Journal articles on the topic 'Navigating disruption'
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Evans, Philip, and Patrick Forth. "Navigating the world of digital disruption." IEEE Engineering Management Review 43, no. 3 (2015): 89–97. http://dx.doi.org/10.1109/emr.2015.7433293.
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Berman, Saul, Steven Davidson, Kazuaki Ikeda, and Anthony Marshall. "Navigating disruption with ecosystems, partners and platforms." Strategy & Leadership 46, no. 5 (September 17, 2018): 26–35. http://dx.doi.org/10.1108/sl-07-2018-0064.
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PurposeThe IBM Institute for Business Value, which has been conducting Global Chief Executive Officers studies for 15 years, has been reporting on CEO concerns about business and economic disruption and described their efforts to respond to it. But surprisingly, in the 2018 study CEOs also indicate that the shock of disruption is waning. Only 26 percent of the CEOs say new entrants are actually taking market share. 10; 10; 10; Design/methodology/approachThis report is based on input from 2,148 Chief Executive Officers (CEOs), who were interviewed as part of the 19th IBM Global C-suite Study. Both quantitative and qualitative responses were collected from 346 face-to-face meetings and 1,802 in-person phone interviews. To understand how top-performing organizations navigate disruption differently, IBM researchers applied cluster analysis to examine the approaches of three groups of CEOs – Reinventors,. Practitioners and Aspirationals. 10; FindingsMost CEOs see the emergence of platforms and the growing importance of network economics – both scale and scope – as the crucial drivers of future growth. Practical implicationsAlmost six in ten Reinventors co-create new products, services or experiences with their customers. Originality/valueToday’s CEOs have learned to not only accommodate but embrace disruption. Anticipating and responding to sudden and dramatic change has become standard operating procedure. Chief executives from top performing businesses understand that success requires collaboration with partners within ecosystems and on platforms. Indeed, Checklists for leaders are included.
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Ackhurst, Molly. "Everyday Moments of Disruption: Navigating Towards Utopia." Studies in Arts and Humanities 5, no. 1 (May 1, 2019): 115–28. http://dx.doi.org/10.18193/sah.v5i1.169.
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Matzler, Kurt, Stephan Friedrich von den Eichen, Markus Anschober, and Thomas Kohler. "The crusade of digital disruption." Journal of Business Strategy 39, no. 6 (November 19, 2018): 13–20. http://dx.doi.org/10.1108/jbs-12-2017-0187.
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Purpose This paper aims to help managers understand digital disruption and implement strategies that will support the digital transformation of companies. Traditional companies need to learn from disruptive ventures and reimagine their business models based on digitalization. Design/methodology/approach The study is based on multiple case studies of both disruptive startups and established organizations navigating digital transformations. Findings The authors introduce three levels of digitalization to build a framework of six different value creation stages that result from digitalization. Companies need to create digital products, enhance their processes with digital technology and most important reimagine their business models. Practical implications Managers receive guidance on how to deal with digital disruption. They can learn from pathfinding companies that successfully leveraged digital technology to create and capture new value. Originality/value The original contribution of this paper is a simple and useful framework to understand and leverage digital disruption.
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Hsu, Tsu-Hsiang, and Susan K. Cohen. "Navigating Disruption during Technological Speciation through Multimarket Contact with Outsiders." Academy of Management Proceedings 2017, no. 1 (August 2017): 11958. http://dx.doi.org/10.5465/ambpp.2017.11958abstract.
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Buchanan, Donna M. "Managing Change: Five Common Hindrances to Navigating Disruption in Higher Education." Department Chair 33, no. 1 (June 2022): 23–25. http://dx.doi.org/10.1002/dch.30464.
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Chambers, Joseph. "When fieldwork falls apart: Navigating disruption from political turmoil in research." Area 52, no. 2 (November 2019): 437–44. http://dx.doi.org/10.1111/area.12587.
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Gifford, Rachel, Eric Molleman, and Taco Van Der Vaart. "Institutional Complexity as a Strategic Resource: Navigating the Field Following a Disruption." Academy of Management Proceedings 2019, no. 1 (August 1, 2019): 13966. http://dx.doi.org/10.5465/ambpp.2019.13966abstract.
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Klimenko, Roman, and Robert Winter. "Corporate Agility Navigator." Controlling 33, no. 5 (2021): 27–35. http://dx.doi.org/10.15358/0935-0381-2021-5-27.
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Businesses of all kinds need to innovate rapidly and adapt quickly due to market disruption fueled by the digital transformation. Executive managers require the management tool that supports them in navigating their company through agility transformation journey by identifying and developing organizational capabilities as means to enhance Corporate Agility.
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Crivello, Gina, and Marta Favara. "COVID-19 and the ‘ethics of disruption’: Current dilemmas facing longitudinal research in low- and middle-income countries." Methodological Innovations 14, no. 1 (January 2021): 205979912199422. http://dx.doi.org/10.1177/2059799121994223.
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In this piece, we draw on recent experiences from the Young Lives study to discuss some of the ethical and practical challenges facing longitudinal cohort studies in low- and middle-income countries in the time of coronavirus. We argue that COVID-19 has instigated an ‘ethics of disruption’ for social researchers across the world, and for longitudinal cohort studies like Young Lives, this requires navigating three core considerations: first, managing research relationships and reciprocity within an observational study design; second, maintaining methodological continuity and consistency across time; and third, balancing an immediate short-term response to COVID-19 against the long-term perspective. We refer to the study’s plan to implement a new COVID-19 phone survey to illustrate how the team are navigating this altered ethical terrain.
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Gisondi, Michael A., Laura Hopson, Linda Regan, and Jeremy Branzetti. "Practical tips for navigating a program director transition." MedEdPublish 13 (January 10, 2023): 3. http://dx.doi.org/10.12688/mep.19492.1.
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Residency and fellowship program directors profoundly impact trainees, institutions, and patient safety. Yet, there is concern for rapid attrition in the role. The average program director tenure is only 4-7 years, and that timeline is likely a result of burnout or opportunities for career advancement. Program director transitions must be carefully executed to ensure minimal disruption to the program. Transitions benefit from clear communication with trainees and other stakeholders, well-planned successions or searches for a replacement, and clearly delineated expectations and responsibilities of the outgoing program director. In this Practical Tips, four former residency program directors offer a roadmap for a successful program director transition, with specific recommendations to guide critical decisions and steps in the process. Themes emphasized include readiness for a transition, communication strategies, alignment of program mission and search efforts, and anticipatory support to ensure the success of the new director.
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Hales, Andrew H., Natasha R. Wood, and Kipling D. Williams. "Navigating COVID-19: Insights from research on social ostracism." Group Processes & Intergroup Relations 24, no. 2 (February 2021): 306–10. http://dx.doi.org/10.1177/1368430220981408.
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The COVID-19 pandemic and associated social distancing and lockdowns has caused unprecedented changes to social life. We consider the possible implications of these changes for mental health. Drawing from research on social ostracism emphasizing the importance of social connection for mental well-being, there is reason for concern regarding the mental health effects of the crisis. However, there are also reasons for optimism; people can be surprisingly resilient to stressful situations, the impact of ostracism tends to depend on social norms (which are rapidly changing), and mental health depends primarily on having at least one or two close social connections. Given the scale and unprecedented nature of the social disruption that occurred, we see strong reason for concern, but not despair.
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Clay, Nathan, Alexandra E. Sexton, Tara Garnett, and Jamie Lorimer. "Palatable disruption: the politics of plant milk." Agriculture and Human Values 37, no. 4 (January 30, 2020): 945–62. http://dx.doi.org/10.1007/s10460-020-10022-y.
