Implementation Process Of Program Research Articles

A new normal in primary care: the rapid normalization of a major eHealth program in public health centers

BackgroundThis study aimed to contribute to a better understanding of the context, mechanisms and outcomes in the implementation process of an eHealth video consultation program in primary care. The study focused on how the program is normalized in the primary care setting. The primary research question for this study is “in what ways is the implementation of video consultation normalized in primary care?”.MethodsThe qualitative design and content analysis of primary data from the transcripts were based on in-depth interviews, complemented with free-text answers to open-ended survey questions and various documents. The study focuses on the large-scale implementation of the public eHealth program Närhälsan Online, which represents more than 100 health centers in Sweden’s largest region of Västra Götaland. Multiagent perspectives on how the program is normalized were drawn from expressed perceptions by professions directly linked to both strategic and functional implementation, as well as administration and clinical operation.ResultsThis study both confirms and enhances the field with a theoretical contribution in six ways to the reviewed previous research, as well as showing practical implications. It also provides multi-agent perspectives on the rapid normalization of the implementation program studied.ConclusionsIn relation to the rapid progression of different initiatives in eHealth, this study contributes to perspectives on specific challenges as expressed by professions directly linked to both strategic and functional implementation as well as administration and clinical operation.

Evaluation Implementation of the Arabic Language Intensification Program (PIBA) in Islamic Higher Education

This article discusses the evaluation of the implementation process of the Arabic Language Intensification Program (PIBA) at UIN K.H. Abdurrahman Wahid Pekalongan, analyzes student responses to the program, and explores their expectations regarding the Arabic language learning method at the higher education level. The research approach is qualitative evaluative, aimed at assessing the implementation of the intensive Arabic language program. The evaluation model used is Stake’s Model, which includes three stages: Antecedents (background), Transaction (process), and Outcomes (results). Data were collected from primary sources (teachers and students) and secondary sources (placement test scores, final program grades, and satisfaction survey reports). Data collection was carried out through observation, interviews, and documentation. The results indicate that the program improves Arabic language proficiency, particularly for students with a general education background, although challenges such as varying effectiveness and the need to improve tutor planning remain. Final grades were generally positive, but students expressed a desire for more speaking practice, a more suitable schedule, representative classes, and more varied and interactive teaching methods.

Partisipasi Masyarakat Mewujudkan Zero Stunting Melalui Program Jago Ceting di Kelurahan Kapasmadya Baru

Stunting is one of the health problems faced in the world, especially in poor and developing countries, including Indonesia. The problem of stunting in Indonesia is still a chronic problem and a top priority. Various efforts to deal with stunting in Indonesia have been carried out, such as in the city of Surabaya which launched the Jago Ceting program as an effort to accelerate the reduction in stunting rates. Stunting cases in the city of Surabaya are often experienced by the people of North Surabaya, specifically in Kapasmadya Baru Village. In implementing the Jago Ceting program, the government does not only need to collaborate with related agencies/departments but also needs to invite and involve the role of the citizen. This research aims to determine citizen participation in realizing zero stunting through the Jago Ceting program in the Kapasmadya Baru sub-district. The method used in this research is descriptive research using a qualitative approach. The results of this research show that the participation of the Kapasmadya Baru Village citizen in implementing the jago ceting program can be assessed as high. Apart from that, in the program implementation process, citizen involvement in the Jago Ceting program is a key aspect to reduce the increase in stunting rates in Kapasmdya Baru Village. Through citizen involvement, stunting rates can be controlled intensively. So it is easier for the government to find solutions to the citizens' needs regarding the stunting problem

Partisipasi Masyarakat Mewujudkan Zero Stunting Melalui Program Jago Ceting di Kelurahan Kapasmadya Baru

