BACKGROUND. Implementing an interprofessional collaborative practice (IPCP) in hospitals improves health outcomes, enhances patient safety and reduces length of stay by optimising resource utilisation. Although this approach was desired at a private hospital group in South Africa (SA), the specific strategies for clinical guidelines and capacity management pertaining to spinal cord injury (SCI) patients and the implementation of IPCP were unknown. OBJECTIVE. To explore strategies for implementing clinical guidelines and capacity management for SCI rehabilitation to promote IPCP in a private hospital group in SA. METHOD. This exploratory descriptive qualitative study included participants who were selected through purposive sampling. The participants comprised 11 staff from various disciplines and management of the private hospital group, one local and one international expert in IPCP. Three online focus groups (n=13) were conducted, involving three to five participants. The transcriptions were analysed thematically using Braun and Clarke's framework. RESULTS. Interprofessional communication and tools as well as capacity development were three emergent themes from the data. Strategies pertaining to communication methods, digitisation, visual displays, patient care information, educational information and education of healthcare workers were suggested to promote IPCP. CONCLUSION. These findings from the emergent themes could assist in implementing and integrating an IPCP approach into the rehabilitation service. Further research assessing the efficacy of implementing the IPCP strategies and digital platform would be beneficial.

RESUMEN Objetivos. i) Determinar las percepciones de las partes interesadas sobre los factores contextuales y los recursos necesarios para implementar con éxito la plataforma AMORE, una herramienta que proporciona evaluaciones de accesibilidad para los servicios de atención de salud, teniendo en cuenta factores como el tiempo de desplazamiento y el estado del tráfico; y ii) determinar los posibles factores que obstaculizan o favorecen las mejoras en la accesibilidad espacial a los servicios de atención de salud en el contexto urbano en Colombia. Métodos. En este estudio cualitativo, se realizaron entrevistas semiestructuradas en una muestra intencional de siete partes interesadas. La muestra se obtuvo a partir de responsables del diseño de políticas en Colombia, prestadores de servicios y usuarios, entre otras personas, con conocimientos en la materia. Las entrevistas se llevaron a cabo hasta llegar al punto de saturación. Resultados. Los participantes tenían una opinión favorable sobre el aspecto de la plataforma AMORE, de la que resaltaban su fácil visualización. Se formularon sugerencias sobre las variables utilizadas en el panel de información, la implementación de la plataforma, las posibles áreas de uso y los elementos que podrían obstaculizar o favorecer su implementación y uso. Los obstáculos incluían desafíos económicos, políticos y de personal, mientras que entre los elementos facilitadores estaban la creación de un producto mínimo viable a bajo costo y el establecimiento de lazos de cooperación interinstitucional e internacional. Conclusiones. Innovaciones como la plataforma AMORE tienen el potencial de brindar apoyo para los procesos de toma de decisiones en diversos sectores, como las políticas públicas y los procesos internos en las organizaciones privadas, el sector académico y la comunidad. Sin embargo, la implementación de una herramienta de este tipo plantea desafíos económicos, contextuales y ambientales. El estudio determinó los factores clave que se consideran requisitos previos para implementar con éxito la plataforma AMORE en las ciudades colombianas.

ABSTRACT Objectives. To (i) ascertain stakeholders’ perceptions of the contextual factors and resources necessary to successfully implement the AMORE platform, a tool that provides accessibility assessments for health care services, considering factors such travel time and traffic conditions, and (ii) identify potential barriers to and facilitators for enhancing spatial accessibility to health care services within the Colombian urban context. Methods. In this qualitative study, semi-structured interviews were conducted with a purposive sample of seven key stakeholders. The sample was drawn from individuals involved in development of policies in Colombia, service providers, and users, among others, who had expertise in the field. Interviews were conducted until saturation was reached. Results. The participants had positive views on the appearance of the AMORE platform, highlighting its user-friendly visualization. Suggestions were made about the variables used in the dashboard, the implementation of the platform, potential usage areas, and barriers and facilitators to implementation and use. Barriers included economic, political, and personnel challenges, while facilitators included creating a minimum viable product at a low cost and building interinstitutional and international cooperation. Conclusions. Innovations such as the AMORE platform have the potential to support decision-making processes across various sectors, including public policies and internal processes within private organizations, academia, and the community. However, implementing such a tool has financial, contextual and environmental challenges. The study identified key factors that were considered prerequisites for successfully implementing the AMORE platform in Colombian cities.