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Abstract Plant-based milk alternatives–or mylks–have surged in popularity over the past ten years. We consider the politics and consumer subjectivities fostered by mylks as part of the broader trend towards ‘plant-based’ food. We demonstrate how mylk companies inherit and strategically deploy positive framings of milk as wholesome and convenient, as well as negative framings of dairy as environmentally damaging and cruel, to position plant-based as the ‘better’ alternative. By navigating this affective landscape, brands attempt to (re)make mylk as simultaneously palatable and disruptive to the status quo. We examine the politics of mylks through the concept of palatable disruption, where people are encouraged to care about the environment, health, and animal welfare enough to adopt mylks but to ultimately remain consumers of a commodity food. By encouraging consumers to reach for “plant-based” as a way to cope with environmental catastrophe and a life out of balance, mylks promote a neoliberal ethic: they individualize systemic problems and further entrench market mechanisms as solutions, thereby reinforcing the political economy of industrial agriculture. In conclusion, we reflect on the limits of the current plant-based trend for transitioning to more just and sustainable food production and consumption.
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Macdonald, John R., Tobin E. Porterfield, and Stanley E. Griffis. "Managing Supply Chain Disruption Recovery: The Role of Organizational Justice." Transportation Journal 60, no. 4 (October 1, 2021): 367–405. http://dx.doi.org/10.5325/transportationj.60.4.0367.
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Abstract Supply chain disruptions negatively impact the economy and individual organizations. However, as many companies recover from disruptions (COVID-19 being a recent example), less attention has been paid to how these events impact business-to-business (B2B) relationships characteristic of supply chains. Drawing on justice theory, we examine how the suppliers’ management of the recovery process affects behavioral reactions in the context of supply chain relationships. This study empirically examines the role that partners’ recovery process, honesty, effort, availability, and outcome fairness play in influencing satisfaction, future business volumes, and word-of-mouth. Using ordinary least squares (OLS) regression to test survey data, results indicate that how recovery processes are managed positively affects satisfaction, reduces the likelihood of future business loss, and affects the propensity to communicate negatively about a relationship partner. Unexpectedly, outcome fairness (distributive justice) has a significant positive impact on negative word-of-mouth, indicating that increased perceptions of distributive justice actually increase negative behavioral outcomes in certain settings. We conduct exploratory post hoc serial mediation analysis to further examine this finding and uncover a potential extension to the boundaries of a justice lens. These post hoc results, which generally confirm the OLS results, drive opportunity for better understanding of complaining behavior and navigating the tricky environment associated with managing B2B relationships in a post- disruption environment.
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Cramm, Heidi, Garth Smith, Dawa Samdup, Ashley Williams, and Lucia Rühland. "Navigating health care systems for military-connected children with autism spectrum disorder: A qualitative study of military families experiencing mandatory relocation." Paediatrics & Child Health 24, no. 7 (March 11, 2019): 478–84. http://dx.doi.org/10.1093/pch/pxy179.
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Abstract Background Most military families experience mandatory relocation, or posting, several times during the military career. For Canadian military families who must access provincial or territorial health care systems, maintaining reasonable continuity of care is a persistent issue. Such challenges may be amplified when a child in a military family has special needs within the health and educational systems. Objective The purpose of this qualitative study was to gain a better understanding of Canadian Armed Forces families’ experiences in navigating health care systems on behalf of a child with autism spectrum disorder (ASD) in the context of mandatory relocation. Methods Parents of children with ASD, where at least one parent serves in the Canadian Armed Forces and had faced military-related relocation, were recruited. Semi-structured interviews were recorded, transcribed verbatim, and analyzed thematically. Results Twelve participants represented 12 families and 15 children with ASD. Participants discussed two primary themes. (1) High mobility inherent in the military lifestyle can create disruptions and discontinuities to service, including delays in diagnosis or intervention, losses and gains in available services determined by the direction of posting, and the need to start health care access processes over again when relocating. (2) Navigating health systems for children with ASD creates personal stress and frustration related to relocating, and has career implications for both parents. Conclusions Military-related relocation can create significant disruption in access to health and educational services for Canadian military families who have a child with ASD, and take a personal toll on these families.
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Coleman, Lisa. "Global Inclusion, Diversity, Belonging, Equity, and Access - GIDBEA. The Architecture of A New Different." Academicus International Scientific Journal 25 (January 2022): 91–103. http://dx.doi.org/10.7336/academicus.2022.25.06.
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The article asserts the need for organizations to adopt intentional and transformative Global Inclusion, Diversity, Belonging, Equity, and Access (GIDBEA) practices, to ensure their future readiness. The research developed reaffirms the benefits of GIDBEA strategies in identifying gap areas and navigating crises, by providing insights on how to successfully embed a ‘new different’ GIDBEA strategy into organizational frameworks. By drawing trends across the 2020-2021 COVID-19 pandemic and other previous health and economic crises, it is indicated what is described as the “normality of disruption” and the need to move away from the idea of a ‘new normal’ to a new different. The new different acknowledges that the ‘normal’ or the status quo was often challenging for many. The impact and importance of the disruptions that individuals, communities, nations, etc., all have and will face together, is also recognized. The new different emphasizes organizational transformation through co-creation, sustainability, adaptivity, resilience, and design thinking. By implementing a design thinking model, GIDBEA proactively engages mistakes while promoting innovation through dissent and disruption. As a result, disruptions are not considered episodic crises but as recurring, expected, and presenting opportunities. Furthermore, it is argued that GIDBEA expertise is essential for remaining agile, innovative, and providing strategic organizational architecture to prepare and innovate for these disruptions. However, it is necessary to consider that GIDBEA practice can be limited due to the failure of organizations and leaders to frame it as an asset and develop strategic plans to leverage it in the same way they do other critical functional business units. Therefore, unless prioritized and conducted intentionally, GIDBEA work will not achieve its promised bonuses and transformative potential. The article offers readers insights and tools to assess existing GIDBEA within their organization. Using metaphors of “construction” and “architecture,” it illustrates how reimaging organizational architectures and constructing initiatives focused on GIDBEA are fundamental to resiliency, organizational sustainability, and the ability to thrive through shifting landscapes.
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Felde, Lina Hoel. "Elevated Cholesterol as Biographical Work – Expanding the Concept of ‘Biographical Disruption’." Qualitative Sociology Review 7, no. 2 (August 30, 2011): 101–20. http://dx.doi.org/10.18778/1733-8077.07.2.05.
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The concept of ‘biographical disruption’ has been a leading framework for studies of the experience of chronic illness. A symptomless chronic condition – bereft of bodily signs ‒ does not similarly present biographical disruption. People with elevated cholesterol are healthy at the same time as medical regimens signal sickness. The empirical material presented in this article, based on interviews with people with elevated cholesterol, suggests that a more appropriate metaphor could be ‘biographical work’ in such instances. The aim of this article is to discuss how people with the symptomless condition of elevated cholesterol continually construct elevated cholesterol in everyday life doing biographical work along shifting contexts. The vocabulary of biographical work constructs a subject who is continually working on building situationally-appropriate identities embedded in the shifting contexts of being sick or not sick. The article shows how people ongoingly ‘do’ elevated cholesterol, creating a mother-cholesterol-identity, a guest-cholesterol-identity et cetera, navigating the dilemma of absence of bodily signs (signaling healthiness) and medical regimens (indicating sickness) against shifting rhythms of biographical particulars in everyday life. Linkages of medical regimens with the rhythms of mothering, vacationing, being a guest et cetera create contexts – ever-emerging ‘cholesterol-biographical rhythms’ ‒ for accomplishing and stretching the cholesterol identity from situation to situation, being adequately compliant with medical regimens.
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Richards, Olivia K., Carol F. Scott, Allison Spiller, and Gabriela Marcu. ""Wearing a High Heel and a House Shoe at the Same Time": Parents' Information Needs While Navigating Change in their Child's Behavioral Care." Proceedings of the ACM on Human-Computer Interaction 6, CSCW2 (November 7, 2022): 1–32. http://dx.doi.org/10.1145/3555772.
