Post-implementation Stage Research Articles

The use of digital storytelling in the teaching of reading at a rural primary school

The myriad challenges confronting schools have stimulated proposals to adopt digital storytelling as both an innovative teaching strategy and learning resource. Due to inadequacy in reading skills of our school learners, language teachers have acceded to a proposal to use digital storytelling as a vehicle for curriculum delivery. Therefore, the purpose of this study is to examine the perceptions of the rural primary school teachers regarding the use of digital storytelling in the teaching of reading. To do so, the researcher employed a three-cyclical process of qualitative action research which involved pre-implementation, implementation and post-implementation stages. To gather data from five language teachers, interviews were used during pre-implementation phase, observations were conducted during the implementation phase, and document analysis and interviews were employed during the post-implementation phase. Results show that the teachers’ readiness levels in terms of technological skills, beliefs and attitude improved after attending the Digital Storytelling Workshop. The notable end-product of the Digital Storytelling Workshop was three digital stories that teachers developed by teachers. In sum, teachers demonstrated an adequate degree of readiness to adopt digital storytelling after the post-implementation phase. The positive outcomes of this action research study suggest that digital storytelling should be used as an innovative strategy to teach reading.

Evolution of radiology staff perspectives during artificial intelligence (AI) implementation for expedited lung cancer triage

Evolution of radiology staff perspectives during artificial intelligence (AI) implementation for expedited lung cancer triage

Implementing ERP with Maintenance and Support in Mind: Exploring the Efficacy of Application Management Services for the Post-Implementation Phase

ABSTRACT Prior ERP research has focused primarily on adoption and implementation; however, in an ERP implementation, maintenance and support (M&S) also has a significant impact on the long-term viability and financial expenditures of organizations. Many organizations turn to application management service (AMS) providers to manage ERP M&S. We surveyed professionals knowledgeable in their companies’ use of AMS for ERP. We find associations between variables consistent with a business case of “keep the lights on” versus “value-driven” partnership and benefits achieved from the arrangement. We also examine activities that should lead to more M&S success: customization, quality documentation, and process standardization. We find associations between some of these variables and (1) more focus on M&S during implementation, (2) challenges transitioning to AMS, and (3) quality of AMS support. Our results are a first step toward research in AMS for ERP M&S and add to the AIS literature on the ERP post-implementation stage. Data Availability: Data available upon request.

Influential factors in the adoption of clinical decision support systems in hospital settings: a systematic review and meta-synthesis of qualitative studies

PurposeAdoption of Clinical Decision Support Systems (CDSS) is a crucial step towards the digital transition of the healthcare sector. This review aims to determine and synthesise the influential factors in CDSS adoption in inpatient healthcare settings in order to grasp an understanding of the phenomenon and identify future research gaps.Design/methodology/approachA systematic literature search of five databases (Medline, EMBASE, PsycINFO, Web of Science and Scopus) was conducted between January 2010 and June 2023. The search strategy was a combination of the following keywords and their synonyms: clinical decision support, hospital or secondary care and influential factors. The quality of studies was evaluated against a 40-point rating scale.FindingsThirteen papers were systematically reviewed and synthesised and deductively classified into three main constructs of the Technology–Organisation–Environment theory. Scarcity of papers investigating CDSS adoption and its challenges, especially in developing countries, was evident.Practical implicationsThis study offers a summative account of challenges in the CDSS procurement process. Strategies to help adopters proactively address the challenges are: (1) Hospital leaders need a clear digital strategy aligned with stakeholders' consensus; (2) Developing modular IT solutions and conducting situational analysis to achieve IT goals; and (3) Government policies, accreditation standards and procurement guidelines play a crucial role in navigating the complex CDSS market.Originality/valueTo the best of the authors’ knowledge, this is the first review to address the adoption and procurement of CDSS. Previous literature only addressed challenges and facilitators within the implementation and post-implementation stages. This study focuses on the firm-level adoption phase of CDSS technology with a theory refining lens.

