Parallel simulation and optimization framework of supplies production processes for unconventional emergencies

The outbreak of unconventional emergencies leads to a surge in demand for emergency supplies. How to effectively arrange emergency production processes and improve production efficiency is significant. The emergency manufacturing systems are typically complex systems, which are difficult to be analyzed by using physical experiments. Based on the theory of Random Service System (RSS) and Parallel Emergency Management System (PeMS), a parallel simulation and optimization framework of production processes for surging demand of emergency supplies is constructed. Under this novel framework, an artificial system model paralleling with the real scenarios is established and optimized by the parallel implementation processes. Furthermore, a concrete example of mask shortage, which occurred at Huoshenshan Hospital in the COVID-19 pandemic, verifies the feasibility of this method.

Meta-review of implementation determinants for policies promoting healthy diet and physically active lifestyle: application of the Consolidated Framework for Implementation Research

Background Although multiple systematic reviews indicate that various determinants (barriers and facilitators) occur in the implementation processes of policies promoting healthy diet, physical activity (PA), and sedentary behavior (SB) reduction, the overarching synthesis of such reviews is missing. Applying the Consolidated Framework for Implementation Research (CFIR), this meta-review aims to (1) identify determinants that were systematically indicated as occurring during the implementation processes and (2) identify differences in the presence of determinants across reviews versus stakeholder documents on healthy diet/PA/SB policies, reviews/stakeholder documents addressing healthy diet policies versus PA/SB policies targeting any population/setting, and healthy diet/PA/SB policies focusing on school settings. Methods A meta-review of published systematic scoping or realist reviews (k = 25) and stakeholder documents (k = 17) was conducted. Data from nine bibliographic databases and documentation of nine major stakeholders were systematically searched. Included reviews (72%) and stakeholder documents (100%) provided qualitative synthesis of original research on implementation determinants of policies promoting healthy diet or PA or SB reduction, and 28% of reviews provided some quantitative synthesis. Determinants were considered strongly supported if they were indicated by ≥ 60.0% of included reviews/stakeholder documents. Results Across the 26 CFIR-based implementation determinants, seven were supported by 66.7–76.2% of reviews/stakeholder documents. These determinants were cost, networking with other organizations/communities, external policies, structural characteristics of the setting, implementation climate, readiness for implementation, and knowledge/beliefs of involved individuals. Most frequently, published reviews provided support for inner setting and individual determinants, whereas stakeholder documents supported outer and inner setting implementation determinants. Comparisons between policies promoting healthy diet with PA/SB policies revealed shared support for only three implementation determinants: cost, implementation climate, and knowledge/beliefs. In the case of healthy diet/PA/SB policies targeting school settings, 14 out of 26 implementation determinants were strongly supported. Conclusions The strongly supported (i.e., systematically indicated) determinants may guide policymakers and researchers who need to prioritize potential implementation determinants when planning and monitoring the implementation of respective policies. Future research should quantitatively assess the importance or role of determinants and test investigate associations between determinants and progress of implementation processes. Trial registration PROSPERO, #CRD42019133341

Using Implementation Science Active Implementation Frameworks to Implement an Instructional Framework to Increase Teacher Capacity for Instructional Access for Students With Disabilities

This article discusses the use of the Active Implementation Frameworks (AIF; Fixsen et al., 2005; Fixsen & Blasé, 2011) in a grant-funded project to implement the use of Universal Design for Learning as an instructional intervention to improve the access to quality instruction for students with disabilities. The discussion is based upon data specific to the AIF Implementation Drivers that facilitate and ensure the success of initiatives. The data illustrate the extent that characteristics of the respective schools and districts participating in the project impacted the fidelity of implementation processes and their associated outcomes.

A typology of power in implementation: Building on the exploration, preparation, implementation, sustainment (EPIS) framework to advance mental health and HIV health equity