Stunting is one of the health problems faced in the world, especially in poor and developing countries, including Indonesia. The problem of stunting in Indonesia is still a chronic problem and a top priority. Various efforts to deal with stunting in Indonesia have been carried out, such as in the city of Surabaya which launched the Jago Ceting program as an effort to accelerate the reduction in stunting rates. Stunting cases in the city of Surabaya are often experienced by the people of North Surabaya, specifically in Kapasmadya Baru Village. In implementing the Jago Ceting program, the government does not only need to collaborate with related agencies/departments but also needs to invite and involve the role of the citizen. This research aims to determine citizen participation in realizing zero stunting through the Jago Ceting program in the Kapasmadya Baru sub-district. The method used in this research is descriptive research using a qualitative approach. The results of this research show that the participation of the Kapasmadya Baru Village citizen in implementing the jago ceting program can be assessed as high. Apart from that, in the program implementation process, citizen involvement in the Jago Ceting program is a key aspect to reduce the increase in stunting rates in Kapasmdya Baru Village. Through citizen involvement, stunting rates can be controlled intensively. So it is easier for the government to find solutions to the citizens' needs regarding the stunting problem.

Prevalence and genotype distribution of potential high-risk and high-risk human papillomavirus among women attending selected reproductive health clinics in lake victoria basin-kenya: a cross-sectional study

BackgroundPersistent human papillomavirus (HPV) infection is considered the primary etiological factor for invasive cervical cancer. Understanding the epidemiology of circulating potential high-risk (HR) and HR HPV strains is essential in updating epidemiological knowledge and recommendations on genotype-specific vaccination development. This study determined the prevalence and factors associated with Potential HR/HR HPV among women attending selected reproductive health clinics in Lake Victoria Basin.MethodsA cross-sectional facility-based survey made up of 434 women aged 16–68 years was carried out in two selected facilities. Structured questionnaires were administered to collect participant clinical and social characteristics. Cervical specimens were collected and HPV genotyping was carried out using RIATOL HPV genotyping qPCR assay. Descriptive statistics followed by logistic binary regression was done using R version 4.3.2.ResultsThe overall prevalence of potential HR/HR HPV among women attending the selected reproductive health clinics was reported at 36.5% (158/434). Specifically, in the rural setting, Gobei Health Center, the prevalence was 41.4% (41/99) while in the urban setting-JOOTRH, it was 34.6% (117/335). The most prevalent potential HR/HR HPV are 52, 67, 16, 31, 39, 45, and 31 among women. Age was the main factor associated with HPV infection with women between the age of 30–39 having the highest risk (AOR = 0.3, CI:0.2–0.7, p < 0.001).ConclusionIn both rural and urban regions, potential HR/HR HPV infection among women attending reproductive health clinics at the selected facilities remains common. The study identifies the need for effective implementation and clinical follow-up process of cervical cancer control program in the LVB.

"That Was an Eye Opener for Me": Mixed-Methods Outcomes Educating Texas Community Health Workers on HPV Vaccination Using Project ECHO®.

Human papillomavirus (HPV) is known to cause six different types of cancer. HPV vaccination can prevent over 90% of these cancers. Community health workers (CHWs) have the potential to drive HPV vaccination demand through education and navigation by addressing vaccine hesitancy and dis/misinformation and by reaching non-English speaking, vulnerable, or rural populations. Despite their possible reach, there is limited research on HPV vaccination education programs for CHWs. In 2020-2021, the American Cancer Society (ACS) HPV Cancer Free Texas (HPVCFT) Project implemented the eight-session Mission: HPVCFT Vaccination ECHO-CHW Program ten times. This manuscript details the program's implementation processes and outcomes. The program used the Project ECHO model and was offered in both English and Spanish. One hundred and forty-six Texan CHWs completed pre- and post-training surveys. The participants demonstrated significant HPV vaccination knowledge increases and desirable shifts in their foundational HPV vaccination beliefs, including the belief that the HPV vaccine is for cancer prevention. The participants also reported increased confidence in communicating about the HPV vaccine in the community. Improving knowledge, beliefs, and confidence in HPV vaccination is the first step in addressing concerns and increasing uptake. Future research and interventions are needed to better understand how CHWs can be more systematically linked to vaccination opportunities or provided with clearer paths for directing patients to providers that vaccinate.