Factors influencing users’ retention of using human resources information system in the post-implementation stage in Vietnam, from human resources professionals’ perspective

This study aims to explore the factors influencing the retention of human resources information systems (HRIS) by users during the post-implementation stage in Vietnam. To obtain insights into the experiences of HR professionals with HRIS implementation and use, semi-structured interviews were conducted with eight professionals from three different organisations. The thematic analysis of the interview data revealed four key themes that impact the retention of HRIS, which are system features, management support, organisational management, and organisational capabilities. The study found that system features, such as user-friendliness, self-service, reliability, data aggregation, and integration, drive satisfaction and ongoing use of HRIS. Management support in the form of modelling usage and training also encourages retention. Organisational management practices, including communication and change management, facilitate adoption. Finally, digital transformation experience and financial investment enhance engagement with HRIS. The study concludes that user experience, leadership, communication, change management, and organisational elements all contribute to sustaining HRIS adoption after implementation. This study provides valuable insights into promoting continued HRIS utilisation through a holistic approach that addresses these various factors. Additionally, it offers practical recommendations to increase user retention during the post-implementation stage, based on real-world perspectives from HR professionals in Vietnam.

MODEL PEMBELAJARAN PROBLEM BASED LEARNING BAGI SISWA SMA NEGERI 13 PEKANBARU DENGAN KONSEP SERVICE LEARNING

This service aims to find out how the application of the problem-based learning model and its influence on increasing student learning motivation economic in public senior high school 13 Pekanbaru The dedication method is Service Learning using the Experimental Learning model, which is carried out in direct service, namely where students are directly involved in activities accompanied by supervisors. The stages are Pre-Implementation, implementation, and Post-Implementation. The results of the dedication were that at the Pre-Implementation stage, it was found that during a survey at schools, there were still students who were less than optimal in their learning motivation, and teachers still used conventional learning models. In the Implementation stage, the results at this stage are using the problem-based learning learning model to increase learning motivation. In the Post-Implementation Stage, the assessment and reflection of students and teachers in the application of the problem-based learning model are good.

Literasi, Numerasi, dan Adaptasi Teknologi Bagi Guru Sekolah Dasar

The development of ICT has an impact on the education sector. In Indonesia itself, the development of ICT is not balanced with literacy and numeracy skills. There needs to be follow-up on the low literacy and numeracy skills of students. Follow-up should not only focus on student abilities, but should also be teacher-centered. PGSD Study Program, STKIP Kusuma Negara, through the Field Work Lecture (KKL) course, implements the tri dharma of higher education, namely Community Service (PKM) in the form of a national webinar with the theme My Teacher, My Hero - Literacy and Numeracy in the Digital Era for Elementary School Teachers. PKM implementation goes through 3 stages, namely pre-preparation, implementation and post-implementation stages. The training was conducted with 2 resource persons and attended by 268 participants who were elementary school teachers and students from all over Indonesia.

Factors affecting farmers’ decision to participate in Campaign-Based Watershed Management program in Boset District, Ethiopia

The sustainability of the ongoing national Campaign-Based Watershed Management (CBWM) program of Ethiopia depends on active participation of farmers in the planning and implementation activities. This study analyzes farmers’ participation level in CBWM program and factors that determine their participation, using mixed research methods. Key informant interviews were conducted with 29 purposively selected actors (excluding farmers) to discern their decision-making processes and to gain insight into the factors influencing farmers' participation in the program. Additionally, individual case studies were conducted with 15 farmers to explore their personal experiences. Furthermore, a household survey was administered to 351 households to explain key factors shaping their decisions to participate in the program. Our study shows that the farmers’ level of participation in the CBWM program was quite low (53.0%). Compared to the implementation and post-implementation stages, the level of participation was lowest at the planning stage of the program. Three key factors influenced the farmers’ level of participation in the program: location or proximity of farmers to the micro-watersheds during campaign works, the commitment of local leaders, and awareness and motivation of farmers. This suggests the need to (1) focus on smaller watersheds to minimize the effect of distance between farmers’ homesteads and the micro-watersheds, (2) include local livelihood opportunities to mitigate the impact of location or out-migration and ensure their availability for campaign works, (3) enhance the performance/commitment of local leaders, (4) improve farmers’ awareness and motivation through capacity building. However, given that the effect of these factors varies across the studied villages and stages of the program, a more bottom-up planning approach that considers socio-economic and biophysical contexts should be introduced in the study area and other similar localities where watershed management activities are carried out through community participation.

