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1

Wood, Beverley. "Attitudes toward the elderly : a case study of nursing students' attitudes." Monash University, Faculty of Education, 2001. http://arrow.monash.edu.au/hdl/1959.1/8808.

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2

Jacobson, Willow Serene Ingraham Patricia W. "Receptivity to change in the public sector: two federal case studies." Related Electronic Resource: Current Research at SU : database of SU dissertations, recent titles available full text, 2003. http://wwwlib.umi.com/cr/syr/main.

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3

Groves, Beth Ann. "Real Representation| Case Studies of Forces that Changed Municipal Elections in Select California Cities." Thesis, University of La Verne, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13805820.

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Purpose. This research sought to explore the factors that influenced the policy decision to change a city council electoral system from an at-large structure to a by-district structure. The structure of the electoral system impacts representation in that it creates the rules and requirements as to how people are elected and who can vote for them. This study provided context for local government decision making. This context provides decision makers and citizens alike with insight into the degree of influence exerted in the public policy process by internal and external forces.

Theoretical Framework. Three lenses were used: social exchange (Blau, 2017), focusing events (Birkland, 2013; Kingdon, 2003) and Force Field Analysis (Lewin, 1951)) to describe the interaction of theory in explaining the antecedent factors, focusing events, and forces that were present during the local decision-making process.

Methodology. This was a descriptive, multiple case study design. It looked at multiple cities in an effort to identify the driving and restraining forces that led to changing a specific public policy. Specifically, it conducted content analysis and applied Lewin’s force field analysis to public documents in an effort to understand the antecedent factors leading to the change in the structure of the electoral system in select California cities.

Findings/Conclusions. Both driving and restraining forces were evident in the policy process for change. Four categories of forces were identified: social, political, economic and legal. In the case of the change to a By-District Voting system taking place throughout California, the community itself has not necessarily identified a problem in need of a solution. Rather, a lawsuit—or threat of a lawsuit—is the impetus for change—wanted or not. Given that the focusing event for the voting system policy change examined in this research is litigation, most discussion and input takes place behind closed doors with input being from attorneys and city management staff. While this is important in order to create legislative strategy, it does omit input from the citizens who will be impacted by the decisions. Therefore, the question remains, once fully implemented, will the change in the structure of the electoral system bring “better” representation?

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4

Hoffmann, Terrence Martin, and mikewood@deakin edu au. "Using competencies in human resource management: case studies in Australian companies." Deakin University, 1998. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20050815.114903.

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This study investigated the use of competencies for human resource management in seven Australian companies. Despite advocacy for the use of competencies by Government Committees and Task Forces (For example Carmichael (1992), Mayer, (1992) and Karpin, 1995), and the existence of competency standards for eighty per cent of the Australian workforce, the competency approach has not been widely adopted. A review of the literature indicated that the term competency had several meanings with different implications for its use depending on the meaning. The study looked at how individuals have defined the term and applied the approach to human resource management practices. Interviews were conducted with Human Resource and Training managers, and operative staff in companies using competencies. How they defined the term, described the rationale for using competencies, and applied competencies to selection, training, performance appraisal and remuneration were determined. Case studies were written for each company to describe their particular application of competencies. Competencies were found to be defined in several ways by those interviewed. Some advantages of using competencies in human resource management applications were found. The amount of work involved in introducing the competency approach was described as a reason why competencies have not been more widely adopted.
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Walker, Beverly C. "An action research study of strategy implementation in a not-for-profit community organisation." Monash University, Dept. of Management, 2004. http://arrow.monash.edu.au/hdl/1959.1/5186.

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6

Sadleir, Christopher. "On the Frontier : Australia's policy approach to foreign direct investment 1968 - 2004 as a case study in globalisation, national public policy and public administration /." full text via ADT database, 2007. http://erl.canberra.edu.au/public/adt-AUC20080304.145454/index.html.

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7

Kole, John Kirwa Tum, and jkole2002@yahoo com. "Case Studies Of Overseas Kenyan Students At La Trobe University, Australia: Academic And Related Challenges." La Trobe University. School of Educational Studies, 2007. http://www.lib.latrobe.edu.au./thesis/public/adt-LTU20090130.115451.

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This study involves an exploration of the perceptions of four overseas Kenyan students about their educational experiences at La Trobe University. A related aim of this research is to find out how these four students� previous learning in Kenya affects their learning and living experiences in Australia, for instance, in terms of demands associated with differences in learning and teaching styles, cultural expectations and proficiencies in English. A non-positivist, qualitative methodology is adopted for this research which employs an interview-based case study approach. Qualitative research demands that the world be approached with the assumption that nothing is trivial and that everything has the potential of being a clue which might unlock more comprehensive understanding of what is being researched. While the findings of this study confirm current understandings of the issues that international students commonly face, they also provide a more complex and individualized picture of the needs and aspirations of overseas Kenyan students. As the case studies demonstrate, the academic and related challenges four Kenyan students have encountered at La Trobe University are best understood in relation to several contexts. The difficulties these international students have experienced in the context of transition or border crossing � between two countries, cultures and educational systems � were exacerbated by inadequate pre-departure preparation and orientation on arrival. Incongruities between two educational systems � in particular between their prior teacher-centred schooling in Kenya and the unfamiliar student-centred university education in Australia � colour the academic and related challenges such students struggle to address, at least in their initial year at University. The broader, global context of the commodification and marketization of higher education � along with increasing strains of an under-resourced university sector in Australia � also impinge upon the lives of these four La Trobe students, in a variety of ways.
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8

Meschoulam, Mauricio. "Values, Perceptions, Conceptions, and Peacebuilding: A Case Study in a Mexico City Neighborhood." ScholarWorks, 2011. https://scholarworks.waldenu.edu/dissertations/1083.

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Mexico is not a country at peace. Despite the government's fight to restore stability, violence has erupted since 2006 in several areas of the territory. According to Vygotsky's social constructivism and to Galtung's integral perspective of peace, some elements of peacelessness are informed by values, perceptions, and conceptions about violence and peace. These topics have not been qualitatively investigated in Mexico. The purpose of this case study was to explore the process involving the social construction of values, perceptions, and conceptions in regard to organized criminal violence and peace possibilities in Mexico. Research questions focused on the role of mass media and oral conversations in the social construction of perceptions about the government, criminal organizations, and peace. This study employed semistructured interviews of 15 residents from a neighborhood in a large Mexican city. A purposeful sample stratified by gender, age, and profession, according to the neighborhood demographics, was used. Data from the interviews were coded for patterns using preexisting theory-based categories along with new emerging categories. Findings showed that among these residents, the process of social construction of perceptions was primarily formed through individual experiences and observations, and nurtured by conversations. Social constructors, such as traditional mass media, were much less important. Residents constructed their perception that the basic causes of criminal violence are rooted in the structures of the political and economic system, which, if correctly addressed, would foster peace. This study contributes to positive social change.by informing regional policymakers about the need to design local policies directed towards mediating structural and systemic transformations that are respectful of experiences and needs of citizens.
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9

Oerlemans-Buma, Ingeborg Karin. "Secondary school students engagement in educational change : critical perspectives on policy enactment." University of Western Australia. Graduate School of Education, 2005. http://theses.library.uwa.edu.au/adt-WU2005.0076.

