Practice Paradigm Research Articles

Self-Injury and the Treatment Gap: An Interdisciplinary Exploration of Beliefs About Causal Variables and Treatment Goals Among Caregivers, Researchers, and Clinicians

ABSTRACT Introduction There is a gap between individuals with intellectual and developmental disabilities (IDD) who need treatment for self-injurious behavior (SIB) and those who receive it. One contributing factor may be a multiplicity of beliefs about the nature of SIB and its treatment. Methods Using reflexive thematic analysis, we interviewed and integrated two knowledge sources: the perspectives of family caregivers for individuals with SIB and IDD and the perspectives of clinicians and researchers who treat and study self-injury. Results We present results from two primary belief categories: perceptions of causal variables and treatment goals. Conclusion By contextualizing the current paradigms of research and practice in self-injury as siloed depending on whether an individual does or does not have IDD, we discuss ways to deepen our understanding of the process of treatment provision for self-injurious behavior to inform efforts to close the treatment gap.

Exploring the professional discourse on environmental social work: a descriptive content analysis of selected publications from Germany and the US

Climate change and its disproportionate impacts on vulnerable groups have prompted the social work profession to become increasingly involved in environmental justice issues. Academic discourse on environmental social work has surged in the last decade, but limited studies examine its implementation by practitioners or information dissemination by professional organisations. Translational research highlights the crucial role of professional associations in informing practitioners of new scientific discoveries and practice paradigms. This qualitative content analysis compares a small selection of articles and podcast episodes published through the professional associations of social workers in the US (the National Association of Social Workers) and Germany (the Deutscher Berufsverband für Soziale Arbeit e.V.), respectively, focusing on environmental social work and its implications for the social work profession. The findings suggest that publications from both countries use similar arguments for proving the relevance of climate change issues for the profession but diverge considerably in their focus on how environmental social work should be applied.

A phenomenon-based approach to handling multiple paradigms: Investigating power in international knowledge transfer through active categorization

In this article, we propose a phenomenon-based approach as a suitable way of handling multiple paradigms in practice. We implement the phenomenon-based approach by means of active categorization to be differentiated into three steps – differentiation, integration, and patterning – and apply this approach to international knowledge transfer (IKT) in multinational enterprises (MNE). Via differentiation, we classify the IKT literature into six theoretical perspectives. Via integration, we identify power as the common element underlying knowledge transfer in MNEs. This leads us to conceptualize power as an influence on IKT through the paradigms and power assumptions of the Burrell-Morgan matrix and the characteristics of power proposed by Clegg. Via patterning, we draw implications for phenomenon-based multi-paradigm research, such as the dominance of regulative and functionalist power-assumptions over interpretive and critical ones and structural power lenses over rules of practice. We deduce recommendations and propose research questions for multi-paradigm research. With our conceptual frame, we enable researchers and practitioners to conceptualize power in more sophisticated ways. We contribute to multi-paradigm studies in Cross Cultural Management by exemplifying the benefits and implications of a phenomenon-based approach as a way to handle multiple paradigms in practice and propose further fields of application.

Sustainable development: A fourth paradigm for twenty-first century careers

This contribution proposes a fourth paradigm for twenty-first century careers adopting a sustainable development framework. First the evolution of the career development field through three paradigms (individual differences, individual development, life design) of career science and practice is offered. Then sustainable development as a fourth paradigm is introduced considering two pillars, Sustainability Science including contributions from the psychology of sustainability and sustainable development, and Human Security Psychology. Enhancing the well-being of individuals and environments, the fourth paradigm asks for redefining sustainable careers, career intervention, and skills for career counselors. Decent work, decent lives and healthy lives issues are included.

Study on the Innovation Path of Business Administration and Human Resource Management in Digital Transformation

The wave of digitalization is sweeping across the world, reshaping the business environment and management mode of enterprises. Business administration and human resource management, as the core fields of enterprise operation, face unprecedented challenges and opportunities. This study focuses on the innovation paths of these two fields in the context of digital transformation, aiming to explore a new paradigm of management practice and provide theoretical guidance and practical reference for enterprises to maintain their competitiveness in the digital era.

It Is Leadership, but (Maybe) Not as You Know It: Advocating for a Diversity Paradigm in Sports Leadership and Beyond.

The need to 'rethink leadership' is on the radar of many, from global finance and auditing organisations (e.g., Deloitte) and global sports organisations (e.g., the International Olympic Committee) to national and local sports organisations concerned about the decreasing numbers of participants or the lack of women coaches. Yet, is the dominant Western leadership orthodoxy fit for purpose in the 21st century? The purpose of this article is two-fold. First, to advocate for ways of 'rethinking leadership' that challenge the current dominant ethnocentric, gender-biased, leader-centric orthodoxy. Second, to introduce an expanded global and diverse leadership paradigm that is underpinned by clearly delineated dimensions of diversity and cultural competence, which recognises the importance of the organisational and cultural contexts. The literature discussed in this article draws from leadership studies generally and sports leadership and sports coaching more specifically. Key to this article is the discussion of the implications of adopting a diverse leadership paradigm for policy, practice, development, and research of leadership. This advocacy article does not end with a definitive conclusion but rather with an invitation to participate in a journey to realise the potential of diverse leadership.