Can Cap-and-Trade Be a Regulatory Option to Address Groundwater Depletion and Irrigation Crises in India? Reflections, Issues & Options.

India is a global hotspot for irrigation-induced groundwater withdrawal, leading to widespread lowering of water levels, in turn resulting in disproportionate access to irrigation supplies among farming communities. Efforts to mitigate the situation, however, have fallen short, largely due to technocentric vision (e.g. microirrigation adoption) of the regulatory authorities (RAs), which does little to integrate the vast groundwater-dependent socioecologies with the decision making system. In view of that, we invite the RAs to deliberate upon a cap-and-trade mechanism that proposes to mobilize the farmers at every aspect of planning and execution, while to tackling multiple challenges simultaneously: (a) restrict groundwater pumping to a pre-defined safe level (cap), (b) creating a shared space/quotas for all to pump (allocation); and (c) making provisions for trade of allocations. The latter further augments farmers' access to groundwater (and irrigation). Using a systematic bibliometric analysis of relevant world literature and contextual appraisal of groundwater-irrigation landscape in India, we develop a conceptual framework of cap-and-trade in three parts. In the first Pre-implementation stage, we emphasize a reality check study to assess ground conditions, if favorable for a cap-and-trade approach (existing social, economic, institutional circumstances). Next, in the Implementation stage, (1) we recommend an integrated hydrogeological-hydrometeorological modeling to determine flexible capping arrangements, with the possibility of delineating certain priority regions (coastal ecosystems); (2) for allocations, a reasonable fraction of the cap over a defined period; we envision a thoroughly participatory arrangement, centering on four action areas: identifying, informing, consulting, and involving the farmers, alongside all stakeholders engaged in the groundwater-irrigation decision making; (3) for trade, we urge the RAs to create win-win situations for both the sellers and buyers; develop the transaction protocols on certain foundational principles (e.g. simplicity, transparency and consistency); strengthening of local institutions, and development of targeted financial support schemes. We consider the third part of the narrative, Post-implementation stage, as a real game changer, comprising of a monitoring, auditing (performance benchmarking) component coupled with multitiered outreach-mentoring drives that demonstrate to the farmers the benefits of becoming part of the cap-and-trade program. Overall, a main motivation to present this research is to shatter the age-old socio-cognitive beliefs/taboos around groundwater pumping (My land, My Water), breaking the hegemony of the water sellers (rich/wealthy large landholder clans), to potentially, create a social norm whereby the farmers realize the value of restricting groundwater pumping and sharing for mutual prosperity.

Conducting Hybrid Training for Teacher Professionalism at SMP Wahid Hasyim Malang

This article presents an explanation of the implementation of hybrid training as a form of teacher professional development at Wahid Hasyim Junior High School in Malang. Hybrid training is a pedagogical approach that combines online and face-to-face learning to improve the quality of education and teachers' abilities. This programme is implemented with stages (1) pre-implementation, (2) implementation and (3) post-implementation. The pre-implementation stage is passed by preparing all aspects needed. The implementation stage includes the training process which is conducted online but participants follow it simultaneously in one room. The post-implementation stage is carried out through reflections from the training instructor during the activity. This mode of training is expected to provide opportunities for teachers to explore their learning experiences widely through the application of online learning as exemplified in this training programme.

