Policy Teams Research Articles

Untangling the complex implementation process of community-based health promotion: a multiple-case study in the Netherlands.

Community-based programmes are a widely implemented approach for population health promotion. Due to the context-dependent and dynamic nature of these programmes, evaluating their implementation is challenging. Identifying key events in the implementation process in evaluation could enable us to support future implementation, while acknowledging the complexity of real-world implementation. We studied the nationwide implementation of the Dutch Healthy Youth, Healthy Future (JOGG) approach, a community-based programme for childhood overweight prevention. The aims of our study were (i) to gain insights into the implementation process of the JOGG approach, and (ii) to identify key events that influenced said process. In nine communities, we conducted interviews (n = 24) with coordinators and stakeholders involved in the implementation of the JOGG approach and collected documents on the programme's implementation. We applied the analytical tool 'Critical Event Card' to identify key events in the implementation process. Results showed that in 5-10 years of implementing the JOGG approach, communities have undergone different phases: preparation, upscaling, resource mobilization, integration with other policy initiatives and adaptation of the implementation strategy. Key events influencing the implementation process included national policy developments (e.g. new health programmes), framing of the JOGG approach in local policy, staff turnover and coordination teams' experiences and actions. Furthermore, changes in implementation were often triggered by the destabilization of the implementation process and linked to opportunities for change in the policy process. The identified key events can inform future implementation of the JOGG approach as well as other community-based health promotion programmes.

Examining the Contextual Factors Influencing Intersectoral Action for the SDGs: Insights From Canadian Federal Policy Leaders.

The interdependent and intersecting nature of the Sustainable Development Goals (SDGs) require collaboration across government sectors, and it is likely that departments with few past interactions will find themselves engaged in joint missions on SDG projects. Intersectoral action (IA) is becoming a common framework for different sectors to work together. Understanding the factors in the environment external to policy teams enacting IA is crucial for making progress on the SDGs. Interviews [n=17] with senior public servants leading SDG work in nine departments in the federal government of Canada were conducted to elicit information about issues affecting how departments engage in IA for the SDGs. Transcripts were coded based on a set of factors identified in a background review of 20 documents related to Canada's progress on SDGs. Iterative group thematic analysis by the authors illuminated a set of domestic and global contextual factors affecting IA processes for the SDGs. The mechanisms for successful IA were identified as facilitative governance, leadership by a central coordinating office, supportive staff, flexible and clear reporting structures, adequate resources, and targeted skills development focused on collaboration and cross-sector learning. Factors that affect IA positively include alignment of the SDG agenda with domestic and global political priorities, and the co-occurrence of social issues such as Indigenous rights and gender equity that raise awareness of and support for related SDGs. Factors that affect IA negatively include competing conceptual frameworks for approaching shared priorities, lack of capacity for "big picture" thinking among bureaucratic staff, and global disruptions that shift national priorities away from the SDGs. IA is becoming a normal way of working on problems that cross otherwise separate government accountabilities. The success of these collaborations can be impacted by contextual factors beyond any one department's control.

A slow-burning crisis: Executive relations and the normalisation of distrust in Northern Ireland's ‘cash for ash’ fiasco

This paper explores relationships between ministers, special advisers and civil servants through the lens of a high-profile government crisis in Northern Ireland (NI). Although political–administrative relationships are a mainstay of public administration research, we still have limited understanding of how these relationships feature and function within the ‘Westminster family’ of governance when operating within devolved institutions or post-conflict societies, nor of their role in crisis. We use Scott’s institutional pillars as an analytical framework and conduct a documentary analysis of public inquiry witness statements to explore the Renewable Heat Incentive crisis which led to the collapse of the NI legislature. Utilising a novel application of existing theory, we demonstrate that the implementation of the devolved, consociational power-sharing model incubated new governance norms, that prioritised and legitimised the agendas and actions of political actors (ministers and special advisers), over civil servants. Specifically, in understanding how relational norms – particularly distrust – feed public policy failure and institutional crisis, our findings contribute to this research area and to the broader public administration field. Government institutional crisis negatively impacts upon public service delivery and the wider health of democracy. Understanding such crises is an important first step in their amelioration. Points for practitioners Structural, systemic and day-to-day behavioural layering of distrust adversely impacts government professionals’ ability to recognise, communicate and respond to risk; this can create policy problems, which can escalate, unchecked, until they have become full-blown crises. In order to proactively mitigate crises in other public policy contexts, managers and teams should build in awareness raising, reflection and management processes to individual and operational performance reviews to improve relational norms, and prevent the normalisation of distrust.

