Involvement Of Key Stakeholders Research Articles

Research to Radicchio: Process Implementation of a Therapeutic Whole Food Plant-Based (WFPB) Inpatient Menu Within a Large Academic Healthcare System

Evidence on the benefits of consuming a whole food, plant-based (WFPB) dietary pattern for overall health and chronic disease prevention and remission is mounting. A large amount of evidence supports plant-predominant nutrition with significant con- tributions to the research coming from the Adventist Health Studies (AHS) at Loma Linda University Health (LLUH). The totality of evidence on plant-predominant nutrition has influenced guideline changes by the American College of Cardiology and the American Medical Association to strongly recommend hospitals offer plant-based nutrition to patients. A knowledge translation project was spearheaded at LLUH to adopt evidence-based research into acute care while also meeting emerging guidelines and regulations. A therapeutic inpatient menu comprised of whole plant foods with no added oils or refined sugars and low in sodium for the purpose of adjunct treatment of acute illness management was developed. Multidisciplinary team development, key stakeholder involvement, and applying effective strategies to overcome challenges were crucial in implementing system-wide changes to align the best nutritional evidence with clinical practice.

Adopting integrated project delivery (IPD) in oil and gas construction projects

This review explores the adoption of Integrated Project Delivery (IPD) in oil and gas construction projects, focusing on the potential benefits, challenges, and strategies for successful implementation. IPD is a collaborative project delivery method that brings together the owner, designer, contractor, and other key stakeholders early in the project lifecycle to optimize efficiency, reduce waste, and enhance communication. In the oil and gas sector, where projects are often complex, capital-intensive, and high-risk, adopting IPD can lead to significant improvements in project outcomes. The review highlights the core principles of IPD, including shared risk and reward, early involvement of key stakeholders, and the use of collaborative tools and technologies, such as Building Information Modeling (BIM). These elements of IPD can help to streamline decision-making processes, improve cost management, and reduce the likelihood of disputes. Furthermore, the integration of IPD with advanced technologies, such as digital twins and AI-driven analytics, can enhance real-time monitoring and predictive maintenance, leading to better project performance. However, the review also discusses the challenges of adopting IPD in the oil and gas industry, including resistance to change, the need for cultural shifts within organizations, and the complexity of aligning multiple parties with differing interests. It suggests strategies for overcoming these challenges, such as providing training on IPD principles, fostering a culture of collaboration, and developing clear contractual frameworks that support IPD objectives. The review concludes by emphasizing the potential of IPD to transform oil and gas construction projects, leading to more efficient, cost-effective, and sustainable project outcomes. It calls for industry-wide efforts to embrace IPD as a standard practice, supported by appropriate policies and guidelines that facilitate its adoption and implementation.

Barriers and enablers to breast cancer screening in rural South Africa

Background: The breast cancer burden on the South African healthcare system is severe, with rural South African women often diagnosed at an advanced stage of the disease. South Africa’s rural areas are classified as low-resource settings with limited medical services and infrastructure. The impact of breast cancer on rural communities in South Africa requires ongoing research to better understand the severity of this disease among one of the most vulnerable populations.Objectives: This study aimed to explore the barriers and enablers of breast cancer screening among rural South African women.Method: An exploratory qualitative study was utilised. A semi-structured interview was conducted with 22 rural South African women. Data were analysed using thematic analysis. This study utilised the care-seeking behaviour theory as its theoretical framework.Results: Participants identified many barriers to breast cancer screening, including individual affordability, transportation, rural services, infrastructure, health professional behaviour, and the lack of educational materials. Several factors are suggested to enable the screening of breast cancer in rural South Africa, including breast cancer campaigns, health education, the involvement of key stakeholders, and promotional materials.Conclusion: Despite the many barriers to breast cancer screening among rural South African women, there is still hope in implementing the various promotional tools outlined in this study and ensuring that breast self-examination is an alternative, affordable screening method.Contribution: The purpose of this article is to contribute to the attainment of the Sustainable Development Goal (SDG) 3, which focusses reducing premature mortality from non-communicable diseases, including cancer.

A mixed-methods approach exploring acceptability and feasibility of trials designed to test drugs targeting prevention of post-traumatic osteoarthritis after knee injury.

