Going beyond the identification of change facilitators to effectively implement a new model of services: lessons learned from a case example in paediatric rehabilitation

Purpose: To identify facilitators and barriers to service reorganization, how they evolved and interacted to influence change during the implementation of a new service delivery model of paediatric rehabilitation. Methods: Over 3 years, different stakeholders responded to SWOT questionnaires (n = 139) and participated in focus groups (n = 19) and telephone interviews (n = 13). A framework based on socio constructivist theories made sense of the data. Results: Facilitators related to the programme's structure (e.g. funding), the actors (e.g. willingness to test the new service model) and the change management process (e.g. participative approach). Some initial facilitators became barriers (e.g. leadership lacked at the end), while other barriers emerged (e.g. lack of tools). Understanding factor interactions requires examining the multiple actors’ intentions, actions and consequences and their relations with structural elements. Conclusions: Analysing facilitators and barriers helped better understand the change processes, but this must be followed by concrete actions to successfully implement new paediatric rehabilitation models.

Developing Web Design Skills Through Group Critiquing and Feedback.

The aim of this quasi-experimental research study was to investigate whether guided small-group discussions that involved explaining, analysing or justifying design and followed a modeling session from the teacher could improve students' creativity in web design. The convenience sample comprised of 37 third year students of the ""Publication Design and Hypermedi Technology"" program at John Abbott College in Sainte-Anne-de-Bellvue, Quebec who had enrolled in the Web Design course offered in the Fall semester of 2011. The primary instrument of this study was a set of two assigments for the course. A traditional teaching method was used during the first assignment and a small-group teaching strategy was implemented during the second one. Another instrument used in this research was a questionnaire on willingness to participate in teamwork. The last instrument of this study was a questionnaire on the type of intelligences that students possessed. It is hoped that the knowledge gathered from the study will add to the information about group-work activities and critiquing in particular.