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Change is an inevitable part of a parent's role, whether due to their child's development, family life, or external events. To understand the information needs of parents navigating change, we studied the effects of the COVID-19 pandemic as a widely experienced disruption in the lives of parents and children. We interviewed 16 parents about their caregiving experience as the COVID-19 pandemic collapsed boundaries between home, school, and work. In particular, we asked about adjustments to behavioral care, or the social learning, supports, and interventions through which children develop social and emotional skills. We focused on parents of children already receiving accommodations and behavioral support from their school, to understand how disruptions in these services affected the role of the parent in meeting their child's individual needs. Applying role theory and the Kübler-Ross change curve, we describe the coping mechanisms that parents used to navigate the stages of change, as well as the information needs that remained unmet, despite their efforts. We discuss how practitioner-initiated and parent-centered supports can be designed around the lived experience of change, by accommodating a parent's capacity to accept and use help at different stages.
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Bodolica, Virginia, Martin Spraggon, and Nada Khaddage-Soboh. "Air-travel services industry in the post-COVID-19: the GPS (Guard-Potentiate-Shape) model for crisis navigation." Tourism Review 76, no. 4 (June 28, 2021): 942–61. http://dx.doi.org/10.1108/tr-12-2020-0603.
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Purpose Extant crisis response literature focuses on the survival and adaptation efforts of organizations, leaving the opportunity of deploying more proactive market-shaping strategies unexplored. This paper aims to examine the early strategic responses deployed by air-travel services players for navigating through the COVID-19 pandemic. Design/methodology/approach Drawing on a qualitative case study and grounded theory methods, this research analyzes how DUBZ – a purposefully selected company operating in the air-travel services sector in the emirate of Dubai (UAE) – responded to the coronavirus disruption. Findings Using this unique case as a basis for grounded theorizing, a framework was developed for understanding how air-travel service providers can effectively navigate through the crisis – the guard-potentiate-shape model. The advanced model suggests that in times of disruption, industry players should adopt several strategies to: guard against failure; potentiate innovative change; and shape the future design of air-travel services. An outcome of forward-looking shaping strategies that may define the new post-pandemic normal in the air-travel services sector constitutes the idea of “scattered/diffused airports” with a modified design of airport services architecture. Originality/value The insights from the grounded theoretical framework contribute to both the empirical research on crisis management and the nascent literature on market-shaping strategies. Air-travel services organizations may learn how to increase their resilience and build new industry normalcy in the post-disruption period.
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Blitz, Amy. "Corporate life and death: who succumbs, who survives during disruption?" Journal of Business Strategy 41, no. 6 (October 24, 2018): 11–17. http://dx.doi.org/10.1108/jbs-07-2018-0122.
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Purpose This paper provides a disruption survival guide for companies during times of macro transformation. Design/methodology/approach The research compared the S&P 500 – as proxy for the US economy – from 1996 and 2018. Of companies no longer on the list, 12 died, including two from manufacturing: Bethlehem Steel and Outboard Marine Corporation (OMC). Still, some US manufacturers survived or even thrived during the period. To understand why, the paper compares Bethlehem, which died in 2003, to US Steel, which has survived but was removed from the S&P 500 list in 2014, and to Nucor, which has stayed on the list. POSCO is also used for comparison. The OMC case adds a different industry perspective. Findings The main findings from these cases are as follows: stay fit financially and avoid overreaching in good times, use operation strategies such as Lean and Six Sigma to build a culture of continual innovation and stay close to customers to compete on the basis of differentiation, particularly if competing on price is not a realistic option. The good news is differentiation is possible even in seemingly commoditized sectors like steel. Research limitations/implications This paper contributes to the literature on differentiation as a strategy for competing with low-cost disruptors. Practical implications This paper provides insights into the use of Lean, Six Sigma and other strategies for creating a culture of continual innovation among employees, customers, suppliers and other strategic partners. And, building on this culture, to compete on the basis of value-added differentiation, particularly if competing on price is not a realistic option. Originality/value The paper cuts through complex, fast-changing, transformative macro issues – e.g., Chinese competition and trade uncertainties related to new tariffs – and provides practical, timeless insights for navigating in such times. The focus here is on strategies for competing on the basis of value-added differentiation, particularly if competing on price is not a viable option. The good news is such competition is possible even in seemingly commoditized sectors like steel.
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Terui, Takao, and Karin Ling-Fung Chau. "Navigating disruption in the Southeast Asian arts and cultural sectors: the ANCER Conference, 17 to 19 September 2020 (online)." Cultural Trends 30, no. 3 (May 19, 2021): 296–99. http://dx.doi.org/10.1080/09548963.2021.1929076.
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Woodgate, Roberta L., and David Shiyokha Busolo. "African Refugee Youth’s Experiences of Navigating Different Cultures in Canada: A “Push and Pull” Experience." International Journal of Environmental Research and Public Health 18, no. 4 (February 20, 2021): 2063. http://dx.doi.org/10.3390/ijerph18042063.
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Refugee youth face challenges in navigating different cultures in destination countries and require better support. However, we know little about the adaptation experiences of African refugee youth in Canada. Accordingly, this paper presents the adaptation experiences of African refugee youth and makes recommendations for ways to support youth. Twenty-eight youth took part in semi-structured interviews. Using a thematic analysis approach, qualitative data revealed four themes of: (1) ‘disruption in the family,’ where youth talked about being separated from their parent(s) and the effect on their adaptation; (2) ‘our cultures are different,’ where youth shared differences between African and mainstream Canadian culture; (3) ‘searching for identity: a cultural struggle,’ where youth narrated their struggles in finding identity; and (4) ‘learning the new culture,’ where youth narrated how they navigate African and Canadian culture. Overall, the youth presented with challenges in adapting to cultures in Canada and highlighted how these struggles were influenced by their migration journey. To promote better settlement and adaptation, youth could benefit from supports and activities that promote cultural awareness with attention to their migration experiences. Service providers could benefit from newcomer-friendly and culturally sensitive training on salient ways of how experiences of multiple cultures affect integration outcomes.
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Hall, Mel, and Pat Sikes. "From “What the Hell Is Going on?” to the “Mushy Middle Ground” to “Getting Used to a New Normal”: Young People’s Biographical Narratives Around Navigating Parental Dementia." Illness, Crisis & Loss 26, no. 2 (May 26, 2016): 124–44. http://dx.doi.org/10.1177/1054137316651384.
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The number of young people who have a parent with dementia is rising as a result of improvements in diagnosis of young onset variants and demographic shifts. There has, however, been very little research focusing on this group. Accounts elicited as part of the Perceptions and Experiences of Young People With a Parent With Dementia described the period, usually some years, leading up to a diagnosis of a dementia and then the progress of the condition post diagnosis. These narratives were characterized by confusion, uncertainty, trauma, and distress as the young people struggled to make sense of the significant and often extreme, behavioral and attitudinal changes that were symptoms of the illness. This article describes and discusses how the young people experienced and navigated the temporal messiness and consequent biographical disruption arising from parental dementia.
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Gregory, Emma, Judy Clegg, and Helen Cameron. "Supporting speech and language therapy students in uncertain times." Advances in Communication and Swallowing 24, no. 2 (February 15, 2022): 147–55. http://dx.doi.org/10.3233/acs-210030.
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The COVID-19 pandemic has impacted significantly on the provision of speech and language therapy education. In this commentary, we consider the impact of unprecedented uncertainty and disruption on the student experience. Changes made within both university and practice-based learning environments have resulted in the continuation of high-quality learning experiences enabling students to continue or complete their programmes. However, studying in uncertain times has been destabilising for students having the potential to impact on the more nuanced aspects of clinical and professional development (e.g., self-efficacy, confidence, and professional identity formation). We reflect on collaborative efforts to support students with navigating uncertainty and change and to facilitate their ongoing personal, professional and clinical development in a holistic way. There is a need for empirical research into the experiences of student speech and language therapists who have studied or are continuing to study in the context of COVID-19. Such research will help inform university and practice-based educators as well as speech and language therapy managers about the ongoing needs of this population. Dealing with uncertainty should be considered within university-based curriculum development as well as induction and supervisory systems within the workplace.