To explore key stakeholder views around feasibility and acceptability of trials seeking to prevent post-traumatic osteoarthritis (PTOA) following knee injury, and provide guidance for next steps in PTOA trial design. Healthcare professionals, clinicians, and/or researchers (HCP/Rs) were surveyed, and the data were presented at a congress workshop. A second and related survey was then developed for people with joint damage caused by knee injury and/or osteoarthritis (PJDs), who were approached by a UK Charity newsletter or Oxford involvement registry. Anonymized data were collected and analyzed in Qualtrics. Survey responses (n = 19 HCP/Rs, 39 PJDs) supported studies testing pharmacological agents preventing PTOA. All HCP/Rs and 30/31 (97%) PJDs supported the development of new treatments that improved or delayed knee symptoms and damage to knee structure. PJDs thought that improving structural knee damage was more important than knee symptoms. Both groups found studies more acceptable as expected future benefit and risk of PTOA increased. All drug delivery routes were acceptable. Workshop participants (around n = 60) reflected survey views. Discussions suggested that stratifying using molecular testing for likely drug response appeared to be more acceptable than using characteristics such as sex, age, and BMI. Our findings supported PTOA drug intervention studies, including situations where there is low risk of disease, no expected benefit of treatment, and frequent treatment administration. PJDs appeared less risk-averse than HCP/Rs. This work reinforces the benefits of consensus and involvement work in the co-creation of PTOA drug trial design. Involvement of key stakeholders, such as PJDs with different risks of OA and regulatory representatives, are critical for trial design success.

Identification of feasible regions for managed aquifer recharge in the Republic of Cyprus using a co-participative multi-criteria decision analysis

This study proposes an integrated approach that aims at finding locations which are eligible for Managed Aquifer Recharge (MAR) installation in Cyprus via the active involvement of key stakeholders of MAR-related sectors during all stages of the decision process to ensure the validity of the outcomes. The MAR problem is jointly formulated with the key stakeholders according to the site needs by introducing the so-called "MAR typology" concept, consisting of the recharge objective, the recharge method, and the available water sources. Tertiary-treated wastewater is adapted as the water source, which is recharged in aquifers via recharge ponds for irrigation. Various sources of information have been considered for assessing the degree of feasibility, aggregated in three thematic clusters (feasibility components), namely intrinsic site-suitability, the availability of water resources for MAR purposes, and water demand. Twelve criteria have been selected jointly with key stakeholders to evaluate the feasibility components via a GIS-MCDA process. Seven of these criteria are associated with the intrinsic suitability of a region (aquifer, land-use, and topographical properties), and five criteria are associated with the amount of water available for MAR (characteristics of the water source and evapotranspiration) and the crop irrigation needs. Stakeholder meetings were conducted to determine weights for each criterion and thematic cluster, leading to thematic and feasibility maps. The results demonstrate large discrepancies among the feasibility components in terms of their spatial variation and the location where the most favourable regions are present. Smoother profiles are observed for intrinsic suitability compared to the other thematic layers, partly attributed to the use of a larger number of criteria. Sensitivity analysis demonstrates that the MAR-favourable regions are weakly influenced by the variation of the relevant importance among the thematic layers, being mostly present in the vicinity of the southern and south-eastern coastlines.

Strategies for scaling up pre-ART advanced HIV disease screening at a secondary referral hospital—Malawi: a qualitative study

