Successful Implementation Research Articles

Intergenerational Exchange: Connecting Learning Experiences Across Generations

Intergenerational exchange, defined as interaction and communication between different generations, offers the potential for synergy between life experiences and learning. This concept represents an essential dimension of social capital and social learning that goes beyond traditional forms of education. Within this multidimensional phenomenon, intergenerational mentoring is required, where older generations pass on their accumulated experiences to younger generations, thereby facilitating the development of critical thinking and complex social understanding. For the effective implementation of intergenerational exchange, adaptability and flexibility of educational programmes and strategies is a key factor to ensure that the needs of different generations are addressed comprehensively. In this context, it is important to clarify that intergenerational exchange is not just a one-way process but rather an interactive dialogue that can involve different forms of learning, including formal, non-formal and incremental learning. It also includes aspects of social capital and promotes community involvement. This pilot study focuses on theoretical and practical research that explores the impact on social cohesion and mentions potential challenges associated with this process. It also analyses the factors that influence the successful implementation of intergenerational learning and identifies strategies for promoting intergenerational dialogue and learning.

School leadership training transfer in Ghana: Views of successful basic school leaders

Various professional development activities including training workshops are organised annually for school leaders. However, there have been questions as to whether participants in training workshops do necessarily implement lessons learnt from such workshops in their schools. This study reports lessons from school leaders who were adjudged to have been successful in implementing lessons from a British Council Connecting Classrooms training workshops for school leaders in Ghana. Adopting a qualitative phenomenological case study research approach using interviews, the study explored what school leaders perceived to be the factors that contributed to their successful implementation of lessons from the training workshops. The study found that when the focus of the workshop met participants needs, engagement of workshop participants in action planning, attending the workshop together with teachers and School Improvement Support Officers, follow-up visits by workshop trainers and organisers, creating of a platform for workshop participants to share experiences, and the organisation of a post-workshop reflective experience and successful stories sharing conference got them to commit to implementing lessons from the workshops. It is therefore recommended that organisers of training workshops for school leaders should incorporate these activities in their organisation of training workshop to achieve the intended impact.

Exploring the Role of Technology in the Implementation of Social Accountability in Medical Education: A Brief Review

ABSTRACT Social accountability has been acknowledged as an important facet of medical education delivery as it envisages that healthcare professionals have the responsibility to be accountable for health-related community needs. The purpose of the current review is to identify the factors that determine the success of social accountability in medical education and explore different ways in which technology can aid in the implementation of social accountability initiatives in medical institutions. The successful implementation of socially accountable medical education depends on a broad gamut of factors, which can be associated with different stakeholders, including the role of technology in facilitating the implementation of the same. Owing to the fact that technology has reached every aspect of human life, it is our responsibility to explore its scope in promoting the attainment of competencies pertaining to social accountability among medical students. In conclusion, social accountability in medical education has multiple benefits and has emerged as the need of the hour. The integration of technology into socially accountable medical education plays a defining role in improving the effectiveness of educational activities, facilitating better community and student engagement, and eventually contributing to the production of socially responsible healthcare professionals.

Enhanced Aluminum-Ion Storage Properties of N-Doped Titanium Dioxide Electrode in Aqueous Aluminum-Ion Batteries.

Aqueous aluminum-ion batteries (AIBs) have great potential as devices for future large-scale energy storage systems due to the cost efficiency, environmentally friendly nature, and impressive theoretical energy density of Al. However, currently, available materials used as anodes for aqueous AIBs are scarce. In this study, a novel sol-gel method was used to synthesize nitrogen-doped titanium dioxide (N-TiO2) as a potential anode material for AIBs in water. The annealed N-TiO2 showed a high discharge capacity of 43.2 mAh g-1 at a current density of 3 A g-1. Analysis of the electrode kinetics revealed that the N-TiO2 anodes exhibited rapid diffusion of aluminum ions, low resistance to charge transfer, and high electronic conductivity, enabling good rate performance. The successful implementation of a nitrogen-doping strategy provides a promising approach to enhance the electrochemical characteristics of electrode materials for aqueous AIBs.

