Formal Resource Research Articles

KENYA: MULTIAGENCY STRATEGIES FOR CONFLICT MANAGEMENT IN LAIKIPIA COUNTY

The paper examined multiagency strategies for conflict management in Laikipia County, Kenya. It provided a solid foundation for understanding the context of the effect of multiagency approaches on conflict management. A descriptive survey research design was used incorporating both quantitative and qualitative primary data from a questionnaire, FGDs, and Key Informants interviews. The area of study was Laikipia County, Kenya with a focus on Laikipia West Sub County. Stratified random sampling was used to select respondents while the purposive sampling technique was used to select informants with in-depth knowledge and experience relevant to the research objectives. Qualitative data was coded, thematically categorized, and synthesized. Statistical modeling and trend analysis for quantitative data were performed with the aid of SPSS V.29. The result was presented using graphs, and charts while prioritizing validity and reliability through rigorous document selection and analysis methods. The research addressed the effectiveness of past strategies, emphasizing the importance of nuanced assessments that considered scope, context, implementation, outcomes, and dissemination. The findings emphasized the need for a nuanced and comprehensive assessment approach, covering scope and context, implementation and outcomes, challenges, and opportunities. The paper advocated for participatory approaches, long-term impact assessment, flexible frameworks, formal dialogue platforms, capacity building, strong leadership, resource mobilization, and continuous learning and adaptation to ensure effective conflict management. It concluded that while multiagency approaches can effectively manage conflicts, successful implementation requires meticulous planning and execution, tailored to the specific dynamics of the conflict landscape. The paper recommended a continued focus on participatory approaches, establishing formal dialogue platforms, and prioritizing strong leadership and inclusivity, benefiting policymakers, multiagency leaders, practitioners, and stakeholders involved in conflict management in Laikipia County. Keywords: Multiagency actions, participatory approach, multiagency strategies, conflict management.

Physician and informal care use explained by the Pediatric Quality of Life Inventory (PedsQL) in children with suspected genetic disorders.

To examine associations between Pediatric Quality of Life Inventory (PedsQL) 4.0 Generic Core Scales and PedsQL Infant Scales with formal health care resource utilization (HCRU) and informal caregiver burden. We studied a pediatric cohort of 837 patients (median age: 8.4 years) with suspected genetic disorders enrolled January 2019 through July 2021 in the NYCKidSeq program for diagnostic sequencing. Using linked ~ nine-month longitudinal survey and physician claims data collected through May 2022, we modeled the association between baseline PedsQL scores and post-baseline HCRU (median follow-up: 21.1 months) and informal care. We also assessed the longitudinal change in PedsQL scores with physician services using linear mixed-effects models. Lower PedsQL total and physical health scores were independently associated with increases in 18-month physician services, encounters, and weekly informal care. Comparing low vs. median total scores, increases were 10.6 services (95% CI: 1.0-24.6), 3.3 encounters (95% CI: 0.5-6.8), and $668 (95% CI: $350-965), respectively. For the psychosocial domain, higher scores were associated with decreased informal care. Based on adjusted linear mixed-effects modeling, every additional ten physician services was associated with diminished improvement in longitudinal PedsQL total score trajectories by 1.1 point (95% confidence interval: 0.6-1.6) on average. Similar trends were observed in the physical and psychosocial domains. PedsQL scores were independently associated with higher utilization of physician services and informal care. Moreover, longitudinal trajectories of PedsQL scores became less favorable with increased physician services. Adding PedsQL survey instruments to conventional measures for improved risk stratification should be evaluated in further research.

Paediatricians’ perspectives in treating lower urinary tract symptoms: a qualitative exploratory needs assessment study

BackgroundPaediatric lower urinary tract symptoms (LUTS) are common experiences among school-aged children, with prevalence rates reaching as high as 20%. Paediatricians are often first-line stakeholders in providing treatment for these...

Coping Strategies and Help-Seeking Behaviors among Survivors of Intimate Partner Violence: A Qualitative Study of Spouses of Men with Heavy Drinking in India