Finding common ground: Co-producing national soil policy in Wales through academic and government collaboration

Several agricultural reforms are in progress in the UK following its withdrawal from the EU. This is an opportunity to formulate a Welsh Soils Policy Statement (SPS) that raises the status of soils and ensures that their protection and sustainable management are integrated into future policy. We share and reflect on our novel approach at co-producing a SPS for Wales involving academic researchers and policy teams and provide clear insights into soil policy development. Building consensus among the various government departments and agencies formed the basis of our approach. For pragmatic reasons, it was decided to focus on agricultural soils, which cover 85% of Wales. A rigorous evidence review and synthesis formed the foundation for the development of the SPS, which devises a vision, and primary and secondary objectives for Welsh agricultural soils. A first draft was conceived by the researchers, with further iterations developed between the researchers and the policy team. The researchers were embedded into the policy teams, and this proved to be an effective mechanism for evidence-based policy development that also enhances the science-policy relationship in the longer term. New structures and incentives that promote the engagement between researchers and policymakers should be developed to support environmental policymaking across the board.

Policy professionals in civil society organizations

Drawing on 24 interviews with policy professionals in 10 Swedish member-based civil society organizations (CSOs), and observations of policy professionals in three of these, we investigate CSOs from the perspective of their policy teams. This paper theoretically addresses how policy professionals relate to the members in whose name they work. This article extends the literature on civil society professionalization by conceptualizing the conflicts pertaining to policy professionals’ work in CSOs and ways of managing these conflicts. We argue that, ordinarily, CSO policy professionals working to influence public policy respond to conflicting logics and myth-like institutional demands for strong and direct influence of member interests by maintaining face and investing in the myth of member centrality. Based on how policy professionals address these issues, we suggest that organizations respond to conflicting institutional pressures and myths via decoupling strategies, discreetly avoiding member concerns while investing in the membership myth, ultimately fostering organizational hypocrisy. Conceptually, the paper contributes by connecting the literatures of civil society professionalization and new institutional theory to the burgeoning literature on policy professionals.

The Contradictions in Putin’s Economic Nationalism: From Western Partner to Fortress Russia

Abstract This article charts the trajectory of Putin’s economic policy. All countries face the challenge of preserving national interests and identity while reaping the benefits of global economic integration. These pressures are particularly acute in the case of Russia, given its historical legacy as a global superpower. From the outset, Putin’s pragmatic embrace of global integration and market incentives was in tension with his authoritarian centralization of power at home and hostility towards the West abroad. Up until 2008, Putin was able to keep these two conflicting worldviews, and rival policy teams, in balance. But after 2012, geopolitical confrontation won out over economic development, culminating in the reckless invasion of Ukraine in February 2022.

Similarities and differences in motivation in cross-disciplinary biomedical, policy, and education health science teams: a mixed methods comparative case study using the MATRICx