Evidence-based Medication knowledge Brokers in Residential Aged CarE (EMBRACE): protocol for a helix-counterbalanced randomised controlled trial

IntroductionClinical practice guidelines recommend against the routine use of psychotropic medications in residential aged care facilities (RACFs). Knowledge brokers are individuals or groups who facilitate the transfer of knowledge into practice. The objective of this trial is to evaluate the effectiveness and cost-effectiveness of using knowledge brokers to translate Australia’s new Clinical Practice Guidelines for the Appropriate Use of Psychotropic Medications in People Living with Dementia and in Residential Aged Care.Methods and analysisThe Evidence-based Medication knowledge Brokers in Residential Aged CarE (EMBRACE) trial is a helix-counterbalanced randomised controlled trial. The 12-month trial will be conducted in up to 19 RACFs operated by four Australian aged care provider organisations in Victoria, New South Wales, Western Australia and Queensland. RACFs will be randomised to receive three levels of implementation strategies (knowledge broker service, pharmacist-led quality use of medications education activities and distribution of the Guidelines and supporting materials) across three medication contexts (antipsychotics, benzodiazepines and antidepressants). Implementation strategies will be delivered by an embedded on-site aged care pharmacist working at a system level across each participating RACF. All RACFs will receive all implementation strategies simultaneously but for different medication contexts. The primary outcome will be a composite dichotomous measure of 6-month RACF-level concordance with Guideline recommendations and good practice statements among people using antipsychotics, benzodiazepines and antidepressants for changed behaviours. Secondary outcomes will include proportion of residents with Guideline concordant use of antipsychotics, benzodiazepines and antidepressants measured at the RACF-level and proportion of residents with psychotropic medication use, hospitalisation, falls, falls with injury, polypharmacy, quality of life, activities of daily living, medication incidents and behavioural incidents measured at the RACF-level.DiscussionThe EMBRACE trial investigates a novel guideline implementation strategy to improve the safe and effective use of psychotropic medications in RACFs. We anticipate that the findings will provide new information on the potential role of knowledge brokers for successful and cost-effective guideline implementation.Trial registrationAustralian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12623001141639. Registered 6 November 2023 — retrospectively registered, https://www.anzctr.org.au/TrialSearch.aspx.

Development of S Haplotype-Specific Markers to Identify Genotypes of Self-Incompatibility in Radish (Raphanus sativus L.).

Radish (Raphanus sativus L.), a root vegetable belonging to the Brassicaceae family, is considered one of the representative crops displaying sporophytic self-incompatibility (SSI). The utilization of a self-incompatibility system in F1 breeding can improve the efficiency of cross-combinations, leading to a reduction in breeding time and aiding in the development of novel F1 varieties. The successful implementation of this system necessitates the rapid and accurate identification of S haplotypes in parental lines. In this study, we identified a total of nine S haplotypes among 22 elite radish lines through Sanger sequencing. Subsequently, we obtained sequences for showing a 95% similarity to nine S haplotypes, along with sequences identified by other researchers using BLAST. Following this, multiple sequence alignment (MSA) was conducted to identify SRK and SLG sequence similarities, as well as polymorphisms within the class I and II groups. Subsequently, S haplotype-specific marker sets were developed, targeting polymorphic regions of SRK and SLG alleles. These markers successfully amplified each of the nine S haplotypes. These markers will play a crucial role in the rapid and precise identification of parental S haplotypes in the radish F1 breeding process, proving instrumental in the radish F1 purity test.

Intention to Use an Electronic Community Health Information System Among Health Extension Workers in Rural Northwest Ethiopia: Cross-Sectional Study Using the Unified Theory of Acceptance and Use of Technology 2 Model.

