Action learning: developing leaders and supporting change in a healthcare context

This account of practice outlines how action learning was used as the key component of a leadership development initiative for managers in an acute hospital setting. It explains how the initiative was conceived, why action learning was chosen and how action learning principles were incorporated. Insights into the outcomes and considerations for the future are also included.     

Effect of combined carbohydrate-protein ingestion on markers of recovery after simulated rugby union match-play

In this study, we investigated the effect of ingesting carbohydrate alone or carbohydrate with protein on functional and metabolic markers of recovery from a rugby union-specific shuttle running protocol. On three occasions, at least one week apart in a counterbalanced order, nine experienced male rugby union forwards ingested placebo, carbohydrate (1.2 g · kg body mass(-1) · h(-1)) or carbohydrate with protein (0.4 g · kg body mass(-1) · h(-1)) before, during, and after a rugby union-specific protocol. Markers of muscle damage (creatine kinase: before, 258 ± 171 U · L(-1) vs. 24 h after, 574 ± 285 U · L(-1); myoglobin: pre, 50 ± 18 vs. immediately after, 210 ± 84 nmol · L(-1); P < 0.05) and muscle soreness (1, 2, and 3 [maximum soreness = 8] for before, immediately after, and 24 h after exercise, respectively) increased. Leg strength and repeated 6-s cycle sprint mean power were slightly reduced after exercise (93% and 95% of pre-exercise values, respectively; P < 0.05), but were almost fully recovered after 24 h (97% and 99% of pre-exercise values, respectively). There were no differences between trials for any measure. These results indicate that in experienced rugby players, the small degree of muscle damage and reduction in function induced by the exercise protocol were not attenuated by the ingestion of carbohydrate and protein.     

The Globalizing Labor Market in Education: Teachers as Cultural Ambassadors or Agents of Institutional Isomorphism?

Institutional isomorphists and other proponents of world culture theory argue that schools around the world are converging in many ways, whereas anthropologists and others question this conclusion, often arguing that local cultural differences belie superficial similarities. These viewpoints are not merely academic explanations of the spread and apparent convergence of education policies and practices around the world but are often present in policy and practice. The authors seek both to shed new light on these often-entrenched positions and to refocus the debate by considering the presence and influence of such views in the policies and practices of international teacher exchanges. In the context of the expanding global labor market for teachers, the authors consider the implicit theories underpinning international exchange policies and the ways in which the exchange teachers themselves make sense of these policies.

In particular, we recognize that although extensive work has been done on the dynamics of policy borrowing, little attention has been paid to international exchange teachers as potential agents of isomorphism, adopting and disseminating practices at the local level. Paradoxically, the exchange policies construct a universal teacher who is interchangeable across national (and cultural) contexts, a view resonant with institutional isomorphists, while justifying the exchanges rhetorically on the basis of their value as a cultural exchange, a view more consistent with the culturalists. The teachers who participate, however—and who effectively self-select by their beliefs that such exchanges are possible—accept the interchangeability thesis and view such exchanges as a professional development opportunity.     

Practicality Studies: How to Move From What Works in Principle to What Works in Practice

In his article “Principled Practical Knowledge: Not a Bridge but a Ladder,” Carl Bereiter (2014) argues that theoretical knowledge is too shallow to support the generation of innovative learning activities. He makes a case for principled practical knowledge (PPK)—“principled know-how and know-why”—to fulfill this practical generative role. We argue and illustrate in this commentary that PPK as portrayed by Bereiter does not offer much practical guidance for 2 potential users: professional designers and teachers. For professional designers PPK should be further specified in order to fulfill its generative role. But even this enriched form of PPK still does not suffice to address the challenging issues of practicality teachers face. We explain the magnitude and dimensions that underlie practicality in the everyday work of teachers and suggest how recent work on fast and frugal heuristics can contribute to helping teachers to make instructional innovations practical.     

The Adoption of Prepaid Tuition and Savings Plans in the American States: An Event History Analysis

The past two decades have been a period of far-reaching policy experimentation in state financing of higher education. Between 1986 and 1999, 21 states adopted prepaid college tuition plans. Thirty-one states adopted some form of college savings plan. Both kinds of policies were designed to enhance the affordability of higher education during a time of growing concern about college costs. Using event history analysis, we explore various factors leading to the programs’ adoption, paying particular to the role of policy privatization, electoral competition and timing, and certain system characteristics of higher education. We find that more liberal governments were more likely to adopt prepaid tuition plans, that states with more competitive elections were less likely to adopt any type of prepaid or savings plan, and that states with decentralized governance were more likely to adopt one of these kinds of policies.     

Hospice--an education center for professionals

The need for further improved professional training in the care of the dying is now being recognized by doctors themselves, and increasingly they are turning to hospices for such education. The ways in which such training might be provided are outlined and some of the problems discussed in the light of British experience. It is suggested that no major hospice program should ever be initiated unless it incorporates an education program aimed to meet the deficiencies revealed in recent studies.     

Item type and gender differences on the Mental Rotations Test

This study investigated gender differences on the Mental Rotations Test (MRT) as a function of item and response types. Accordingly, 86 male and 109 female undergraduate students completed the MRT without time limits. Responses were coded as reflecting two correct (CC), one correct and one wrong (CW), two wrong (WW), one correct and one blank (CB), one wrong and one blank (WB), or two blank (BB) answers and were analyzed as a function of distractor type (structural or mirror) and occlusion (occluded, non-occluded). The results showed a men advantage on CC, whereas women obtained more BB, CB, and WB outcomes than men did. Gender differences in favor of men were larger for occluded than for non-occluded items on CC. This gender by occlusion interaction was also found for CW and WB. Implications of the results for possible explanation of gender differences on the MRT are discussed.     

Evaluation of a Practice-Development Initiative to Improve Breastfeeding Rates

The benefits of breastfeeding for infant, mother, family, and community are well recognized, and increasing breastfeeding rates is considered an important health-promotion strategy. Improving breastfeeding knowledge and practice among individuals caring for breastfeeding women is considered an important aspect of this strategy. The practice-development initiative described in this article aimed to improve hospital-based breastfeeding rates through the implementation of The Ten Steps to Successful Breastfeeding. The initiative included the development and implementation of an education program aimed at changing and improving breastfeeding practices. The program was evaluated in three ways: changes in breastfeeding rates at hospital discharge; client preparation for breastfeeding and satisfaction during the postnatal period; and staff knowledge and skills.     

Reframing the university as an emergent organisation: implications for strategic management and leadership in higher education

For the most part, the organisational forms that are currently being adopted by higher education institutions are grounded in the traditional corporate models of organisation that take a rational approach to organisational change management. Underlying this account is an assumption of organisational autonomy and the capacity of designated leaders to direct such change processes. However, a case is now being made for the consideration of alternative organisational theories or models that offer a different perception on the sources and patterns of organisational change in higher education. These theories perceive organisations more as emergent entities in which change is continuous, often unpredictable and arising mainly from local interactions. The paper surveys the implications that acceptance of the alternative paradigm might have for strategising and change leadership in higher education institutions. It suggests that the accommodation of these alterative paradigms of institutional development in higher education may itself be an emergent process.