Background. Despite the high prevalence of intimate partner violence (IPV) against women in India (33%), there are persistently low rates of disclosure and help-seeking amongst survivors. The aim of this study was to explore both coping strategies employed by survivors and the perceived barriers and facilitators to seeking support from informal and formal resource networks. Methods. We conducted semistructured, in-depth qualitative interviews with thirty-five women survivors of IPV in Goa, India, in secure, private locations, utilizing flipcharts and vignettes to elicit deeper insights into efficacies of support resources. The data were transcribed, translated, and analyzed utilizing qualitative content analysis. Results. The most common coping mechanisms cited by survivors involved passive resistance, such as self-distraction, keeping quiet during violent outbursts, and leaving the home temporarily. Generally, survivors sought support from informal support networks (the natal family, in-laws, neighbors/community members, and close friends) before approaching formal support structures (medical/legal professionals, professors, police, and nongovernment organizations). In fact, informal structures were often facilitators of formal help-seeking. Survivors sought help at various stages of their marital relationship. Primary deterrents to help-seeking included the normalization of IPV by survivors and providers alike, resulting in the stigmatization of disclosing experiences of IPV and ostracism of survivors and close relatives; another barrier was a general lack of awareness of existing support resources. Conclusion. Our findings reveal that there are numerous barriers to help-seeking and shortcomings of support resources. Survivors’ evaluations of support resources reveal that robust, community-level, and meso-level structural changes are required to promote help-seeking behaviors, including the destigmatization of IPV amongst providers and broader society and raising awareness of available support resources.

Influence of strategic HRM and entrepreneurial orientation on dynamic capabilities and innovation in small- and medium-sized enterprises

In small- and medium-sized enterprises (SMEs), adopting a strategic human resource management (SHRM), approach can improve dynamic capabilities and promote greater innovation. However, most research on this topic is theoretical and focuses on large firms with well-established formal and mature human resource management systems and access to significant resources. Using a resource-based view framework, we investigate how entrepreneurial orientation (EO) enhances the SHRM–dynamic capabilities relationship in SMEs. Using time-lagged data from 456 SMEs in Australia, our results confirm that SHRM has an indirect positive association with innovation through its impact on dynamic capabilities. Additionally, EO has an indirect positive association with innovation through its impact on dynamic capabilities. Our results also show that EO moderates the positive relationship between dynamic capabilities and innovation such that the relationship becomes stronger as EO increases. This study’s results have theoretical and practical implications for the role of SHRM and EO in developing dynamic capabilities and innovation in SMEs.

Commas as a constructional resource: the use of a comma in a formulaic expression in Japanese social media texts

AbstractThis paper examines the use of punctuation in Japanese in order to investigate its role in formulaic expressions. Specifically, we will study the use of a comma before the copula complexdakedoneat the end of an utterance. Typically, punctuation is considered a matter of style in written representations and is generally not included in studies about the structure of formulaic expressions. However, in a corpus-based study on language use on social media (e.g., blogs, Twitter, online forums), we found that this comma is frequently used for a distinct pragmatic effect. The patterns of use, both structural and functional, are observed to be regular and predictable, enough to suggest that the comma is part of a fixed formal complex that has a unique meaning, i.e., a construction. This in turn suggests that commas, even though they are punctuation, can be a formal resource that constitutes part of a formulaic expression.

Factors associated with formal and informal resource utilization in nursing home patients with and without dementia: cross-sectional analyses from the COSMOS trial

ObjectivesTo investigate the association between clinical, demographic, and organizational factors and formal (health professionals) and informal (relatives) resource utilization in nursing home patients with and without dementia.MethodsBaseline data from the multicomponent cluster randomized control COSMOS trial including 33 Norwegian nursing homes and 723 residents with and without dementia. Nursing home staff (n = 117) participated as proxy raters to approximate formal and informal resource use in daily care.MeasurementsThe primary outcome was the Resource Utilization in Dementia - Formal Care scale to assess formal and informal care time in hours/month regarding basic activities of daily living (ADL), instrumental ADL, and supervision. Secondary outcomes were hours/week spent on formal and informal leisure activities. Behavioral and psychological symptoms in dementia (BPSD) were assessed by the Neuropsychiatric Inventory-Nursing Home version, physical function by the Physical Self-Maintenance Scale, and psychotropic drug use by the Anatomical Therapeutic Chemical classification system. Organizational factors were ward size and staff ratio.ResultsGeneralized linear mixed-effect models and two-part modelling revealed an association between increased formal care time and poorer physical function, higher agitation and psychotropic drug use and lower cognitive function (all p < .05). Enhanced formal leisure time was related to better ADL function (p < .05) and smaller wards (p < .05). The family related leisure time was associated with agitation, decline in ADL function, smaller wards, and better staffing ratio (all p < .05). Married patients received more informal direct care (p < .05) and leisure time (p < .05) compared to unmarried/widowed.ConclusionFor nursing home staff, higher agitation and psychotropic drug use, and lower cognitive function, is associated with more direct care time, whereas leisure time activities are less prioritized in people with lower physical function. Informal caregivers’ engagement is encouraged by smaller nursing homes and better staff ratio. Therefore, we recommend stakeholders and healthcare professionals to consider these clinical and organizational factors to optimize treatment and leisure time activities in nursing home patients with various needs.Trial registrationClinicalTrials.gov; NCT02238652.