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Michael Fullan (1991) commented that little was known about how students viewed educational change, as no one had thought to ask them. By 2004 there was a small but growing literature seeking the views of students on a range of issues associated with schooling. This thesis presents the findings and analysis of a study of students’ perceptions of educational change. Much educational change involves shifts in power and responsibilities between the different actors, such as governments, school administrators, teachers, parents, the community and students. Despite widespread interest in educational change it is usually the macro-level policy elite who exert the most influence, using their power, privilege and status in order to propagate particular versions of schooling; students continue to be the ‘objects’ of policy initiatives, submerged in what Freire referred to as a ‘culture of silence’. Students are frequently excluded as participants in both the process and decision making phases of change. This research was based on exploring the exclusion of students from the processes of change in schools, resulting from a top-down policy initiative by the State department of education in WA, the Local Area Education Planning (LAEP) Framework. How policy is defined and acted on is explored, and the roles students could have, but often do not, are highlighted. An eclectic hybrid conceptual framework drawing on both critical theory and a postmodern policy cycle approach was used to analyse the LAEP Framework policy processes and students’ perceptions of the changes that ensued. The research comprised in-depth case studies of three schools undergoing substantial educational restructuring as the result of the macro-level LAEP Framework policy in the State of WA. Key elements of the policy were school amalgamations, closures and the creation of Middle Schools. Data collection methods included focus group and semi-structured interviews with students from the three schools, as well as document analysis, staff interviews and field notes. The research found that students were very perceptive about educational change, that they were deeply impacted by educational change and that they wanted to participate in restructuring agendas. Several meta-level themes emerged from the students’ ‘voices’, including issues associated with disempowerment, and competing social justice and economic discourses. The findings foreground the often messy and contradictory tensions evident in policy processes. The thesis concluded by developing theory on ways in which students could be included meaningfully as participants in educational change
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Strouble, Bruce Warren Jr. "Racism vs. Social Capital| A Case Study of Two Majority Black Communities." Thesis, Walden University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3717562.

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Several researchers have identified social capital as a means to improve the social sustainability of communities. While there have been many studies investigating the benefits of social capital in homogeneous White communities, few have examined it in Black homogeneous communities. Also, there has been limited research on the influence of racism on social capital in African American communities. In this dissertation a comparative case study was used within a critical race theory framework. The purpose was to explore the role of racial oppression in shaping social capital in majority African American communities. Data were collected from 2 majority Black communities in Florida. The collected data included reviews of local news reports, voter turnout reports, and community health assessments, along with focus groups and semi structured interviews with a purposive sample of 20 of the communities’ African American residents. Benet’s polarities of democracy model was employed to analyze the relationship between racism and social capital. Analysis included inductive coding followed by pattern matching to identify overarching themes between the selected cases. One key theme was that perceived racial disparity inhibited bridging and linking social capital in the selected communities. Another key theme was that racism created social capital deficiencies and a dysfunctional community culture, which limited the capacity to address collective issues. Social change implications include specific policy recommendations to state and local leaders to increase the participation of Black community members in democratic processes. Additionally, this research has potential to improve understanding of the various ways that racism may affect Black Communities.

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11

Driver, Darrell W. "Sparta in Babylon Case studies in the public philosophy of soldiers and civilians /." Related electronic resource: Current Research at SU : database of SU dissertations, recent titles available full text, 2006. http://proquest.umi.com/login?COPT=REJTPTU0NWQmSU5UPTAmVkVSPTI=&clientId=3739.

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12

Nishida, Yukiyo. "The challenge of multiage primary education in public education : case studies in Australia, Canada and the USA." Thesis, University of Oxford, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.439812.

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13

Stallman, Allen L. "Collaboration and the creation of public value case studies from the California Highway Patrol." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10096062.

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In an era of continuing economic uncertainty public sector organizations face unprecedented challenges in resourcing increasingly complex missions. To meet these challenges public sector managers must look for innovative ways to resource essential missions and define public sector outcomes. The use of collaboration to create public value represents one way to provide effective and efficient service in this environment.

This study informs the subject of collaboration as a mechanism for creating public value by considering these concepts as a practical matter against actual events or programs involving the California Highway Patrol, a large State police agency with multiple missions and complex inter-agency relationships. The results of the study demonstrate a correlation between the strength of the collaborative effort and the results obtained, as well as the effect of circumstances on results. In identifying a common formula for evaluating these concepts, other public programs can be evaluated based on these contexts.

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14

Cohen, Byron. "Water and Sanitation Policy in Selected Case Studies: Equatorial Guinea, Malawi, and Mauritania." Scholarship @ Claremont, 2016. http://scholarship.claremont.edu/cmc_theses/1412.

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What are the policy-relevant factors that condition WASH sector performance in Sub-Saharan Africa? Close examination of three case study countries, Equatorial Guinea, Malawi, and Mauritania, reveals interesting insights. Delivery of WASH services is shaped to a large extent by the overall quality and structure of a country’s government. More specifically, having an excessive profusion of policy-making and policy-implementing actors can hinder WASH sector performance. Furthermore, governments may face strong incentives to invest more heavily in providing WASH services to urban areas over rural areas, and to invest more heavily in the water sub-sector than in the sanitation sub-sector. Adequate financing of WASH investment appears to be a necessary but not sufficient condition for performance in both the water and sanitation subsectors. Additionally, monitoring and evaluation appears to be a crucial factor in formulating and implementing effective policies. In the rural water subsector, a country’s institutional setup and technology choice can have a major impact on water source maintenance and operability.
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15

Meschoulam, Mauricio. "Values, Perceptions, Conceptions, and Peacebuilding| A Case Study in a Mexico City Neighborhood." Thesis, Walden University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3598293.