INDUKSI TEKNOLOGI PENJUALAN ONLINE PADA PELANGI RASA KARANGLO POLANHARJO KLATEN

This activity aims to introduce online sales technology as a sales strategy for Pelangi Rasa Small and Medium Enterprises, Karanglo Polanharjo Village, Klaten. The application package that will be applied to partners is an online sales application. The team will conduct training on marketing strategies through online sales for the sustainability of Pelangi Rasa Small and Medium Enterprises. This activity targets expanding marketing locations through online product sales. Technology induction activities are carried out in five stages, namely (1) Material preparation, (2) Training, (3) Equipment preparation, system configuration and system implementation, (4) Mentoring, and (5) Monitoring. At the material preparation stage, the team will compile a module, namely the use of online sales applications. The module creation will be equipped with presentation material that will be used in training sessions. The training stage uses discussion and demonstration methods so that partners can easily understand the material presented. This stage will concentrate on the introduction of online sales technology as a sales marketing strategy. In the equipment preparation, system configuration, and program implementation stages, the team and partners will work together to prepare equipment in the form of hardware and software. Partners, accompanied by the service team, will carry out the system configuration. Partners, with assistance from the service team, will carry out the program implementation process, which consists of implementing online sales applications. The service team will carry out the monitoring stage periodically and continuously. In the initial stage, monitoring will be carried out once a week to see the partners' progress in implementing the program. Furthermore, monitoring will be carried out once a month to see the impact of program implementation on partners regarding online sales at Pelangi Rasa Small and Medium Enterprises.

Implementation of cardiac enhanced recovery after surgery at Lausanne University Hospital, our roadbook to certification.

Enhanced recovery after surgery (ERAS) is a multidisciplinary, patient-centred approach aimed at expediting recovery, improving clinical outcomes, and reducing healthcare costs. Initially developed for colorectal surgery, ERAS principles have been successfully applied across various surgical specialties, including cardiac surgery. This study outlines the implementation and certification process of the ERAS program in a tertiary cardiac surgical centre within the Heart-Vessel Department at Lausanne University Hospital. The implementation involved forming a multidisciplinary team, including cardiac surgeons, anaesthesiologists, intensivists, a cardiologist, clinical nurse specialists and physiotherapists. The ERAS nurse coordinator played a central role in organizing meetings, promoting the program, developing protocols, and collecting data. The certification process required adherence to ERAS guidelines, structured training and external evaluation. Key phases included pre-ERAS data collection, protocol dissemination, inclusion of the 1st patients, followed by analysis and full implementation. Achieving certification required maintaining a compliance rate of over 70% with established protocols. The process involved overcoming various barriers, such as inconsistent practices and the need for multidisciplinary collaboration. In this paper, we provide some solutions to these challenges, including team education, regular meetings and continuous feedback loops. Preliminary data from the initial cohort showed improvements in early mobilization, opioid use, respiratory complications and shorter hospital stays. The successful implementation of the ERAS program at our institution demonstrates the feasibility and benefits of a structured, multidisciplinary approach in cardiac surgery. Continuous self-assessment and adherence to guidelines are essential for sustained improvement in patient outcomes and healthcare efficiency.

Qualitative Evaluation of a Novel Security Role to Reduce Occupational Violence in Inpatient Hospital Settings.

Background: Occupational violence (OV) is a priority issue that significantly affects the safety of nurses, leading to staff burnout and poor retention issues. Security personnel are common in inpatient settings, yet there is limited research on their role, function, and impacts. The study aims to qualitatively evaluate a novel security role to reduce OV in inpatient settings. Methods: This qualitative study was conducted in a tertiary hospital in Brisbane, Queensland. A novel security role (Ambassador) was piloted in three inpatient wards over 6 months in 2020 to mitigate OV risk. Semi-structured in-depth interviews were conducted. All interviews were audio recorded. Interview transcripts were transcribed. Deductive analysis based on the Consolidated Framework for Implementation Research (CFIR) was used to identify the experiences and perceptions of the participants. Findings: 17 participants were interviewed. Five themes were identified including program characteristics, internal drivers, external drivers, individual experience, and implementation process. An Ambassador proactively engages with patients and visitors and employs behavioral strategies to de-escalate or redirect persons of concern. Participants considered Ambassadors to be important members of the health care team who supported the provision of patient and family-centered care. Successful implementation was said to require collaboration between clinical and security services and a small agile project team with authority and autonomy. Conclusion/Application to practice: This study provides many insights into the successful implementation of a novel security role in acute hospital settings. More research is needed on the effectiveness, appropriateness, feasibility, and cost of different security models.