Triple Helix interactions in a rural context: The case study of a regional business incubator

This study explores the relationships within university-industry-government interactions, with specific reference to the business incubator of Penela, Portugal. It describes the formal, informal and human resource links between the sample of thirteen firms based in the incubator and universities, as well as the relations between Penela Town Council and the incubator. The impact of all these linkages on the development of the biotechnology and agricultural sectors is considered. The results confirm that the dynamics of the relations between the Triple Helix actors led to the emergence of the Penela Incubator. The latter operates as a mechanism of knowledge/technology transfer and stimulates cooperation between the university and industry, which is characterized by mostly informal links. In addition, the research revealed that these interactions had a positive impact on the development of the region, resulting in the creation of companies and the introduction of innovative products.

Deploying to Develop Unit Human Capital Resources

Unit human capital resources (HCRs) are positively associated with unit performance and developing them is vital to sustaining unit performance. Yet, extant research has focused primarily on formal human resource methods of developing individual and group capacities (e.g., training) and given lesser attention to on-the-job mechanisms and processes impacting unit HCRs. We advance a theoretical framework featuring unit deployments, which reflect the formal or informal configuration of existing unit members’ assignments to unit-relevant tasks at a point in time, as a powerful tool for unit HCR development. We first articulate how deployments can enhance unit HCR by increasing members’ HCRs, cultivating members’ social capital resources, and influencing unit emergence enabling states. We then introduce four types of unit HCR portfolios that differ in resource and coordination flexibility and highlight how units can use distinct deployment strategies to cultivate each type of portfolio. We conclude by detailing when each unit HCR portfolio will likely generate the greatest return for units under varying task dynamism and complexity conditions.

An integrated discrete event simulation and particle swarm optimisation model for optimising efficiency of cancer diagnosis pathways

The National Health Service (NHS) constitution sets out minimum standards for rights of access of patients to NHS services. The ‘Faster Diagnosis Standard’ (FDS) states that 75% of patients should be told whether they have a diagnosis of cancer or not within 28 days of an urgent GP referral. Timely diagnosis and treatment lead to improved outcomes for cancer patients, however, compliance with these standards has recently been challenged, particularly in the context of operational pressures and resource constraints relating to the COVID-19 pandemic. In order to minimise diagnostic delays, the National Physical Laboratory in collaboration with the Royal Free London (RFL) NHS Foundation Trust address this problem by treating it as a formal resource optimisation, aiming to minimise the number of patients who breach the FDS. We use discrete event simulation and particle swarm optimisation to identify areas for improving the efficiency of cancer diagnosis at the RFL. We highlight capacity-demand mismatches in the current cancer diagnosis pathways at the RFL, including imaging and endoscopy investigations. This is due to the volume of patients requiring these investigations to meet the 28-day FDS target. We find that increasing resources in one area alone does not fully solve the problem. By looking at the system as a whole we identify areas for improvement which will have system-wide impact even though individually they do not necessarily seem significant. The outcomes and impact of this project have the potential to make a valuable impact on shaping future hospital activity.

Absentees: On Variously Missing Persons. Daniel Heller-Roazen. New York: Zone Books, 2021. Pp. 317.

<i>Absentees: On Variously Missing Persons</i>. Daniel Heller-Roazen. New York: Zone Books, 2021. Pp. 317.

Walking aid training as a clinical competence in Canadian entry-to-practice professional academic programs

Purpose Multiple healthcare professionals fit walking aids (WA) and train individuals on their use. The purpose of this investigation was to describe curricula on WA fitting and training in Canadian entry-to-practice professional programs. Materials and methods An online survey was administered to leads from all accredited programs (n = 199). Seventeen questions asked about the importance of WA education, instructional methods and time dedicated to WA fitting and skills training, and how the pandemic had affected WA curriculum delivery. Results Responses were received from 97 programs. While most occupational therapy (OT, 8/15), physiatry (PM&R, 5/9), and physical therapy (PT, 12/19) trainees received more than 3 h of instruction on WA fitting, most nursing (29/40) and pharmacy (7/8) programs spent less than 3 h on this topic. Most OT (9/15) and PT (15/19) programs spent more than 3 h on WA skills training whereas most nursing (25/40), pharmacy (4/8), and PM&R (5/9) programs spent less than 3 h on this subject. Across all programs, 52% educated students on adapting activities of daily living for WA while 18% provided education on WA maintenance and repair. Only 19/89 programs consulted a formal WA skills training resource for curriculum development. Seventeen of 55 programs modified their WA curricula due to the pandemic. Conclusions There is a wide range in curricular approaches to WA education in Canadian professional programs. This highlights the need for a standardised WA education program to guide curricular development to ultimately improve safe WA use for clients with short- and long-term mobility impairments. IMPLICATIONS FOR REHABILITATION Curricula on walking aids is extremely variable within and between programs. Navigating terrains, adapting activities of daily living, and maintenance are poorly taught. There is a need for a national standardized curriculum on walking aids. This curriculum should be modular and designed for practitioners, students, and patients.