Eksistensi dan Fungsi Sosial Ritual Ratib Samman pada Masyarakat Desa Sei Paham Kecamatan Sei Kepayang Kabupaten Asahan

This study aims to determine the exixtence, practice, meaning and social function of the Ratib Samman ritual in the people of Sei Paham Village, Sei Kepayang District, Asahan Regency. The ritual which is carried out by gathering many people is carried out by men at night after the Isha Prayer. This study uses a qualitative method with a descriptive approach. In this case, to obtain the data inquestion, obtained trough observation, interviews and documentation. The results of this study indicate that the existence of the Ratib Samman ritual is a cultural form that is believed and known by the community to have existed from the time of the Atok ancestors and was passed down from generation to generation. Its existence has a high value in society, the practice starts from the pre-implementation stage, the implementation stage and the post-implementation stage. The movements used are sitting, rotating and standing positions as well as the movements of the pencak silat moves. The community interprets this ritual as the practice of remembrace of Allah Swt to draw closer Allah Swt. It is known that these rituals are part of the teaching of the Tarekat. Howefer, in this area, it has become a public Ratib, meaning that anyone may follow it. The ritual also has a social function, among others, as a form of social solidarity an integration and as a means of overcoming epidemics or diseases, famine, crime, and disturbances by spirits.

Building capacity for point of care alcohol-based handrub (ABHR) and hand hygiene compliance among health care workers in the rural maternity and surgical units of a hospital in Cameroon

Hand hygiene (HH) is challenging in health care, but particularly in resource-limited settings due to a lack of training, resources, and infrastructure. This study aimed to evaluate the implementation of wall-mounted alcohol-based handrub (ABHR) at the point of care (POC) on HH compliance among health care workers in a Cameroon hospital. It was a three-stage before and after study. The first stage involved baseline collection of ABHR utilization and HH compliance data. The second stage included the implementation of ABHR at the POC, supported by an implementation strategy involving HH training, monitoring and feedback, and HH champions. The third stage involved postimplementation data collection on ABHR use and HH compliance. 5,214 HH opportunities were evaluated. HH compliance significantly increased from 33.3% (baseline) to 83.1% (implementation stage) (P<.001) and to 87.2% (postimplementation stage) (P<.001). Weekly ABHR usage increased significantly during implementation (5,670ml), compared to baseline, (1242.5ml, P=.001), and remained high in postimplementation (7,740ml). Continuous availability of ABHR at POC, supported by implementation strategy, significantly increased HH compliance and ABHR use. Learning from this study could be used to implement ABHR at POC in other facilities.

Pelatihan Pembelajaran Berbasis 21st Century Skills di Sekolah Indonesia Johor Bahru Malaysia

The 21st-century skills are skills that students must master to survive and compete in this 4.0 industrial revolution era. Teachers need to have good professional competence in order to facilitate students to develop 21st-century skills. This also applies to elementary school teachers. Therefore, the teacher needs training that can provide knowledge and skills for teachers to present such learning. The training program participant is an elementary school teacher at the Indonesian School of Johor Bahru Malaysia. The problem identified is that not all SIJB's primary school teachers have diverse educational backgrounds, and the learning presented is not based on 21st-century skills. The participants of this training are 19 teachers. The program is web-based training using the ADDIE model. This training is conducted in three stages, namely the pre-implementation, implementation, and post-implementation stages. At the implementation stage, there are eight meetings containing materials on 21st Century Skills-based learning in Indonesian Language, Mathematics, Science, Social Studies and Civics, English, Arts, ICT, innovative learning models and learning life skills. Participants were given a pretest and posttest understanding of 21st Century learning. The pretest results showed an average value of 60.8, which means that participants' understanding of 21st Century learning is still quite good and the posttest average score of 84.5, which means that understanding participants is good. The result shows that the participants' understanding increased after attending the training. Based on the questionnaire results, the participant's response was quite good, and hoped that the training activities could be carried out on an ongoing basis.&#x0D; Keywords: 21st Century Skills Training Program, Professional Competency of Elementary Teacher

Systematic Land Registration Program (Ptsl) In The Ex-Transmigration Settlement Unit In Seluma District

This study aims to analyze the implementation of the Complete Systematic Land Registration Program (PTSL) at the Ex-Transmigration Settlement Unit at Batu Balai Village in Seluma Regency. This research is a qualitative research with a narrative study approach. In this study, the informants by defining or pointing directly purposive sampling were 5 (five) people. Data analysis in qualitative research consists of four interacting components, namely data collection, data reduction, data presentation and drawing conclusions and verification. Data validity through triangulation data collection techniques, namely triangulation of sources, triangulation of techniques and triangulation of time. The results showed that the preparatory stage for the socialization had been carried out well and juridical data collection as well as the issuance of SK Hak / legalization of physical data and juridical data has not been carried out properly and at the post-implementation stage the issuance of certificates has not been carried out properly, and reporting has been carried out properly