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Mexico is not a country at peace. Despite the government's fight to restore stability, violence has erupted since 2006 in several areas of the territory. According to Vygotsky's social constructivism and to Galtung's integral perspective of peace, some elements of peacelessness are informed by values, perceptions, and conceptions about violence and peace. These topics have not been qualitatively investigated in Mexico. The purpose of this case study was to explore the process involving the social construction of values, perceptions, and conceptions in regard to organized criminal violence and peace possibilities in Mexico. Research questions focused on the role of mass media and oral conversations in the social construction of perceptions about the government, criminal organizations, and peace. This study employed semistructured interviews of 15 residents from a neighborhood in a large Mexican city. A purposeful sample stratified by gender, age, and profession, according to the neighborhood demographics, was used. Data from the interviews were coded for patterns using preexisting theory-based categories along with new emerging categories. Findings showed that among these residents, the process of social construction of perceptions was primarily formed through individual experiences and observations, and nurtured by conversations. Social constructors, such as traditional mass media, were much less important. Residents constructed their perception that the basic causes of criminal violence are rooted in the structures of the political and economic system, which, if correctly addressed, would foster peace. This study contributes to positive social change.by informing regional policymakers about the need to design local policies directed towards mediating structural and systemic transformations that are respectful of experiences and needs of citizens.

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16

Skinner, Denise Olwyn. "Barriers to the evaluation of human resource management initiatives : three public sector case studies." n.p, 2000. http://library7.open.ac.uk/abstracts/page.php?thesisid=92.

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17

Ayayi, Ayi J. "Government contracting in underdeveloped countries| An ethical dilemma - case of Togo (West Africa)." Thesis, Baker College (Michigan), 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3616299.

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Although the subject of ethics has been widely studied, no research has addressed the dilemma faced by government procurement professionals in underdeveloped countries, especially Togo. The purpose of this case study was to analyze insiders’ views concerning ethical dilemmas in public procurement for government contracting professionals in Togo. The study was based on deontological and teleological ethics. Research questions addressed ethical issues that are likely to arise from inappropriate interference by Togo government official in the public procurement process, and perceptions of public acquisition professionals regarding Togo government officials’ influence on contracting officers’ decision making. Data collection included interviews, observations, and documents. Findings showed that even though there are regulations in place, most public procurement professionals sometimes make unethical decisions, both because they are pressured to do so and because they are neither well-remunerated nor well-trained. Togo acquisition staff regularly deal with corruption, impunity, deception, and risk of retaliation. Based on results of this study, it is recommended that ethics training be established to improve Togo’s public contracting system and that the training be sanctioned by a three-level professional certification similar to the one in the United States. Further research could involve surveying other African nations to determine the extent to which public acquisition staff see interference by government officials.

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Wild, River Su, and swildriv@cres20 anu edu au. "The environmental implications of the local-state antinomy in Australia." The Australian National University. Centre for Resource and Environmental Studies, 2002. http://thesis.anu.edu.au./public/adt-ANU20040922.142838.

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An antinomy is a contradiction between a principle and its opposite, where there is a compelling case for accepting both. This thesis adopts the antinomy of local-state government in Australia as its central conceptual theme, describing it with the following defensible, but contradictory principles that:¶ · Australian local governments are statutory agencies of Australia’s state governments, with no power or authority beyond that which is ascribed to them by the states (the outside-in principle); and¶ · Local governments in Australia are independent agencies whose authority and interests transcend their regulatory powers by nature of their attachment to their local area (the inside-out principle).¶ The central conceptual theme of the antinomy of local-state government shapes the overall thesis, as well as providing the focus for its introduction and conclusion. The thesis induces elements of the antinomy and structures much of its discussion around these key issues. It does not try to prove or resolve the antinomy. Instead the thesis uses the concept to explore and develop its second complex theme - the practical and applied experience of Australian local governments (LGs) as they attempt to deliver beneficial environmental outcomes. The great bulk of the substantive work presented in the thesis focuses on descriptions and analyses of LGs’ environmental work and the contexts within which they do it. The thesis contends that the local-state antinomy underpins many problems facing Australian LGs as they attempt to deliver beneficial environmental outcomes. Four research questions are addressed. They are:¶ · How can Australian LG capacity to deliver beneficial environmental outcomes be understood?¶ · Within this capacity, what are the environmental outcomes now being achieved by Australian LGs?¶ · How can Australian local government extend its capacity to deliver beneficial environmental outcomes? And¶ · What are the implications of the local-state antinomy on Australian LG capacity to deliver beneficial environmental outcomes?¶ This thesis reviews literature on Australian LG, LG environmental work, and the methods that are appropriate in investigating these questions. The overall thesis uses scientific, grounded theory and action research methods and draws on ideas from symbolic interactionism. Parts of the thesis also use environmental risk assessment, gap analysis techniques, case study and comparative analysis. The goal of generating grounded theories led to a strong focus on the development and exploration of analytical categories and the relationships between them. One such category summarises the relationship between LG and state government (SG), whereby LGs are identified as the inside sphere of government, while the SG is one of several outside spheres. Environmental efforts that impact between the spheres are described in relation to their source and impact, using this terminology, so that inside-out initiatives are driven by LGs but impact more broadly, and outside-in initiatives are driven by states but impact on local areas.¶ Two extensive studies are presented, each stemming primarily from one side of the local-state antinomy. The first is a quantitative, statewide study of local (and state) government implementation of the Queensland Environmental Protection Act. That process is considered a predominantly outside-in environmental initiative, in that LG interest and authority for that work stem directly from a SG statute. For simplicity, this is referred to as an outside-in study. That study involved the development and application of the Comparative Environmental Risk Assessment Method, that enabled the assessment of the environmental and other outcomes from the Queensland legislation.¶ The outside-in study is complimented by comparative case studies that mostly reflect inside-out environmental initiatives as they are defined and described by LGs. Again, this required the development of innovative research methods, specifically a comparative case study method. 34 case studies gathered from different types of LGs across Australia are presented, each representing an attempt by LG to deliver beneficial environmental outcomes.¶ In answer to the research questions, LG capacity to deliver environmental outcomes can be understood when the antinomy is examined through the research methods and analytical categories developed and presented here. LGs are delivering significant beneficial environmental outcomes, both as agents of SGs and through their own initiatives. Improving LG capacity to deliver environmental outcomes primarily requires a respect for LG perspectives, and for LG priorities, which inherently include a focus on their own local areas. State governments can build effective partnerships between the spheres and enhance LG environmental capacity by recognising and supporting LG’s own priorities, while assisting their engagement with broader strategic objectives.
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Sadleir, Christopher John, and n/a. "Australia's policy approach to Foreign Direct Investment 1968-2004 as a case study in globalisation, national public policy and public administration." University of Canberra. School of Business & Government, 2007. http://erl.canberra.edu.au./public/adt-AUC20080304.145454.