Evaluation of the achievements of community health center work program indicators for community health and development

Background: This evaluation research is essential as community health plays a crucial role in ensuring the well-being and productivity of a community. Assessing the performance of community health centers in community health development efforts is vital to understand the extent to which various programs and initiatives have achieved their goals and to identify areas that require improvement. Evaluation data provide a clear picture of the effectiveness and efficiency of various activity components, aiding stakeholders, including the government, healthcare institutions, and the community, in making informed decisions when designing, implementing, and enhancing community health programs. Purpose: To assess and analyze the performance of community health development efforts in various activity components, such as community dental health, traditional health practices, sports health, occupational health, and pilgrimage health. Method: This research adopts a qualitative approach with a focus on evaluating the performance of community health efforts at public health centers Keruak, East Lombok Regency. Data collection involves analyzing the performance assessment results, coverage data and performance levels of activity components like community dental health, traditional health practices, sports health, occupational health, and pilgrimage health. Research methods include observing the implementation process of programs, conducting interviews with healthcare personnel, public health centers managers, and the local community. Data analysis is conducted qualitatively by detailing the achievements and challenges faced in each activity component. Results: The results of community health development efforts reflect diverse achievements in several activity components. Community dental health efforts exhibit good performance with a coverage rate of 95.0%, while traditional health practices show less satisfactory performance, reaching only 40.0%. Sports health demonstrates good performance (98.3%), while occupational health exhibits less satisfactory performance (73.1%). Pilgrimage health efforts achieve 100% coverage, indicating good performance. However, the overall average performance of these activity components falls into the 'sufficient' category (81.28%). Evaluation and improvement are crucial, especially for components with less satisfactory performance, to enhance the overall effectiveness and efficiency of community health development efforts. Conclusion: Development efforts indicates significant variation among activity components. While community dental health and pilgrimage health efforts achieve good performance, challenges exist in traditional health practices and occupational health, displaying less satisfactory performance. Sports health efforts demonstrate good performance, and the overall average performance falls within the 'sufficient' level. Therefore, in-depth evaluation of components with less satisfactory performance is necessary, focusing on increasing community participation and improving infrastructure. Recommendations include enhancing information and education regarding traditional health practices and creating a supportive working environment for health. These efforts are expected to enhance the overall effectiveness and efficiency of community health development initiatives. Suggestion: Based on the performance results of community health development efforts, several recommendations can be proposed to enhance the effectiveness and efficiency of health programs. Concrete steps, such as improving information and education regarding traditional health practices, can increase community acceptance of these efforts. In addition to improving recommendations for community health programs, further research should aim to focus on aspects that support sustainable development.

The Role of Ecotourism in Reducing Poverty and Unemployment: A Mixed Method Approach

Ecotourism is perceived as a promising initiative capable of poverty alleviation and job creation. This study investigated whether ecotourism helps to alleviate poverty and unemployment in relatively underdeveloped areas such as the UMkhanyakude district municipality. The study used a parallel, convergent research design comprising qualitative and quantitative research applications. Both random and purposive sampling techniques were used to select a sample of 204. In selecting respondents for the quantitative dimension, two types of databases obtained from each of the local municipalities were used. The first database comprised community registers, and the second included a list of companies registered with the municipality’s supply chain or procurement unit. Specifically, the criteria used to select participants included expertise, understanding of ecotourism programme implementation processes, skills, and proximity to ecotourism projects. Four (n = 4) officials and four (n = 4) program managers, for a total of eight, were selected from each of the four local municipalities. This resulted in a combined purposive sample of 32 participants (8 x 4 = 32) for the interviews. The Statistical Package for the Social Sciences (SPSS) was employed to analyse quantitative data. The qualitative data were processed through the ATLAS TI application. From the results, it can be deduced that, to a greater extent, ecotourism is contributing towards the reduction of poverty and unemployment in UMkhanyakude District Municipality. Based on the results, it can be concluded that ecotourism has the potential to reduce poverty and unemployment in rural communities in line with the dimensions of sustainable development goals. Benchmarking activities that focus on community roles and responsibilities, awareness-building strategies at the community level, stakeholder consultation and involvement, and capacity-building programmes are recommended.