PurposeThis study aims to investigate individual motivations for participating in collaborative health knowledge producing teams (KPTs), as well as satisfaction gained by participation in science teams. The authors focus on understanding motivators across team types, levels of engagement and alignment within and across teams and need satisfaction in a total of six science teams. Areas of strong congruence and divergence of motivating factors can be aligned across (i) learning and professional growth satisfaction, (ii) respect, collegiality and enjoyment satisfaction and (iii) accomplishment and discovery satisfaction. Levels of satisfaction are hierarchically mapped showing their relation to more external and communal foci to motivations that seek satisfaction of individual needs.Design/methodology/approachThis mixed method comparative study uses data from the motivation assessment for team readiness integration and collaboration (MATRICx) tool and themes generated from semi-structured interviews. This methodology provided a means to compare a hierarchy of motivations against levels of collaborative engagement, as well as individual needs satisfaction and ultimately the identification of higher and lower-level motivations related to self and external foci.FindingsThe findings indicate that there are both similarities and differences in motivations in different health science teams when one compares biomedical, education and policy teams. A comparison of MATRICx data from across team types and teams suggests areas of strong congruence as well as areas of divergence in motivation factors.Originality/valueThe paper and its findings use a novel tool along with qualitative research techniques to identify motivation in KPTs and uses these data to understand what type of needs satisfaction are important across three areas of health science teaming. Our research informs team leaders, facilitators and consultants about the important motivations team members have entering teams and has the potential to provide a blueprint to ensure peak performance as individual team members seek to address their ever-growing professional needs.

Global insect decline is the result of wilful political failure: Abattle plan for entomology.

The Millennium Ecosystem Assessment assessed ecosystem change, human wellbeing and scientific evidence for sustainable use of biological systems. Despite intergovernmental acknowledgement of the problem, global ecological decline has continued, including declines in insect biodiversity, which has received much media attention in recent years. Several roadmaps to averting biological declines have failed due to various economic and political factors, and so biodiversity loss continues, driven by several interacting human pressures. Humans are innately linked with nature but tend to take it for granted. The benefits we gain from the insect world are broad, yet aversion or phobias of invertebrates are common, and stand firmly in the path of their successful conservation. Providing an integrated synthesis for policy teams, conservation NGOs, academic researchers and those interested in public engagement, this article considers: (1) The lack of progress to preserve and protect insects. (2) Examples relating to insect decline and contributions insects make to people worldwide, and consequently what we stand to lose. (3) How to engage the public, governmental organizations and researchers through “insect contributions to people” to better address insect declines. International political will has consistently acknowledged the existence of biodiversity decline, but apart from a few narrow cases of charismatic megafauna, little meaningful change has been achieved. Public values are reflected in political willpower, the progress being made across the world, changing views on insects in the public should initiate a much‐needed political sea‐change. Taking both existing activity and required future actions, we outline an entomologist's “battle plan” to enormously expand our efforts and become the champions of insect conservation that the natural world needs.

Management strategies for implementing a multicenter cross-sectional study: lessons from the ADHERE Brazil study.

Epidemiological studies involving large samples usually face financial and operational challenges. To describe the planning and execution of ADHERE Brazil, an epidemiological study on 1,105 kidney transplant patients, and report on how the study was structured, difficulties faced and solutions found. Cross-sectional multicenter study in 20 Brazilian kidney transplantation centers. Actions developed in each phase of implementation were described, with emphasis on innovations used within the logistics of this study, aimed at estimating the prevalence of nonadherence to treatment. Coordination of activities was divided into four areas: general, regulatory, data collection and statistics. Weekly meetings were held for action planning. The general coordination team was in charge of project elaboration, choice of participating centers, definition of publication policy and monitoring other coordination teams. The regulatory team provided support to centers for submitting the project to ethics committees. The data collection team prepared a manual on the electronic collection system, scheduled web meetings and was available to respond to queries. It also monitored the data quality and reported any inadequacies found. Communication with the centers was through monthly reports via e-mail and distribution of exclusive material. The statistical team acted in all phases of the study, especially in creating the data analysis plan and data bank, generation of randomization lists and data extraction. Through these logistics, we collected high-quality data and built a local research infrastructure for further studies. We present supporting alternatives for conducting similar studies. http://clinicaltrials.gov/ on October 10, 2013; NCT02066935.