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Since the latter half of the twentieth century patterns of economic flows and the deployment of systems of production have encouraged greater political and social integration between nation states. This phenomenon, called globalisation, has reinvigorated debate about the nation state as a mode of organisation, and created the conditions for an ongoing natural experiment concerning state adjustment. This experiment, while on a global scale, has led to different responses from national governments, as each grappled with how best to accommodate both domestic and international interests. One neglected aspect of analysis in these processes is the role played by national bureaucracy in state adjustment as a means to move with globalising pressures or to resist their impact. This thesis presents a qualitative analysis of the interaction of one globalising process, foreign direct investment (FDI), and the workings of the nation state, as a means of assessing the way in which the national government has used regulatory processes and its bureaucracy to control FDI. An extended historical case study is used to examine changes in policy, regulation and the organisation of the national bureaucracy concerned with FDI in Australia. The period examined is from 1968 to 2004 enabling comparisons to be made across the experience of seven successive national governments (those led by prime ministers Gorton, McMahon, Whitlam, Fraser, Hawke, Keating and Howard) in the way they managed the domestic and international circumstances that impacted on FDI. This thesis makes a contribution to the literature on the interaction of globalising processes, the nation state and the role played by national public bureaucracies where national and transnational interests intersect. In particular, this thesis identifies the national bureaucracy as a key agent for government in enabling and domesticating the processes of globalisation. This finding demonstrates that national bureaucracy is significant as both a facilitator and the inhibitor of processes of globalisation, and therefore is a key factor in understanding the issues of state adjustment in studies of globalisation.
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20

Vsindilok, Natacha. "A comparison of the case flow management and case tracking systems of the Central Adminstrative Court of Thailand with those of the Federal Court of Australia, with reference to practice in the USA." Access electronically, 2004. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20060509.100729/index.html.

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21

McAteer, Heather N. "Mentorship of women in the United States Army| A qualitative case study." Thesis, The University of the Rockies, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10242247.

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Mentorship in the workplace is a critical component of leader development that benefits both the individual and organization. While the United States Army’s mentorship program takes an informal approach to initiating mentoring connections, active mentorship is an expectation of all leaders. Women in the army remain underrepresented in the senior ranks, creating a situation that may lead to more limited opportunities for the female-to-female interactions that would result in a diverse mentoring experience. This qualitative case study explored the mentoring experiences of a purposive sample of interviews with 10 women officers assigned to Brigade Combat Teams while stationed at Fort Hood, Texas. Results were analyzed using two cycles of inductive coding and pattern-matching techniques. The six themes that emerged provide insight into the conditions and mechanisms that may create more effective professional mentoring relationships for military leaders.

Key Words: female mentoring, women’s mentorship, United States Army officers, U.S. Army officers, leader development, qualitative

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22

Ng, Kwok-ming Raymond, and 伍國明. "Administrative reform: the case of the Hospital Authority." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1992. http://hub.hku.hk/bib/B31964138.

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23

McNaught, Allan. "Implementation and management of health policy in small island developing states : case studies in British overseas territories in the Caribbean." Thesis, Keele University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368981.

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Small Islands Developing States (SIDS) are generally seen as countries with enormous problems. These are usually attributed to their small size. limited natural and huma, resources, environmental fragility, and proness to natural disasters. These issues have dominated the relevant intellectual and policy literature. Conversely. there is scant literature about how SIDS manage themselves specifically on matters of public policy. That which does exist is anecdotal and descriptive. This existing literature conveys an impression of the policy process in SIDS as idiosyncratic excessively personalist illogical and marked by incompetence. This thesis looks specifically at the implementation. and management of health policy in SIDS III the Caribbean. It reviews public policy. and health policy theory. the relevant regional literature on health care needs. health policy and administration. and it goes on reports on fieldwork research in Anguilla and the British Virgin Islands. The analysis and exploration was framed by five research questions. and is done with the tools and concepts of public policy and policymaking theory. The fieldwork research takes the form of three contrasting case studies in each island territory. preceded a description of the context of each country.
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Gall, Peter. "Creating new instruments to advance research into virtual organisations." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2008. https://ro.ecu.edu.au/theses/193.

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This study reviews the literature in relation to virtual strategic alignment models and strategies. From this the researcher develops a framework to test two new strategic alignment instruments designed to measure the espoused preparedness of organisations to operate virtually and the readiness of an organisation to collaborate virtually. These instruments are designed to assist organisations in recognising and exploiting their degree of virtuality and can support organisations in developing new organisational forms that fully leverage the value of their ICT assests. Prior research has attempted to address strategic alignment issues either internally, externally or holistically. A new approach was necessary.
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Xiao, Yan. "Exploring the Intricacies of International Performing Arts Exchange: Case Studies of Arts Programs between U.S. and China." The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1575479293045226.

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Forsyth, Rowena Public Health &amp Community Medicine Faculty of Medicine UNSW. "Tricky technology, troubled tribes: a video ethnographic study of the impact of information technology on health care professionals??? practices and relationships." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/30175.

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Whilst technology use has always been a part of the practice of health care delivery, more recently, information technology has been applied to aspects of clinical work concerned with documentation. This thesis presents an analysis of the ways that two professional groups, one clinical and one ancillary, at a single hospital cooperatively engage in a work practice that has recently been computerised. It investigates the way that a clinical group???s approach to and actual use of the system creates problems for the ancillary group. It understands these problems to arise from the contrasting ways that the groups position their use of documentation technology in their local definitions of professional status. The data on which analysis of these practices is based includes 16 hours of video recordings of the work practices of the two groups as they engage with the technology in their local work settings as well as video recordings of a reflexive viewing session conducted with participants from the ancillary group. Also included in the analysis are observational field notes, interviews and documentary analysis. The analysis aimed to produce a set of themes grounded in the specifics of the data, and drew on TLSTranscription?? software for the management and classification of video data. This thesis seeks to contribute to three research fields: health informatics, sociology of professions and social science research methodology. In terms of health informatics, this thesis argues for the necessity for health care information technology design to understand and incorporate the work practices of all professional groups who will be involved in using the technology system or whose work will be affected by its introduction. In terms of the sociology of professions, this thesis finds doctors and scientists to belong to two distinct occupational communities that each utilise documentation technology to different extents in their displays of professional competence. Thirdly, in terms of social science research methodology, this thesis speculates about the possibility for viewing the engagement of the groups with the research process as indicative of their reactions to future sources of outside perturbance to their work.
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Schultz-Jones, Barbara Ann. "The intersection of social networks in a public service model: A case study." Thesis, University of North Texas, 2007. https://digital.library.unt.edu/ark:/67531/metadc5124/.