An educational program of reducing moral distress (PRMD) in nurses; designing and evaluating

BackgroundMoral distress is common phenomenon that has negative consequences on nurses, patients, and healthcare systems. This study aims to design and evaluate an educational program to reduce moral distress in nurses.MethodsThis multiphase mixed-method study was done in three stage on February 2021 in Shiraz/Iran. In pre-implementation stage, a content analysis study was conducted on 12 participants were interviewed using purposive sampling and then the program was designed according to qualitative data, panel of expertise and literature review according the seven steps of Ewles and Sminett’s model and implemented in one group on 40 nurses using a quasi-experimental design. In Post-Implementation stage, effectiveness of program was evaluated through quantitative and qualitative methods. Quantitative data were gathered by Hamric's 21-question moral distress questionnaire analyzed via SPSS v.25 and analysis of variance repeated measures test. Also, a content analysis study was conducted on 6 PRMD participants using purposive sampling. In Program evaluation stage, convergence of quantitative and qualitative data and the effects of the program were examined. Trustworthiness of qualitative data was accomplished by Lincoln and Guba criteria.ResultsFirst quantitative study revealed the causes of moral distress consisted of deficiency in professional competency, unsuitable organizational culture, personal factors, environmental and organizational factors, management factors, insufficiencies in proficient and efficient communication and nurses' observation of moral dilemma. Results of quantitative stage showed that there was a significant difference (p < 0.05) between the mean score of moral distress before, after, 1 and 2 months after the intervention. The participants in secondary qualitative stage, reported increasing their moral knowledge and skills, improving ethical climate, and moral empowerment.ConclusionThe use of different educational tools and teaching methods and the participation of managers in designing strategies had a very effective role in the effectiveness of this educational program.

Beneficiary Participation in Post-Implementation Stages in Slum Upgrading in Secondary Cities of Nakuru and Kitale, Kenya

Beneficiary Participation in Post-Implementation Stages in Slum Upgrading in Secondary Cities of Nakuru and Kitale, Kenya

Participatory Development Communication for Family Food Security during the Covid-19 Pandemic

The objective of this study is to elaborate and assess participatory development communication strategies employed in women's empowerment program by an Islamic non-governmental organization, specifically Lembaga Lingkungan Hidup dan Penanggulangan Bencana (LLHPB) 'Aisyiyah (Environment and Disaster Management Institute) Probolinggo City, East Java, Indonesia in 2020 to attain family food security during the Covid-19 pandemic. The three series of activities that constitute this empowerment program include training on planting vegetables, training on vegetables and fish cultivation in buckets, and engaging the online 'Aisyiyah Market group. This study utilized a case study methodology, collecting data through documentation and interviews with six informants who were committee members and members of 'Aisyiyah who are active in the empowerment initiative. This study demonstrates that, generally, the circumstance that the committee retains complete authority during crucial decision-making phases contributes to the practice of participatory communication in empowerment program. According to this study, the three activities used monologic and dialogic communication modalities in varying methods. Because collaborative member involvement only occurs when planning the formation of the 'Aisyiyah Market group, the level of member participation in the other two activities is still at a low level and only reveals involvement at the implementation and post-implementation stages of the activity.

Assessing South Korea's Compliance with Global Norms on Development Cooperation

Over the last f ive decades, the UN and OECD/DAC have strongly urged member states to comply with global aid norms to improve aid effectiveness. To what extent are the global aid norms actually put in practice in countries that have pledged themselves to comply with these norms? Norm life cycle theory explains the internalization of global norms as legalization, institution-building, and official policies at the national level. This study supplements the norm lifecycle theory by subdividing the process of norm internalization into the policy formation stage and the post-implementation stage at the national level and empirically examines it by employing five criteria: ODA/GNI ratio; aid to LDCs; the ratio of grant to loan; aid-untying; and fragmentation. The results show that some aid norms are well accepted and implemented at both stages while other norms are neither addressed in official aid policies nor put into practice.