BackgroundImplementation of the World Health Organization (WHO) recommended Advanced HIV Disease screening package, remains poor in most settings with limited resources. More than 50% of newly diagnosed-HIV clients are missed on screening as a result of implementation barriers. It is important to mitigate the existing barriers and leverage enablers’ inorder to maximize uptake of the advanced HIV disease screening. This study aimed to identify strategies for scaling up implementation of advanced HIV disease screening among newly HIV-diagnosed clients in pre-ART phase using a Consolidated Framework for Implementation Research-Expert Recommendation for Implementing Change (CFIR-ERIC) guiding tool.MethodsA qualitative study was conducted at Rumphi district hospital in Malawi (August – September, 2023). Two sessions of Focus group discussions (FDGs) involving key stakeholders were facilitated to identify specific strategies following the initial study on exploration of barriers and facilitators of advanced HIV disease screening package. Participants comprised healthcare providers, purposively selected from key hospital departments. A deductive approach was used to analyze FDG transcripts where emerging themes were mapped with ERIC list of strategies. CFIR-ERIC Matching tool version 1.0, was used to generate an output of the most to least expert-endorsed Level 1 and Level 2 strategies.FindingsAbout 25 key healthcare workers participated in FDGs. Overall, 6 Level 1 strategies (≥ 50% expert endorsement score) and 4 Level 2 strategies (≥ 20%, ≤ 49% expert endorsement score) were identified, targeting barriers associated with availability of resources, intervention complexity, access to knowledge and information, communication; and implementation leads. Most of the reported strategies were cross-cutting and aimed at enhancing clinical knowledge of the intervention (distributing training materials, educational meetings), developing stakeholders’ interrelations (network weaving) as well as improving clinical workflow (environmental restructuring). Use of evaluative and iterative strategies such as monthly data collection for evaluation were also recommended as part of continuous improvement while an AHD coordinator was recommended to be formally appointed inorder to spearhead coordination of AHD screening services.ConclusionThrough the involvement of key stakeholders and the use of CFIR-ERIC matching tool, this study has identified cross-cutting strategies that if well implemented, can help to mitigate contextual barriers and leverage enablers for an improved delivery of AHD screening package.

Fellows of the American Medical Informatics Association (FAMIA): Looking Back and Looking Ahead.

Over the past 30 years, the American Medical Informatics Association (AMIA) has played a pivotal role in fostering a collaborative community for professionals in biomedical and health informatics. As an interdisciplinary association, AMIA brings together individuals with clinical, research, and computer expertise and emphasizes the use of data to enhance biomedical research and clinical work. The need for a recognition program within AMIA, acknowledging applied informatics skills by members, led to the establishment of the Fellows of AMIA (FAMIA) Recognition Program in 2018. To outline the evolution of the FAMIA program and shed light on its origins, development, and impact. This report explores factors that led to the establishment of FAMIA, considerations affecting its development, and the objectives FAMIA seeks to achieve within the broader context of AMIA. The development of FAMIA is examined through a historical lens, encompassing key milestones, discussions, and decisions that shaped the program. Insights into the formation of FAMIA were gathered through discussions within AMIA membership and leadership, including proposals, board-level discussions, and the involvement of key stakeholders. Additionally, the report outlines criteria for FAMIA eligibility and the pathways available for recognition, namely the Certification Pathway and the Long-Term Experience Pathway. The FAMIA program has inducted five classes, totaling 602 fellows. An overview of disciplines, roles, and application pathways for FAMIA members is provided. A comparative analysis with other fellow recognition programs in related fields showcases the unique features and contributions of FAMIA in acknowledging applied informatics. Now in its sixth year, FAMIA acknowledges the growing influence of applied informatics within health information professionals, recognizing individuals with experience, training, and a commitment to the highest level of applied informatics and the science associated with it.

A Nexus between Project Management Lifecycle and Performance of Slums Upgrading Projects in Nairobi City County, Kenya

The alarming rate of urban sprawl poses a social menace for city planners and governments worldwide and Nairobi city of Kenya is not an exception. Challenges of access to appropriate and affordable housing has forced majority of city residents to occupy shanties with deplorable living conditions thus, the need to improve the infrastructure in the slums. In Kenya, the government has initiated various projects in a bid to carry out a facelift of slums countrywide. Although, involvement of key stakeholders in each of the phases of project management lifecycle (PMLC) that is, project initiation, planning, implementation, Monitoring & evaluation and closure remains a critical factor to the realization of slum upgrading infrastructure development, the affected communities are not fully engaged thus thwarting effective implementation of the planned activities. In this regard, the aim of the study was to examine the influence of PMLC on performance of slums upgrading projects (PSUP). A descriptive survey research design and a correlational research design were utilized whereby data was analysed and interpreted using means, standard deviations, correlation of coefficient and correlation of determination. A sample of 266 was drawn from a target population of 794, of which 208 responded to a 5-point Likert Scale questionnaire. Qualitative data collected was presented in narrative form. Results obtained indicated a linearly positive and a very strong significant relationship between PMLC and PSUP. When all phases were combined PMLC explained 62.9% of the overall variation in PSUP. The findings indicate that a unit increase in initiation and planning stages result to an increase in PSUP by 7.77% and 1.97% respectively whereas for a unit decrease in project implementation and project M&E, PSUP decreases by 2.07% and 1.72% respectively. It was thus concluded that PMLC significantly influences Performance of Slum Upgrading Projects. The recommendation of the study was that activities pertaining to project planning, M&E and project closure phases be efficiently executed for optimum performance of the projects.

