Factors influencing the use of evidence based practice among physiotherapists and occupational therapists in their clinical work

Background: Evidence-based practice (EBP) is a process through which research is applied in daily clinical practice. Occupational therapists (OTs) and physiotherapists (PTs) are expected to work in line with EBP in order to optimise health care resources. This expectation is too seldom fulfilled. Consequently, research findings may not be implemented in clinical practice in a timely manner, or at all. To remedy this situation, additional knowledge is needed regarding what factors influence the process of EBP among practitioners. The purpose of the present study was to identify factors that influence the use of EBP and the experienced effects of the use of EBP among PTs and OTs in their clinical work. Method: This was a qualitative interview study that consisted of six group interviews involving either OTs or PTs employed by the Jönköping County Council in the South of Sweden. Resulting data were analysed using content analysis. Results: The analysis resulted in the following categories: “definition of evidence and EBP”, “sources of evidence”, “barriers to acquiring evidence and to using evidence in clinical work”, “factors that facilitate the acquisition of evidence and the use of evidence in clinical work”, and “personal experiences of using EBP”. Basing clinical practice on scientific evidence evoked positive experiences, although an ambivalent view towards acting on clinical experience was evident. Participants reported that time for and increased knowledge about searching for, evaluating, and implementing EBP were needed. Conclusion: Because OTs are more oriented towards professional theories and models, and PTs are more focused on randomised controlled trials of interventions, different strategies appear to be needed to increase EBP in these two professions. Management support was considered vital to the implementation of EBP. However, the personal obligation to work in line with EBP must also be emphasised; the participants apparently underestimate its importance.

Corporate identity manifested through historical references

Purpose – The purpose of this paper is to focus on how firms draw on historical references in corporate marketing. The paper seeks to analyze the logic behind such efforts from a corporate identity perspective and to propose potential risks and/or benefits of doing so. The paper aims to inspire the understanding of how references to history are used in marketing and the outcome of such use. Design/methodology/approach – The paper mainly draws on literature relating to corporate marketing and the use of history in organizations. Combining these theories, and pointing at empirical examples, the paper clarifies why references to history can be important mani-festations of corporate identity. The paper comes up with propositions concerning what consequences the reference to history in corporate marketing can have for firms’ marketing strategies and business development. Findings – The paper outlines a connection among corporate identity, organizational identity, and image through corporate communications. It suggests that among the range of corporate characteristics, historical references can be particular valuable for corporate communications thanks to the reliability age can provide (as opposed to liabilities of newness). Still, elaborations suggest that the planned use of historical references has both pros and cons in terms of business development. Originality/value – Despite the notion that history, as an inevitable and distinctive firm feature, can play an important role in corporate marketing, research on the topic is quite scarce. This paper offers some remedy to this gap by elaborating on the internal and external rationales for applying historical references and how these can be explained in connections between corporate identity and history.

Ghostly sisters: feminist collaborative performance in Australia

This article examines how feminist performance has been, and continues to be, a key vehicle for the collaborative exploration of sexual difference and female subjectivity in Australia. It focuses specifically on the Lean Sisters and Generic Ghosts, whose collaborative performances occurred during the seventies and eighties, and their impact on subsequent feminist collaborative performance groups. As the article demonstrates, this counter-cultural tradition of performance typically deploys tactics of intertextuality, cross-media experimentation, humour, and détournement to critique gender oppression and its recurrence, while staging new possibilities of an embodied feminist politics.

Queer penalities: the criminal justice paradigm in lesbian and gay anti-violence politics

Building upon the renewed attention to the ways in which criminology may be ‘queered’ (or not), this article explores how a criminal justice paradigm has influenced lesbian and gay politics through an investigation of anti-homophobic research and lobbying focused on violence and harassment. It asks: What place does criminal justice occupy within sexual politics? Using the Australian state of Victoria as a case study, the article examines how the lesbian and gay anti-violence movement has utilized criminal justice theories, methodologies and approaches to explain and attempt to remedy ‘homophobic hate’. It provides three inter-connected examples of the permeation of criminal justice logics: (1) the victimization survey method, (2) the focus on police reform, and (3) elements of a punitive public discourse surrounding homophobic hate crime. These examples are nevertheless complicated by the persistence of institutionalized violence and state failure to ‘protect’ lesbian, gay, bisexual and transgender (LGBT) lives. These discursive practices contribute to ‘queer penalities’, a term used to describe the ways in which lesbian and gay movements shape and contest the social meaning of terms such as ‘crime’, victimization and punishment.