IT has brought remarkable change in bridging the digital gap in resource-constrained regions and advancing the health care system worldwide. Community-based information systems and mobile apps have been extensively developed and deployed to quantify and support health services delivered by community health workers. The success and failure of a digital health information system depends on whether and how it is used. Ethiopia is scaling up its electronic community health information system (eCHIS) to support the work of health extension workers (HEWs). For successful implementation, more evidence was required about the factors that may affect the willingness of HEWs to use the eCHIS. This study aimed to assess HEWs' intentions to use the eCHIS for health data management and service provision. A cross-sectional study design was conducted among 456 HEWs in 6 pilot districts of the Central Gondar zone, Northwest Ethiopia. A Unified Theory of Acceptance and Use of Technology model was used to investigate HEWs' intention to use the eCHIS. Data were cleaned, entered into Epi-data (version 4.02; EpiData Association), and exported to SPSS (version 26; IBM Corp) for analysis using the AMOS 23 Structural Equation Model. The statistical significance of dependent and independent variables in the model was reported using a 95% CI with a corresponding P value of <.05. A total of 456 HEWs participated in the study, with a response rate of 99%. The mean age of the study participants was 28 (SD 4.8) years. Our study revealed that about 179 (39.3%; 95% CI 34.7%-43.9%) participants intended to use the eCHIS for community health data generation, use, and service provision. Effort expectancy (β=0.256; P=.007), self-expectancy (β=0.096; P=.04), social influence (β=0.203; P=.02), and hedonic motivation (β=0.217; P=.03) were significantly associated with HEWs' intention to use the eCHIS. HEWs need to be computer literate and understand their role with the eCHIS. Ensuring that the system is easy and enjoyable for them to use is important for implementation and effective health data management.

Group prenatal care successes, challenges, and frameworks for scaling up: a case study in adopting health care innovations

BackgroundGroup prenatal care enhances quality of care, improves outcomes, and lowers costs. However, this healthcare innovation is not widely available. Using a case-study approach, our objectives were to (1) examine organizational characteristics that support implementation of Expect With Me group prenatal care and (2) identify key factors influencing adoption and sustainability.MethodsWe studied five clinical sites implementing group prenatal care, collecting qualitative data including focus group discussions with clinicians (n = 4 focus groups, 41 clinicians), key informant interviews (n = 9), and administrative data. We utilized a comparative qualitative case-study approach to characterize clinical sites and explain organizational traits that fostered implementation success. We characterized adopting and non-adopting (unable to sustain group prenatal care) sites in terms of fit for five criteria specified in the Framework for Transformational Change: (1) impetus to transform, (2) leadership commitment to quality, (3) improvement initiatives that engage staff, (4) alignment to achieve organization-wide goals, and (5) integration.ResultsTwo sites were classified as adopters and three as non-adopters based on duration, frequency, and consistency of group prenatal care implementation. Adopters had better fit with the five criteria for transformational change. Adopting organizations were more successful implementing group prenatal care due to alignment between organizational goals and resources, dedicated healthcare providers coordinating group care, space for group prenatal care sessions, and strong commitment from organization leadership.ConclusionsAdopting sites were more likely to integrate group prenatal care when stakeholders achieved alignment across staff on organizational change goals, leadership buy-in, and committed institutional support and dedicated resources to sustain it.Trial registrationThe Expect With Me intervention’s design and hypotheses were preregistered: https://clinicaltrials.gov/study/NCT02169024. Date: June 19, 2014.

Academic Stress Interventions in High Schools: A Systematic Literature Review.

The experience of academic stress is common during high school and can have significant negative consequences for students' educational achievement and wellbeing. High school students frequently report heightened levels of school-related distress, particularly as they approach high-stakes assessments. Programs designed to reduce or prevent academic stress are needed, and their delivery in school settings is ideal to improve treatment access. The current review aimed to examine the effectiveness of high school-based programs in reducing or preventing academic stress. A systematic search returned 31 eligible studies across 13 countries. Programs were categorised according to intervention type, format, and facilitator. Results showed that the methodological quality of most studies was poor, and many used an inactive control group. As predicted by theories of academic stress, the strongest evidence was for programs grounded in cognitive-behavioural therapy (CBT). There was evidence that both universal and targeted approaches can be beneficial. The unique implementation issues for these two formats are discussed. Most programs were delivered by psychologists and were generally effective, but almost all of these were CBT programs. A smaller proportion of programs delivered by teachers were effective. Therefore, future studies should evaluate the implementation success of programs to improve the rate of effective delivery by school staff. Overall, the field will benefit from more randomised controlled trials with comparisons to active control groups, larger sample sizes and longer-term follow-ups.