Human Resource Management in the Transformative Digital Era

Digitalization in human resource management helps companies to modernize HR functions and gives them a competitive edge. At the same time, it requires a change in work style and require changes in demand for HR competencies. Study this aims to introduce the phenomenon of digitalization in literature, explore its current benefits and key risks, and analyze the competencies and role of HR professionals. Innovative strategies that can be applied in human resource management (HRM) to enhance organizational performance in the digital era. With rapid changes in technology and the business environment, organizations need to develop innovative approaches in managing their human resources. This research method is a qualitative research method with a descriptive approach. This research operationally examines various sources of literature relevant to the context of the above research. The data taken, identified in the following order: (1) data collection (2) data sorting (3) data analysis (4) conclusion making. As for data analysis, there is a predetermined sequence in accordance with the empirical steps taken, namely as follows: (1) Examination of data (2) suspected data findings, (3) Data confirmation (4) Diagnosis, (5) Action. The results obtained show that HR professionals tend to be a little reluctant to adopt technology the. The results of this research confirm the importance of digitalization in recent years for human resources and increasing demand for digital skills. Every organization should develop its digital strategy to improve productivity. In the present scenario, DHRM is considered a more significant and growing research topic as well as an important topic for a business organization. With the use of DHR practice and through social media, the internet, AI, and other technology organization can maintain their performance and employees' quality standard for the smooth running of the organization. In exploring "Strategic Human Resource Planning in the Era of Digital Transformation" through the Systematic Literature Review method, this research reveals important findings. Technology integration, especially through artificial intelligence, big data analysis and technology platforms, is proven to be a deep foundation in responsive and adaptive HR planning in the era of digital transformation. The success of this planning also depends heavily on the involvement of key stakeholders, particularly upper management and business units, who contribute to the identification of skills relevant to technological change.

How to talk about dying? The development of an evidence-based model for communication with patients in their last days of life and their family caregivers

ObjectiveTo help healthcare professionals (HCP) act with more confidence when communicating about approaching death, we sought to develop a communication model for HCP to facilitate conversations with dying patients and family caregivers (FC) in nonemergency situations. MethodsWe used a four-phase integrative approach: (1) creation of a preliminary model based on a systematic literature review and expert knowledge, (2) review of the model draft by international palliative care experts, (3) review by key stakeholders, and (4) final appraisal by communication experts. ResultsAfter the clinical recognition of dying, the communication model provides a structure and practical communication aids for navigating the conversation based on three phases. It describes the content and relational level as core dimensions of effective conversations about approaching death and highlights the importance of HCP self-awareness and self-care when caring for the dying. ConclusionBased on systematic involvement of key stakeholders, the model supports clinicians navigating challenging conversations about approaching death with dying patients and their FC successfully and with more confidence. InnovationThis study expands the theoretical basis for communication about approaching death and offers a pragmatic model for educational interventions and clinical use.

Artificial intelligence-driven virtual patients for communication skill development in healthcare students:

This study presents a scoping review of research on artificial intelligence (AI)- driven virtual patients (VPs) for communication skills training of healthcare students. We aimed to establish what is known about these emergent learning tools, to characterise their design and implementation into training programmes. The preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews framework was consulted. Searches occurred in six online databases to capture relevant articles from 2014 to 2024. Eight articles from five disciplines met inclusion criteria. A variety of design approaches, creation tools and VP appearances exist. Educational considerations such as consultation of educational theory, curricular integration and provision of feedback was overall lacking. Neutral to positive evaluations of satisfaction and acceptance of the VPs were provided by most students. Emerging literature suggests AI-driven VPs are increasingly being utilised for communication skills training, although their effectiveness is not established. Careful consideration of technological design features, educational theory and evidence regarding communication skill development should occur by clinical educators wishing to include AI-driven VPs in their training programmes. Further empirical research involving key stakeholders is needed to learn more about this technology. Implications for practice or policy: Students may find benefit from having opportunities to use AI-driven VPs for communication skill development. Developers could avoid some criticisms of AI-driven VPs by carefully addressing technical issues Educators should consult evidence on educational and communication theories when utilising AI-driven VPs. Researchers should consider increasing the involvement of key stakeholders in the design and evaluation of communication skill focused AI-driven VPs.