RESUMO Objetivos. Os objetivos do estudo foram: i) avaliar as percepções das partes interessadas sobre os fatores contextuais e os recursos necessários para implementação bem-sucedida da plataforma AMORE, uma ferramenta que fornece avaliações sobre a acessibilidade dos serviços de saúde considerando fatores como tempo de deslocamento e condições de trânsito; e ii) identificar possíveis barreiras e facilitadores para melhorar a acessibilidade espacial a serviços de saúde no contexto urbano da Colômbia. Métodos. Neste estudo qualitativo, foram realizadas entrevistas semiestruturadas com uma amostra intencional de sete partes interessadas principais. A amostra foi composta por indivíduos envolvidos na elaboração de políticas na Colômbia, prestadores de serviços e usuários, entre outros, que tinham conhecimento especializado na área. As entrevistas foram realizadas até se alcançar a saturação. Resultados. Os participantes tiveram opiniões positivas sobre a aparência da plataforma AMORE, destacando a visualização fácil de usar. Foram feitas sugestões sobre as variáveis usadas no painel, a implementação da plataforma, potenciais áreas de uso e barreiras e facilitadores para sua implementação e utilização. As barreiras englobavam dificuldades econômicas, políticas e relacionadas ao pessoal. Já os facilitadores incluíam a criação de um produto mínimo viável de baixo custo e o desenvolvimento de cooperação interinstitucional e internacional. Conclusões. Inovações como a plataforma AMORE têm o potencial de apoiar processos decisórios em vários setores, incluindo políticas públicas e processos internos em organizações privadas, no meio acadêmico e na comunidade. No entanto, a implementação dessa ferramenta envolve desafios financeiros, contextuais e ambientais. O estudo identificou os principais fatores que foram considerados pré-requisitos para o sucesso da implementação da plataforma AMORE em cidades colombianas.

This case note seeks to determine the future of collective bargaining after the Labour Appeal Court (LAC) judgment in Public Servants Association v Minister of Public Service [2021] 3 BLLR 255 (LAC). In arriving at a conclusion, context is provided. As part of the context it is shown that the right to engage in collective bargaining is not synonymous with the legal right to collective bargaining. This is based on the Constitution of the Republic of South Africa, 1996, case law and international law. Despite this, it is demonstrated that it can be argued that collective bargaining can be accepted as a recognised practice (a right) when one uses the test of what is a custom. It is further revealed that the main parties in public sector collective bargaining are the Public Service Coordinating Bargaining Council (PSCBC), the Department of Public Service and Administration, and trade unions. The last two ordinarily have competing interests and the PSCBC is the platform where they resolve their differences and enter into collective agreements. In 2018 a three-year wage agreement was reached for public servants, which the employer failed to implement in its last year. This led to the PSCBC intervening in the matter, but before it could reach fruition the matter was scheduled to be heard by the court. The last leg of the agreement was declared to be invalid and unenforceable on the basis that it was unaffordable and did not comply with the legal prescripts. This led to a period of uncertainty (2022-2023). This period saw government employees receiving 0% salary increases, failed wage negotiations, the unilateral imposition of a wage increase by the employer, a disruptive strike, and shorter wage agreements to address the shortcoming identified by the LAC in PSA v DPSA. The context provided yields the answer (the conclusion) that there is still room for collective bargaining, but that it will be filled with turbulence.

BACKGROUND: There is a recognised need for rehabilitation services at primary health care (PHC) level. In addition, there are clear policies (international and national) and guidelines for use by healthcare planners in South Africa to implement rehabilitation services. Although rehabilitation services are provided on the primary platform, its operationalisation has not been in an integrated manner. Clarity on the level of integration within existing PHC rehabilitation service delivery is required for its inclusion in a reengineered PHC AIM: The study explored the extent to which rehabilitation services are integrated into PHC service delivery based on the expressed reality of rehabilitation professionals SETTING: The Johannesburg Metropolitan District of Gauteng, South Africa METHODS: In-depth interviews with 12 PHC rehabilitation professionals were completed to elicit their experiences with PHC rehabilitation services RESULTS: The theme the current state of rehabilitation services - 'this is the reality; you need to do what you need to do' along with its two subcategories, was generated from this study. The theme describes the expressed reality of suboptimal, underdeveloped and poorly integrated rehabilitation services within the Johannesburg Metropolitan District. Rehabilitation service providers have adapted service delivery by including isolated components of rehabilitation integration models, but this has not yielded an integrated service CONCLUSION: Rehabilitation services although recognised as a crucial service in PHC must be critically analysed and adapted to develop integrated service delivery models. There should be a shift from selected coping mechanisms to targeted, integrated services CONTRIBUTION: The study describes PHC rehabilitation services and explores best practice models for integrated service planning and delivery