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Examining human interaction networks contributes to an understanding of factors that improve and constrain collaboration. This study examined multiple network levels of information exchanges within a public service model designed to strengthen community partnerships by connecting city services to the neighborhoods. The research setting was the Neighbourhood Integrated Service Teams (NIST) program in Vancouver, B.C., Canada. A literature review related information dimensions to the municipal structure, including social network theory, social network analysis, social capital, transactive memory theory, public goods theory, and the information environment of the public administration setting. The research method involved multiple instruments and included surveys of two bounded populations. First, the membership of the NIST program received a survey asking for identification of up to 20 people they contact for NIST-related work. Second, a network component of the NIST program, 23 community centre coordinators in the Parks and Recreation Department, completed a survey designed to identify their information exchanges relating to regular work responsibilities and the infusion of NIST issues. Additionally, 25 semi-structured interviews with the coordinators and other program members, collection of organization documents, field observation, and feedback sessions provided valuable insight into the complexity of the model. This research contributes to the application of social network theory and analysis in information environments and provides insight for public administrators into the operation of the model and reasons for the program's network effectiveness.
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Austin, Lynn. "Why civil servants participate in policy formulation : a case study at the Centers for Disease Control and Prevention." Diss., Georgia Institute of Technology, 2000. http://hdl.handle.net/1853/30349.

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Benedetti, Cristina A. "Case Studies in Volunteer Management: Approaches from Three Ohio Arts Organizations." The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1386000586.

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Timoseva, Anastasija. "Renewable Energy Policy: A Comparative Case Study of Latvia and Sweden." Thesis, Uppsala universitet, Institutionen för geovetenskaper, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-389886.

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In autumn 2017, a news scandal surfaced in the Latvian media about a potential subsidy scam by the renewable energy generating companies. The scandal bought the attention of the Latvian government towards the renewable energy policy in Latvia with thoughts to research the existing support system and potentially change it to a new one. This situation provided the ground for reviewing the Latvian renewable energy policy in a comparison study with another European Union (EU) member country with an example of a good renewable energy policy implementation. Sweden was selected as the subject for the studies. This study was performed through a qualitative empirical data review, using documents and journal articles as the main information sources. The study has shown that both Sweden and Latvia take a leading position within the EU when it comes to the renewable energy share in the final energy mix regardless of the considerable gap in the quality of governance index that has an impact on the sustainable development of a country. A comparison of Latvian and Swedish policy also shows a difference in the policy consistency and stability. Lack of coherent policy terminology throughout the different authoritative information sources, more frequent policy revisions than in Sweden and general lack of data availability summarizes the situation in Latvia. The research has identified that the main difference between Latvian and Swedish renewable energy policy is the administrative processes surrounding it. In general, it can be said that Sweden has a more transparent system with less bureaucracy whereas in Latvia the process is more complex and therefore is more susceptible to corruption.
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Adediji, John Oluwole. "An exploration of leadership practices: a case study in a public high school in Nigeria." Thesis, Rhodes University, 2013. http://hdl.handle.net/10962/d1001955.

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The management of Nigeria high schools are noted for administrative practices in the management of their schools; hence the term administration is commonly used in their daily operations. This fact on ‘administration’ was emphasised by the Nigerian government in the National Policy on Education (Nigeria, 1981, p. 21). Therefor as a researcher from Nigeria, my rationale for embarking on this research study was to find out to what extent a public high school in Nigeria was still operating in a hierarchical, individualistic, authoritarian style of leadership or whether it has started embracing contemporary approaches such as distributed leadership. The main goal of this study was to explore leadership practices in the case study school with the main focus on how different people relate to each other in the various leadership practices of the school, such as staff and briefing meetings of the school. In addition, my research questions aimed at exploring the respondents’ perceptions of leadership and factors enabling or constraining the distribution of leadership in the school. The study is located within the interpretive paradigm. As a researcher in a wheelchair studying in South Africa I needed to find alternative ways of accessing the research site and gathering data. I was able to use electronic communication for the collection of my data. I used four different tools of data collection methods namely document analysis, observation, questionnaire and stimulated recall interviews. Findings from the study indicated that there was limited evidence of contemporary leadership approaches in the case study school. The school was still operating traditional leadership, while school activities were dominated by a hierarchical chain of command. What emerged from the leadership practices of the school could be termed authorised distributed leadership which was under the command of the school principal. Data also indicated that there were some forms of restricted teacher leadership in the management and administration of the school. In addition, findings revealed that the case study school was very good at the management and administrative functions. The school was very effective and efficient in the controlling and management of both human and material resources. Lastly, findings from the case study school indicated some enabling factors to the distribution of leadership in the case study school which include a culture of respect and cordial relations among the SMT and the teachers, Prominent among constraining factors to the distribution of leadership in the case study school were: cultural orientation of the people where the case school was located, exclusionary religious practices by the principal of the school and the inhibiting role played by the Ministry of Education. Finally, based on these findings, recommendations were made both for practice and for future research.
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Leon, de la Barra Sophia. "Building research capacity for indigenous health : a case study of the National Health and Medical Research Council : the evolution and impact of policy and capacity building strategies for indigenous health research over a decade from 1996 to 2006." University of Sydney, 2007. http://hdl.handle.net/2123/3538.

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Master of Philosophy
As Australia’s leading agency for funding health research (expending over $400 million in 2006), the National Health and Medical Research Council (NHMRC) has a major responsibility to improve the evidence base for health policy and practice. There is an urgent need for better evidence to guide policy and programs that improve the health of Indigenous peoples. In 2002, NHMRC endorsed a series of landmark policy changes to acknowledge its ongoing role and responsibilities in Indigenous health research—adopting a strategic Road Map for research, improving Indigenous representation across NHMRC Council and Principal Committees, and committing 5% of its annual budget to Indigenous health research. This thesis examines how these policies evolved, the extent to which they have been implemented, and their impact on agency expenditure in relation to People Support. Additionally, this thesis describes the impact of NHMRC policies in reshaping research practices among Indigenous populations.
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Svobodova, Valerie. "Redefining Protection Intervention in Humanitarian Aid through External Factors: A Case Study of Niger." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6683.

