First published in 1996. Routledge is an imprint of Taylor & Francis, an informa company.

Perry, James F. Phillips, Meike Schleiff, Melissa Sherry, Rita Thapa, Kebede Worku

Health services can and should be improved by applying research findings about best practice. Yet, in Knolwedge to Action?, the authors explore why it nevertheless proves notoriously difficult to implement change based on research evidence in the face of strong professional views and complex organizational structures.The book draws on a large body of evidence acquired in the course of nearly fifty in-depth case studies, following attempts to introduce evidence-based practice in the UK NHS over more than a decade. Using qualitative methods to study hospital and primary care settings, they are able to shed light on why some of these attempts succeeded where others faltered. By opening up the intricacies and complexities of change in the NHS, they reveal the limitations of the simplistic approaches toimplementing research or introducing evidence-based health care.A unique synthesis of evidence, the book brings together data from 1,400 interviews with doctors, nurses, and managers, as well as detailed observations and documentary analysis. The authors provide an analysis, rooted in a range of theoretical perspectives, that underlines the intimate links between organizational structures and cultures and the utilization of knowledge, and draws conclusions which will be of significance for other areas of public management. Their findings have implicationsfor the utlization of knowledge in situations where there is a professional tradition working within a politically sensitive blend of public service, managerial accountability, and technical expertise.Knowledge to Action? will be of interest to Academics, Researchers, and Advanced Students of Organizational Behaviour, Public and Health Management, and Evidence-Based Medicine; and also of particular interest to Practitioners, Clinicians, and Public Health Managers concerned with implementing change to clinical practice.

Participatory Action Research in Healthcare provides a guide to participatory action research in the community health setting. It draws upon the authors' experiences working, researching and engaging with people utilising collaborative, participatory approaches. The authors position participatory action research as a vital, dynamic and relevant approach that can be engaged by practitioners and health service providers. It is argued that participating with people is the way to move forward toward sustainable services that evoke human flourishing. Participatory Action Research in Healthcare explores the key issues surrounding participatory action research, and examines the benefits of this approach for community development and health promotion. It includes detailed guidelines on data generation and analysis.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

The key to thriving, as both a human and an educator, rests in mindfulness, reflection, and daily self-care activities. With Take Time for You, you will discover a clear path to well-being by working through Maslow's hierarchy of needs: (1) physiological, (2) safety, (3) belonging, (4) esteem, (5) self-actualization, and (6) transcendence. The author offers a range of manageable research-based strategies, self-care surveys, and reflective teaching questions that will guide you in developing an individualized self-care plan. Embrace imperfection as you develop your own self-care plan: Understand the challenges to mindfulness for teachers and how Maslow's hierarchy of needs comes into play in your personal and professional life. Design action plans so you can meet your own physiological, safety, belonging, esteem, and self-actualization needs and, finally, transcend and connect with something greater than yourself. Take surveys and perform a daily time audit to determine how well you are meeting each of your needs. Use the journaling space and self-reflection questions provided throughout the book to reflect on your implementation efforts. Contents: Introduction Chapter 1: Understand the Framework Chapter 2: Physiological Needs Chapter 3: Safety Needs Chapter 4: Belonging Needs Chapter 5: Esteem Needs Chapter 6: Self-Actualization Needs Chapter 7: Transcendence Needs Epilogue: Final Thoughts Appendix: My Personalized Self-Care Plan References and Resources Index

Shows how to create a comprehensive, community-wide prevention program to effectively confront the serious drug and alcohol problems threatening our youth. Shows how to employ community mobilization, educational strategies, volunteerism, and mass media to achieve significant reductions in adolescent drug use.