Why is China struggling with waste classification? A stakeholder theory perspective

China has been struggling with waste classification for decades, even after the mandatory implementation of relevant policy in 2017. However, the causes of the failing performance of waste classification in developing countries attract little scholarly attention. To fill this gap, this paper addresses why China has been struggling with waste classification for decades by establishing a stakeholder theory framework using the indicators of influence, involvement, and interest to uncover the reality of waste management as well as complex interests among stakeholders. The factors hindering the implementation of waste classification policy, which result in the failure of public collective action, are identified. These factors include the established vagueness on the priority order of waste management from high-level governments, the policy implementation gap from grassroots-level governments, the powerful forces opposing waste classification from incineration enterprises, and the weak strength of formal resource recyclers and non-governmental organizations. This study contributes to presenting a realistic and comprehensive scenario with muti-agents of China's waste management.

Perception of Pharmacy Teachers About Their Roles and Current Practice at Governmental Universities in Sudan.

BackgroundPharmacy educator has a number of roles and responsibilities, an information provider, clinical trainer, role model on-the-job, formal teaching settings, course planner and resource material creator, student assessor, and curriculum evaluator.ObjectiveThis study aimed to assess the perception and commitment of pharmacy teachers in Sudanese governmental universities about their roles and educational responsibilities.Materials and MethodsDescriptive cross-sectional study was conducted at governmental pharmacy colleges in Sudan from November 2020 to July 2021. Data were collected using an online self-administered questionnaire adapted from the Association for Medical Education in Europe (AMEE) Guide No. 20. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 26 and Microsoft Excel version 16.ResultsOut of 125 participants, 61.6% were female and 65.6% were lecturers. Approximately half of them had less than five years’ experience. The most important role perceived and the highest committed one was a lecturer in the classroom setting. Only half of the participants had good perceptions and commitment regarding teachers’ roles. Age, designation, and continuous professional development were significantly associated with participants’ commitment. Also, a significant association was found between the perception and practice of the participants.ConclusionOnly half of pharmacy educators were found to have a good perception and good commitment regarding their role as teachers.

Stock Assessment of Four Dominant Shark Bycatch Species in Bottom Trawl Fisheries in the Northern South China Sea

Sharks occupy an important ecological niche in marine ecosystems. As top predators, they can restrict and control the behavior, numbers and composition of other species through downward effects, and play an essential role in ecosystem stability. Shark fishery data are limited, and for most Chondrichthyes species there is no formal fishery resource assessment at a global level. In this study, we applied the length-based Bayesian biomass (LBB) estimation method to assess the stock status of four common shark bycatch species of which more than 100 samples were collected in coastal waters of the northern South China Sea. Estimates of the length of 50% of individuals captured by gear/the length at first capture that maximized the catch and biomass (Lc/Lc_opt) of a species ranged from 0.49 to 1.4; the draughtsboard shark Cephaloscyllium sarawakensis had the highest value, and the shortnose dogfish Squalus brevirostris had the lowest. Estimates of the collected biomass/biomass of the maximum sustainable yield (B/BMSY) ranged from 0.86 to 1.9. Both C. sarawakensis and the spadenose shark Scoliodon laticaudus were fully exploited, while the spatulasnout catshark Apristurus platyrhynchus and S. brevirostris were in good condition. To verify the stability of the LBB, length frequency data for the most common species S. laticaudus were divided into different size-class intervals; simulations revealed estimated parameters based on these to be insensitive to differences in intervals, except for the smallest (10 mm), which did not affect evaluation results. These results can be used to provide a scientific basis on which shark fisheries in this region can be managed and prior parameters for related resource assessment methods can be determined.

Creating a physician peer support network in an obstetrics and gynecology department: a quality improvement initiative

Adverse events and stressful patient situations are common occurrences in obstetrics and gynecology practice. Historically, there have been limited institutional mechanisms to aid in physician coping after adverse events. The goal of this initiative was to identify the need for a support structure and begin to create and implement a formal departmental resource for physician peer support.