Litigation by shareholders and directors: an empirical study of the Australian statutory derivative action

A number of countries have statutory derivative actions. They allow a shareholder to bring legal action on behalf of the company, typically where the company refuses or is unable to bring the action. The Australian derivative action was enacted in March 2000 to overcome inadequacies with the common law derivative action. In this article the authors present the results of an empirical study of all cases decided under the Australian statutory derivative action during its first 6 years of operation. The study provides insights into the way Australian courts have interpreted and applied this legal remedy. The authors evaluate the statutory derivative action in light of the reasons for its enactment. Issues discussed in the article include the role of shareholder litigation in corporate governance and the rationale for statutory derivative actions.

‘There isn’t kind of a White History Month or anything like that for them’: equity, schooling and the problematics of group identity politics

This paper explores issues of equity and group identity at ‘Hamilton Court’, a large comprehensive multi-faith and multi-cultural school located in England. The exploration draws on data gathered from a study that examined the conditions, structures and practices associated with productively addressing issues of justice and cultural diversity. The paper focuses, in particular, on the voices of two learning mentors, ‘Rosanna’ and ‘Yasmeen’. With reference to a cultural event at the school based around an Asian-inspired Bollywood Dance Festival, the school’s approach to absence requests on the basis of religious observance, and the disadvantage experienced by a particular White British working class boy, the paper highlights tensions and problematics associated with issues of equity, schooling and group identity. The paper makes a theoretical contribution to debates in this area. Further illustrating the limitations of distributive understandings of equity that begin with group identity politics and fail to consider matters of context in struggles against cultural oppressions, it examines the possibilities of an equity approach that instead begins with a focus on overcoming these relations of oppression.

‘It’s almost like a White school now’: racialised complexities, Indigenous representation and school leadership

Drawing on a broader study that focused on examining principal leadership for equity and diversity, this paper presents the leadership experiences of ‘Jane’, a White, middle-class principal of a rural Indigenous school. The paper highlights how Jane's leadership is inextricably shaped by her assumptions about race and the political dynamics and historical specificities of her school community. A central focus is on Jane's tendency to deploy culturally reductionist understandings of Indigeneity that position it as incompatible or incommensurable with White culture/western schooling. The paper argues the central imperative of a leadership that rejects these understandings and engages in a critical situational analysis of Indigenous politics, relations and experience. Such an analysis is presented as imperative to supporting representative justice in that it moves beyond merely according a voice to Indigenous people to a focus on better understanding, problematising and remedying the racial relations that contribute to Indigenous oppression.

Pursuing justice for refugee students: addressing issues of cultural (mis)recognition

In this paper Nancy Fraser’s conceptual tools are drawn on to theorise issues of justice in a culturally diverse primary school in Australia where approximately 30% of the student population are immigrant/refugees. The paper examines justice issues of cultural recognition in relation to refugee student identity, behaviour and assessment. Drawing on interview data from a study that sought to identify productive approaches to addressing equity for refugee students, the paper highlights the school’s efforts to remedy issues of cultural misrecognition associated with an equation of refugee student difference and marginality with deficit and lack. Such efforts relate to the school’s endeavours to create an inclusive and socially cohesive environment that supports a valuing of, and connection to, refugee student difference. These endeavours are theorised as highly productive in their capacity to disrupt the relations of cultural domination, non-recognition and disrespect that exclude and/or malign some refugee students at the school and broader level. The paper argues the importance of such an approach in light of the unprecedented diversity and complexity of the global context where schools are consistently challenged with new and changing equity concerns and priorities.

Indigenous girls, social justice, and schooling : addressing issues of disadvantage

Indigenous women and girls in Australia remain highly disadvantaged economically, culturally, and politically. The ways in which schools can better address this disadvantage are the focus of this chapter. The chapter builds on existing research in the area of Indigenous schooling and social justice to add important theoretical and practical insight into supporting Indigenous girls – an equity group whose marginalization (while highly salient) tends to be lost amid broader concerns about Indigeneity. With reference to “Emma’s” story as exemplifying some of the key constraints to the educational attainment of Indigenous girls , the chapter explores how schools might begin to remedy this disadvantage through their engagement with a politics of (1) economic redistribution, (2) cultural recognition, and (3) political representation.