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Canfell, Oliver J., Yasaman Meshkat, Zack Kodiyattu, Teyl Engstrom, Wilkin Chan, Jayden Mifsud, Jason D. Pole, Martin Byrne, Ella Van Raders, and Clair Sullivan. "Understanding the Digital Disruption of Health Care: An Ethnographic Study of Real-Time Multidisciplinary Clinical Behavior in a New Digital Hospital." Applied Clinical Informatics 13, no. 05 (October 2022): 1079–91. http://dx.doi.org/10.1055/s-0042-1758482.
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Abstract Background Understanding electronic medical record (EMR) implementation in digital hospitals has focused on retrospective “work as imagined” experiences of multidisciplinary clinicians, rather than “work as done” behaviors. Our research question was “what is the behavior of multidisciplinary clinicians during the transition to a new digital hospital?” Objectives The aim of the study is to: (1) Observe clinical behavior of multidisciplinary clinicians in a new digital hospital using ethnography. (2) Develop a thematic framework of clinical behavior in a new digital hospital. Methods The setting was the go-live of a greenfield 182-bed digital specialist public hospital in Queensland, Australia. Participants were multidisciplinary clinicians (allied health, nursing, medical, and pharmacy). Clinical ethnographic observations were conducted between March and April 2021 (approximately 1 month post-EMR implementation). Observers shadowed clinicians in real-time performing a diverse range of routine clinical activities and recorded any clinical behavior related to interaction with the digital hospital. Data were analyzed in two phases: (1) content analysis using machine learning (Leximancer v4.5); (2) researcher-led interpretation of the text analytics to generate contextual meaning and finalize themes. Results A total of 55 multidisciplinary clinicians (41.8% allied health, 23.6% nursing, 20% medical, 14.6% pharmacy) were observed across 58 hours and 99 individual patient encounters. Five themes were derived: (1) Workflows for clinical documentation; (2) Navigating a digital hospital; (3) Digital efficiencies; (4) Digital challenges; (5) Patient experience. There was no observed harm attributable to the digital transition. Clinicians primarily used blended digital and paper workflows to achieve clinical goals. The EMR was generally used seamlessly. New digital workflows affected clinical productivity and caused frustration. Digitization enabled multitasking, clinical opportunism, and benefits to patient safety; however, clinicians were hesitant to trust digital information. Conclusion This study improves our real-time understanding of the digital disruption of health care and can guide clinicians, managers, and health services toward digital transformation strategies based upon “work as done.”
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San Pedro, Timothy. "Abby as Ally: An Argument for Culturally Disruptive Pedagogy." American Educational Research Journal 55, no. 6 (May 22, 2018): 1193–232. http://dx.doi.org/10.3102/0002831218773488.
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This article re-stories the navigation of one White female student, Abby, enrolled in a 12th grade ethnic studies course titled Native American literature. Abby reveals tensions, disruptions, and self-discoveries within a course that recentered Indigenous histories and literacies while, concurrently, decentered dominant knowledge systems. Her story addresses this article’s central question: How does Whiteness operate in an ethnic studies course? Eleven vignettes trace Abby’s critical consciousness development within and beyond this course. Relying on Paris and Alim’s (2014, 2017) culturally sustaining pedagogy and McCarty and Lee’s (2014) culturally revitalizing pedagogy, I offer culturally disruptive pedagogy to argue that as educators, researchers, and community members seek ways to sustain and revitalize cultural practices, we must also consider the ways hegemonic norms—as perpetuated by ideologies of whiteness—require a needed disruption.
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Novitarum, Lilis, Samfriati Sinurat, and Marton Sianturi. "HUBUNGAN STRES KERJA DENGAN SIKAP EMPATI PERAWAT MEDIKAL BEDAH RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2017." Elisabeth Health Jurnal 3, no. 1 (June 11, 2018): 19–27. http://dx.doi.org/10.52317/ehj.v3i1.230.
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Stress is the response of a person's body that is non-specific to any excessive workload demands. When a person is able to overcome the excessive burden and does not experience disruption of body function, then the person is not experiencing stress. empathy is the ability to understand what others feel and think which is the ability and skill in facilitating social agreements and successfully navigating personal relationships, it is important for the survival of individuals because it requires accuracy in the perception, interpretation, and response to the emotions of others. Therefore empathy is an important building block for prosocial behavior, or the actions of people taking other benefits. Goals : This study aims to analyze the relationship of nurses work stress with nurse empathy to patients in santa elisabeth field hospital in 2017. Methods : This study used cross-sectional approach with sampling total sampling technique, as many as 29 respondents. Result : Based on statistical test (chi-square) got p value = 0,006 (p <0,06) so there is significant relation between Work Stress With Empathy Attitude Medical Nurses Hospital Surgery Santa Elisabeth Medan Conclution : It is expected that the Hospital holds counseling or seminars on empathy and can give rewards in the form of materials such as praise or awards for nurses who have a sense of empathy. Medical Surgery Room at Santa Elisabeth Hospital Medan.
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Pudjiarti, Emiliana Sri, and Honorata Ratnawati Dwi Putranti. "Integrasi Fleksibilitas Strategis dan Kapabilitas Pembelajaran Organisasi sebagai Second-order Factor terhadap Kinerja Inovasi dan Perusahaan." Jurnal Maksipreneur: Manajemen, Koperasi, dan Entrepreneurship 10, no. 1 (December 1, 2020): 73. http://dx.doi.org/10.30588/jmp.v10i1.693.
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<span lang="EN-US">T</span><span>egal was once dubbed Japan's Indonesia, but the presence of the disruption era caused turbulence for Tegal metal SMEs (<em>Small and Medium Enterprises</em>). Many SMEs are not ready to face the changes that occur so that the bankrupt. Facing this situation, efforts are needed to maintain it. Efforts are made, among others, through the company's dynamic ability to manage the organization's internal resources. This study aims to examine the role of strategic flexibility and innovation performance as a mediating relationship between organizational learning capability and business performance. The objects in 224 SME</span><span lang="EN-US">’</span><span>s of metal smelting and casting in Tegal were randomly selected. The tool tests the hypothesis using the structural eqution model (SEM). The results of the study concluded that strategic flexibility reinforces the positive effect of organizational learning capabilities on innovation performance and business performance, so that when strategic flexibility is high, business performance will increase higher, when associated with high innovation performance. Strategic flexibility is a source of competitive advantage that is supported by the role of management, and is driven by superior employees as organizational assets. So the company has the ability to be responsive and adaptive to changes that occur. This finding is a mechanism for navigating to face market turbulence and competition.</span>
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Cahusac de Caux, Basil. "Doctoral Candidates’ Academic Writing Output and Strategies: Navigating the Challenges of Academic Writing During a Global Health Crisis." International Journal of Doctoral Studies 16 (2021): 291–317. http://dx.doi.org/10.28945/4755.