أهمية اتخاذ القرار في تحسين الذكاء الاصطناعي بالتطبيق على صناع القرار في البنوك الخاصة في اليمن

The objective of this study is to determine the impact of change management on digital transformation initiatives in Yemeni telecom sector. A quantitative approach with analytical and deductive methods was adopted to examine the relationship and determine the impact between change management and digital transformation. The study targeted a population of 902 managers and team leaders in the sector. A questionnaire was developed and distributed to a stratified sample of 226 respondents. The random sample was 25% of each stratum. The questionnaire items were designed to measure the change management dimensions (Change Urgency, Visionary Coalition, Empowerment and Sustainability) and digital transformation dimensions (Technology, Processes, People, Culture and Business Model). The results generated show a highly significant positive relationship between effective change management practices and the successful implementation of digital transformation initiatives (substantial positive coefficient B of 0.786, R2 of 0.62 and high t-value of 29.34, and the extremely low p-value below 0.001). In conclusion, this study indicates that digital transformation initiatives require practicing proper and structural change management practices.

Building a sustainable future: The role of digital resources in achieving the Sustainable Development Goals (SDGs)

The article examines the role of digital resources in the realization of the Sustainable Development Goals (SDGs) and in building a sustainable future. It highlights the importance of understanding their context and the challenges associated with their achievement, and highlights the potential of digital technologies, along with a review of the most relevant digital resources. The article identifies the barriers and challenges that hinder the effective use of digital resources in the implementation of the SDGs and the impact of these resources on the process of achieving the goals. It also highlights the importance of investing in training and development of digital skills, promoting research and technological innovation, and fostering collaboration and exchange of good practices at the international level. There is significant development on the future potential of digital resources and recommendations are provided to promote their effective use in the realization of the SDGs. Successful implementation of the SDGs requires coordinated action at the global level, and digital resources are presented as valuable tools to drive progress towards these goals.

Development of Sustainable Dust Compression System for Coal Yard Safety

A sustainable water mist spray system for a closed coal yard. The project aims to address the need for dust suppression in the coal yard to mitigate environmental and health risks. The design specifications will be determined by considering the coal yard's size, layout, and specific requirements. The system will utilize a pneumatic air vane motor powered by residual dry steam from the plant's operation and, coupled with a fan for effective mist dispersion. Ro Reject water, a byproduct of reverse osmosis water treatment, will be used as the water source. The project will involve collaboration with mechanical engineering, fluid dynamics, and environmental studies to develop an optimized system design. Field tests will be conducted to validate the system's functionality, mist spray effectiveness, and coverage area. Safety features will be installed to ensure operator protection, and training programs will be developed to educate operators on safe system operation. The effectiveness of the mist spray system will be evaluated and monitored through regular assessments and data collection. Maintenance activities will be conducted to ensure system functionality, and safety features will be updated as necessary. The successful implementation of this sustainable water mist spray system will contribute to dust suppression, environmental sustainability, and safety in the coal yard.

Magnetic field treatment on horticultural and agricultural crops: its benefits and challenges

ABSTRACT Magnetic field (MF) treatment, as an efficient and pollution-free treatment method, has received extensive attention from researchers and found broad prospects in horticultural and agricultural development. According to relevant studies, mainstream research direction is aimed at utilizing MF treatment to improve the economic traits of horticultural and agricultural crops. MF has positive effects, for example, on seed germination, seedling growth, crop yield and quality and plant tolerance to stress. In recent years, more and more researchers have focused their work on using seed MF or magnetised water (MW) irrigation treatment to improve plant tolerance to salt or heavy metal stresses, to achieve the purpose of soil restoration by plant heavy metal accumulation. In this review, the most commonly utilised MF or MW treatment methods have been described in detail, and the effects of MF treatment on horticultural and agricultural crops have been presented. Furthermore, new prospects for MF treatment and the associated molecular basis have been presented. Since different species or cultivars have different optimal dose requirements for MF treatment, it is still a challenge presently to promote MF treatment use in commercial applications. For successful implementation of MF treatments, it is essential to conduct a large number of screening experiments and more in-depth research on the effects of MF on cultivated plants.