LLR OHR Onboarding & OIE New Hire Orientation

Currently, there is no formal orientation process within Office of Investigations & Enforcement of the South Carolina Department of Labor, Licensing & Regulation for new hire investigators. The Office of Human Resources has identified this as an opportunity for improvement because research shows that engaging employees early in their career leads to greater employee satisfaction levels, productivity, and retention. This paper investigates ways to remedy this situation.

Taux d‘inscription, de rétention et de décrochage dans le programme de gestion du tourisme

Abstract : This paper examines the factors motivating students to enrol in the Tourism Management program at Champlain College, St-Lambert and why a large number of students abandon the program before obtaining their DEC. There is a great deal of literature on student attrition, however there is little consensus on why students withdraw from college programs and the results cannot be easily generalized to this particular set of students at this time. Understanding the factors that influenced the students to choose Tourism Management at Champlain, St-Lambert and why they then leave before completing the six semesters will help with student success and with the marketing of the program. The theoretical framework guiding the study is metacognition, a branch of cognitive psychology that deals with the awareness and understanding of one’s thinking processes. Through a survey, students were asked to rank the general and specific factors that influenced their choice of Tourism Management as a program of study. Exit interviews were carried out with students who abandoned the program within the first year of study to determine the reasons for dropping out. Students who persisted in the program wrote journals describing their first year experience in order to identify any differences in metacognitive abilities with those who abandoned the program. The academic records of all students were also analyzed. The major factors influencing students to choose the Tourism Management program were interest in travel and job opportunities available after graduating. The results from the exit interviews and journals also showed that interest in travel was the primary reason for enrolment. The knowledge that students had of Cegep and the Tourism Management program before enroling however was negligible, particularly among the group that abandoned the program within the first year of study. The analyses of the academic records of the 2007 incoming students showed that the students with the lower high school grades were more likely to abandon the Tourism Management program than those with higher grades. The same is true for first semester and second semester Cegep grades. The major reason why the students abandoned the program during the 2007/2008 academic year was a lack of interest or a dislike of the program, followed by financial difficulties. It is not clear however what the lack of interest can be attributed to and this may be an avenue for future research. As opposed to the students who persisted in the program, those who abandoned their studies had unrealistic expectations of the academic requirements, were unprepared for the workload, had more difficulty analyzing their own performance and had not set concrete goals for themselves. The study shows several problem areas within the program. Of main concern is the lack of knowledge that students have of Cegep life and the Tourism Management program in general and the lack of preparation for Cegep level courses. The scheduling of courses and teaching methods within the program are other areas that need to be addressed. The paper concludes with a set of recommendations to possibly help remedy some of the problems.||Résumé : Ce travail s’intéresse aux facteurs qui motivent les étudiants à s’inscrire au programme de tourisme offert au Collège Champlain de St-Lambert. Il cherche à établir les raisons qui font en sorte qu’un si grand nombre d’étudiants abandonnent le programme avant d’obtenir leur DEC. Plusieurs recherches ont été effectuées sur l’abandon scolaire, mais il n’y a pas de consensus quant aux raisons pour lesquelles les étudiants se retirent du programme collégial. Actuellement, il est difficile d’établir des liens entre les résultats de ces recherches et ce groupe d’étudiants. La compréhension des facteurs qui influencent les étudiants à choisir le tourisme au Collège Champlain et les raisons qui font en sorte qu’ils quittent avant d’avoir complété leur formation, nous permettront d’améliorer le taux de rétention des étudiants dans ce programme. De plus, cela favorisera le marketing du programme. Le cadre théorique de cette recherche est la métacognition, une composante importante de la psychologie cognitive qui examine la connaissance et