463 research outputs found

    Rebâtir la confiance après une grève de longue durée : est-ce possible ?

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    Cette étude a pour but d’analyser les facteurs contribuant à bâtir la confiance entre employés syndiqués et cadres après une grève de longue durée dans une succursale bancaire. Des entrevues semi-dirigées auprès de treize employés et cinq cadres, des observations et une analyse documentaire ont servi à déterminer ces facteurs. Ces derniers ont été analysés à la lumière des écrits scientifiques pour établir un modèle relationnel et analyser la situation vécue par les membres de l’organisation à l’étude.The effects of strikes have always preoccupied industrial relations’ scholars and practitioners. Even though statistically, there have been fewer strikes in Quebec during the last few years, they have not been of lesser interest. The most recent strikes have been more apparent because of their longer duration. This study discusses trust between managers and unionized employees who have returned to work after a fourteen-month strike. The objective is to better understand the phenomenon of trust in a situation of organizational conflict and, more precisely, to analyze the factors that contribute to re-establishing trust between union employees and managers following this major conflict.A few theoretical concepts about trust help us understand the basic elements needed to produce collaborative relationships. Among other things, categories of trust established by Lewicki and Bunker (1996) as well as Zucker (1986) are presented to help make a better judgment with regard to the different types of relationships and to understand the way in which they present themselves in particular situations. This section ends with an overview of the authors’ theoretical perspective, an institutional approach, which makes reference to Powell and Dimaggio’s (1991) framework.Because of the difficulty to access multiple companies affected by a strike, a qualitative case study was conducted. Thirteen union employees and five managers chosen randomly among each job category from a total of forty-six employees make up the sample. They were interviewed during semi-structured interviews six months following the end of the strike. Observations about individual behaviour during the interview period were also taken into consideration. An analysis of internal documents from the organization helped bring out factual information about the state of the relationship between the two groups before, during and after the strike. It is the use of these three traditional methods that helped construct the case presented. Not only does it explain the events surrounding the conflict by using a balanced approach including information obtained from union employees and company managers, but it also includes references to articles published in local newspapers to give a temporality and a sense of place to the events.Subsequently, the authors undertake a discussion about ways to reconstruct trust among the parties. Tables detailing the factors that can contribute to reconstructing trust according to each party are presented with representative quotes from the semi-structured interviews. In total, three common factors were raised—communication, material investments and human investments. Communication is a central concept, but it also includes its share of complexities because the simple act of communicating is not sufficient. Even if, in basic terms, material investments are perceived as advantages, they are not in practice, according to the literature on this subject. Human investments can also bring new dynamics to a company, but cannot be done to the detrimental need of removing existing personnel. To these factors, the union employees add six additional ones including desire, supervision, recognition and appreciation, respect of the collective agreement and the importance of not resorting to outsourcing. The managers also came up with four additional factors—responsibility, comprehension, company vision and the importance of providing projects to union employees. All these factors are systematically analyzed in the article in direct relation to the written scientific and theoretical literature on these subjects.In light of this analysis, it is possible to establish a relationship between these factors and a hierarchy of their importance that can serve to explore the possibility of reestablishing trust within the organization. These relationships and this hierarchy are presented in an illustration which summarizes the study. Explanations about its creation and the way to interpret it are also included. It is important, however, to note that although the study reveals a number of important factors needed to study trust, it has its limitations which can only be rectified by studying each factor in a distinct fashion and by weighing each one individually during subsequent research.In conclusion, this research demonstrates the difficulty to establish trust within an organization because the company does not recognize the union’s presence and its role. The company is rather searching to achieve its own objectives without taking the values and interests of its employees into account as well as those of the trade union. From a theoretical point of view, the study helps identify the limitations to trust relationships between various groups of employees, the effects of strikes on returning to work and of trust in the after-strike context. Paths for future research are explored. It is suggested to replicate the study in an institution in the same field or in different fields to open the door to the possibility of generalization. Secondly, it is suggested to weigh the factors to find out which ones would have the greatest impact on the creation of trust. And, finally, measuring the level of trust that really exists between the parties would be beneficial in understanding the scope of the division which separates them.El objetivo de este estudio es de analizar los factores que contribuyen a construir la confianza entre empleados sindicalizados y directivos después de una huelga de larga duración en una sucursal bancaria. Para determinar estos factores, se utilizaron entrevistas semi-dirigidas con trece empleados y cinco cuadros, observaciones directas y un análisis documentario. Dichos factores fueron analizados a la luz de escritos científicos para establecer un modelo racional y analizar la situación vivida por los miembros de la organización al estudio