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The magnitude of internal displacement worldwide is growing every year and represents a tripling of the existing number of refugees worldwide. Internally displaced persons have specific vulnerabilities and the system of assistance to them needs to be adapted and revised. The purpose of this case study was to identify external factors that influence protection interventions for internally displaced persons in humanitarian response. Using Benet's Polarities of Democracy theory and the Theory of Change Conceptual Framework as a framework, the study sought to identify key external factors influencing protection intervention in humanitarian aid settings. Data for this study was gathered through focus group discussions with internally displaced persons in Niger. Key informant and protection cluster members were interviewed and an online survey conducted. In total, 38 persons participated. Content analysis was used to identify significant themes. The data revealed that multiple external factors impacted the effectiveness of protection intervention in humanitarian action. The central theme was a need for strengthened accountability towards affected populations, with other major themes, including donors and their influence; quality of programs - holistic approach, external attention to the crisis; coordination; nature of the crisis; security; position of the government; and data and analysis, also emerging. The findings shed light on the vulnerability of protection intervention in humanitarian settings, and open opportunities for further research in this topic.
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Beretti, David Patrick. "The choice between public and private sector agencies for the provision of local authorities services : a methodological analysis of selected case studies of services provided by the Cape Town City Council." Master's thesis, University of Cape Town, 1987. http://hdl.handle.net/11427/16391.

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Bibliography: pages 208-215.
This thesis explores the debate for public sector and private sector agency for the provision of local authority services. A methodological approach was devised to examine each potential case for privatisation and to evaluate both the public and private sector agencies in terms of the three identified criteria viz. economic and financial, strategic and political, and administrative and managerial. The field study included an investigation, aided by a literature survey and the collection of further relevant data pertaining to selected local authority services. Data and evidence were collected primarily through personal structured interviews with senior executives in both the public and private sectors. The methodological approach was applied to case studies of the solid waste ( collection and disposal) and construction (civil engineering and building) services of the Cape Town City Council.
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Kwan, Ngok-ying Margaret, and 關萼英. "The role transformation of the district education offices from the perspective of new public management before and after year 2000." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B3196722X.

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Locke, Eward P. "The use of military forces for emergency management| A comparative case study of the United States and Israel." Thesis, Capella University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3603822.

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Military organizations are often called upon to assist with emergency management missions, so it is critical that they have appropriately established and well understood organizational perceptual factors. Military organizations are often unique within a nation, which increases the challenge for scholars to effectively analyze how organizational factors are influenced by the dynamics of national use of military forces for emergency management missions. There are several disparate theories of government organization, but the most recent and relevant is Keith James' organizational science of disaster and terrorism prevention and response theory. James' theory identified several important organizational factors specific to emergency management organizations. These factors include organizational structure and networks, processes, teams, leadership, and technology. James' organizational factors guided the development of this qualitative comparative case study's interview protocol with 24 members from the strategic, operational, and tactical levels of the United States National Guard and Israeli Homefront Command. Results revealed why two nations use their military forces for disaster response as well as provided a description of how each organization is used within their respective nation. The data affirmed aspects of James' theory, including relevant structural, networking, and procedural factors and identified the other organizational factors within James' theory as possible areas for future research. Finally, based upon interview participant perceptions, recommendations were made to the leadership of the Homefront Command and National Guard regarding areas of potential organizational emphasis to include internal messaging, additional doctrine, and clarified organizational structures for disaster response.

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Qian, Wendy. "Comparative Case Studies of Rent-Seeking in China’s State-Owned Enterprises: the Ministry of Railway and China Mobile." Scholarship @ Claremont, 2012. http://scholarship.claremont.edu/cmc_theses/498.

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The problem of rent-seeking in China’s state-owned enterprises has worsened since the rapid increase in infrastructure investment, such as telecom and railway. State-owned enterprise reform in China has given licensing power to officials and executives without sufficient checks and balances. The Chinese government plans to introduce corporate governance structures and encourage private investment for the previously state-dominated industries, such as the railway industry, in the next decade. Yet these formalities cannot eradicate the political problem of corruption. This thesis will examine rent-seeking through the case studies of China Mobile’s former deputy general manager and Communist Party secretary Zhang Chunjiang’s patronage network in the value-added service industry and the Ministry of Railway’s ex-Minister Liu Zhijun’s patronage networks in the high speed railway project. Both central agents committed collective rent-seeking against the will of the principal through their subsidiaries.
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Aldolaimi, Ahmed H. "Investigating the effectiveness of training in the public sector in Saudi Arabia : case studies of the Ministry of Education and the Institute of Public Administration." Thesis, Durham University, 2006. http://etheses.dur.ac.uk/1836/.

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Fuhrman, Sefla. "Women in Nontraditional Occupations: a mixed methods qualitative case study on women in the U.S. concrete-construction industry." ScholarWorks@UNO, 2017. http://scholarworks.uno.edu/td/2323.

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The purpose of this mixed methods qualitative case study is to gain a deeper understanding about the factors that contribute to and/or hinder women’s participation in the construction industry by examining women’s experiences within one very industry-specific, male-dominated nontraditional occupation (NTO)—the concrete industry. In this study I utilized a combination of methods including interviews and survey research, as well as case analysis of an organization specifically involved with this population, the Women In Concrete Alliance (WICA). This investigation identifiesd some of the reasons why women’s participation remains low, discusses some of ways that the private, public, and educational sectors have set out to address those shortages, how women working in the field felt feel about those initiatives based upon their experiences, and what systems of support these women draw upon to remain active in a male-dominated profession. As women’s associations within NTOs are one relatively formal potential means of support for women facing occupational isolation, this study also examines different types of organizations to which women working in NTOs belong (e.g. membership, educational, advocacy, trades). I want to know in what ways the organizations benefit members; how the organizations support themselves or are supported financially.
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Bruce, Raymon R. "The Fairfax experience: using issue exploration to avoid errors of the third kind." Diss., Virginia Tech, 1992. http://hdl.handle.net/10919/39034.

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Issue exploration is used as a preliminary phase in strategic decision making. It performs the function of allowing strategic decision makers to encounter new information, learn from it, and use it to help them sort the strategic problems from the non-strategic problems. The function of issue exploration effort is to focus strategic resources on the strategic problems and to avoid solving the non-strategic ones. In statistics, solving the wrong problem is considered as making an Error of the Third Kind. For strategic decision makers, solving non-strategic problems can also be considered as making an Error of the Third Kind. An "Organizational Disposition For Change Framework" was developed to research the exploration behavior of thirty strategic decision-making management initiative:s for information technology development in Fairfax County, Virginia. The results supported the hypothesis that strategic decision-making initiatives that included exploration behavior significantly outperform those initiatives that did not.
Ph. D.
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41

Chimezie, Raymond Ogu. "A Case Study of Primary Healthcare Services in Isu, Nigeria." ScholarWorks, 2011. https://scholarworks.waldenu.edu/dissertations/1057.