Maintaining Schools as Socio-Educational Environments for Teachers During the COVID-19 Pandemic

Objective: The objective of this study is to examine the impact of schools and key stakeholders in the socio-educational environment, particularly in assisting high school teachers during remote learning amid the COVID-19 pandemic. Method: This study employs a case study methodology with a qualitative approach, utilizing interview and observation tools for data mining. The research employed purposive sampling as a data mining method, and an interactive model was used for data analysis. Results and Discussion: The research findings indicate that teachers encountered social and educational challenges throughout the pandemic and the use of remote learning. Significant discoveries pertaining to this matter can be classified into two categories. Firstly, teachers saw profound disruptions due to the closure of schools during the pandemic. The rapidly evolving circumstances pose significant difficulties for teachers in the socio-educational domain, particularly due to the transition from in-person instruction to online learning and the substantial surge in technology-driven education. In this scenario, teachers find themselves facing a challenging predicament. They must simultaneously navigate the transition to digital learning while also effectively facilitating interactive learning with their students. The second discovery pertains to significant stakeholders inside schools and their respective roles in upholding the significance of educational institutions throughout the pandemic. The individuals encompassed in this group are teachers, principal, students, and parents. Research Implications: Despite the dire circumstances of the pandemic, the decision to close schools does not diminish their crucial function as institutions that are vital for ensuring the continuity of education and the involvement of key stakeholders. Originality/Value: This study offers a teacher's viewpoint on examining many factors that contribute to preserving the crucial function of schools during the pandemic. The topic of the COVID-19 pandemic, which encompasses environmental background, institutions, actors, education, and social factors, has not been extensively examined in scientific studies.

518 Improving Clinical Trial Activation Timelines through Parallel Processing and Key Stakeholder Involvement

OBJECTIVES/GOALS: A strategic initiative of Mayo Clinic is to decrease clinical trial activation timelines by 25% from 2022 levels. The team’s goal is to streamline activation via parallel processing, improved collaboration with business units, project manager facilitation, and early study coordinator involvement. METHODS/STUDY POPULATION: The workgroup targeted industry trials, focusing on key financial, regulatory, and operational elements. Current state process workflows and pain points were prepared and opportunities for concurrent activities or automation identified. The scope of the project manager role from the Office of Clinical Trials was extended to guide each activation team, who have varying levels of experience, to maintain timelines until the trial is opened. Coordinators responsible for study conduct engaged in key operational discussions earlier to ensure the trial will be run successfully. A Pilot program is utilizing the identified concurrent activities, project manager support, and earlier coordinator involvement to gauge effectiveness of the proposed solutions. RESULTS/ANTICIPATED RESULTS: The goal is for 120 industry clinical trials to join the Pilot program and to open enrollment in less than 30 weeks from being document ready. As of Q3 2023, 109 clinical trials across multiple Mayo sites have enrolled in the pilot. Thirty-five (85 percent) of 41 Pilot trials have opened to enrollment and have met the goal, with a median timeline of 24 weeks. Twenty-one (21) trials opened to enrollment in Q3 2023 with a median timeline of 23 weeks, representing 24% of all industry clinical trials opened that quarter. Opening trials and monitoring is ongoing and PI and study team feedback is positive. DISCUSSION/SIGNIFICANCE: Using a team-based approach, we identified key areas for optimization and parallel processing. The solution reduces trial activation timelines, increases patient access to experimental therapies, and has been positively received by study staff. Future projects will focus on enterprise implementation, optimization, and automation.

Fostering effective governance through intragovernmental networks: a case of a justice, crime prevention and security cluster network

South Africa’s crime challenge remains despite substantial public sector efforts. As wicked problems, including crime, often transcend the conventional capacities of public authorities to address them effectively, the primary aim of this research was to uncover the underlying dimensions that contribute to the effective functioning of an intragovernmental collaboration network. This research adopted a case study approach to delve into the structure and efficacy of the South African Justice, Crime Prevention, and Security Cluster. The chosen methodology and insider access to senior management produced rich descriptions not previously available to offer a conceptual understanding of balances and trade-offs required during a mandated and directed collaboration. Findings offer enhanced understanding, contributing to overcoming traditional barriers in public administration networks and reforming traditional hierarchical structures to offer meaningful governance alternatives or improvements to existing structures. Specifically, this study reveals gaps in the intragovernmental network and offers insights for governance and performance enhancements. Findings emphasize the importance of fostering a collaborative culture based on performance and accountability. The study underscores the need for more robust network directives, clarifying roles and responsibilities, and enhancing leadership attributes. It stresses the importance of efficient coordination, collaborative capability, and shared purpose. The study also suggests cluster-oriented budgeting and greater involvement of key stakeholders, including civil societies, research institutions, and academic establishments. These findings contribute to improving government-led networks in addressing complex challenges.