Design and Development of Wireless Control of Pneumatic Actuated Robotic Arm

A Pneumatic robotic arm is a type of pick and place robot what is usually used for transferring goods/products from one place to another constantly. There are many types of pick and place robots based on their applications. In this robot we have used pneumatic cylinders for the movement of robot. In Pneumatic application the pressurized air plays a vital role. The main motive of the robot is to reduce the consumption of electricity, increase productivity in Industries that requires repetitive and precise movements, reduce human errors. The successful implementation of the pneumatic pick and place robot system will potentially lead to cost saving, increased production capacity, and enhanced overall performance in manufacturing processes. The robot utilizes pneumatic actuators and solenoid valves to perform various tasks. The system will be controlled by microcontroller and programmed to execute specific commands. Grippers are attached at the end of an industrial arm robot for material handling purpose.

Pitfalls in Implementing the EU Whistleblower Directive

Abstract In this paper, we focus on two conceptual problems associated with the EU Whistleblower Directive and point out issues that may undermine or even frustrate the successful implementation of the Directive in a national context. While fully acknowledging strong arguments for, and undeniable benefits of, speaking in favour of EU whistleblower protection, it has to be noted that a specific form of forced gold-plating calling for the extension of the material scope of protection may complicate the interpretation of the autonomous part of legislation and lead to legal insecurity. Moreover, new elements of whistleblower protection as introduced by the Directive diverge from the case law of the European Court of Human Rights. The introduction of higher standards of protection in favour of whistleblowers does not raise problems in relations between the state and the individual, but some EU rules may cause problems in horizontal relations between private individuals, since fair balancing of interests as required by Strasbourg jurisprudence may be not always guaranteed.

Influence of Leadership Style on TQM Implementation in Champions Breweries, PLC, Akwa Ibom State, Nigeria

This study examined the influence of leadership style on Total Quality Management (TQM) implementation effectiveness at Champions Breweries in Akwa Ibom State, Nigeria. Successful TQM adoption relies on leadership approaches that empower employees and catalyse engagement in continuous improvement. However, research shows authoritarian leadership styles focused on control remain prevalent in Nigerian firms, potentially hindering quality management. However, only some studies have quantitatively assessed the linkage between leadership style and TQM success in the Nigerian context. This study, addressed this gap by investigating whether Champions Breweries' leadership style impacted the effectiveness of TQM implementation. Quantitative survey methodology, gathered data from 218 employees on perceptions of leadership behaviours and TQM programme success. Descriptive statistics, revealed that an authoritarian leadership style, characterised by top-down decision-making, command-and-control behaviours, and limited employee empowerment prevailed. ANOVA results demonstrated a significant relationship between this authoritarian leadership style and reduced TQM implementation success. The findings align with studies showing that authoritative approaches focused on control rather than empowerment undermine quality management through reduced engagement and initiative-taking. To strengthen TQM outcomes, Champions Breweries should implement leadership training focused on participative management skills, decentralise organisational structure, and align talent management systems, to participative leadership. The study, provides empirical evidence that leadership style significantly impacts TQM success in Nigerian firms. Evolving from authoritarian paradigms is essential to build cultures of quality, which should be predicted on leadership training, reform performance management and rewards system amongst other as some of the recommendation.

Electronic medical record implementation in the emergency department in a low-resource country: Lessons learned.