le contrôle qu’une personne a sur sa façon de penser. La métacognition est une variable qui différencie les étudiants qui réussissent de ceux qui abandonnent (Tardif 1997). La méthodologie de cette recherche comprend : un sondage, des entrevues, des comptes-rendus sous forme de journal et une analyse des résultats scolaires. Le sondage fut complété par tous les étudiants qui ont commencé le programme en tourisme en août 2007. Ce sondage avait pour but d’établir les facteurs qui ont motivé les étudiants à choisir cette discipline. Ceux-ci étaient divisés en deux volets soient : les facteurs généraux et les facteurs spécifiques. Les facteurs généraux comprennent l’intérêt pour les voyages et les informations obtenues auprès des orienteurs, des enseignants, de la publicité faite par les cégeps, des parents et des amis. Les facteurs spécifiques incluent les différents cours offerts tels que la géographie, l’informatique, l’administration, le programme de voyages, le stage en milieu de travail, la réputation du programme et de ses professeurs. Les entrevues ont été effectuées auprès de sept étudiants qui ont abandonné le programme entre décembre 2007 et juin 2008. Le but de ces entrevues était de déterminer les raisons de ces abandons. Les étudiants qui ont poursuivi leur formation en tourisme ont rédigé un journal dans lequel ils décrivaient leur expérience tout au long de leur première année d’études. Dans ce journal, ils devaient répondre à sept questions qui avaient pour but de déterminer les différences entre leurs habiletés métacognitives et celles de ceux qui se sont retirés du programme. L’analyse des dossiers des étudiants tenait compte des résultats scolaires du secondaire ainsi que des résultats académiques de la première année de cégep. Les principaux facteurs qui ont motivé les étudiants à choisir le programme gestion du tourisme étaient l’intérêt pour les voyages et les opportunités d’emploi après l’obtention de leur DEC. La connaissance que les étudiants ont du cégep et du programme de gestion du tourisme avant de s’inscrire était toutefois négligeable, particulièrement parmi le groupe qui a abandonné le programme durant la première année d’études. L’analyse des résultats académiques des étudiants a démontré que les candidats ayant des notes inférieures à l’école secondaire sont plus susceptibles d’abandonner le programme de gestion du tourisme que ceux ayant des notes supérieures. L’analyse arrive aux mêmes conclusions en ce qui concerne les candidats qui ont obtenu de faibles résultats académiques lors de la première et de la deuxième session du cégep. Les raisons principales qui ont fait en sorte que les étudiants ont abandonné le programme durant l’année académique 2007-2008 étaient le manque d’intérêt pour le programme et les difficultés financières. Par ailleurs, nous ne pouvons établir de façon générale les causes de ce manque d’intérêt. Cela pourrait faire l’objet d’une recherche ultérieure. Par opposition aux étudiants qui ont poursuivi le programme, ceux qui ont abandonné leurs études avaient des attentes irréalistes en ce qui a trait aux exigences académiques, ils n’étaient pas préparés pour la charge de travail, ils avaient plus de difficultés à analyser leur propre performance et ils ne s’étaient pas fixé d’objectifs concrets. L’étude a identifié plusieurs secteurs problématiques à l’intérieur du programme. L’une des problématiques principales est le manque de connaissance que les étudiants ont de la vie au cégep et du programme de tourisme en général sans compter le manque de préparation pour des cours de niveau cégep. L’horaire des cours et les méthodes d’enseignement à l’intérieur du programme sont d’autres éléments qui méritent d’être revus. Les limites de cette recherche comprennent le nombre restreint d’étudiants qui ont accepté d’être interviewés et l’effet d’intervieweur. Étant donné que l’intervieweur était le professeur des étudiants et malgré le fait que ceux-ci n’étudient plus en gestion du tourisme, ils peuvent se sentir obligés de répondre à l’intervieweur de façon subjective. Les recherches futures pourront inclure un plus grand nombre d’entrevues menées par des intervieweurs expérimentés n’ayant eu au préalable aucun contact avec les étudiants et ce dans le but de favoriser une plus grande objectivité. Un autre domaine de recherche pourrait être l’analyse du fait que des étudiants très intéressés par les voyages finissent par se désintéresser complètement du programme. Enfin et possiblement l’un des facteurs qui nous semble des plus importants est le besoin pour les étudiants du secondaire d’en connaître plus sur la vie au cégep et sur le programme de gestion du tourisme. Le document se termine par un ensemble de recommandations pour le Collège, le programme et les professeurs pour éventuellement aider à remédier aux problèmes identifiés.