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Aim/Purpose: To date, few studies have investigated the impact of global health crises on the academic writing of doctoral candidates. This paper seeks to start a conversation about the impact of the ongoing COVID-19 pandemic on doctoral candidates’ academic writing output and strategies. Background: This paper employs and analyses data elicited from surveys and interviews involving doctoral candidates from around the world. Data were collected during April 2020, at a time when government-mandated lockdowns and restrictions on movement were in full force in many countries around the world. Methodology: Surveys were conducted with 118 doctoral candidates from over 40 institutions based in four continents. Follow-up interviews were carried out with four doctoral candidates enrolled in an Australian institution. A qualitative descriptive design, employing thematic analysis, is used to assess the impact of the COVID-19 pandemic on doctoral candidates’ writing output and strategies. The data analysis includes statistical descriptions of the surveys. Contribution: This paper provides insights into the myriad challenges and obstacles facing doctoral candidates during the COVID-19 pandemic. It describes the writing strategies adopted by doctoral candidates during a period of significant societal disruption, and illustrates how thematic analysis can be employed in research involving global health crises. Findings: Despite the adoption of novel approaches to academic writing, which appear in an insignificant minority of respondents, doctoral candidates’ overall commitment to academic writing has been negatively impacted by the pandemic. Similarly, delays to academic research activities caused by the pandemic have resulted in a significant decline in commitment (motivation) to academic writing and a substantial impact on doctoral candidates’ ability to write about their research. Recommendations for Practitioners: Supervisors and mentors should strive to provide doctoral candidates with timely feedback during the pandemic. Given the impact of the pandemic on doctoral candidates’ mental health and motivation to write, increased institutional and peer support is required to help doctoral candidates overcome academic issues during the pandemic and future health crises. This researcher recommends consulting regularly with and offering individually tailored solutions to doctoral candidates who are struggling to work on their theses during the pandemic. Similarly, institutions should empower supervisors in ways that allow them to provide greater levels of support to doctoral candidates. Recommendation for Researchers: Further research on the impacts of the pandemic on various academic cohorts, such as early career researchers (doctoral candidates, postdoctoral researchers, and assistant professors) and student cohorts (e.g., undergraduate and postgraduate), will clarify the extent to which the pandemic is impacting the academic writing of doctoral candidates. Impact on Society: The pressure placed on doctoral candidates to produce quality academic writing seems to have been heightened by the pandemic. This has a range of adverse effects for the higher education sector, particularly administrators responsible for managing doctoral candidate success and the academe, which recruits many of its faculty from holders of doctorate degrees. Future Research: Additional focus on academic writing of doctoral candidates during the pandemic is needed. Research should include randomised samples and represent a range of academic disciplines.
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Horner, Charlotte Rose, Siobhan Hugh-Jones, Ed Sutherland, Cathy Brennan, and Charlotte Sadler-Smith. "“This doesn’t feel like living”: How the COVID-19 Pandemic Affected the Mental Health of Vulnerable University Students in the United Kingdom." European Journal of Mental Health 17, no. 2 (2022): 52–64. http://dx.doi.org/10.5708/ejmh.17.2022.2.7.
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Introduction: Concerns about student mental health have been rising globally. The COVID-19 pandemic triggered unprecedented disruption in higher education as universities were forced to close and adapt their education delivery. Understanding the impact of this on vulnerable students can inform higher education’s response to future similar events. Aims: To understand the lived experience of first year university students studying in the United Kingdom, who had a history of poor mental health and lived on a low income, we examined the inter-relatedness between mental health, financial strain, remote learning and engagement, and well-being. Methods: At the start of their first year of study, whilst the UK was in periods of lockdown, we conducted in-depth semi-structured interviews with 20 diverse first-year university students. We analyzed data using interpretative phenomenological analysis. Results: The pandemic’s impact on student mental health, engagement and learning remained pervasive and serious. Key themes conveyed how isolation triggered past mental health difficulties and a perception that the universities – and government – had forgotten about them. Students also experienced greater difficulty in navigating the liminal threshold between being a child and an adult, and having the additional worry of financial instability left students with fewer coping resources. Conclusions: To mitigate the impact of future pandemic responses, constant and effective communication is needed between faculty and students to safeguard against isolation and low motivation. Vulnerable students need guidance in coping skills to manage mental health risks when they are away from family and familiar support networks.
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Campbell, Emma, Kristian Aquilina, Madhumita Dandapani, David Walker, and Ruman Rahman. "Working Together to Accelerate the Preclinical to Clinical Translation of Drug Delivery Systems for Children’s Brain Tumours." Neuro-Oncology 24, Supplement_4 (October 1, 2022): iv13—iv14. http://dx.doi.org/10.1093/neuonc/noac200.059.
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Abstract AIMS Several techniques, such as intra-cerebrospinal fluid chemotherapy, ultrasound-mediated blood-brain barrier disruption, convection enhanced delivery, polymer delivery systems, electric field therapy, and intra-arterial and intra-nasal chemotherapy, have the potential to transform the treatment of brain tumours in children. However, there have been very few clinical trials to evaluate these. We aim to address challenges in the pre-clinical to clinical research pathway for CNS drug delivery systems in order to increase the number of clinical trials in this area. METHOD In 2021, the CBTDDC (Children’s Brain Tumour Drug Delivery Consortium) and the ITCC (Innovative Therapies for Children with Cancer) brain tumour group established a Clinical Trials Working Group comprising international researchers and clinicians to address this issue. RESULTS This partnership highlighted the main challenges as: (1) a lack of specific funding for prototype development and/or scale-up for clinical trials; (2) difficulties in navigating the regulatory landscape; (3) lack of accurate preclinical models; and (4) increased need for multi-centric working. In response to this, we ran a workshop on ‘Clinical Trial Readiness’, attended by around 50 delegates (comprising clinicians, researchers, trial regulatory experts, policy makers, and representatives from funding organisations, brain tumour charities and industry). CONCLUSION We have now established speciality-specific working groups with the aim of producing recommendations around the use of preclinical models and drug delivery techniques according to brain tumour type. We have also created a ‘Roadmap’ document for preclinical to clinical translation, which will be freely shared with the neuro-oncology research community.
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Schueler, Beth E. "A Third Way: The Politics of School District Takeover and Turnaround in Lawrence, Massachusetts." Educational Administration Quarterly 55, no. 1 (July 2, 2018): 116–53. http://dx.doi.org/10.1177/0013161x18785873.
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Purpose: School district superintendents say politics is the number one factor limiting their performance, yet research provides limited guidance on navigating the political dynamics of district improvement. State takeovers and district-wide turnaround efforts tend to involve particularly heated and polarized debates. Massachusetts’ 2012 takeover of the Lawrence Public Schools provides a rare case of state takeover and district turnaround that both resulted in substantial early academic improvements and generated limited controversy. Method: To describe the stakeholder response and learn why the reforms were not more contentious, I analyzed press coverage of the Lawrence schools from 2007 to 2015, public documents, and two secondary sources of survey data on parent and educator perceptions of the schools. I also interviewed turnaround and stakeholder group leaders at the state and district level regarding the first 3 years of reform. Findings: I find that the local Lawrence context and broader statewide accountability system help explain the stakeholder response. Furthermore, several features of the turnaround leaders’ approach improved the response and reflected a “third way” orientation to transcending polarizing political disagreement between educational reformers and traditionalists. Examples include leaders’ focus on differentiating district–school relations, diversifying school management, making strategic staffing decisions, boosting both academics and enrichment, and producing early results while minimizing disruption. Implications: The findings provide guidance for state-level leaders on developing accountability systems and selecting contexts that are ripe for reform. The results also provide lessons for district- and school-level leaders seeking to implement politically viable improvement of persistently low-performing educational systems.
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Pecchia, Leandro, Davide Piaggio, Alessia Maccaro, Claudio Formisano, and Ernesto Iadanza. "The Inadequacy of Regulatory Frameworks in Time of Crisis and in Low-Resource Settings: Personal Protective Equipment and COVID-19." Health and Technology 10, no. 6 (May 2, 2020): 1375–83. http://dx.doi.org/10.1007/s12553-020-00429-2.
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Abstract COVID-19 pandemic is plaguing the world and representing the most significant stress test for many national healthcare systems and services, since their foundation. The supply-chain disruption and the unprecedented request for intensive care unit (ICU) beds have created in Europe conditions typical of low-resources settings. This generated a remarkable race to find solutions for the prevention, treatment and management of this disease which is involving a large amount of people. Every day, new Do-It-Yourself (DIY) solutions regarding personal protective equipment and medical devices populate social media feeds. Many companies (e.g., automotive or textile) are converting their traditional production to manufacture the most needed equipment (e.g., respirators, face shields, ventilators etc.). In this chaotic scenario, policy makers, international and national standards bodies, along with the World Health Organization (WHO) and scientific societies are making a joint effort to increase global awareness and knowledge about the importance of respecting the relevant requirements to guarantee appropriate quality and safety for patients and healthcare workers. Nonetheless, ordinary procedures for testing and certification are currently questioned and empowered with fast-track pathways in order to speed-up the deployment of new solutions for COVID-19. This paper shares critical reflections on the current regulatory framework for the certification of personal protective equipment. We hope that these reflections may help readers in navigating the framework of regulations, norms and international standards relevant for key personal protective equipment, sharing a subset of tests that should be deemed essential even in a period of crisis.