Background Persistent inequities in HIV health are due, in part, to barriers to successful HIV-related mental health intervention implementation with marginalized groups. Implementation Science (IS) has begun to examine how the field can promote health equity. Lacking is a clear method to analyze how power is generated and distributed through practical implementation processes and how this power can dismantle and/or reproduce health inequity through intervention implementation. The aims of this paper are to (1) propose a typology of power generated through implementation processes, (2) apply this power typology to expand on the Exploration, Preparation, Implementation, Sustainment (EPIS) framework to advance HIV and mental health equity and (3) articulate questions to guide the explicit examination and distribution of power throughout implementation. Methods This paper draws on the work of an Intermediary Purveyor organization implementing trauma-informed care and harm reduction organizational change with HIV service organizations. The expanded framework was developed through analyzing implementation coaching field notes, grant reporting, and evaluation documents, training feedback, partner evaluation interviews, and existing implementation literature. Results The authors identify three types of power working through implementation; (1) discursive power is enacted through defining health-related problems to be targeted by intervention implementation, as well as through health narratives that emerge through implementation; (2) epistemic power influences whose knowledge is valued in decision-making and is recreated through knowledge generation; and (3) material power is created through resource distribution and patterns of access to health resources and acquisition of health benefits provided by the intervention. Decisions across all phases and related to all factors of EPIS influence how these forms of power striate through intervention implementation and ultimately affect health equity outcomes. Conclusions The authors conclude with a set of concrete questions for researchers and practitioners to interrogate power throughout the implementation process. Plain language summary Over the past few years, Implementation Science researchers have committed increased attention to the ways in which the field can more effectively address health inequity. Lacking is a clear method to analyze how implementation processes themselves generate power that has the potential to contribute to health inequity. In this paper, the authors describe and define three types of power that are created and distributed through intervention implementation; discursive power, epistemic power, and material power. The authors then explain how these forms of power shape factors and phases of implementation, using the well-known EPIS (exploration, preparation, implementation, sustainment) framework. The authors draw from their experience working with and Intermediary Purveyor supporting HIV service organizations implementing trauma-informed care and harm reduction organizational change projects. This paper concludes with a set of critical questions that can be used by researchers and practitioners as a concrete tool to analyze the role of power in intervention implementation processes.

Anti-Corruption NGOs as Think Tanks

While anti-corruption scholars have analyzed and explained theoretically citizen-based anti- corruption approaches, studies on one of the most important aspects of a leading anti-corruption non-governmental organization (NGO) has been limited: the role of Transparency International (TI), in particular national branches of TI, as a think tank. Drawing on data from an interview with a former head of TI in the UK (TI-UK), this study will conduct a preliminary review and analysis of the effects of TI-UK in anti-corruption policymaking. The analysis shows that TI-UK was not only involved in the drafting of legislation but also had an impact on the outcomes during the legislation and initial implementation processes. This study is expected to contribute to understandings of anti-corruption policymaking processes and development of theories and practices of anti-corruption reforms.

Stakeholder Perceptions of Nature-Based Solutions and Their Collaborative Co-Design and Implementation Processes in Rural Mountain Areas—A Case Study From PHUSICOS

Planners and engineers increasingly discovered nature as a source of inspiration to mitigate hydro-meteorological risks resulting from extreme weather events. Actors are realizing advantages of such solutions known as Nature-Based Solutions (NBS) to rapidly adapt to changing climate patterns and related impacts such as flooding, landslides, mudflows or rockfalls. NBS also provide multiple co-benefits such as an increased landscape value for society and biodiversity. Because of their inherent characteristics, NBS implementation are more efficient when supported by participative approaches. At the same time, strengthening democratic and collaborative planning into Living Labs approaches generates an increase in interest. This helps to overcome bottlenecks when implementing measures and provide common ground to provide space for new ideas, to promote innovation and to develop solutions with high acceptance. While co-design and implementing NBS has already been applied and well documented for urban areas, there are few publications on collaborative planning, stakeholder perception and NBS co-implementation in rural mountain areas. In our case study analysis from the EU-funded H2020 project PUSICOS, we present stakeholder views on NBS, their possibility to reduce natural hazards in different mountainous case study areas, different discussed measures, NBS types and stages of implementation. We analyze expectations on Living Lab processes to co-design NBS and important topics to be addressed in these processes from the view, perspective and perception of local stakeholders. Despite the importance of NBS on political and research agenda, in both the literature and the interviews, the concept and ideas are less familiar to stakeholders. NBS are mainly encountered within river restoration measures. The main interest was to reduce risks and to find solutions that were attractive and interesting also from an economical point of view e.g. business models for farmers and landowners and less of the multiple benefits that are most important for stakeholders in urban areas. The collaborative planning approach was seen as important for engaging stakeholders and creating knowledge about NBS. These insights will contribute to the understanding and address the management of intense stakeholder involvement processes, identify barriers that arise, and support in-depth participatory processes.

Lessons Learned Framework for Efficient Delivery of Construction Projects in Saudi Arabia

The Kingdom of Saudi Arabia (KSA) has the largest construction market in the gulf region. Nevertheless, the sector faces issues related to inefficiency and ineffectiveness in project delivery. This research aims to explore the impact of current practices across projects lifecycles, and to utilize findings to develop an integrated strategic construction project management framework (ISCPMF) that may pave the way to efficient and effective project implementation. To achieve this objective, the authors have traced the implementation processes of nine projects for data collection. This was based on a deductive approach with preconceived themes. Within-case and cross-case analysis was conducted. The data was complemented by holding three separate focus-group discussions with a total of nineteen participants, and the initial findings were cross-checked with six experts. The deficiencies that surround the pre-construction phase and disconnected activities that are carried out in different timespans represent the first barrier to implement projects successfully. This is coupled with low capacities contractors and non-proactive construction teams that lack a management toolbox to alleviate accumulated issues and control project progress. The unavailability of infrastructure and utilities did not ease construction nor made inspection possible, which led to late occupancy of facilities, waste of resources and failure to deliver the desired benefits effectively. The adoption of ISCPMF will institutionalize and bridge project phases. This may play a vital role in implementing projects efficiently and effectively and building data to benefit future projects. Though the research is limited to higher education facilities, the findings may be generalized to public construction projects.