Revolutionizing the Textile and Clothing Industry: Pioneering Sustainability and Resilience in a Post-COVID Era

The COVID-19 pandemic disrupted global supply chains, posing significant challenges to the textile and clothing industry. However, amidst these threats, there is a unique opportunity to rebuild a more sustainable and resilient fashion industry. This paper explores the shift from pre-COVID-19 business models and consumption values towards a renaissance characterized by real sustainability. By examining the transition from eco-efficiency to eco-effectiveness and from cradle-to-grave to cradle-to-cradle approaches, this study emphasizes the need for the active involvement of key stakeholders in co-creating value for all. Through a comprehensive analysis of the post-COVID era, this study aims to understand textile and clothing industry professionals’ perceptions and attitudes towards sustainable design practices and identify challenges in implementing such strategies. The findings contribute to the knowledge of sustainability in the post-COVID era and provide insights and strategies for textile and clothing industry players to thrive in a sustainable and transformed landscape.

Pakistan's Progress on Universal Health Coverage: Lessons Learned in Priority Setting and Challenges Ahead in Reinforcing Primary Healthcare.

Pakistan developed an essential package of health services at the primary healthcare (PHC) level as a key component of health reforms aiming to achieve universal health coverage (UHC). This supplement describes the methods and processes adopted for evidence-informed prioritization of services, policy decisions adopted, and the lessons learned in package design as well as in the transition to effective rollout. The papers conclude that evidence-informed deliberative processes can be effectively applied to design affordable packages of services that represent good value for money and address a major part of the disease burden. Transition to implementation requires a comprehensive assessment of health system gaps, strong engagement of the planning and financing sectors, serious involvement of key national stakeholders and the private health sector, capacity building, and institutionalization of technical and managerial skills. Pakistan's experience highlights the need for updating the evidence and model packages of the Disease Control Priorities 3 (DCP3) initiative and reinforcing international collaboration to support technical guidance to countries in priority setting and UHC reforms.

PRACTICAL GUIDELINES FOR APPLYING THE RACI MODEL IN RECRUITMENT PRACTICES

This article provides practical guidelines for applying the RACI (Responsible, Accountable, Consulted, Informed) methodology in the context of recruitment. The RACI methodology offers a structured approach to defining roles and responsibilities within a project or process, improving clarity, communication, and accountability. The guidelines outline the steps involved in implementing the RACI methodology in the recruitment process. This includes defining roles and responsibilities, identifying accountable parties, determining consulted individuals, and ensuring informed stakeholders. Clear communication and transparency are emphasized throughout the process to keep stakeholders engaged and informed. The article also highlights the benefits of using the RACI methodology in recruitment, such as clearly defined roles, improved communication, streamlined decision-making, and enhanced collaboration. However, it acknowledges the challenges that organizations may encounter, including role ambiguity, resistance to change, limited stakeholder engagement, inadequate communication, and difficulty in defining accountability. To overcome these challenges, organizations are advised to invest in change management strategies, provide comprehensive training and support, foster open communication channels, and regularly evaluate and refine the implementation of the RACI methodology. By following these practical guidelines and addressing the challenges effectively, organizations can enhance their recruitment processes, ensure the involvement of key stakeholders, and make well-informed hiring decisions.<p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/soc/0611/a.php" alt="Hit counter" /></p>

The implementation of smart continence care for people with disabilities: A qualitative study of key stakeholders' first-hand experiences.