The CSFs from the Perspective of Users in Achieving ERP System Implementation and Post-Implementation Success: A Case of Saudi Arabian Food Industry

Enterprise resource planning (ERP) systems have a major impact on the functioning of organizations and the development of business strategy. However, one of the main reasons that cause failure in ERP implementations to achieve the expected benefits is that the system is not fully accepted by end users. User rejection of the system is the second reason after time and budget overrun, while the fourth barrier to ERP post-implementation. Most studies have focused on ERP adoption and installation while neglecting post-implementation evaluation, which omits insights into the priority of ERP systems and CSFs from the stance of ERP users. Therefore, this study identified factors that led to user acceptance of the use of ERP systems at both implementation and post-implementation stages (after installation). In addition, this study assessed the interrelationship between the factors and the most influential factors toward user acceptance. A survey was conducted among pioneers of the food industry in Saudi Arabia, which included 144 ERP system users from assembly and manufacturing, accounts, human resources, warehouse, and sales departments. The descriptive-analytical approach was deployed in this study. As a result, project management, top management support, and user training had significant impacts on the efficacy of ERP system implementation. On the contrary, support for technological changes in new software and hardware, managing changes in systems, procedures, and work steps already in place within the organization, as well as user interfaces and custom code, displayed a direct impact on user acceptance of ERP systems post-implementation. This study is the first research that provides a rating of CSFs from the perspective of its users in Saudi Arabia. It also enables decision makers of food industries to better assess the project risks, implement risk-mitigation methods, create appropriate intervention techniques to discover the strengths and limitations of the ERP users, and value the “best of fit” solutions over “best practice” solutions when determining the most appropriate option for food industries.

Evaluation of Automated Alert and Activation of Medical Emergency Team in Head and Neck Cancer Patients Using Early Warning Score at Tertiary Level Hospital in North India.

Improved patient safety for those undergoing treatment of head and neck cancers depends on prompt identification of warning indicators from severely critical patients and appropriate treatment. As a result, many hospitals all around the world have implemented quick response techniques, including medical emergency teams (MET), which have systems and personnel that are highly trained to deal with patients who are deteriorating. Nowadays, automated activation and alert programs are also being discussed. To compare the patient outcomes in two conditions: one before the application of the automated MET alert and activation program and the other after the application of the automated MET alert and an activation programwas used. There was an examination of clinical data on MET-managed patients before and after the computerized alert and activation approach was put in place. The study comprised all adult head and neck cancer patients who were treated by the MET between March 1, 2017, and December 31, 2021. The physiologic abnormalities of the patient at the moment of the MET initiation were recorded as causes for MET activation when the MET was alerted by the computerized alert, and activation system.From activation through deactivation, the MET intervention lasted. Hospital mortality served as the study's primary outcome. The duration of stay at the hospital and unscheduled ICU hospitalizations were secondary outcomes. Medical records from hospitals were examined retrospectively to get information on clinical outcomes. The percentage of unplanned admissions in ICU was greater in the pre-implementation stage (22.34%) as compared to that in the post-implementation stage (13.56%) (p value<0.001). The duration of stay of patients at the hospital also got reduced in the post-implementation phase (13.23 ±1.47 days) as compared to the pre-implementation stage (24,76± 1.12 days) (p<0.001). The median time of derangement of activation of MET was greater in the pre-implementation stage (62 minutes) as compared to the post-implementation stage (34 minutes) (p-value <0.001). The most common complications leading to MET activation in a pre-implementation phase were neurological and respiratory complications. On the other hand, overall deterioration was the most common cause of MET activation. The mortality rate of patients in the pre-implementation stage was 36.23% as compared to 22.12% in the post-implementation stage (p<0.001). The hospital experienced improved clinical outcomes with the adoption of an automated alarm and activation system using a cumulative weighted scoring methodology, which significantly reduced the time from disruption to MET activation.