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Access to primary medical care and prevention services in Nigeria is limited, especially in rural areas, despite national and international efforts to improve health service delivery. Using a conceptual framework developed by Penchansky and Thomas, this case study explored the perceptions of community residents and healthcare providers regarding residents' access to primary healthcare services in the rural area of Isu. Using a community-based research approach, semistructured interviews and focus groups were conducted with 27 participants, including government healthcare administrators, nurses and midwives, traditional healers, and residents. Data were analyzed using Colaizzi's 7-step method for qualitative data analysis. Key findings included that (a) healthcare is focused on children and pregnant women; (b) healthcare is largely ineffective because of insufficient funding, misguided leadership, poor system infrastructure, and facility neglect; (c) residents lack knowledge of and confidence in available primary healthcare services; (d) residents regularly use traditional healers even though these healers are not recognized by local government administrators; and (e) residents can be valuable participants in community-based research. The potential for positive social change includes improved communication between local government, residents, and traditional healers, and improved access to healthcare for residents.
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van, der Heide George, and n/a. "Effective strategies for conducting school development in health education programs." University of Canberra. Professional & Community Education, 1998. http://erl.canberra.edu.au./public/adt-AUC20060427.131945.

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Thesis Statement The thesis argument is that theory can be developed about the implementation, maintenance and dissemination of school health education based on a school development approach. Such theory development can assist teachers to design programs appropriate to the needs of their classrooms, schools and communities. Thesis Setting The implementation and maintenance of school health education programs has not usually been the focus of research and as a consequence is rarely reported in the literature. The research in this thesis draws upon many disciplines and fields but in order to answer the thesis questions methodological processes were required that were consistent with current school situations. The earlier School Development in Health Education (SDHE) program's work in research, development and dissemination provided the setting for the thesis. Methodology of the Research The methodology of the research study involved a case study approach using both multiple and single case studies. Data have been drawn from SDHE schools in South Australia undertaking health, sexuality and drug education. The methodology adopted for the studies in this thesis is a case study design incorporating an iterative theory-study-theory sequence in which an initial theory statement derived from the literature guides the development of a multiple case study which, in effect, 'tests' the theory in a qualitative way. The finding of the case study then informs development and elaboration of the theory statement in its second version. This is then used to test the next multiple case study which leads to further development of the theory in its third version. The third iteration of the theory is tested in a single case study that leads to the fourth and final version of the theory. Data analysis was aided by the use of the Q.S.R. NUD.IST computer package that helped to manage and explore the thesis ideas about the data. In establishing these syntheses the chain of evidence in the data sets was maintained. The analysis also allowed the thesis findings to be used to test theories about the data that answered the thesis questions. Thesis Findings The findings of the thesis are contained in the final version of the theory. The theory is structured around program drivers, phases, types and processes that together produce implementation, maintenance and dissemination. This final theory statement is the basis for drawing the thesis conclusions. Thesis Conclusions It was concluded that patterns of factors that enhance and inhibit the implementation, maintenance and dissemination of school health education programs could be placed in a theoretical framework that can guide practice in school health education. To be successful school health education programs have to include three critical elements: leadership, action research and funding. Leaders or program drivers need to be identified and resourced; they may be principals or designated teaching staff with access to decision making, policy processes and resource allocation in schools. Teachers need to engage in a reflective action research process to develop, modify and sustain their curriculum development work. Programs require adequate funding resources for teachers' professional development, including action research, and the purchase of human and material resources. Schools planning to introduce programs may learn from the experience of others but they must themselves engage in the critical and essential program features identified in the final version of the theory. Implications The thesis conclusions imply the need to use more efficient ways of bringing schools' and teachers' hidden competence to the fore to support school health education program through varied patterns of professional development, technical support and curriculum development and implementation, and through funding of enhanced professional practice for health literacy. A major implication for the health sector is that many health workers need to learn collaborative skills since there is a tendency to take control and attempt to direct what teachers should do rather than work with and support them. An implication for programs in complex social environments is the need for careful planning in collaboration with other stakeholders. The critical elements developed in this thesis also apply - leadership, action research and funding. Evaluation can adopt a case study approach as a more suitable method for examining what happens in programs than an overly simplistic approach of assessing goals and objectives which ignores the differences in program implementation for different sites with the necessary localisation. Further Research Further research suggested by the thesis findings are in the areas of school health education in the changing administrative and management environment today, and of the use of various types of case study research in tandem to answer comprehensive and complex program performance questions.
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43

Lensing, Willene (Willene Crowell). "A Case Study of Social Transformation in Medical Care at the Community Level." Thesis, University of North Texas, 1994. https://digital.library.unt.edu/ark:/67531/metadc277789/.

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This descriptive case study of the transformation in medical care at the community level was carried out with a triangulation approach. Data from documents and surveys using both semi-structured and unstructured interviews were gathered to evaluate and explain how medical care delivery changed from a primarily public system to one predominantly private.
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44

Williams, Richard A. Sr. "Post-Katrina Retention of Law Enforcement Officers: A Case Study of the New Orleans Police Department." ScholarWorks@UNO, 2018. https://scholarworks.uno.edu/td/2500.

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This dissertation is a case study of the New Orleans Police Department and identified factors that affected the retention of law enforcement officers post-Hurricane Katrina. The NOPD was chosen because the agency was an extreme case and experienced the unprecedented separation of over 300 officers during and post- Hurricane Katrina. The variables examined included tenure, age, salary, education, and job satisfaction, as well as, race, sex, marital status, and New Orleans residency. This research is significant because in a time of decreasing budgets and increased cost to replace employees, where skills are scarce and knowledge is important, recruitment is costly, and it takes time to fill vacancies, turnover can be problematic (Loquercio, 2006). Hurricane Katrina was an unprecedented catastrophic disaster unlike any event experienced by a local police department. The impact accelerated the attrition of New Orleans Police Department officers at a time when the agency and community needed them the most. In addition to normal retention challenges experienced by law enforcement, post-Hurricane Katrina, the New Orleans Police Department experienced separation of almost a fourth of its agency post-Hurricane Katrina. This was very problematic and forced the department to operate severely short-staffed at a time when the department was trying to provide essential services to the community and recover from the storm’s affect at the same time. This dissertation explored some of the causes of attrition, examined the attrition of the NOPD pre-and post-Hurricane Katrina, and reasons most officers stayed. It was important to identify lessons learned from an agency and officers who experienced a disaster and unprecedented attrition of officers first hand. The consequences of such significant attrition will take years to overcome, especially in light of the New Orleans Police Department’s pre-and post-Hurricane Katrina recruitment and retention challenges.
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Zakaria, Ahmad Faisal bin. "The scope and significance of good information management in the effective administration of public service organisations : a case study of the Malaysian Inland Revenue Department." Thesis, University of Hull, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.318384.

