Outcomes of an Institutional Quality and Safety Residency Program Initiative

Although there are challenges in delivering a quality improvement initiative at academic medical centers, the potential benefits to resident physicians‐in‐training, hospitals, and patients are significant. This article describes the effects of an institution‐wide effort. Resident physicians‐in‐training from four medical specialty programs partnered with hospital staff while working on team quality‐improvement projects. We tracked clinical outcomes and used validated assessments. The results showed improvements in learning and organizational culture.     

Establishing a successful physical activity program to recruit and retain women

Increasingly, health organisations and governing bodies in developed countries are paying serious attention to the problem of adult inactivity. Many of the programs designed to increase levels of activity, particularly amongst target populations, such as women, have not been systematically assessed for their effectiveness in recruiting women and helping them maintain activity levels. The purpose of this study was to determine what attracted and sustained women to participate in physical activity programs. Responses from a survey to sport and recreation program providers identified 64 successful programs in the state of Victoria, Australia. Eight of these programs were purposively selected for case study analysis. Data was collected from a focus group with women participants from each of these eight programs. Six core themes emerged from inductive content analysis of the focus groups. The most frequent participant responses related to the social aspects of the exercise environment. Women in the focus groups valued instructor professionalism and instructors’ technical knowledge, however, it was their awareness and sensitivity that participants appreciated most. This exploratory study is important because it reflects the voices of women talking about what made physical activity programs successful for them. The study raises critical questions that should be examined systematically through large-scale survey research and field-based intervention studies, which in turn should stimulate program development to encourage women in physical activity.     

Research and evaluation in sexuality education: an allegorical exploration of complexities and possibilities

Defining ‘success’ in sexuality education solely in terms of quantitative outcome measures is woefully inadequate. All too often, such measures presuppose and perpetuate a narrow and overly instrumental view of sexuality and education. Research and evaluation favouring quantitative measures of effectiveness tend to amplify short‐term results and mediocre ends at the expense of more substantive insight into the complexities and nuances of human action and good practice. The paper begins with a true story involving a teenager and high‐risk behaviours. This story serves as a basis for an allegorical exploration of programme development, goals and vision. The allegory offers a context for thinking about the importance of research and evaluation methods that focus on expressive action, agency and symbolic metaphorical thinking as opposed to measurable behaviours and linear logical thinking.     

2008 Community College Futures Assembly Focus: Change Or Die—Keys to Enacting Change in the Community College

The Community College Futures Assembly has served as a national, independent policy thinktank since 1995. Its purpose is to articulate the critical issues facing American community colleges and recognize innovative programs. Convening annually in January in Orlando, Florida, the Assembly offers a learning environment where tough questions are raised, critical issues are discussed, and policy implications are vetted. The focus for the 2008 Community College Futures Assembly was change, a theme taken from the book, Change or Die. This special focus issue of the Community College Journal of Research and Practice highlights the best practices of 30 Bellwether trend-setting institutions.