Performance management in the prosocial market economy: a new paradigm for economic performance and sustainability

Purpose The purpose of this multi-voiced paper is to propose a prosocial paradigm for the field of performance management and management control systems. This new paradigm suggests cultivating prosocial behaviour and prosocial groups in organizations to simultaneously achieve the objectives of economic performance and sustainability. Design/methodology/approach The authors share a common concern about the future of humanity and nature. They challenge the influential assumption of economic man from neoclassical economic theory and build on evolutionary science and the core design principles of prosocial groups to develop a prosocial paradigm. Findings Findings are based on the premise of the prosocial paradigm that self-interested behaviour may outperform prosocial behaviour within a group but that prosocial groups outperform groups dominated by self-interest. The authors explore various dimensions of performance management from the prosocial perspective in the private and public sectors. Research limitations/implications The authors call for theoretical, conceptual and empirical research that explores the prosocial paradigm. They invite any approach, including positivist, interpretive and critical research, as well as those using qualitative, quantitative and interventionist methods. Practical implications This paper offers implications from the prosocial paradigm for practitioners, particularly for executives and managers, policymakers and educators. Originality/value Adoption of the prosocial paradigm in research and practice shapes what the authors call the prosocial market economy. This is an aspired cultural evolution that functions with market competition yet systematically strengthens prosociality as a cultural norm in organizations, markets and society at large.

The splendors and miseries of narrativity the virtue of the fragment and the formation of clinicians in XXI century

I review the virtues and limitations of the narrative paradigm in contemporary clinical practice. I contrast ‘episodic’ and ‘diachronic’ forms of life, the former characterised by no particular predisposition to see one’s life in narrative terms and the tendency to experience oneself fragmentarily. After highlighting a progressive decline of storytelling in the current socio-cultural scenario, I show how a number of conditions (borderline-type personality and identity development in adolescence) are marked by reduced ability to organise narratively one’s own experiences. I emphasize a mismatch between the episodic and fragmentary phenomena characterizing these conditions and the prevailing opinion among clinicians belonging to academic culture that values instead the narrative paradigm. In the training of the clinicians, in addition to the necessary skills related to the diagnostic framing of the patient’s symptoms, and in addition to narrative competence, the capacity to embrace all that is fragmentary (that is, what at face value escapes diagnosis and narration) is necessary. I corroborate the approach with a theory taken from contemporary art criticism called ‘aesthetics of post-production’ and its capacity to re-signify the meaning of fragments by recontextualizing them. The personal ‘knots’ in the patient’s experience can be preserved and enhanced only through fragment-oriented listening.

A review of deep learning models and online healthcare databases for electronic health records and their use for health prediction

A fundamental obstacle to healthcare transformation continues to be the acquisition of knowledge and insightful data from complex, high dimensional, and heterogeneous biological data. As technology has improved, a wide variety of data sources, including omics data, imaging data, and health records, have been available for use in healthcare research contexts. Electronic health records (EHRs), which are digitalized versions of medical records, have given researchers a significant chance to create computational methods for analyzing healthcare data. EHR systems typically keep track of all the data relating to a patient’s medical history, including clinical notes, demographic background, and diagnosis details. EHR data can offer valuable insights and support doctors in making better decisions related to disease and diagnostic forecasts. As a result, several academics use deep learning to forecast diseases and track health trajectories in EHR. Recent advances in deep learning technology have produced innovative and practical paradigms for building end-to-end learning models. However, scholars have limited access to online HER databases, and there is an inherent need to address this issue. This research examines deep learning models, their architectures, and readily accessible EHR online databases. The goal of this paper is to examine how various architectures, models, and databases differ in terms of features and usability. It is anticipated that the outcomes of this review will lead to the development of more robust deep learning models that facilitate medical decision-making processes based on EHR data and inform efforts to support the selection of architectures, models, and databases for specific research purposes.

The use of practice evidence by Australian occupational therapists: Perspectives and actions.