    Limited population structure, genetic drift and bottlenecks characterise an endangered bird species in a dynamic, fire-prone ecosystem

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    Fire is a major disturbance process in many ecosystems world-wide, resulting in spatially and temporally dynamic landscapes. For populations occupying such environments, fire-induced landscape change is likely to influence population processes, and genetic patterns and structure among populations. The Mallee Emu-wren Stipiturus mallee is an endangered passerine whose global distribution is confined to fire-prone, semi-arid mallee shrublands in south-eastern Australia. This species, with poor capacity for dispersal, has undergone a precipitous reduction in distribution and numbers in recent decades. We used genetic analyses of 11 length-variable, nuclear loci to examine population structure and processes within this species, across its global range. Populations of the Mallee Emu-wren exhibited a low to moderate level of genetic diversity, and evidence of bottlenecks and genetic drift. Bayesian clustering methods revealed weak genetic population structure across the species\u27 range. The direct effects of large fires, together with associated changes in the spatial and temporal patterns of suitable habitat, have the potential to cause population bottlenecks, serial local extinctions and subsequent recolonisation, all of which may interact to erode and homogenise genetic diversity in this species. Movement among temporally and spatially shifting habitat, appears to maintain long-term genetic connectivity. A plausible explanation for the observed genetic patterns is that, following extensive fires, recolonisation exceeds in-situ survival as the primary driver of population recovery in this species. These findings suggest that dynamic, fire-dominated landscapes can drive genetic homogenisation of populations of species with low-mobility and specialised habitat that otherwise would be expected to show strongly structured populations. Such effects must be considered when formulating management actions to conserve species in fire-prone systems

    Legal Systems in Transformation and Transnational Conflict Solution in Information Society

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    Technological development has revolutionized many human activities, turning the world into a global society, an information society. In this new context, the new information and communication technologies are seen as indispensable support in all areas of human knowledge. Following this new pattern, a new legal dimension has emerged which challenges the State, its essential elements and its geographical boundaries. The public law concepts of sovereignty and jurisdiction along with the criminal law concepts of enforcement and jurisdiction have experienced remarkable changes due to the changing idea of time and space as to when and where a crime is committed. Considering the transnational character due to the globalization of the juridical process, some modifications have been made in the approach to the term sovereignty. Even though its concept and characteristics may involve many interpretations of doctrinal order, without consensus, the result of these interpretations, in many cases, come to delimit the debate which is set in a globalized juridical perspective

    [Accepted Manuscript] Smartphone tool to collect repeated 24 h dietary recall data in Nepal.

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    To outline the development of a smartphone-based tool to collect thrice-repeated 24 h dietary recall data in rural Nepal, and to describe energy intakes, common errors and researchers' experiences using the tool. We designed a novel tool to collect multi-pass 24 h dietary recalls in rural Nepal by combining the use of a CommCare questionnaire on smartphones, a paper form, a QR (quick response)-coded list of foods and a photographic atlas of portion sizes. Twenty interviewers collected dietary data on three non-consecutive days per respondent, with three respondents per household. Intakes were converted into nutrients using databases on nutritional composition of foods, recipes and portion sizes. Dhanusha and Mahottari districts, Nepal. Pregnant women, their mothers-in-law and male household heads. Energy intakes assessed in 150 households; data corrections and our experiences reported from 805 households and 6765 individual recalls. Dietary intake estimates gave plausible values, with male household heads appearing to have higher energy intakes (median (25th-75th centile): 12 079 (9293-14 108) kJ/d) than female members (8979 (7234-11 042) kJ/d for pregnant women). Manual editing of data was required when interviewers mistook portions for food codes and for coding items not on the food list. Smartphones enabled quick monitoring of data and interviewer performance, but we initially faced technical challenges with CommCare forms crashing. With sufficient time dedicated to development and pre-testing, this novel smartphone-based tool provides a useful method to collect data. Future work is needed to further validate this tool and adapt it for other contexts