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Saketkoo LA, Lesley Ann, Kelly Jensen, Dimitra Nikoletou, Jacqui J. Newton, Frank J. Rivera, Mike Howie, Rodney K. Reese, et al. "Sarcoidosis Illuminations on Living During COVID-19: Patient Experiences of Diagnosis, Management, and Survival Before and During the Pandemic." Journal of Patient Experience 9 (January 2022): 237437352210755. http://dx.doi.org/10.1177/23743735221075556.
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Background: Inspired by intense challenges encountered by patients and clinicians, we examined the experiences of living with sarcoidosis in three of the hardest impacted English-speaking cities during the early COVID-19 pandemic: London, New Orleans, and New York. Methods: A multi-disciplinary, multi-national research team including 6 patient leaders conducted qualitative investigations with analyses rooted in grounded theory. Recruitment occurred by self-referral through patient advocacy groups. Results: A total of 28 people living with sarcoidosis participated. The majority of patients had multi-system and severe sarcoidosis. Dominant themes were consistent across groups with differences expressed in spirituality and government and health systems. Racial, gender, and able-bodied inequity were voiced regarding healthcare access and intervention, societal interactions, and COVID-19 exposure and contraction. Agreement regarding extreme disruption in care and communication created concern for disability and survival. Concerns of COVID-19 exposure triggering new sarcoidosis cases or exacerbating established sarcoidosis were expressed. Pre-COVID-19 impediments in sarcoidosis healthcare delivery, medical knowledge, and societal burdens were intensified during the pandemic. Conversely, living with sarcoidosis cultivated personal and operational preparedness for navigating the practicalities and uncertainties of the pandemic. Optimism prevailed that knowledge of sarcoidosis, respiratory, and multi-organ diseases could provide pathways for COVID-19-related therapy and support; however, remorse was expressed regarding pandemic circumstances to draw long-awaited attention to multi-organ system and respiratory conditions. Conclusion: Participants expressed concepts warranting infrastructural and scientific attention. This framework reflects pre- and intra-pandemic voiced needs in sarcoidosis and may be an agent of sensitization and strategy for other serious health conditions. A global query into sarcoidosis will be undertaken.
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Bell, M. G. H., U. Kanturska, J. D. Schmöcker, and A. Fonzone. "Attacker–defender models and road network vulnerability." Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences 366, no. 1872 (March 6, 2008): 1893–906. http://dx.doi.org/10.1098/rsta.2008.0019.
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The reliability of road networks depends directly on their vulnerability to disruptive incidents, ranging in severity from minor disruptions to terrorist attacks. This paper presents a game theoretic approach to the analysis of road network vulnerability. The approach posits predefined disruption, attack or failure scenarios and then considers how to use the road network so as to minimize the maximum expected loss in the event of one of these scenarios coming to fruition. A mixed route strategy is adopted, meaning that the use of the road network is determined by the worst scenario probabilities. This is equivalent to risk-averse route choice. A solution algorithm suitable for use with standard traffic assignment software is presented, thereby enabling the use of electronic road navigation networks. A variant of this algorithm suitable for risk-averse assignment is developed. A numerical example relating to the central London road network is presented. The results highlight points of vulnerability in the road network. Applications of this form of network vulnerability analysis together with improved solution methods are discussed.
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Oktoyoki, Hefri, Febri Nur Pramudya, and Tria Anti Sukmala Yulisa. "Strategies of Developing for Competitive Agribusiness Small Medium Enterprises (SMEs) in Rejang Lebong Regency." MAPETARI 4, no. 1 (June 25, 2019): 21–32. http://dx.doi.org/10.35989/mapetari.v4i1.7.
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Small and Medium Enterprises (SMEs) has a large potential for economic progress in Indonesia, But lately, its development experienced fluctuations due to various factors. Among them is the absence of the best strategy formulation for the development of Agribusiness UMKM. one of the potential SMEs of Agribusiness in Indonesia is Rejang Lebong Regency, especially its superior MSME products. The purpose of the research were to identify the characteristic SMEs of Agribusiness in Rejang Lebong, to analyze the internal and external factors of SMEs of Agribusiness and to create competitive SMEs of Agribusiness, and to formulate a competitive SMEs strategy.
The data was conducted by giving questioner to 30 SMEs of Agribusiness, and deep interview to 5 experts.. The selection of SMEs and experts in this research was conducted using non probability method. While, the collection of data was conducted by purposive sampling technique. Data processing method was using strategy formulation analysis that consist of IFE, EFE,IE, SWOT, and AHP using expert choice software.
The results of the study show that the most influential factors in the development of Rejang Lebong's competitive agribusiness SMEs at the highest level of actors are related services, the goal with the highest weight is to improve the competitiveness of MSMEs and weighting alternative strategies is to improve the quality of products and create new variations. and create membership programs such as special discounts, and facilitate access for new customers with purchases through technology-based bookings such as the internet, social media. While product packaging innovation by changing the packaging appearance becomes more attractive, product quality assurance and halal certification, comprehensive partnership between elements such as trainings, seminars and procurement of production technology, institutional strengthening and assistance in the use of marketing technology in navigating the disruption era.
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Campbell, Emma, Kristian Aquilina, Madhumita Dandapani, David Walker, and Ruman Rahman. "EPCT-03. Working together to accelerate the preclinical to clinical translation of drug delivery systems for children’s brain tumours." Neuro-Oncology 24, Supplement_1 (June 1, 2022): i36. http://dx.doi.org/10.1093/neuonc/noac079.131.
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Abstract Children's brain tumours are the biggest cancer killer in children and young adults. Several techniques, such as intra-cerebrospinal fluid chemotherapy, ultrasound-mediated blood-brain barrier disruption, convection enhanced delivery, polymer delivery systems, electric field therapy, and intra-arterial and intra-nasal chemotherapy, have the potential to transform the treatment of brain tumours in children. However, there have been very few clinical trials to evaluate these. In 2021, the CBTDDC (Children’s Brain Tumour Drug Delivery Consortium) and the ITCC (Innovative Therapies for Children with Cancer) brain tumour group established a Clinical Trials Working Group comprising international researchers and clinicians to address this issue. This partnership highlighted the main challenges in preclinical to clinical translation of paediatric CNS drug delivery as: (1) a lack of specific funding for prototype development and/or scale-up for clinical trials; (2) difficulties in navigating the regulatory landscape; (3) lack of accurate preclinical models; and (4) increased need for multi-centric working. In response to this, we ran a hybrid workshop in November 2021 on ‘Clinical Trial Readiness for CNS Drug Delivery’. At this workshop, around 50 delegates (comprising clinicians, researchers, trial regulatory experts, policy makers, and representatives from funding organisations, brain tumour charities and industry) came together to discuss issues around funding, preclinical models and regulatory processes. We have established speciality-specific working groups to build on the workshop discussions, with the aim of producing recommendations around the use of preclinical models and drug delivery techniques according to brain tumour type. We have also used the workshop presentations and discussions to create a ‘Roadmap’ document for preclinical to clinical translation, which will be freely shared with the neuro-oncology research community. We continue to liaise with funders and regulatory bodies to address the changes that are needed in these areas. If you would like to join our network, contact: cbtddc@nottingham.ac.uk
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Nyagadza, Brighton. "Digital disruption and global businesses’ viability under COVID-19 (SARS-CoV-2) pandemic." Journal of Digital Media & Policy 00, no. 00 (February 24, 2022): 1–19. http://dx.doi.org/10.1386/jdmp_00096.