Evidence-based practice supports clinical decision-making by using multiple sources of evidence arising from research and practice. Research evidence develops through empirical study while practice evidence arises through clinical experience, client preferences, and the practice context. Although occupational therapists have embraced the paradigm of evidence-based practice, some studies have identified limits in the availability and use of research, which can lead to reliance on other forms of evidence. This study aimed to understand how Australian occupational therapists use practice evidence, manage potential bias, and enhance trustworthiness. Potential use of a critical appraisal tool for practice evidence was also explored. A 42-item questionnaire was developed to address the study aims. It consisted of a 7-point Likert scale, ordinal and free text questions. Likert scales were collapsed into binary scales and analysed using SPSS. Ordinal data were graphed and free text responses were analysed using manifest content analysis. Most respondents (82%) indicated that practice evidence was an important informant of practice and is used alongside research evidence. Almost all respondents (98%) expressed confusion when reconciling discrepancies between research and practice evidence. There was general acknowledgement that practice evidence is prone to bias (82%), yet 92% were confident in trusting their own practice evidence. Most respondents (74.5%) undertook some measures to appraise practice evidence, and almost all respondents (90%) agreed they would refer to a critical appraisal tool that helped them evaluate practice evidence. Occupational therapists in this study routinely use practice evidence arising from their own experience, client perspectives, and their practice context to inform clinical decision-making. While they agreed that practice evidence was prone to bias and misinterpretation, they generally trusted their own practice evidence. Participants indicated they needed guidance to critically appraise their practice evidence and supported the development of a critical appraisal tool for this purpose.

Intradiscal Autologous Biologics for the Treatment of Chronic Discogenic Low Back Pain.

PURPOSEOF REVIEW: The purpose of this narrative review is to evaluate the efficacy of the most commonly studied intradiscal biologics used for the treatment and alleviation of chronic intractable discogenic low back pain. Additionally, it explores the therapeutic potential and durability of these novel treatment options. RECENT FINDINGS: Recently published literature highlights the therapeutic potential of intradiscal biologics, such as mesenchymal stem cells, platelet-rich plasma, and alpha-2-macroglobulin, in promoting chondrogenesis within the lumbar intervertebral discs to treat discogenic low back pain. Studies demonstrate significant improvements in pain relief, physical function, and quality of life post-treatment. A comprehensive review of the literature evaluating the efficacy of intradiscal biologics suggests some evidence supporting its efficacy in treating discogenic low back pain. However, more rigorous studies into mechanistic modulation and large-scale randomized trials as well as a more thorough understanding of adverse events will be instrumental for including these therapies into clinical practice paradigms.

Harmonized ethical and empowered empathy for aesthetic literacy (HEEAL): a systematic review towards a patient-centered practice paradigm in aesthetic medicine and plastic surgery

Harmonized ethical and empowered empathy for aesthetic literacy (HEEAL): a systematic review towards a patient-centered practice paradigm in aesthetic medicine and plastic surgery

Practice as Research through Inquiry-Based Learning: A Pedagogical Intervention with Music Students in Higher Education

This paper presents the results of a Participatory Action Research, whose main objective was to validate a pedagogical intervention characterized by adopting an inquiry-based learning methodology (IBL), and the paradigm of Practice as Research focused on musical performativity. This intervention sought to foster autonomy, the relationship between theory and practice, and the development of critical reflexive skills in professional music students. The co-participants (12 students in the first cycle and 9 in the second) belonged to university training programs in vocal and instrumental interpretation, composition, and music pedagogy at different levels. In the intervention cycles, students were able to organize themselves collaboratively to achieve the learning objectives and research products designed in the intervention. During the process, they redefined research as a tool for professional development in their discipline. This empowered the participants, as they became aware that they themselves could build knowledge in their field. The intervention was validated, and the results highlight the potential of inquiry activities focused on musical performativity and Practice as Research in the context of higher music education, playing an integrating role in the construction of knowledge by and for practitioners.

Research on Hospital Archive Management from the Perspective of Public Administration

This paper explores the transformation of hospital archive management from a public administration perspective, emphasizing the shift towards an open model and public administration paradigm. By analyzing the concepts of publicness, service-orientedness, and collaborative governance, it proposes new management ideas of public responsibility, comprehensive development, and fair service. It also introduces practical paradigms such as document integration, resource management, and public participation, as well as implementation paths for enhancing awareness, institutional construction, cultural creation, and mechanism improvement. The aim is to promote the modernization of hospital archive management through the combination of theory and practice, efficiently serving society and public health.

Advances in the Clinical Application of High-throughput Proteomics.

High-throughput proteomics has become an exciting field and a potential frontier of modern medicine since the early 2000s. While significant progress has been made in the technical aspects of the field, translating proteomics to clinical applications has been challenging. This review summarizes recent advances in clinical applications of high-throughput proteomics and discusses the associated challenges, advantages, and future directions. We focus on research progress and clinical applications of high-throughput proteomics in breast cancer, bladder cancer, laryngeal squamous cell carcinoma, gastric cancer, colorectal cancer, and coronavirus disease 2019. The future application of high-throughput proteomics will face challenges such as varying protein properties, limitations of statistical modeling, technical and logistical difficulties in data deposition, integration, and harmonization, as well as regulatory requirements for clinical validation and considerations. However, there are several noteworthy advantages of high-throughput proteomics, including the identification of novel global protein networks, the discovery of new proteins, and the synergistic incorporation with other omic data. We look forward to participating in and embracing future advances in high-throughput proteomics, such as proteomics-based single-cell biology and its clinical applications, individualized proteomics, pathology informatics, digital pathology, and deep learning models for high-throughput proteomics. Several new proteomic technologies are noteworthy, including data-independent acquisition mass spectrometry, nanopore-based proteomics, 4-D proteomics, and secondary ion mass spectrometry. In summary, we believe high-throughput proteomics will drastically shift the paradigm of translational research, clinical practice, and public health in the near future.