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46

Hedström, Linda. "Ett steg framåt och två bakåt? : One step forward and two backwards? - A case study of changes within public administration." Thesis, Karlstad University, Division for Social Sciences, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-178.

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This thesis is a case study of changes within public administration. The purpose is to describe and discuss changes inspired by New Public Management within public administration. These changes will also be studied a bit further in order to find out whether they have been effected by any form of path dependency.

In order to fulfil the purpose of the thesis I intend to formulate my main question as follows:

• Does path dependency effect the possibility for changes within public administration?

To be able to answer my main question and fulfil the purpose of the thesis I have chosen to study the county planning commission in Trollhättan. Here I have selected a few changes concerning the possibility to handle various permissions in an efficient way. To examine whether these changes have been effected by any path dependency, a number of interviews were undertaken with representatives from the administration of my case.

After analysing these interviews the answer to my main question is, yes. The change process has all together been effected by path dependency, which has delayed the implementation and in some sense also worsened the possibility of in an effective way handling various permissions in the county commission.

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Lundsgård, Teresia. "The International Society on Genocide - A comparative case study of Rwanda and Darfur." Thesis, Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-24100.

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As the 21st century has been approaching the concept of genocide is nothing new, rather the opposite. Since the beginning of the 1990s we have seen several major genocides taking place around the world, all in where hundreds of thousands of people have been brutally murdered, died or ended up forced to flee from their own country, home and sense of security. This thesis will examine the differences and similarities on how the world has acted in two major genocides: Rwanda 1994 and Darfur 2003-2007.
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Petersen, Nikiforos. "The Common European Asylum System : Challenges and Opportunities in Greece. A Case Study." Thesis, Linköpings universitet, Statsvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-156344.

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This thesis aims to investigate decision-making and policy implementation in the European Union, specifically regarding the Common European Asylum System (CEAS) and to compare how the political intention corresponds to the reality of its implementation, using the example of Greece. Europe’s ability to handle migration and refugee flows has been severely tested in recent years due to the large number of people fleeing wars in Central Asia and the Middle East. The CEAS constitutes a fairly modern endeavor compared to other regional programs concerned with refugee protection but it has not yet made a significant improvement in how refugees are treated. At the same time, Greece has been in an acute socio-economic crisis since at least 2010. European integration has traditionally been subject to theoretical analysis through Moravcsiik’s Liberal Intergovernmentalism and various forms of formalism. This thesis has tried to apply Historical Institutionalism to explain certain facets of the CEAS and the recent and on-going ‘refugee’ crisis. In combination with other theories, Institutionalism can contribute to an understanding of recent forces towards further integration and divergence in the European Union.
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Schulz, Robinson Shirley Public Health &amp Community Medicine Faculty of Medicine UNSW. "Contextualizing implementation of the community health program: a case study of the Hunter region, New South Wales 1974 -1989." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/26248.

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How health care is best provided remains topical, contentious, and political. Debates continue over funding allocation and the weighting placed on preventive, curative, institutional and community services. Such debates were evident in 1973 when a new Federal Labor Government began to reform Australia's health system by implementing a national Community Health Program policy. Implementation led to the establishment of community health centres and multi-disciplinary teams. Studies have generally concluded that community health centre teams have ???failed??? to achieve the goals of this policy. This study sought to answer one broad question. How was the community health program policy implemented, in what context did this event occur, what processes were used and why, and how did generalist community nurses participate? This case study of the Hunter Region, New South Wales, between 1974 and 1989, was based on data collected from four sources: over five hundred documents and archives, including relevant literature, epidemiological studies, centre records, official government and newspaper reports; 69 in-depth interviews with practitioners and administrators; and participant observation. The findings revealed that implementation was hindered by political, administrative and professional impediments. However, practitioners established and provided a broad range of relevant new services by changing the way they practised. Generalist community nurses worked with non-government, private and public organisations offering health, educational and social services. As boundary riders they filled structural holes and created social capital. Conclusions drawn were first, that context strongly influenced how public health policies were implemented and the services offered by different discipline groups. Second, teamwork would have been improved had pre-service health professional education fostered a common understanding of the aim of health care and the broader determinants of health. Third, a preventive orientation needed reinforcing via an organisational context, administrative processes, ongoing learning opportunities and leadership. Fourth, generalist community nurses??? commitment to a preventive approach was embedded in a growing understanding of people's circumstances and health problems. Finally, while policy implementation was constrained in the Hunter Region during the study period it achieved what its architects intended, that is, a broader mix of accessible services, and collaboration between organisations and groups as the boundaries that maintained their separation were bridged.
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Bowman, Gary. "An empirical analysis of a scenario-informed strategic planning process : a public sector case." Thesis, University of St Andrews, 2011. http://hdl.handle.net/10023/1978.

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This thesis lies at the nexus of scenario planning and strategy. Scenario planning is a foresight activity used extensively in strategic planning and public policy development to imagine alternative, plausible futures as means to understand the driving forces behind the uncertainties and possibilities of a changing environment. Despite significant application in both private and public sectors, and a growing body of academic and practitioner-orientated literature, little empirical evidence exists about how organisations actually use scenario planning to inform strategy. Moreover, the emerging Strategy-as-Practice (S-as-P) perspective, which has exposed strategy to more sociological pursuits, presented a way of conceiving and studying strategy not as something an organisation has, but rather as something people do. By examining the activities of scenario planning, understanding its use as an example of episodic, interactive strategizing, S-as-P provides a theoretical lens through which to perform a much-needed empirical analysis of the scenario-to-strategy process. A second goal of the thesis is to advance understanding of the S-as-P perspective by addressing recent criticisms as well as contributing to the growing body of practice-based research. The central research question which guides the thesis is, how does an organisation use scenario planning to inform the strategic planning process? To answer this question, the research vehicle is a single, in-depth case study of community planning in Fife, which extends from 1999 until April 2008. A detailed, longitudinal narrative of Fife’s scenario planning and strategy process is presented before using empirical evidence from the case to understand how an organisation manages the scenario planning process, how scenario planning affects policy development, and how cognitive processes manifest physically in an organisation. The thesis concludes that scenario planning created a sensemaking/sensegiving framework that provided structural and interpretive legitimacy which facilitated communicative activities and helped the Fife Partnership understand and improve the interconnectedness of Fife’s public services and community planning process. While contributing to the S-as-P research agenda, the investigation of the scenario-to-strategy process also revealed, and solidified, a number of criticisms that challenge the theoretical, conceptual, and empirical validity of the strategy-as-practice perspective.
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