Assessing the Integrative Framework for the Implementation of Change in Nursing Practice: Comparative Case Studies in French Hospitals

Background Quality improvement initiatives in healthcare often require change in nursing practices. Implementing such change into routine practice is challenging, often with unpredictable outcomes. Extensive research in this area has documented effective implementation change in clinical practice and identified barriers and facilitators at strategic levels, e.g. leadership, culture, and technical factors, which are common across most organizations. However, other research avenues have investigated different perspectives, e.g., the impact of local work contexts on implementation processes and the overlap of local social and material factors in appropriation processes. Therefore, considering both perspectives is essential for effective implementation. However, strategic and socio-material factors have only been investigated as distinct perspectives. In previous work, we developed an Integrative Framework for Implementation of change in Nursing Practices (IFINP) based on certification procedure implementation at a French hospital. In this current study, we assess the generalizability of our framework in other organizational settings and explore links between strategic and socio-material factors during implementation. Methods We used comparative qualitative case studies at three French hospitals to assess the implementation of certification procedures. Data were collected from 33 semi-structured interviews with managers and nurses. Narratives reflecting actions and interactions were extracted and deductively analyzed using IFINP components. Results The framework was flexible and captured all the different aspects of implementation actions and interactions at the three hospitals. Strong interferences were identified between mobilization mechanisms and strategic elements. Interference was observed mostly between ‘reflexive monitoring and work articulation’, and ‘reflexive monitoring and sense-making’ mechanisms. Leadership was integrated into the different mechanisms, especially the ‘translation’ mechanism. Conclusion The IFINP facilitated a greater understanding of strategic elements and associated relationships with social and material factors during implementation. Our results support the non-linearity aspect of implementation processes and highlight the importance of leadership roles in translating change in practice. This provides a clear definition of the managers’ role when implementing new nurse practices. Therefore, we advocate the IFINP as a practical managerial framework supporting implementation initiatives in nursing.

Risk Factors When Implementing ERP Systems in Small Companies

Implementation of enterprise resource planning (ERP) systems often aims to improve the companies’ processes in order to gain competitive advantage on the market. Especially, small companies need to integrate systems with suppliers and customers; hence, ERP systems often become a requirement. ERP system implementation processes in small enterprises contain several risk factors. Research has concluded that ERP implementation projects fail to a relatively high degree. Small companies are found to be constrained by limited resources, limited IS (information systems) knowledge and lack of IT expertise in ERP implementation. There are relatively few empirical research studies on implementing ERP systems in small enterprises and there is a large gap in research that could guide managers of small companies. This paper is based on a case study of three small enterprises that are planning to implement ERP systems that support their business processes. The aim of the paper is to identify the risk factors that can arise when implementing ERP systems in small enterprises. The analysis shows that an ERP system is a good solution to avoid using many different, separate systems in parallel. However, the study shows that it is challenging to integrate all systems used by suppliers and customers. An ERP system can include all information in one system and all information can also easily be accessed within that system. However, the implementation could be a demanding process as it requires engagement from all involved people, especially the managers of the companies.

Strategic imperatives of sustainable economic and social development of the region in transformational conditions

The purpose of the article is to substantiate the strategic imperatives of sustainable economic and social development of the region in transformational conditions. Methodology. The general scientific methods are used in the research, in particular: theoretical generalization – to define the concept of strategic imperatives; methods of positive and normative analysis – to substantiate the strategic imperatives of sustainable economic and social development of the region in transformational conditions. Results. It is proved that the basic strategic imperatives for the development of the region in the strategic perspective are the criteria of sustainability of all formation and implementation processes of regional strategy, namely: ensuring coherence (preferably a synergistic effect) between economic efficiency, social welfare and environmental security. To ensure effectiveness, these imperatives should be specified in certain criteria and norms, which are the main guidelines for goal setting and decision-making at all levels of regional governance. The model provides for that the imperatives of sustainable strategic development of the regions have a pervasive and comprehensive impact on the processes of formation and implementation of socio-economic development strategies. This is done by aligning the decisions taken with the main criteria to ensure a balance between the economic, social and environmental vectors of their implementation. The imperative criteria of sustainable development of the region are systematized; relevant subsystems and tools for their implementation in transformational conditions are identified. Practical meaning. The issue of ensuring the development of the real economy should remain a priority of budget policy in modern conditions, as the formation of the budget is carried out precisely through its functioning. At the stage of formation, budget funds should be primarily directed to investing in infrastructure projects within the region, which will increase the competitiveness of the economy and business activity (economic component), create additional jobs (social component). Prospects for further research. The selection of projects should be carried out taking into account its construction and implementation impact on the ecological state of the territories (ecological component).