Using complex systems mapping to build a strategic public health response to mental health in England

PurposeThis paper aims to use systems mapping as a tool to develop an organisation-wide approach to public mental health to inform strategic direction within a national public health agency. Design/methodology/approachTwo workshops were facilitated with internal staff from a wide range of public health policy teams working in small groups to produce paper-based maps. These were collated and refined by the project team and digitised. FindingsThe approach engaged a range of teams in forming a shared understanding and producing a complex system map of the influences on population mental health and well-being, where current policy initiatives were addressing them and what the gaps and priorities were. Participants valued the approach which led to further study and organisational commitment to the whole system working as part of national public mental health strategy. Research limitations/implicationsThe approach was limited to internal stakeholders and wider engagement with other sectors and community members would help further the application of complex system approaches to public mental health. Originality/valueIt was a valuable process for developing a whole-organisation approach and stimulating thinking and practice in complex system approaches. The paper provides a practical example of how to apply systems mapping and its benefits for organising public mental health practice.

Californians Linking Action with Science for Prevention of Breast Cancer (CLASP-BC)—Phase 2

Californians Linking Action with Science for Prevention of Breast Cancer (CLASP-BC) is part of California Breast Cancer Research Program’s (CBCRP) Initiative strategic priority to disseminate and implement high-impact, population-based primary prevention interventions. CLASP-BC is informed by six years of funded program dissemination and implementation (D&I) research and evaluation conducted by the Canadian Partnership Against Cancer (CPAC) through its Coalitions Linking Action and Science for Prevention (CLASP). In its second phase, CLASP-BC will fund multi-sector, multi-jurisdictional initiatives that integrate the lessons learned from science with the lessons learned from practice and policy to reduce the risk of developing breast cancer and develop viable and sustainable infrastructure models for primary prevention breast cancer programs and research evidence implementation. Applications will be solicited from research, practice, policy, and community teams to address one or more of the intervention goals for the 23 risk factors identified in Paths to Prevention: The California Breast Cancer Primary Prevention Plan (P2P), expanding upon existing primary prevention efforts into two or more California jurisdictions, focused on disadvantaged, high risk communities with unmet social needs. The lessons learned from CLASP-BC will be widely disseminated within the participating jurisdictions, across California and, where applicable, to jurisdictions outside the state.

Cardiac Surgery-Enhanced Recovery Programs Modified for COVID-19: Key Steps to Preserve Resources, Manage Caseload Backlog, and Improve Patient Outcomes

Abstract The COVID-19 pandemic has magnified the importance of delivering high-quality healthcare while preserving limited or depleted resources. This is particularly true in cardiac surgery, which depends on the same equipment, hospital capacity, and personnel that have been re-directed to COVID-19 care. Enhanced recovery programs promote standardized, consistent perioperative care, with an emphasis on incorporating evidence-based measures to optimize the patient experience, improve outcomes and utilize resources efficiently. Developing and implementing a program in the current COVID-19 environment is a daunting task. The Society for Enhanced Recovery After Cardiac Surgery (ERAS® Cardiac), representing an international, multi-disciplinary group of experts, provides the rationale, supportive evidence, and a proposed outline for a sustainable modified program within the constraints of the COVID-19 pandemic. It is feasible to launch in the current healthcare climate and is designed to preserve resources, reduce case backlog, and protect patient and provider safety while improving patient care and preserving institutional quality metrics. The program can also create the foundation for future growth.

The use of faculty policy teams for advancing policy advocacy and colleagueship.

Policy changes that impact nursing occur at multiple levels. The scope and pace of policy changes make it impossible for one faculty member to fill the role of policy advocate. Faculty are frequently reticent to participate, yet, policy work can be very rewarding for faculty. When engaged in policy advocacy, nursing faculty can be a valuable resource to the university, to legislators, and to other stakeholders. This article discusses the team approach to policy advocacy activity and outlines key steps in the policy process. Strategies for overcoming barriers when merging academic and advocacy responsibilities are identified. An example of a college of nursing faculty policy team that utilized nursing presence and their combined intellectual, social, and political capital is provided. In this example, the policy team influences policy discussions on issues impacting both the university community and citizens throughout the state. The strategies provided and the policy process steps discussed are applicable to policy changes at the local, state, and federal levels. Nursing faculty are positioned to engage students, alumni, practice leaders, and community stakeholders in interdisciplinary and transdisciplinary efforts that influence policy initiatives.