Implementation of The Convergence Program to Accelerate Stunting Reduction in Sibolga City

&lt;div&gt;&lt;table cellspacing="0" cellpadding="0" align="left"&gt;&lt;tbody&gt;&lt;tr&gt;&lt;td align="left" valign="top"&gt;&lt;p&gt;&lt;em&gt;Sibolga City is one of the priority cities in the effort to accelerate stunting reduction. Sibolga City implements an accelerated stunting prevalence reduction program that involves cross-sectors, better known as the convergence action to accelerate stunting reduction. The purpose of the study was to evaluate the implementation of the convergence program to accelerate stunting reduction in Sibolga City. This research is a qualitative study involving 18 informants from &lt;/em&gt; &lt;em&gt;Regional Work U&lt;/em&gt;&lt;em&gt;nits&lt;/em&gt;&lt;em&gt; that are members of the Sibolga City &lt;/em&gt; &lt;em&gt;S&lt;/em&gt;&lt;em&gt;tunting Reduction Acceleration Team. This research was conducted in November 2023 in Sibolga City, which consists of 4 sub-districts and 17 villages. Data were collected by conducting Focus Group Discussions and in-depth interviews. Furthermore, Data is analyzed through triangulation of methods, sources, and between researchers. The results of the analysis of the effectiveness of the program show that the quality of human resources and financing sources is good enough to reduce the stunting rate in the kelurahan which is the locus of stunting. Likewise, the results of the analysis of the program implementation process. The program planning that was prepared was in accordance with the problems obtained in the situation analysis and had targeted the locus villages determined in the situation analysis. The implementation and evaluation process has also been carried out well, which ultimately has an impact on reducing the stunting prevalence rate by 11.3%. As an effort to encourage a greater reduction in stunting prevalence, we recommend that the Sibolga City Government increase human resource capacity and funding, encourage the involvement of various parties including the private sector in accelerating stunting reduction programs in Sibolga City, improve coordination between &lt;/em&gt;&lt;em&gt;Regional Work Units&lt;/em&gt;&lt;em&gt; in the planning, implementation and evaluation processes and encourage the availability of a quality and sustainable data management system in each village&lt;/em&gt;&lt;/p&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/tbody&gt;&lt;/table&gt;&lt;/div&gt;&lt;strong&gt;&lt;em&gt;Keywords:&lt;/em&gt;&lt;/strong&gt;&lt;em&gt; &lt;strong&gt;Accelerate, Convergence, Reduction, &lt;/strong&gt;&lt;strong&gt;Prevalence, Stunting&lt;/strong&gt;&lt;/em&gt;

The Implementation Process of the People's Palm Oil Rejuvenation Program (PSR) in Sungai Melayu Sub-District, Ketapang Regency

The residents of Sungai Melayu Village mostly make their living as oil palm farmers using old and unfit planting conditions. This research aims to analyze the implementation process of the People's Palm Oil Rejuvenation (PSR) Policy program in Sungai Melayu District, Ketapang Regency. The research method used is a qualitative descriptive approach as sources of information include the Head of Service, Head of Division, Sub-District Head, community leaders, and palm oil heads. The results of this study indicate that the PSR. The program Implementation Process is not yet optimal because the institutions involved still need to be stronger in synergy. In addition, funding and infrastructure support are lacking. The interpretation of the program that was rolled out was poorly understood by the farmers due to the lack of massive and programmed socialization.

Communication Media Public Relations Unit Work Special Executor Upstream Oil and Gas Activities in supports the 1 Million Barrel Oil Per Day 2030 Program

Objective: The aim of this research is to define the role of media relations implementation at SKK Migas, Public Relations plays more of a role as a communication technician and facilitator. As a communications technician, Public Relations plays the role of creating and implementing Media Relations activities, where Public Relations is not placed as a source of information in Media Relations activities. Method: The research method used is a case study method, because this research aims to observe real events that occurred in media relations carried out by the Special Task Force for Upstream Oil and Gas Activities to realize the program for handling oil reserves with stakeholders in Indonesia. The things examined in this research are related to the data and facts contained in the implementation of the Special Oil and Gas Working Unit program, a single 1 Million BPOD program. This research provides a relatively complete picture of what happened when the research was conducted. Results: The results of research on the program implementation process in operational activities in the upstream oil and gas industry are known to often encounter obstacles. Various problems in the operational activities of the upstream oil and gas industry have resulted in two broad outlines that are relevant to the function of public relations. Negative reporting in the media, relations with local media and local journalism organizations are examples of the main focus of all discussions in the Media and Publications section.