Hallazgos tomográficos como predictores del resultado funcional en edema macular secundario a oclusiones venosas retinianas

INTRODUCCIÓN: El Edema Macular (EM) es la principal causa de perdida de agudeza visual en pacientes con Oclusión Venosa Retiniana (OVR); luego del tratamiento, algunos pacientes persisten con mala agudeza visual. OBJETIVO: Realizar una Revisión Sistemática de la Literatura (RSL), para identificar la evidencia existente sobre factores tomográficos que predicen el resultado visual en pacientes con EM secundario a OVR. FUENTE DE LA INFORMACIÓN: PUBMED, MEDLINE, EMBASE, LILACS, COCHRANE, literatura gris. SELECCIÓN DE LOS ESTUDIOS: Ensayos Clínicos Controlados (ECC) y estudios observacionales analíticos. EXTRACCIÓN Y SÍNTESIS DE LOS DATOS: Dos investigadores seleccionaron los artículos de forma independiente. Se realizó una síntesis cualitativa de la información siguiendo las recomendaciones de la declaración PRISMA 2009. MEDIDAS Y DESENLACE PRINCIPAL: Grosor Retiniano Central (GRC), integridad de Banda Elipsoide e Integridad de Membrana Limitante Externa (MLE), determinados por SD OCT. El desenlace principal es la Agudeza Visual Mejor Corregida (AVMC) a los 6, 12,18 y/o 24 meses. RESULTADOS: Se identificaron 872 abstract y se incluyeron 8 artículos en el análisis cualitativo. Seis estudios evaluaron el GRC sin encontrar asociación con resultado visual final. Solo 2 estudios evaluaron y encontraron asociación estadísticamente significativa de la integridad de la MLE con el desenlace visual, Kang, H 2012 (r2 0,51 p 0,000), Rodriguez, F 2014 (p< 0,001). La integridad de la BE fue asociada a pronostico visual en 4 de 5 estudios que evaluaron esta variable, con resultados estadísticamente significativos. La AVMC de base también se asocio con desenlace visual en 4 de 5 estudios que la evaluaron. El mejor modelo que predice el resultado funcional según el estudio de Kang, H 2012 fue: Integridad de MLE, integridad de BE y AVMC de base (R2 0,671 p 0,000), a los 12 meses de seguimiento. CONCLUSION: La evidencia actual sugiere que la integridad de la BE y la MLE son predictores del resultados funcional en pacientes con EM secundario a OVR después de 6 o mas meses de seguimiento. Es necesario la realización de estudios controlados para llegar a resultados mas concluyentes.

EL PUEBLO ANDINO Y SU DIALÉCTICA HISTÓRICA

ResumenEste artículo explora la sociedad andina analizada desde tres realidades: la geográfica, la socioeconómica,y la política. Sus contextos, y sus características fundamentales son estudiados. Estenos conduce a replantearnos los conceptos de realidad geográfica, libertad, dominación, opresión,realidad económica, realidad política, entre otros.Palabras clave: Pueblo andino, cultura, cultura aymara, cultura quechua, realidad geográfica, libertad,dominación, opresión, realidad económica, realidad política.AbstractThis article deals with the Andean society, analyzed from three realities; the geographical, socio-economicand political. Its contexts and its fundamental characteristics are studied. This leads us to rethink the conceptsof geographical reality, freedom, domination, oppression, economic, political reality, among others.Keywords: Andean People, culture, Aymara culture, Quechua culture, geographical reality, freedom,domination, oppression, economic reality, political reality.

Mujeres negras (sirvientas, putas, matronas): una aproximación a la mujer negra de Colombia

This text questions what it means to be black women in the context of inequity and the multiple forms of violence suffered in Colombian society. It argues that the analysis on black women situation, gender categories are insufficient. Instead, it declares as necessary an analysis that also articulates categories such as ethnicity / race, class, and sexual orientation, questioning these categories while at the same time giving new significance from the specific experiences of women and black communities are given. The text places in tension a universalistic view of feminism and the traditional left. It also explores the reasons for the poverty of the black population especially in the Colombian Pacific region, the institutional emergence of women´s organizations in the same region an examines the "ethnization" of Pacific communities in the context of regulation of article 55 of the Constitution of 1991. Finally, the article ends by showing how oppression has many faces for the black population, especially for black women.