There is paucity of information regarding electronic medical record (EMR) implementation in emergency departments in countries outside the United States especially in low-resource settings. The objective of this study is to describe strategies for a successful implementation of an EMR in the emergency department and to examine the impact of this implementation on the department's operations and patient-related metrics. We performed an observational retrospective study at the emergency department of a tertiary care center in Beirut, Lebanon. We assessed the effect of EMR implementation by tracking emergency departments' quality metrics during a one-year baseline period and one year after implementation. End-user satisfaction and patient satisfaction were also assessed. Our evaluation of the implementation of EMR in a low resource setting showed a transient increase in LOS and visit-to-admission decision, however this returned to baseline after around 6 months. The bounce-back rate also increased. End-users were satisfied with the new EMR and patient satisfaction did not show a significant change. Lessons learned from this successful EMR implementation include a mix of strategies recommended by the EMR vendor as well as specific strategies used at our institution. These can be used in future implementation projects in low-resource settings to avoid disruption of workflows.

Recent Advances in Thermal Management Strategies for Lithium-Ion Batteries: A Comprehensive Review

Effective thermal management is essential for ensuring the safety, performance, and longevity of lithium-ion batteries across diverse applications, from electric vehicles to energy storage systems. This paper presents a thorough review of thermal management strategies, emphasizing recent advancements and future prospects. The analysis begins with an evaluation of industry-standard practices and their limitations, followed by a detailed examination of single-phase and multi-phase cooling approaches. Successful implementations and challenges are discussed through relevant examples. The exploration extends to innovative materials and structures that augment thermal efficiency, along with advanced sensors and thermal control systems for real-time monitoring. The paper addresses strategies for mitigating the risks of overheating and propagation. Furthermore, it highlights the significance of advanced models and numerical simulations in comprehending long-term thermal degradation. The integration of machine learning algorithms is explored to enhance precision in detecting and predicting thermal issues. The review concludes with an analysis of challenges and solutions in thermal management under extreme conditions, including ultra-fast charging and low temperatures. In summary, this comprehensive review offers insights into current and future strategies for lithium-ion battery thermal management, with a dedicated focus on improving the safety, performance, and durability of these vital energy sources.

Development and techno-economic analysis of Grewia biopolymer-based dual coagulant system for wastewater treatment at pilot scale

Use of Grewia biopolymer as a natural coagulant aid was explored in a dual-coagulant system (conventional coagulant + biopolymer) for wastewater treatment. Such use not only improved turbidity removal efficiency over a wide pH range (5–9) but also helped reducing the concentration demand of inorganic coagulants by 25–50 %. Response surface methodology was employed for investigating the interaction between factors (initial pH, coagulant, and biopolymer concentration) affecting coagulation/flocculation of aqueous laterite suspension, and process optimization for more than 80 % turbidity removal in the desired final pH range (6–7). Mechanisms potentially involved in coagulation/flocculation using biopolymer was elucidated. Techno-economic assessment indicated the feasibility of pilot-scale production of the biopolymer and its use in wastewater treatment. This study demonstrates that Grewia biopolymer has the potential to be used as a coagulant aid and will help researchers select appropriate markets for further cost reduction and successful implementation of biopolymer-based wastewater treatment.

Towards a Patient-Centered Design of a Cancer Telerehabilitation System.

Successful implementation of telehealth platforms requires a detailed understanding of patient's needs, preferences, and attitudes toward a home-based platform. The goal of this study was to identify patient-centered characteristics of a cancer rehabilitation system based on cognitive evaluation of user interface and semi-structured qualitative interviews. Quantitative and qualitative feedback from 29 patients with metastatic urogenital cancer was collected after using a cancer telerehabilitation system. Heuristic evaluation, cognitive walkthrough, and analysis of qualitative interviews demonstrated a high level of support for the concept of home-based cancer telerehabilitation by cancer patients. Post-task surveys demonstrated sufficient usability and satisfaction scores from the participants. The patients provided valuable and insightful comments on how to further improve the functionality and interface of the platform. Further improvement of the system usability, consistency, and accessibility based on the patient-centered design principles will significantly facilitate the implementation of cancer telerehabilitation in clinical practice.