Transition From Pediatric to Adult Rheumatology Care: An Exploratory Study From Latin America.

Adequate transition from pediatric to adult care is associated with better adherence to treatment and better outcomes in pediatric patients with chronic diseases. There are little data on transition programs, outcomes, use of transition guidelines, and available tools in pediatric rheumatology centers from Latin America (LATAM). In this study, we described the characteristics of transition programs from 3 pediatric rheumatology centers. We also introduced results of the first survey examining the transition experience in countries from LATAM. The experience and implementation process of transition programs from 3 pediatric rheumatology centers were described. A survey based on a questionnaire created by Chira et al (J Rheumatol. 2014;41:768-779) from the Childhood Arthritis and Rheumatology Research Alliance was also administrated to pediatric rheumatology centers from LATAM. A total of 49 (68%) pediatric rheumatologists answered the survey. Most centers do not have an official and written transition program and reported a need for more tools and resources in their services to facilitate the transition experience. Transition guidelines culturally tailored to developing countries are needed in LATAM.

Sistem Pendukung Keputusan Pemilihan Tenaga Fasilitator Lapangan pada Pembangunan Infrastruktur Spald-S Menggunakan Metode Weighted Product

Field facilitators are assistants to community self-help groups in the Infrastructure Development program (SPALD-S). TFL plays an important role in the implementation process technically in the field and administratively. TFL provides supervision, assistance and guidance to KSM leaders and communities receiving MCK assistance. Therefore, field facilitators play a very important role in the implementation process of the SPALD-S Infrastructure development program for MCK construction. The Muna Regency PUPR Service, Southeast Sulawesi, still uses manual calculations to calculate data from participant selection results. This takes a long time, and even results in errors in determining TFL that do not meet the requirements, which results in the implementation of activities in the field technically and administratively. For this reason, a systemized process of calculating data from selection results that has been determined by several specified criteria is needed, with a decision support system to determine field facilitators for SPALD-S infrastructure development using the Weighted Product method. The results of calculating 10 data were ranked in order from highest to lowest, namely A1, A8, A4, A9, A6, A2, A5, A10, A7, and A3. The accuracy value obtained was 53.33%.

Mental Health Gap Action Programme: a theoretical model of barriers to implementation by health personnel in Chocó, ColombiaPrograma de Ação para Reduzir as Lacunas em Saúde Mental: modelo teórico das barreiras de implementação por profissionais de saúde de Chocó, Colômbia

Mental, neurological, and substance use (MNS) disorders have a high prevalence in Colombia and there is a treatment gap. The World Health Organization (WHO) Mental Health Gap Action Programme (mhGAP) has various components. The mhGAP 2.0 Intervention Guide, aimed at improving primary health care, is a guide for the assessment and management of MNS disorders based on clinical decision-making protocols. The objective of this study was to determine the barriers that may hinder the program implementation process. A qualitative study with content analysis was conducted in three phases: i) study preparation, organization, and presentation; ii) open coding, categorization, and abstraction of contents; and iii) information analysis. The study included semi-structured interviews with 21 people involved in the provision of mental health services in Chocó (Colombia): five medical doctors, seven nurses, and three psychologists, as well as six professionals working in the administrative area of the department's health secretariats. The perceptions of these stakeholders were explored. Open-ended questions were asked to explore experiences with the process, as well as the barriers identified in practice. Four different thematic categories were identified: intersectoral action, long-standing challenges, opportunities, and suitability of tools. A theoretical model of barriers to implementation of the mhGAP program was constructed, based on stakeholder perceptions. Controlling barriers is perceived as a possible way to contribute significantly to population health.