    Hearing the patient voice for persistent pain intervention development: recommendations for using a bespoke online discussion forum for qualitative data collection

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    Introduction Understanding patients’ experiences is important when developing interventions for people living with persistent pain. Interviews and focus groups are frequently used to capture beliefs, views, and perspectives. These methods often require a commitment to a predetermined date and time that may present a barrier to participation. An asynchronous online discussion forum, specifically designed for research purposes, provides an alternative and potentially more accessible method for participation. In this article we discuss a bespoke online discussion forum, the Q-PROMPPT blog, as a case example. Methods We describe how we developed the Q-PROMPPT blog, with patient and public involvement, and its use as an innovative method for qualitative data collection in the context of developing an intervention for patients prescribed opioids for persistent pain. Drawing on our experiences we discuss the following areas: planning and design, participant recruitment and registration, and participant experience and engagement. Results We identify and address key concerns for each area of the Q-PROMPPT blog: planning and design: choosing software, assigning roles, designing the interface to promote usability; recruitment of participants: recruiting eligible participants, participant anonymity; participant experience and engagement: mitigating risk of harm, facilitating discussions, planning for forum close. Conclusion Based on our lessons learnt, we outline recommendations for using a bespoke online discussion forum as a qualitative method to inform intervention development for people living with persistent pain. These include collaboration with information communication technology teams, co-design with patient and public partners, minimising risk of imposter participants and developing trust and online community identity

    Update and critical reanalysis of IUPAC benchmark propagation rate coefficient data

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    The dataset used to generate IUPAC benchmark Arrhenius parameters for propagation rate coefficients in radical polymerization is extended and reanalyzed, taking into account systematic interlaboratory variation

    Designing a primary care pharmacist-led review for people treated with opioids for persistent pain: a multi-method qualitative study

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    This article relates to a research study that included patients or members of the workforce as study participants from GP practices in Nottingham and Nottinghamshire.Background: Opioids are frequently prescribed for persistent non-cancer pain despite limited evidence of long-term effectiveness and risk of harm. Evidence-based interventions to address inappropriate opioid prescribing are lacking. Aim: To explore perspectives of people living with persistent pain to understand barriers and facilitators in reducing opioids in the context of a pharmacist-led primary care review, and identify review components and features for optimal delivery. Design & setting: Primary care multi-method qualitative study. Method: Adults with experience of persistent pain and taking opioids participated in semi-structured interviews (n=15, 73% female) and an online discussion forum (n=31). The Theoretical Domains Framework (TDF) provided a framework for data collection and thematic analysis, involving deductive analysis to TDF domains, inductive analysis within-domains to generate subthemes, and subtheme comparison to form across-domain overarching themes. The behaviour change technique taxonomy v.1 and motivational behaviour change technique classification system were used to systematically map themes to behaviour change techniques to identify potential review components and delivery features. Results: 32 facilitator and barrier subthemes for patients reducing opioids were identified across 13 TDF domains. These combined into six overarching themes: learning to live with pain, opioid reduction expectations, assuming a medical model, pharmacist-delivered reviews, pharmacist-patient relationship and patient engagement. Subthemes mapped to 21 unique behaviour change techniques, yielding 17 components and five delivery features for the proposed PROMPPT review. Conclusion: This study generated theoretically-informed evidence for design of a practice pharmacist-led PROMPPT review. Future research will test the feasibility and acceptability of the PROMPPT review and pharmacist training

    Designing a primary care pharmacist-led review for people treated with opioids for persistent pain: a multi-method qualitative study.