Revolving doors in international financial governance

Abstract‘Revolving doors’ is a well‐suspected phenomenon of skills and knowledge transfer between the private and public sectors. It is thought to be especially notable among elites in transnational policy networks, where mobility can accrue status. In this article, we investigate revolving doors in the area of international financial governance. We target policymakers linked to the Basel Committee on Banking Supervision (BCBS) and the International Monetary Fund's Financial Sector Assessment Program (FSAP). We test for revolving doors by examining the career histories of those working with the BCBS on the development of the Basel II accord, and staff on policy teams for financial systems monitoring via FSAP missions. Using sequence analysis, we trace career histories between 1971 and 2011 to observe the extent of revolving doors. Revolving doors are observed in club‐like elite policy communities but are less prevalent in policy teams in intergovernmental organizations. We find that revolving doors are important in establishing intellectual capture in how an issue is treated within transnational policy networks.

Towards Future Oriented Collaborative Policy Development for Rural Areas and People

Rural areas in Europe are at risk due to depopulation, failing generation renewal, and a multitude of influences ranging from market-based, regulatory, to societal and climate changes. As a result, current rural policy is no longer keeping pace with these changes. We propose an advanced rural policy development framework in order to deliver more accurate foresight for rural regions, contributing to new and enhanced policy interventions. The proposed framework combines new quantitative and qualitative epistemological approaches, previously unused unstructured data with traditional research information, grassroot perspective with expert knowledge, current situation analysis with forward looking activities. We argue that by using the proposed methods, policy teams will be able to enhance the effectiveness of their policy making processes, while rural stakeholders will be given the opportunity to become valuable policy influencers and solution co-creators. The ability to quickly experiment and understand the impact of a variety of policy solutions will result in saved time and costs. The framework is part of an ongoing experimental verification and testing in twelve pilot regions across Europe and Israel.

What Makes Foreign Policy Teams Tick: Explaining Variation in Group Performance at Geopolitical Forecasting

When do groups—be they countries, administrations, or other organizations—more or less accurately understand the world around them and assess political choices? Some argue that group decision-making processes often fail due to biases induced by groupthink. Others argue that groups, by aggregating knowledge, are better at analyzing the foreign policy world. To advance knowledge about the intersection of politics and group decision making, this paper draws on evidence from a multiyear geopolitical forecasting tournament with thousands of participants sponsored by the US government. We find that teams outperformed individuals in making accurate geopolitical predictions, with regression discontinuity analysis demonstrating specific teamwork effects. Moreover, structural topic models show that more cooperative teams outperformed less cooperative teams. These results demonstrate that information sharing through groups, cultivating reasoning to hedge against cognitive biases, and ensuring all perspectives are heard can lead to greater success for groups at forecasting and understanding politics.

Survey on Implementation of One Health Approach for MERS-CoV Preparedness and Control in Gulf Cooperation Council and Middle East Countries.

In 2015, a One Health Working Group was established in Qatar to conduct a survey in the Gulf Cooperation Council countries, Egypt, and Jordan to monitor preparedness of public health and veterinary health authorities in response to the Middle East respiratory syndrome coronavirus epidemic. All but 1 country indicated they established joint One Health policy teams for investigation and response. However, the response to the questionnaires was largely limited to veterinary authorities. Critical barriers and limitations were identified. National and regional leaders, policy makers, and stakeholders should be prompted to advocate and enhance adoption of the One Health framework to mitigate the risk for Middle East respiratory syndrome and other emerging zoonotic diseases.

Beyond a Single Country's Borders: Trade in Services Uncovered Through Bibliometrics.