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The purpose of this conceptual article is to explore the drivers behind digital disruption that have taken the whole globe by storm as a result of COVID-19 (SARS-CoV-2) pandemic. Motivation of the researcher in constructing the article was to logically alert the present-day and future-world business leaders on how to respond to the digital disruptive forces attributed to deadly viral pandemics like COVID-19. The current article is based on the Preferred Reporting Items for Systematic Literature Review and Meta-Analysis (PRISMA) of secondary data sources, mainly peer-reviewed journal articles, the purpose being to draw conclusions and identify research gaps. It is based on a structural analysis methodology to frame the categories of the major analyses in combination with scientific rigour to a broad and complex problem. Research results proved that the primary forces driving digital disruption in pandemic ravages include technology dynamics, globalization and demographics. They evolve in successive waves. It is these waves that generate novel digital and technological disruptive megatrends. Implications to contemporary business leaders include bringing in present-day digital technologies, incubating survival plans of actions or strategies so as to fully operationalize businesses seamlessly. These may include, but not limited to, establishing technological innovation appetite meant to address, respond and navigate within the associated digital disruptive complexities. The study results underscore the necessity of understanding digital disruption and global businesses’ viability under COVID-19 pandemic. This is the first study to conceptually examine the digital disruption and global businesses’ viability under COVID-19 pandemic. The research contributes to literature and theoretical novel introspections into the depth and breadth of digital disruptive technologies and corporate strategy by an explication of how various corporate metamorphoses can lead to navigation and survival in such COVID-19 pandemic environments.
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Mavrogiannis, Christoforos, Patrícia Alves-Oliveira, Wil Thomason, and Ross A. Knepper. "Social Momentum: Design and Evaluation of a Framework for Socially Competent Robot Navigation." ACM Transactions on Human-Robot Interaction 11, no. 2 (June 30, 2022): 1–37. http://dx.doi.org/10.1145/3495244.
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Mobile robots struggle to integrate seamlessly in crowded environments such as pedestrian scenes, often disrupting human activity. One obstacle preventing their smooth integration is our limited understanding of how humans may perceive and react to robot motion. Motivated by recent studies highlighting the benefits of intent-expressive motion for robots operating close to humans, we describe Social Momentum (SM), a planning framework for legible robot motion generation in multiagent domains. We investigate the properties of motion generated by SM via two large-scale user studies: an online, video-based study ( N = 180) focusing on the legibility of motion produced by SM and a lab study ( N = 105) focusing on the perceptions of users navigating next to a robot running SM in a crowded space. Through statistical and thematic analyses of collected data, we present evidence suggesting that (a) motion generated by SM enables quick inference of the robot’s navigation strategy; (b) humans navigating close to a robot running SM follow comfortable, low-acceleration paths; and (c) robot motion generated by SM is positively perceived and indistinguishable from a teleoperated baseline. Through the discussion of experimental insights and lessons learned, this article aspires to inform future algorithmic and experimental design for social robot navigation.
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Behara, Ravi S., and Mark M. Davis. "Navigating Disruptive Innovation in Undergraduate Business Education." Decision Sciences Journal of Innovative Education 13, no. 3 (July 2015): 305–26. http://dx.doi.org/10.1111/dsji.12072.
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Bertisch, Suzanne, Jessie Bakker, Sherry Hanes, Carolina Dos Santos, Sloan Bergrestresser, Catherine Siengsukon, Melanie Barwick, Susan Redline, and Anna Revette. "723 Sleep Apnea Care During the COVID-19 Pandemic: Perspectives on the Transition to Telemedicine from Clinicians and Patients." Sleep 44, Supplement_2 (May 1, 2021): A282. http://dx.doi.org/10.1093/sleep/zsab072.720.
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Abstract Introduction Covid-19-related public health control measures have necessitated a rapid transition in healthcare delivery. We qualitatively explored clinicians’ and patients’ experiences of the pandemic’s impact on the delivery and receipt of obstructive sleep apnea (OSA) care. Methods Between September and December 2020, we conducted ten 90-minute virtual focus groups with sleep clinicians (n=19) and English and Spanish-speaking patients with OSA (n= 30) recruited through an urban academic sleep clinic, national organizations, social media, and snowball sampling. An interdisciplinary team conducted a rapid qualitative analysis that included prefigured and emergent domains. The team developed a comprehensive analytic matrix, identifying key themes within and between groups and triangulating them across participant types. Results Clinicians and patients across all groups confirmed a rapid shift to the adoption of telemedicine. Clinicians reported telemedicine enhanced evaluations by enabling direct observation of the home environment, providing opportunities to guide patients on medical equipment used in the home, and cultivating meaningful social connections for patients. Perceived benefits varied across patient subgroups (age, language, technological self-efficacy). The majority of clinicians reported that telemedicine’s initial uptake resulted in delays in care and revenue loss, but sustained use was thought to be feasible over time. Patients reported delays in care related to the pandemic’s disruption on healthcare and their personal safety concerns. Additionally, telemedicine’s adoption directly altered other elements of care, including the delivery of patient education materials and loss of tacit information gained during the in-person visit. All groups reported adequate mask fitting as a central challenge for patients using positive airway pressure therapy. Spanish-speaking patients noted concerns of increased difficulty accessing care and navigating the OSA care system due to limited English proficiency, in addition to the limited availability of OSA resources in Spanish. Conclusion During the Covid-19 pandemic, the rapid adoption of telemedicine largely facilitated OSA care but altered patient-clinician interactions, delivery of patient education materials, and mask fitting success. Given that telemedicine will likely be sustained post-pandemic, there are needs for targeted efforts aimed at addressing disparities in telemedicine, enhancing practitioner telepresence and education, and new approaches for mask fitting to ensure successful OSA care. Support (if any) Patient-Centered Outcomes Research Institute EADI-16493
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Díaz Cano, Coral Anaid. "Splitting Selves: Crip Time and the Temporalities of Disability in Georgia Webber’s Dumb: Living Without a Voice." Canada and Beyond: A Journal of Canadian Literary and Cultural Studies 11 (October 21, 2022): 9–30. http://dx.doi.org/10.14201/candb.v11i9-30.
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In the graphic narrative Dumb: Living Without a Voice (2018), Canadian cartoonist Georgia Webber explores her acquired physical disability after a severe vocal injury leaves her voiceless. As a talkative, social young woman working as a café server, Georgia’s life is interrupted when she is forced to adapt herself to a different way of navigating the world. Previous scholarly work has analyzed Dumb to articulate a connection between comics theory and disability rhetoric (Dolmage and Jacobs 2016) and explored its fruitful linkage between voice/voicelessness and identity (Venkatesan and Dastidar 2020). Building on the path opened by these scholars, the aim of this paper is to critically examine the representation of disability and its engagement with the concept of crip time in Dumb by drawing on the interdisciplinary fields of disability studies, crip theory, and comics theory. The first section of this paper will build on Alison Kafer’s formulation of the strange temporalities of disability (2013) to investigate the ways in which Webber constructs non-conventional layouts where she incorporates different formal elements to present Georgia’s lived experience of disability as a disruption of conventional temporalities. Special attention will be paid to the endless, frustrating routine of paperwork to apply for disability welfare that the protagonist faces when her condition renders her unable to work. In the second section, I will draw on the work of Ellen Samuels (2017) to examine how Webber negotiates her shifting identity by graphically splitting her embodied self on the page, composing a parallel timeline where she visualizes her pre-disabled and disabled selves. The power of the pictorial is also extended to Webber’s clever usage of color: while her cartoonish drawings appear in black and white, she employs red to draw Georgia’s inner voice and her pain. Finally, my last section will employ the conception of crip time developed by Petra Kuppers (2014) to explore Georgia’s reconnection with herself through her breathing exercises and her orientation towards artistic creativity. Overall, I will argue that Dumb does not present a narrative of recovery, as Georgia does not heal from her injury but engages instead with her disabled existence by turning inwards and depicting her voice (lessness).
