Suchergebnisse

Learning has been defined as a condition for improving the quality of healthcare practice. The focus of this paper is on physicians' learning and their support of others' learning in the context of Swedish healthcare. Data were generated through individual and focus group interviews and analyzed from a socio-material practice theory perspective. During their workday, physicians dynamically alternated between their own learning and their support of others' learning in individual patient processes. Learning and learning support were interconnected with the versatile mobility of physicians across different contexts and their participation in multiple communities of collaboration and through tensions between responsibilities in healthcare. The findings illustrate how learning enactments are framed by the existing "practice architectures." We argue that productive reflection on dimensions of learning enactments in practice can enhance physicians' professional learning and improve professional practice.

Healing of Memories -- Memory Work as Participatory Action Research -- Burundi -- Background of the conflicts in the Great Lakes region and implementation of methods for reconciliation and trauma healing using the example of the organization APRED-RGL -- From the challenges to the strengths of the ongoing reconciliation process in Burundi -- Awareness-raising via interactive theater at Gitega commune Bugendana -- Recovering the Wealth of our Humanness -- Rwanda -- The Impact of Grassroots Reconciliation Processes on Healing Wounds among Survivors of the Tutsi Genocide among Tutsi Genocide Survivors and Former Perpetrators in Rwanda -- Grassroots Experience of Memory, Healing, and Reconciliation -- Reconciliation and Healing in the Diocese of the Anglican Church of Rwanda (EAR) Shyogwe -- The Role of the Anglican Church of Rwanda (EAR) Kigeme in Promoting Peace, Unity and Reconciliation through Grass Root Churches -- Flowers of Reconciliation from Umucyo Nyanza Project -- Democratic Republic of the Congo -- From the acoustics of weapons to the guitar, an extraordinary professional retraining -- Youth involvement in the prevention and non-violent resolution of conflicts in Goma city -- Reintegration of vulnerable girls through the Nyota Center in Kadutu (Democratic Republic of Congo) -- Peace education by the La Sapientia Catholic University of Goma -- Contribution of the Université Libre des Pays des Grands Lacs (ULPGL) to peace building in North Kivu -- Annex.

Background: Youth who have experienced foster care are at risk of negative outcomes in adulthood. The family finding model aims to promote more positive outcomes by finding and engaging relatives of children in foster care in order to provide options for legal and emotional permanency. Objectives: The present study tested whether family finding, as implemented in North Carolina from 2008 through 2011, improved child welfare outcomes for youth at risk of emancipating foster care without permanency. Research Design: A randomized controlled trial evaluation was carried out in nine counties in North Carolina. All children eligible for intervention services between 2008 and 2011 underwent random assignment. Effects were tested with an intent-to-treat design. Outcome data were obtained for all subjects from child welfare administrative data. Additional outcome data for a subset of older youth came from in-person interviews. Subjects: Subjects included 568 children who were in foster care, were 10–17 years old (at time of referral), had no identified permanent placement resource, and had no plan for reunification. Measures: The confirmatory outcome was moves to more family-like placements, whether through a step-down in foster care placement or discharge from foster care to legal permanency. Results: No impact on the confirmatory outcome was observed. Findings regarding exploratory impacts are also described; these must be interpreted with caution, given the large number of outcomes compared. Conclusions: The evaluation failed to find evidence that family finding improves the outcomes of older youth at risk of emancipation from foster care.

Background: The Czech Republic has one of the poorest tobacco control records in Europe. This paper examines transnational tobacco companies' (TTCs') efforts to influence policy there, paying particular attention to excise policies, as high taxes are one of the most effective means of reducing tobacco consumption, and tax structures are an important aspect of TTC competitiveness. Methods and Findings: TTC documents dating from 1989 to 2004/5 were retrieved from the Legacy Tobacco Documents Library website, analysed using a socio-historical approach, and triangulated with key informant interviews and secondary data. The documents demonstrate significant industry influence over tobacco control policy. Philip Morris (PM) ignored, overturned, and weakened various attempts to restrict tobacco advertising, promoting voluntary approaches as an alternative to binding legislation. PM and British American Tobacco (BAT) lobbied separately on tobacco tax structures, each seeking to implement the structure that benefitted its own brand portfolio over that of its competitors, and enjoying success in turn. On excise levels, the different companies took a far more collaborative approach, seeking to keep tobacco taxes low and specifically to prevent any large tax increases. Collective lobbying, using a variety of arguments, was successful in delaying the tax increases required via European Union accession. Contrary to industry arguments, data show that cigarettes became more affordable post-accession and that TTCs have taken advantage of low excise duties by raising prices. Interview data suggest that TTCs enjoy high-level political support and continue to actively attempt to influence policy. Conclusion: There is clear evidence of past and ongoing TTC influence over tobacco advertising and excise policy. We conclude that this helps explain the country's weak tobacco control record. The findings suggest there is significant scope for tobacco tax increases in the Czech Republic and that large (rather than small, incremental) increases are most effective in reducing smoking. Please see later in the article for the Editors' Summary.

Background: The Czech Republic has one of the poorest tobacco control records in Europe. This paper examines transnational tobacco companies' (TTCs') efforts to influence policy there, paying particular attention to excise policies, as high taxes are one of the most effective means of reducing tobacco consumption, and tax structures are an important aspect of TTC competitiveness. Methods and Findings: TTC documents dating from 1989 to 2004/5 were retrieved from the Legacy Tobacco Documents Library website, analysed using a socio-historical approach, and triangulated with key informant interviews and secondary data. The documents demonstrate significant industry influence over tobacco control policy. Philip Morris (PM) ignored, overturned, and weakened various attempts to restrict tobacco advertising, promoting voluntary approaches as an alternative to binding legislation. PM and British American Tobacco (BAT) lobbied separately on tobacco tax structures, each seeking to implement the structure that benefitted its own brand portfolio over that of its competitors, and enjoying success in turn. On excise levels, the different companies took a far more collaborative approach, seeking to keep tobacco taxes low and specifically to prevent any large tax increases. Collective lobbying, using a variety of arguments, was successful in delaying the tax increases required via European Union accession. Contrary to industry arguments, data show that cigarettes became more affordable post-accession and that TTCs have taken advantage of low excise duties by raising prices. Interview data suggest that TTCs enjoy high-level political support and continue to actively attempt to influence policy. Conclusion: There is clear evidence of past and ongoing TTC influence over tobacco advertising and excise policy. We conclude that this helps explain the country's weak tobacco control record. The findings suggest there is significant scope for tobacco tax increases in the Czech Republic and that large (rather than small, incremental) increases are most effective in reducing smoking.