We live and work in an increasingly connected global environment where actions in one part of the world can have consequences for all of us. This article examines, through the use of bibliometric analysis, the extent to which nursing scholars are engaged in the policy debate surrounding trade in services. Results demonstrate that, in comparison to medical colleagues, the nursing profession is more regionally orientated, focused on more operational-based themes and orientated to Mode 4: Mobility of the Profession. However, with the impetus of initiatives such as Nursing Now, opportunities exist to increase nurses' contribution to policy in today's ever more connected supranational environment. To be effective, and if quantum rather than incremental progress is to be made, more scholarship on policy-oriented topics is needed. An increased output of PhD-prepared nurses is essential. Collaborative working in multidisciplinary policy teams must become the norm, so nurses can demonstrate their unique and essential contribution to addressing the many and complex challenges that health systems now face. This is what is required if nurses are to be equipped to make robust evidence-based arguments at national and supranational levels.

Research progress of sleep status and intervention strategies in patients with nasopharyngeal carcinoma

Sleep is closely related to the process of treatment and rehabilitation in patients with nasopharyngeal carcinoma (NPC). This paper was summarized from the sleep status and its influencing factors in patients with NPC, adverse effects of sleep disorders, and intervention strategies of sleep for patients with NPC. Intervention strategies were further demonstrated through optimization of nursing strategy, improvement of time management, application of various pharmaceutical nursing, syndrome differentiation based on traditional Chinese medicine, and psychological intervention. In order to improve sleep patterns and enhance quality of life of patients with NPC, several factors such as multidisciplinary joint intervention strategies based on alien breast cancer and prostate cancer abroad; and overall consideration of cultural background, national policy, and expert teams, etc., should be proposed to explore multidisciplinary joint intervention strategies. Key words: Nasopharyngeal carcinoma; Sleep disorder; Strategy; Review

Exceedance of modern ‘background’ fine-grained sediment delivery to rivers due to current agricultural land use and uptake of water pollution mitigation options across England and Wales

Excessive loss of fine-grained sediment to rivers is widely recognised as a global environmental problem. To address this issue, policy teams and catchment managers require an estimate of the ‘gap’ requiring remediation, as represented by the excess above ‘background’ losses. Accordingly, recent work has estimated the exceedance of modern ‘background’ sediment delivery to rivers at national scale across England and Wales due to (i) current agricultural land cover, cropping and stocking, and (ii) current land use corrected for the uptake of on-farm mitigation measures. This sectoral focus recognises that, nationally, agriculture has been identified as the principal source of fine sediment loss to the aquatic environment. Two estimates of modern ‘background’ sediment loss, based on paleolimnological evidence, were used in the analysis; the target modern ‘background’ (TMBSDR) and maximum modern ‘background’ (MMBSDR) sediment delivery to rivers. For individual (n=4485) non-coastal water bodies, the sediment ‘gap’ in excess of TMBSDR and MMBSDR, due to current land cover, cropping and stocking, was estimated to range up to 1368kgha−1yr−1 (median 61kgha−1yr−1) and 1321kgha−1yr−1 (median 19kgha−1yr−1), respectively. The respective ranges in conjunction with current land cover, cropping and stocking but corrected for the potential impact of on-farm sediment mitigation measures were up to 1315kgha−1yr−1 (median 50kgha−1yr−1) and 1269kgha−1yr−1 (median 8kgha−1yr−1). Multiplication of the estimates of excess sediment loss corrected for current measure uptake, above TMBSDR and MMBSDR, with estimated maximum unit damage costs for the detrimental impacts of sediment pollution on ecosystem goods and services, suggested respective water body ranges up to 495 £ha−1yr−1 and 478 £ha−1yr−1. Nationally, the total loss of sediment in excess of TMBSDR was estimated at 1,389,818tyr−1 equating to maximum environmental damage costs of £523Myr−1, due to current structural land use, compared to 1,225,440t yr−1 equating to maximum damage costs of £462M yr−1 due the uptake of on-farm sediment control measures. The corresponding total loss of sediment in excess of MMBSDR was estimated at 1,038,764tyr−1 equating to maximum damage costs of £462Myr−1, compared with 890,146tyr−1 and £335Myr−1 correcting excess agricultural sediment loss for current implementation of abatement measures supported by policy instruments. This work suggests that the current uptake of sediment control measures on farms across England and Wales is delivering limited benefits in terms of reducing loadings to rivers and associated environmental damage costs.