Abstract Objectives: to analyze the clinical guidelines of countries that offer abortion in Primary Health Care (PHC), aiming to understand how the service delivery and the performance of PHC professionals occurs in different scenarios, to reflect on the viability of this offer in Brazil. Methods: narrative review carried out from the Global Abortion Policies Database platform, which gathers comprehensive information on abortion laws, regulations and clinical guidelines. Clinical guidelines from countries where abortion is performed at the first level of care were selected, in English, Spanish and Portuguese. Results: 26 countries were identified and 13 were included in the study. In general, abortion is performed in PHC in the first trimester, using medication or aspiration techniques, by different professional categories depending on the location, without the need for prior ultrasound. Conclusions: the study of international experiences shows that it is possible to provide abortion in PHC services using the existing workforce and structure, in accordance with the recommendations of the World Health Organization to facilitate access to the procedure. In Brazil, despite the problems related to access to legal abortion, its performance remains restricted to hospitals. It is expected to contribute to the reformulation of regulations regarding abortion in the country. Objectives PHC, , (PHC) scenarios Brazil Methods platform laws selected English Portuguese Results 2 1 general trimester techniques location ultrasound Conclusions structure procedure hospitals country (PHC

Resumo Objetivos: analisar as diretrizes clínicas de países que ofertam a realização de aborto na Atenção Primária à Saúde (APS), buscando compreender como se dá a organização dos serviços e atuação dos profissionais da APS em diferentes cenários, de modo a ampliar a reflexão sobre a viabilidade desta oferta no Brasil. Métodos: revisão narrativa realizada a partir da plataforma Global Abortion Policies Database, que reúne informações abrangentes sobre leis, regulamentações e diretrizes clínicas referentes ao aborto. Foram selecionadas as diretrizes clínicas de países em que o aborto é realizado no primeiro nível de atenção, nos idiomas inglês, espanhol e português. Resultados: 26 países foram identificados e 13 foram incluídos no estudo. De modo geral, o aborto é realizado na APS no primeiro trimestre, com uso de medicamentos ou técnicas de aspiração, por categorias profissionais variadas conforme a localidade, sem necessidade de ultrassonografia prévia. Conclusões: a análise das experiências internacionais mostra que é possível prover aborto em serviços de APS utilizando a força de trabalho e estrutura existentes, conforme as recomendações da Organização Mundial da Saúde para facilitação do acesso ao procedimento. No Brasil, apesar dos problemas relacionados ao acesso ao aborto legal, sua realização segue restrita a hospitais. Espera-se contribuir para a reformulação das regulamentações acerca do aborto no país. Objetivos APS, , (APS) cenários Brasil Métodos Database leis atenção inglês português Resultados 2 1 estudo geral trimestre aspiração localidade prévia Conclusões existentes procedimento legal hospitais Esperase Espera país (APS

ABSTRACT The XAVIA PACS-RIS platform allows to display, storage and transmit digital medical images. It also supports viewing from multiple monitors and allows simultaneous associations with the image server. It is made up of independent and integrated applications following international interoperability standards for the management of medical images and their diagnostic reports. All its components were completely developed with Cuban knowledge and advised by highly prestigious radiologists in the country. This paper focuses on presenting an analysis of the contribution of the XAVIA PACS-RIS platform in the development of digital medical radiology in Cuba. Computer scientists and radiologists from institutions receiving the solution were contacted and interviewed to obtain statistics on the system's operation. By applying the inductive-deductive method, it was possible to reach general conclusions about the processes of patient care in the diagnostic imaging services of health institutions that use the XAVIA PACS system. The platform is implemented in 27 clinical-care institutions until February 2023, being Havana the one with the highest level of introduction of the result. The use of its applications contributes to caring for the environment by replacing radiographic films and their developing liquids, which leads to significant savings on account of imports. Cuba is advancing towards a model of digital transformation in health and the specialty of radiology is at the forefront. The introduction and adaptation of new technologies in this field will promote the initiation of a teleradiology process to and from Cuba, taking the service to all latitudes.