Justus Buchler and the Community of Query

Before he originated the field of philosophy for children, Matthew Lipman spent nearly twenty years teaching at Columbia University and its affiliated colleges under the tutelage of the American philosopher Justus Buchler. In those years Lipman’s scholarship focused on Buchler’s naturalist metaphysics, which was informed by Buchler’s scholarship on the philosophy of Charles Peirce. In this essay I relate Lipman’s relationship with Buchler, summarise Buchler’s theory of human judgement, and indicate key parts of that theory that influenced Lipman’s own theory of judgement and multidimensional thinking. I then discuss the pedagogical turn Buchler made with his theory, including his conception of classroom discussion as a mode of ‘community of query,’ which became the prototype for Lipman and Ann Margaret Sharp’s theory of ‘community of inquiry’ as a protocol of classroom dialogue and a paradigm of philosophical practice and democratic decision-making.

The Ideal and Practice of Constructive Journalism: How South African Journalists Perceive Their Roles

ABSTRACT This article enters into a growing conversation in the literature around the notion of constructive journalism as a normative paradigm for journalism practice. Literature on constructive journalism has largely been dominated by perspectives from the Global North. Focusing on the developing Global South context of South Africa, this study asked: What are the perceptions and attitudes of South African editors and journalists towards constructive journalism in online news? Qualitative semi-structured interviews were conducted with a purposive sample of five journalists and three editors working for digital news outlets representing a range of editorial approaches and target audiences. The article moves beyond an application of the notion of constructive journalism to the particular context, to engage the notion of constructive journalism on a theoretical and conceptual level. It does this by drawing on interview findings to propose an alignment between the notions of “development journalism” and constructive journalism.

Why should we think about social justice in science communication?

What is science communication for? We argue that science communication can be framed, reimagined and transformed in service of social justice, which is what the papers in this special issue examine. We understand the vocabulary of “social justice” to signal the centring of critical research and practice paradigms, an ethical commitment to righting wrongs, building equity for all human beings and the broader ideal of improving the world [Fraser, 2003; Sen, 2009; Young, 1990]. We argue that bringing critical social justice lenses to science communication can usefully interrogate, rethink and ultimately reshape our field. This special issue examines both critical perspectives on science communication and what equitable transformations might entail.

Agrotechnology Students’ Acceptance on Agriculture Drones Spraying as Practical Tool in Class using the Knowledge, Attitude and Practice (KAP) Model

Agriculture drones are currently becoming a major mechanization for the agricultural industry. Drones have been specifically utilized to improve agricultural activities and hence require a specific skill set to operate effectively and efficiently in the field. Therefore, the future workforce in the agriculture industry is required to learn and accept this new technology. Nonetheless, integrating drone technology into the classroom presents obstacles for students and lecturers as well. Therefore, gaining a deeper comprehension of the numerous facets of drone technology integration in higher education, especially courses related to agrotechnology programs is critical. This quantitative survey used the Knowledge, Attitude, and Practice (KAP) paradigm to investigate agrotechnology students' acceptance of agriculture drones while reducing ambiguity using statistical analysis SPSS 26.0 and employed both descriptive and inferential analysis techniques. The KAP model was employed in a recent survey to ascertain the student's perspective regarding drones within their practical class. In order to gain a deeper understanding of students' knowledge, attitudes, and risk perceptions regarding agriculture drone applications, a closed-ended structured survey was designed. The survey was disseminated to selected University Malaysia Kelantan students specifically further study in agrotechnology and intensive training on handling and practical skill-set of agriculture drone spraying was provided to them. The response from the survey obtained showed that students had a good level of knowledge about the application of agriculture drones (mean score of 4.43), attitude toward the drone application (mean score of 4.56) and practice level of the students showed a mean score of 4.57. The findings from the study revealed that the practical lesson involving agriculture drone spraying had a positive benefit on the agrotechnology student’s skills for their future career endeavor.

The Effect of Emotional Valence on Unintentional Inhibition Processes in Older and Younger Adults in a Retrieval Practice Paradigm

The Effect of Emotional Valence on Unintentional Inhibition Processes in Older and Younger Adults in a Retrieval Practice Paradigm