup 2022 on Qatar’s brand

Private and public companies, as well as public authorities and governments, resort to corporate communication to build trust relationships with their stakeholders and, in this way, reinforce their corporate brands. However, they face different challenges including social transformations and cultural changes. This study evaluates how the FIFA World Cup 2022 impacted Qatar’s brand. To do that, we conducted a review of the literature about corporate communication and nation branding, and then, we carried out a quantitative content analysis of how the leading newspapers in the world’s most influential countries (United States, China, United Kingdom, France, and Germany) covered this event from a corporate communication perspective. These newspapers were selected based on highest circulation. The results from the analysis showed that media companies from France were the ones making more references to Qatar’s History (59); journalists from the United States were the most interested in the Qatar Brand (14); and British newspapers were the ones who published more content about the FIFA World Cup 2022 brand (53).

Implementation Studies Documentation in Media and Culture Studies

Documentation is like a time machine as it facilitates the process of returning to history for future generations. ,The objective of this paper is to review the documentation in media and cultural studies. This paper discusses the importance of implementing documentation to create a culture that contributes to education. . Using digital literacy is one of the ways of documentation to strengthen media and culture as the community needs a culture that has rich literature and references to science. In media and cultural studies, documentation can be performed in various ways such as, archives, newspapers, magazines, books, videotapes, and audio. This can provide valuable information and data for understanding media and culture in the past, present, and future. Documentation also helps in understanding the changes in media and culture, influence the media on culture, and vice versa. Documentation helps researchers to identify various elements important in media and culture, such as messages conveyed, values carried, and patterns formed behavior. This study uses a method in the documentation that covers the election inclusion and exclusion criteria, in Indonesia. Keywords: study documentation, media, culture

The reproductive journeys of French women over 40 seeking assisted reproductive technology treatments in Spain

Fertility decline is a complex phenomenon resulting from converging social and cultural changes that are governed through politics. As it has been discussed in many studies, the European's low fertility rate goes hand in hand with the trend of maternity postponement. Although in many European countries over the last decades reproduction is envisaged as an individual choice that can be made at older ages, having a child after a certain age can be impossible -either “naturally” or using assisted reproductive technology-depending on the medical and legislative possibilities and limits of the country in which people live. In the extremely diverse European reproscape, reproductive legislations have forced but also allowed many people to seek reproductive treatments outside their home countries.Spain is a leading destination in Europe for cross border reproductive travel and, of the foreigners it receives, the French are the largest group. Despite having a history of strong pro-natalist policies, France has been one of the strictest European countries regarding access to medically assisted procreation. Until 2022, only heterosexual couples in which women were under 43 years of age could access treatments. Despite the recent opening of access to “all women”, including single women and same-sex female couples, women over 43 years of age were once again excluded from the new legal framework and therefore remain condemned to travel abroad to access reproductive treatments. In this article, we analyze the experience of French women over 40 who cross the Spanish border to access reproductive treatments in order to fulfill their desire to have children. Through ethnographic data emerging from six years of participant observation and in-depth interviews with 15 women, we explore why they remain excluded from the French system of reproductive governance and the obstacles they face during their reproductive journey.

Increasing the Use of Enteral Antibiotics in Hospitalized Children With Uncomplicated Infections.

Route of administration is an important component of antimicrobial stewardship. Early transition from intravenous to enteral antibiotics in hospitalized children is associated with fewer catheter-related adverse events, as well as decreased costs and length of stay. Our aim was to increase the percentage of enteral antibiotic doses for hospital medicine patients with uncomplicated common bacterial infections (community-acquired pneumonia, skin and soft tissue infection, urinary tract infection, neck infection) from 50% to 80% in 6 months. We formed a multidisciplinary team to evaluate key drivers and design plan-do-study-act cycles. Interventions included provider education, structured discussion at existing team huddles, and pocket-sized printed information. Our primary measure was the percentage of antibiotic doses given enterally to patients receiving other enteral medications. Secondary measures included antibiotic cost, number of peripheral intravenous catheters, length of stay, and 7-day readmission. We used statistical process control charts to track our measures. Over a 6-month baseline period and 12 months of improvement work, we observed 3183 antibiotic doses (888 in the baseline period, 2295 doses during improvement work). We observed an increase in the percentage of antibiotic doses given enterally per week for eligible patients from 50% to 67%. We observed decreased antibiotic costs and fewer peripheral intravenous catheters per encounter after the interventions. There was no change in length of stay or readmissions. We observed increased enteral antibiotic doses for children hospitalized with common bacterial infections. Interventions targeting culture change and communication were associated with sustained improvement.

Evolving landscape and cultural change during the Middle Palaeolithic in Southeast Zagros (Iran): Insights from a micromammal assemblage

The Iranian Zagros is a remarkable zone to study Middle and Upper Palaeolithic human occupations and Tang-e Shikan (Arsanjan) is a strategic cave site which archaeological evidence can be taken as a proxy for the southeast portion. Micromammals have been extensively used as palaeoecological indicators and here we use the assemblage from Tang-e Shikan to infer the landscape and environment that framed and arguably triggered cultural change. A thorough taphonomic analysis was undertaken prior to any interpretation. Fourteen taxa have been identified: two “insectivores” s.l., nine rodents, two lagomorphs, and unidentified chiropterans. The remains would be the digestion by-products of a category 5 opportunistic predator: either an avian raptor or a mammalian carnivore. Our results show that shrubland and grassland dominated the distribution of habitats in the area during the Middle Palaeolithic (MP), followed by moderate rocky, desert, and steppe components, and sparse patches of woodland. The younger period of the MP occupation (NMP: ∼55-45 ka BP) would be somewhat wetter than the older period (OMP: ∼70-55 ka BP). Within a general environmental stability, slight changes between OMP and NMP are reasonably correlated with a shift in certain cultural patterns, as the use of a water reservoir and a stone drainage system during the OMP or the increase of hunting and moderate change in lithic technology and raw material acquisition during the NMP. Our environmental inferences are further supported by palynological data and match a regional trend towards wetter habitats in moving from the MP to the present.