Innovative technological applications like smart continence care (SCC) offer potential benefits in healthcare delivery, particularly for individuals with profound intellectual and multiple disabilities (PIMD). SCC aims to prompt caregivers to change continence materials, potentially improving clients' quality of life and reducing caregivers' workload. Although the use of SCC in PIMD care is promising, research is needed to improve its use in these complex settings. The aim of this study was to reflect on the SCC implementation process in care organizations for people with PIMD. Fifteen semi-structured interviews were conducted with key stakeholders, caregivers, and SCC project leaders, across four care organizations. Interviews utilized an integrated framework drawing from the centre for eHealth research roadmap and the nonadoption, abandonment, scale-up, spread, and sustainability framework, both addressing eHealth implementation. Thematic analysis and open coding were employed to identify key themes and sub-themes in the implementation process. Four main themes emerged as crucial for successful SCC implementation: creating support, communication between stakeholders, problem-solving, and willingness to adopt SCC. The first three themes were perceived as contributors to the success of SCC implementation, whereas the last theme showed factors impacting willingness to adopt SCC. Early involvement of key stakeholders and clear communication about expectations of their roles was perceived as crucial and created clarity. Adequate problem-solving was identified as influential in SCC utilization and willingness to adopt person-centred continence care. Implementation of SCC requires changes in the work routines of those involved, and key stakeholders' early involvement appears to improve support for these changes. Fostering communication between key stakeholders and adequate problem-solving contributes to positive experiences and the perceived success of sustainable implementation. This study offered a rich understanding of day-to-day practices around implementing SCC in disability care organizations. The findings may also be relevant for the implementation of technologies in other care settings.

PROVISION OF GLOBAL SUSTAINABLE DEVELOPMENT AS A FACTOR IN THE FORMATION OF LOCAL WELFARE

The subject of the article is the problem of ensuring the welfare of the population in the context of achieving the goals of sustainable development. The authors define the concepts of "sustainable development", "hromadas" (territorial communities), "welfare", and systematise the prerequisites for the formation of welfare at the local level. The paper aims at developing approaches to determining the priority tasks of territorial development in the system of sustainable development goals. It is noted that sustainable development is impossible without achieving a certain level of welfare. To achieve the research goal, the authors analyses and assesses the level of welfare of hromadas, and also considers a set of indicators for assessing welfare based on a combination of "hard" (objective) and "soft" (subjective) factors. The methodology for assessing the welfare of territories (on the example of Ukraine) and studying its impact on the level of sustainable development of the country is applied. The methodology is based on the construction of a non-linear regression model, which demonstrates the high significance of the factors "number of educational institutions" and "number of cultural and sports institutions". The publication also identifies the main reasons that, according to the respondents, impede the development of hromadas in the region under study: poor quality of education; insufficient public initiative and activity of residents; lack of opportunities for self-realisation and meaningful leisure; poor quality (lack of) road surfaces; unemployment; spread of crime, alcoholism, corruption; environmental pollution; drinking water pollution; deterioration of engineering networks; population ageing; lack of investment; lack of entrepreneurship of hromada residents; lack of hromada awareness; unfavourable conditions for business development. The conclusion of the research is that local and regional plans should provide a systematic vision of territorial development and define strategies based on an integrated and multidimensional approach to inclusive and sustainable development. They should be defined, implemented and monitored with the involvement of key territorial stakeholders in the governance process. Based on the analysis, recommendations will be made to identify territorial development priorities in the system of sustainable development goals at local and global levels. In particular, to establish local priorities, existing local and regional programmes should be reviewed to identify the main needs, priorities, gaps and cross-sectoral linkages of the territory and their relationship with the SDGs and national priorities.

Establishing sustainable collaborations in global pathology education.

Graduate-level pathology education is under-resourced in low/middle-income countries (LMIC) and provides a unique opportunity for building sustainable collaborations. By focusing on a bi-directional educational exchange through graduate medical training in Pathology and Laboratory Medicine (PALM), global collaborations can extend to research and scholarship efforts. There are few PALM-based graduate medical programs in high-income countries (HIC) that offer this type of global educational exchange, and the few that exist have been mitigated by pandemic-related travel restrictions. Nonetheless, re-investing in these types of exchanges will allow for new opportunity in global pathology education and research for the next generation of trainees. Drawing on the author's own experience in South Africa and Guatemala, five essential elements to establish a sustainable educational collaboration will be discussed: sustained effort and communication between partners of HIC and LMIC, involvement of key stakeholders, educational curriculum involving community engagement and cultural competency, bi-directional exchange between partners, and dedicated time and funding.