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    oai:repository.canterbury.ac.uk:97w90Opioids are frequently prescribed for persistent non-cancer pain despite limited evidence of long-term effectiveness and risk of harm. Evidence-based interventions to address inappropriate opioid prescribing are lacking. To explore perspectives of people living with persistent pain to understand barriers and facilitators in reducing opioids in the context of a pharmacist-led primary care review, and identify review components and features for optimal delivery. Primary care multi-method qualitative study. Adults with experience of persistent pain and taking opioids participated in semi-structured interviews (n=15, 73% female) and an online discussion forum (n=31). The Theoretical Domains Framework (TDF) provided a framework for data collection and thematic analysis, involving deductive analysis to TDF domains, inductive analysis within-domains to generate subthemes, and subtheme comparison to form across-domain overarching themes. The behaviour change technique taxonomy v.1 and motivational behaviour change technique classification system were used to systematically map themes to behaviour change techniques to identify potential review components and delivery features. 32 facilitator and barrier subthemes for patients reducing opioids were identified across 13 TDF domains. These combined into six overarching themes: learning to live with pain, opioid reduction expectations, assuming a medical model, pharmacist-delivered reviews, pharmacist-patient relationship and patient engagement. Subthemes mapped to 21 unique behaviour change techniques, yielding 17 components and five delivery features for the proposed PROMPPT review. This study generated theoretically-informed evidence for design of a practice pharmacist-led PROMPPT review. Future research will test the feasibility and acceptability of the PROMPPT review and pharmacist training. [Abstract copyright: Copyright © 2024, The Authors.

    Acceptability of a proposed practice pharmacist-led review for opioid-treated patients with persistent pain: A qualitative study to inform intervention development

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    Introduction Regular review of patients prescribed opioids for persistent non-cancer pain (PCNP) is recommended but not routinely undertaken. The PROMPPT (Proactive clinical Review of patients taking Opioid Medicines long-term for persistent Pain led by clinical Pharmacists in primary care Teams) research programme aims to develop and test a pharmacist-led pain review (PROMPPT) to reduce inappropriate opioid use for persistent pain in primary care. This study explored the acceptability of the proposed PROMPPT review to inform early intervention development. Methods Interviews (n = 15) and an online discussion forum (n = 31) with patients prescribed opioids for PCNP and interviews with pharmacists (n = 13), explored acceptability of a proposed PROMPPT review. A prototype PROMPPT review was then tested and refined through 3 iterative cycles of in-practice testing (IPT) (n = 3 practices, n = 3 practice pharmacists, n = 13 patients). Drawing on the Theoretical Framework of Acceptability (TFA), a framework was generated (including a priori TFA constructs) allowing for deductive and inductive thematic analysis to identify aspects of prospective and experienced acceptability. Results Patients felt uncertain about practice pharmacists delivering the proposed PROMPPT review leading to development of content for the invitation letter for IPT (introducing the pharmacist and outlining the aim of the review). After IPT, patients felt that pharmacists were suited to the role as they were knowledgeable and qualified. Pharmacists felt that the proposed reviews would be challenging. Although challenges were experienced during delivery of PROMPPT reviews, pharmacists found that they became easier to deliver with time, practise and experience. Recommendations for optimisations after IPT included development of the training to include examples of challenging consultations. Conclusions Uptake of new healthcare interventions is influenced by perceptions of acceptability. Exploring prospective and experienced acceptability at multiple time points during early intervention development, led to mini-optimisations of the prototype PROMPPT review ahead of a non-randomised feasibility study

    Drug-Initiated Synthesis of Cladribine-Based Polymer Prodrug Nanoparticles: Biological Evaluation and Structure Activity Relationships

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    International audienceBy using two reversible deactivation radical polymerization techniques, either nitroxide-mediated polymerization or reversible addition-fragmentation chain transfer polymerization, the "drug-initiated" approach was applied to cladribine (CdA) as an anticancer drug to synthesize small libraries of well-defined and self-stabilized CdA-based polymer prodrug nanoparticles, differing from the nature and the molar mass of the grown polymer, and the nature of the linker between CdA and the polymer, thus allowing structure-cytotoxicity relationships to be determined. Their biological evaluation was investigated in vitro on L1210 cancer cells. The preparation of fluorescent CdA-based nanoparticles with excellent imaging ability was also reported by applying the "drug-initiated" approach to an aggregation-induced emission-active dye
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