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Pomare, Chiara, Brett Gardiner, Louise A. Ellis, Janet C. Long, Kate Churruca, and Jeffrey Braithwaite. "“The times they are a-changin’”: A longitudinal, mixed methods case study of a hospital transformation." PLOS ONE 17, no. 10 (October 25, 2022): e0272251. http://dx.doi.org/10.1371/journal.pone.0272251.
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Background Changes to hospital infrastructure are inevitable in ever-evolving healthcare systems. The redevelopment of hospitals and opening of new buildings can be a complex and challenging time for staff as they must find ways to deliver safe and high-quality care while navigating the complexities and uncertainties of change. This study explores the perspectives and experiences of staff and patients before and after the opening of a new hospital building as part of a large public hospital redevelopment in Sydney, Australia. Methods The study comprised a longitudinal mixed methods case study design. Methods included two rounds of staff surveys (n = 292 participants), two rounds of staff interviews (n = 66), six rounds of patient surveys (n = 255), and analysis of hospital data at tri-monthly intervals over two years. Data were compared before (2019) and after (2020) a new hospital building opened at a publicly funded hospital in Sydney, Australia. Results Four key themes and perspectives emerged from the interviews including change uncertainty, communication effectiveness, staffing adequacy and staff resilience. Significant differences in staff perceptions of change readiness over time was identified. Specifically, perceptions that the organisational change was appropriate significantly decreased (2019: 15.93 ± 3.86; 2020: 14.13 ± 3.62; p < .001) and perceptions that staff could deal with the change significantly increased (2019: 17.30 ± 4.77; 2020: 19.16 ± 4.36; p = .001) after the building opened compared to before. Global satisfaction scores from patient survey data showed that patient experience significantly declined after the building opened compared to before (2020: 81.70 ± 21.52; 2019: 84.43 ± 18.46)), t(254) = -64.55, p < 0.05, and improved a few months after opening of the new facilities. This coincided with the improvement in staff perceptions in dealing with the change. Conclusions Moving into a new hospital building can be a challenging time for staff and patients. Staff experienced uncertainty and stress, and displayed practices of resilience to deliver patient care during a difficult period of change. Policy makers, hospital managers, staff and patients must work together to minimise disruption to patient care and experience. Key recommendations for future hospital redevelopment projects outline the importance of supporting and informing staff and patients during the opening of a new hospital building.
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Mooney, Amanda, Chris Hickey, Debbie Ollis, and Lyn Harrison. "Howzat! Navigating Gender Disruptions in Australian Young Women’s Cricket." Journal of Australian Studies 43, no. 1 (January 2, 2019): 71–86. http://dx.doi.org/10.1080/14443058.2018.1545139.
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Patel, Malisha. "Navigating Unprecedented Change Through Agile and Disruptive Leadership." Frontiers of Health Services Management 36, no. 3 (2020): 34–39. http://dx.doi.org/10.1097/hap.0000000000000080.
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Jiang, J., and L. Wu. "A Dynamic Navigation Algorithm Considering Network Disruptions." ISPRS - International Archives of the Photogrammetry, Remote Sensing and Spatial Information Sciences XL-4 (April 23, 2014): 111–15. http://dx.doi.org/10.5194/isprsarchives-xl-4-111-2014.
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In traffic network, link disruptions or recoveries caused by sudden accidents, bad weather and traffic congestion, lead to significant increase or decrease in travel times on some network links. Similar situation also occurs in real-time emergency evacuation plan in indoor areas. As the dynamic nature of real-time network information generates better navigation solutions than the static one, a real-time dynamic navigation algorithm for emergency evacuation with stochastic disruptions or recoveries in the network is presented in this paper. Compared with traditional existing algorithms, this new algorithm adjusts pre-existing path to a new optimal one according to the changing link travel time. With real-time network information, it can provide the optional path quickly to adapt to the rapid changing network properties. Theoretical analysis and experimental results demonstrate that this proposed algorithm performs a high time efficiency to get exact solution and indirect information can be calculated in spare time.
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Radziwill, Nicole. "Mapping Innovation: A Playbook for Navigating a Disruptive Age." Quality Management Journal 25, no. 1 (January 2, 2018): 64. http://dx.doi.org/10.1080/10686967.2018.1404372.
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Schaefer, Jennifer E. "Navigating the “COVID hangover” in physiology courses." Advances in Physiology Education 46, no. 1 (March 1, 2022): 158–61. http://dx.doi.org/10.1152/advan.00170.2021.
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Undergraduate educators and students must navigate lingering aftereffects of the COVID pandemic on education in the 2021–2022 academic year even as COVID continues to impact delivery of undergraduate science education. This article describes ongoing difficulties for undergraduate science, technology, engineering, and mathematics (STEM) students and educators and suggests strategies and easy-to-use resources that may help educators navigate the “COVID hangover” and ongoing COVID-related disruptions.
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Mackey, Cynthia, Nidia Hernandez, Stephanie Lechuga-Pena, and Felicia Mitchell. "Disrupting White Supremacy." Advances in Social Work 22, no. 2 (November 8, 2022): 647–79. http://dx.doi.org/10.18060/24776.
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Social workers must participate in ongoing anti-racist and culturally attuned approaches to disrupt white supremacy in our profession, institutions, and society. Our social work mission, values, and ethics demand that we engage in social work education, practice, and scholarship that seeks social justice for all people. In line with these expectations, social work doctoral education is tasked with training the next generation of social work scholars by providing doctoral education that is responsive to society's most pressing social problems. While disrupting white supremacy is an aspirational goal, we argue that white supremacy infiltrates social work education, manifests itself in diverse ways over time, often isolating Black, Indigenous, and People of Color (BIPOC). We use testimonios to explore these issues and describe four BIPOC women’s experiences navigating their social work doctoral programs. From these insights, we contend that social work doctoral education continues to uphold white supremacy by promoting Western epistemologies and theories above other equally valid forms of knowledge, including non-Western schools of thought created by and for BIPOC scholars. We provide recommendations for alternative theories and epistemologies for social work curricula and offer implications to support BIPOC students in social work doctoral education.
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Atkins, Melody, Laïla Gasmi, Valérie Bercier, Céline Revenu, Filippo Del Bene, Jamilé Hazan, and Coralie Fassier. "FIGNL1 associates with KIF1Bβ and BICD1 to restrict dynein transport velocity during axon navigation." Journal of Cell Biology 218, no. 10 (September 19, 2019): 3290–306. http://dx.doi.org/10.1083/jcb.201805128.
Full textAbstract:
Neuronal connectivity relies on molecular motor-based axonal transport of diverse cargoes. Yet the precise players and regulatory mechanisms orchestrating such trafficking events remain largely unknown. We here report the ATPase Fignl1 as a novel regulator of bidirectional transport during axon navigation. Using a yeast two-hybrid screen and coimmunoprecipitation assays, we showed that Fignl1 binds the kinesin Kif1bβ and the dynein/dynactin adaptor Bicaudal D-1 (Bicd1) in a molecular complex including the dynactin subunit dynactin 1. Fignl1 colocalized with Kif1bβ and showed bidirectional mobility in zebrafish axons. Notably, Kif1bβ and Fignl1 loss of function similarly altered zebrafish motor axon pathfinding and increased dynein-based transport velocity of Rab3 vesicles in these navigating axons, pinpointing Fignl1/Kif1bβ as a dynein speed limiter complex. Accordingly, disrupting dynein/dynactin activity or Bicd1/Fignl1 interaction induced motor axon pathfinding defects characteristic of Fignl1 gain or loss of function, respectively. Finally, pharmacological inhibition of dynein activity partially rescued the axon pathfinding defects of Fignl1-depleted larvae. Together, our results identify Fignl1 as a key dynein regulator required for motor circuit wiring.