EParticipation practices and mechanisms of influence: An investigation of public policymaking

This paper investigates eParticipation practices and the mechanisms of influence that help promote changes in public policy formulation. We use the perspective of power as a lens for our investigation. We analyze eParticipation processes in the drafting of three public mobility policies in major Brazilian cities. Based on comparative and retrospective cases, we propose a processual framework for understanding eParticipation practices and the mechanisms used over time to influence decision-making. We show how the actors involved, tools chosen, platform design, interactions on the platform, mediation, and mechanisms used by engaged citizens and the government influence public policymaking. Our study contributes to the literature concerning eParticipation with an original processual framework to explain actors' practices and the mechanisms of influence on policymaking in digital participation spaces. Additionally, we broaden the discussion regarding the complementarity between possession and practice views of power. We argue that a better understanding of the eParticipation platform interactions that influence public policy decisions requires attention to formal authority and critical resource control. However, it is also necessary to recognize the interactions and mechanisms implemented in practice. Our findings are helpful for policymakers seeking to create effective participatory processes while considering citizens' opinions.

Formal HRM in family SMEs: the role of family-centered goals and family governance

This paper aims to investigate the antecedents of formal human resource management (HRM) in private family firms. Specifically, we adopt a socio-emotional wealth perspective to predict the relationship between family-centered noneconomic (FCNE) goals and formal HRM practices. In addition, we rely on the extension of the behavioral theory, i.e., the attention-based view of the firm, to understand the moderating effect of family governance practices (FGPs) on the relation between FCNE goals and formal HRM practices. Based on analyses of a sample of 293 Belgian privately-held family small and medium enterprises, we find that the pursuit of FCNE goals is associated with less formal HRM practices. In addition, simultaneously engaging in FGPs while pursuing FCNE goals reverses this negative effect.

Public sphere attitudes towards the rumor sources of the COVID-19 pandemic: evidence from community perceptions in Iran

BackgroundIn the COVID-19 pandemic, rumors travel far faster than the outbreak itself. The current study aimed to evaluate the factors affecting the attitudes of individuals towards the rumors-producing media in Iran.MethodsAn online cross-sectional survey was conducted in Iran in March 2020 on the source of information and rumors, along with the perception of individuals regarding the reasons for rumors propagation during the COVID-19 pandemic.ResultsResults showed that the majority of the participants (59.3%) believed that social media were the main source of rumors. The lack of a reliable and formal news resource was also considered the most common cause of rumoring by the participants (63.6%). An evaluation was carried out to identify the main source of misinformation and rumors. Results showed that Retired participants considered foreign media (P < 0.001) as the main resource. The middle-income level participants believed that social media (P < 0.001) were the main source. In this regard, the highly educated participants (P < 0.001), government employees, and middle-income individuals (P = 0.008) believed that national media produced rumors.ConclusionAlthough findings were achieved during the first peak of the COVID-19 pandemic, the authorities immediately introduced the national media as a reliable news resource, which allowed both media and its journalists to reduce the gap between themselves and the public sphere. It was suggested that social networks and foreign media be more accountable in pandemics.

Resource Allocation in a National Dental Service Using Program Budgeting Marginal Analysis.

In any health system, choices must be made about the allocation of resources (budget), which are often scarce. Economics has defined frameworks to aid resource allocation, and program budgeting marginal analysis (PBMA) is one such framework. In principle, patient and public values can be incorporated into these frameworks, using techniques such as willingness to pay (WTP). However, this has not been done before, and few formal resource allocation processes have been undertaken in dentistry. This study aimed to undertake a PBMA with embedded WTP values in a national dental setting. The PBMA process was undertaken by a panel of participant-researchers representing commissioners, dentists, dental public health staff, and academics. The panel reviewed current allocations and generated a set of weighted criteria to evaluate services against. Services to be considered for removal and investment were determined by the panel and wider discussion and then scored against the criteria. Values from a nationally representative WTP survey of the public contributed to the scores for interventions. Final decisions on removal and investment were taken after panel discussion using individual anonymous electronic voting. The PBMA process resulted in recommendations to invest in new program components to improve access to general dentists, care home dentistry, and extra support for dental public health input into local government decisions. Disinvestments were recommended in orthodontics and to remove routine scaling and polishing of teeth. The PBMA process was successful in raising awareness of resource allocation issues. Implementation of findings will depend on the ability of decision makers to find ways of operationalizing the decisions. The process illustrates practical aspects of the process that future dental PBMAs could learn from. This study illustrates a framework for resource allocation in dental health services and will aid decision makers in implementing their own resource allocation systems.