Cooperative management of an initial training program: case study of a Czech production site of a Japanese globalized manufacturing firm

PurposeThis study examines the case of an initial training, called “Dojo”, invented and implemented at a production site in the Czech Republic. It clarifies the initial training program implementation process and offers a conceptual framework for cooperative management of subsidiary activities at the site and firm.Design/methodology/approachThis study conducts an in-depth analysis of qualitative data from the Czech production site over a five-year period. The theoretical base is the theorization and labeling phase of management innovation (MI), the final phase of which legitimizes a new management practice. Interview data, archival data, pictures and financial data are used for the analysis.FindingsTo legitimize the Dojo in the operational flow controlled by the site and firm, the Czech production site acquires validation of the Dojo from employees and board members of the Japanese and European headquarters, helping the site build trustful relationships with them. Training programs, process standardization and skills standardization of the workers offer benefits to the trainees, production site and firm.Originality/valueThe authors offer theoretical insights into MI at the subsidiary-level, which past studies have not differentiated at the firm-level. The authors also provide details of the implementation and management of initial training for newly hired blue-collar workers at the production site. The findings complement related literature on human resource management and operational management.

POVERTY REDUCTION THROUGH THE FAMILY HOPE PROGRAMME

&lt;em&gt;This research aims to find out (1) the Implementation of the Family Hope Programme (PKH) in Poverty Alleviation in Talumolo Village, Dumbo Raya Sub-district, Gorontalo City (2) the Determinant Factors of PKH Success in Poverty Alleviation in Talumolo Village, Dumbo Raya Sub-district, Gorontalo City. This research uses a descriptive qualitative method, while the data collection techniques used are interviews, field observations, and documentation. Based on the results of the research, it is known that the implementation process of the Family Hope Program (PKH) in Poverty Alleviation in Talumolo Village, Dumbo Raya District, Gorontalo City, which consists of Planning, Determination of KPM PKH, Distribution of Assistance, Assistance, and Membership Transformation has been carried out well but there are still obstacles, namely frequent changes in regulations, and the end of PKH membership through the social assistance check application. (2) Determinants of Success in the Implementation of the Family Hope Program (PKH) in Poverty Alleviation in Talumolo Village, Dumbo Raya Subdistrict, Gorontalo City, namely Communication, Resources, Disposition / Attitude of Implementers and Bureaucratic Structure have been carried out well but on the part of the community, there is a lack of participation in attending group meetings and P2K2&lt;/em&gt;

Integrating simulation into surgical training: a qualitative case study of a national programme

BackgroundApplying simulation-based education (SBE) into surgical curricula is challenging and exacerbated by the absence of guidance on implementation processes. Empirical studies evaluating implementation of SBE interventions focus primarily on outcomes. However, understanding the processes involved in organising, planning, and delivering SBE adds knowledge on how best to develop, implement, and sustain surgical SBE. This study used a reform of early years surgical training to explore the implementation of a new SBE programme in Scotland. It aimed to understand the processes that are involved in the relative success (or failure) when implementing surgical SBE interventions.MethodsThis qualitative case study, underpinned by social constructionism, used publicly available documents and the relevant surgical SBE literature to inform the research focus and contextualise data obtained from semi-structured interviews with core surgical trainees (n = 46), consultant surgeons (n = 25), and key leaders with roles in surgical training governance in Scotland (n = 7). Initial data coding and analysis were inductive. Secondary data analysis was then undertaken using Normalisation Process Theory (NPT). NPTs’ four constructs (coherence, cognitive participation, collective action, reflexive monitoring) provided an explanatory framework for scrutinising how interventions are implemented, embedded, and integrated into practice, i.e. the “normalisation” process.ResultsDistributed leadership (individual SBE initiatives assigned to faculty but overall programme overseen by a single leader) and the quality improvement practise of iterative refinement were identified as key novel processes promoting successful normalisation of the new SBE programme. Other processes widely described in the literature were also identified: stakeholder collaboration, personal contacts/relational processes, effective communication, faculty development, effective leadership, and tight programme management. The study also identified that learners valued SBE activities in group- or team-based social environments over isolated deliberate practice.ConclusionsSBE is most effective when designed as a comprehensive programme aligned to the curriculum. Programmes incorporating both group-based and isolated SBE activities promote deliberate practice. Distributed leadership amongst faculty attracts wide engagement integral to SBE programme implementation, while iterative programme refinement through regular evaluation and action on feedback encourages integration into practice. The knowledge contributed by critically analysing SBE programme implementation processes can support development of much needed guidance in this area.