Decreased patient discharges on weekends part 3: what do the leaders tell us?

Emergency department (ED) crowding is a significant challenge to providing safe and quality care to patients. We know that hospital and ED crowding is exacerbated on Mondays because fewer in-patients are discharged on the weekend. We evaluated barriers and potential solutions to improve in-patient flow and diminished weekend discharges, in hopes of decreasing the severe ED crowding observed on Mondays. In this observational study, we conducted interviews of (a) leaders at The Ottawa Hospital, a major academic health sciences centre (nursing, allied health, physicians), and (b) leaders of community facilities (long-term care and chronic hospital) that receive patients from the hospital, and (c) home care. Each interview was conducted individually and addressed perceived barriers to the discharge of hospital in-patients on weekends as well as potential solutions. An inductive thematic analysis was conducted whereby themes were organized into a summary table of barriers and solutions. We interviewed 40 leaders including 30 nursing, physician, and allied health leaders from the hospital as well as 10 senior personnel from community facilities and home care. Many barriers to weekend discharges were identified, highlighting that this problem is complex with many interdependent internal and external factors. Fortunately, many specific potential solutions were suggested, in immediate, short-term and long-term time horizons. While many solutions require additional resources, others require a culture change whereby hospital and community stakeholders recognize that services must be provided consistently, seven days a week. We have identified the complex and interdependent barriers to weekend discharges of in-patients. There are numerous specific opportunities for hospital staff and services, physicians, and community facilities to provide the same patient care on weekends as on weekdays. This will lead to improved patient flow and safety, and to decreased ED crowding on Mondays.

Academic abuse: A conceptual framework of the dimensions of toxic culture in higher education and the impact on the meaning of work

AbstractThis article provides a conceptual framework of the dimensions of a toxic culture in higher education and the impact it has on the meaning of work. Seven dimensions of a toxic culture in higher education are presented as follows: toxic leadership; bullying and mobbing; colleagues as enablers; reinforced toxic social norms; purposeful, chaotic change; manipulation of systems, structures and processes; and weaponization of the work itself. The article then discusses how the harmful individual outcomes of working in a toxic culture change the meaning of work from meaningful to meaningless, and the corresponding organizational outcomes. These include high turnover; decreased performance and productivity; lack of effective problem solving; increased expenses for legal, healthcare, unemployment, recruitment and the inability to recruit new talent. Recommendations are provided for systemic culture change.

Correction to ‘Community, Equity, and Cultural Change in Open Research: A Response to Open Peer Commentaries’

Correction to ‘Community, Equity, and Cultural Change in Open Research: A Response to Open Peer Commentaries’

The Talyshis: An Iranian people divided by the Araxes

This paper examines the Talyshi people, an Iranian ethnic group divided by the Araxes River between Azerbaijan and Iran. The division, a result of the Russo-Persian War (1804-1813), placed the Talyshis within two distinct political and cultural paradigms. The northern Talyshis, under the successive rule of the Russian Empire, the Soviet Union and Azerbaijan, were confronted with a Turkish political and cultural orientation that contrasted with their Iranian linguistic and cultural heritage. This orientation led to significant shifts in identity, with the Talyshis becoming minorities within a Turkic-speaking, Turkish-oriented Azerbaijan. Southern Talyshis who remained in Iran experienced a more consistent cultural development within the Iranian paradigm, despite political changes. This study examines the impact of these divisions on Talyshi identity, language preservation and socio-cultural adaptation. It discusses the challenges of assimilation and cultural preservation faced by the Talyshis, their linguistic characteristics, and the revival of Talysh self-awareness and nationalism in the face of external pressures. The paper uses a comprehensive analysis of historical, linguistic and ethnographic data to provide insights into the resilience of Talysh identity amidst political and cultural change.

The ideological and artistic features of the travelogues about Turkey in the Russian parent state literature of the 1920s (based on Summer in Angora by E. Lanceray and Istanbul and Turkey by P. Pavlenko)

The article discusses the travelogues of Turkey by E. Lanceray and P. Pavlenko. If, until 1917, the Russian literature had described Turkey from the ethnographical and geographic perspectives or had made it a part of modernist vision, in the 1920s, the authors wrote mainly about its political, social and cultural changes. The aim of the article is to analyze Turkey’s image in the parent state literature of the 1920s, close the lacuna in its Asian text and form a more complete understanding of the Russian literary process of that period. The article uses the descriptive, biographical and culture-historical methods of research. It concludes that so different writers as Lanceray and Pavlenko representing the unlike generations and artistic worlds and making different accents in their writings – on ethnography and the formation of a new statehood, respectively – are prone to interpret the revolutionary changes taking place in Turkey optimistically. Therefore, the Turkish motive and thematic vector should be viewed as a relevant stage of forming the ideology and aesthetics of a new artistic method, which is to be known as socialist realism subsequently.