RESUMEN La plataforma XAVIA PACS-RIS permite visualizar, almacenar y transmitir imágenes médicas digitales. También propicia la visualización desde múltiples estaciones diagnósticas y permite peticiones simultáneas con el servidor de imágenes. Está compuesta por aplicaciones independientes e integradas siguiendo estándares internacionales de interoperabilidad para la gestión de imágenes médicas y sus informes de diagnóstico. Todos sus componentes fueron desarrollados íntegramente con conocimientos cubanos y asesorados por radiólogos de gran prestigio en el país. Este artículo se centra en presentar un análisis del aporte de la plataforma XAVIA PACS-RIS en el desarrollo de la radiología médica digital en Cuba. Se contactó y entrevistó a informáticos y radiólogos de las instituciones que recibieron la solución para obtener estadísticas sobre el funcionamiento del sistema. Aplicando el método inductivo-deductivo se logró llegar a conclusiones generales sobre los procesos de atención al paciente en los servicios de diagnóstico por imágenes de las instituciones de salud que utilizan el sistema XAVIA PACS. La plataforma está implementada en 27 instituciones de atención clínica hasta febrero de 2023, siendo La Habana la de mayor nivel de introducción del resultado. El uso de sus aplicaciones contribuye al cuidado del medio ambiente al sustituir las películas radiográficas y sus líquidos de revelado, lo que conlleva importantes ahorros por concepto de importaciones. Cuba avanza hacia un modelo de transformación digital en salud y la especialidad de radiología está a la vanguardia. La introducción y adaptación de nuevas tecnologías en este campo promoverá el inicio de un proceso de telerradiología desde y hacia Cuba, llevando el servicio a todas las latitudes.

The misconception that online learning and teaching for the building sciences is ineffective has been proven wrong. A blended learning technique, combining service-learning activities and research (community-engaged scholarship) with Collaborative Online International Learning (COIL), has shown great learning and teaching possibilities on an international digital platform. This article considers how community-engaged scholarship and COIL can support an international learning experience celebrating rural art and architecture in central parts of South Africa. The research used a qualitative participatory action research approach and social learning theory framework. Combining practical outcomes in service-learning activities with collaborative international desk research provided a new perspective of litema wall-decorating art in rural parts of the eastern Free State province. These activities developed into a collaboration opportunity as a COIL exchange. A novel conceptual service-learning approach requires good communication and networking, clear agendas, as well as dedicated staff and students. The study merged service-learning activities by South African architecture students at the University of the Free State with literature from American art history students from Colorado State University through COIL that resulted in a collaborative exhibition of research findings. The study follows the United Nations' Sustainable Development Goals (SDGs) of quality education and gender equality, as well as the "Art-Lab for Human Rights and Dialogue" that intervenes ethically for human rights as "activist" acts of care for rural domestic art.

Die wanopvatting dat aanlyn-leer en onderrig vir die bouwetenskappe ondoeltreffend is, is verkeerd bewys. 'n Gemengde leertegniek, wat diensleeraktiwiteite en navorsing (gemeenskapsbetrokke vakkundigheid) kombineer met Collaborative Online International Learning (COIL), het wonderlike leer- en onderrigmoontlikhede op 'n internasionale digitale platform getoon. Hierdie artikel kyk na hoe gemeenskapsbetrokke vakkundigheid en COIL 'n internasionale leerervaring kan ondersteun wat landelike kuns en argitektuur in sentrale dele van Suid-Afrika vier. Die navorsing het 'n kwalitatiewe deelnemende aksie navorsingsbenadering en sosiale leerteorie-raamwerk gebruik. Die kombinasie van praktiese uitkomste in diensleeraktiwiteite met 'n samewerkende internasionale literatuurstudie het 'n nuwe perspektief van Litema-muurversieringkuns in landelike dele van die Oos-Vrystaat-provinsie gebied. Hierdie aktiwiteite het ontwikkel in 'n samewerkingsgeleentheid as 'n COIL-ervaring. 'n Nuwe konseptuele diensleerbenadering vereis goeie kommunikasie en netwerkvorming, duidelike agendas sowel as toegewyde personeel en studente. Die studie het diensleeraktiwiteite deur Suid-Afrikaanse argitektuurstudente aan die Universiteit van die Vrystaat saamgesmelt met literatuur van Amerikaanse kunsgeskiedenis-studente van Colorado State University deur middel van 'n COIL wat gelei het tot 'n samewerkende uitstalling van navorsingsbevindinge. Die studiebenadering volg die Verenigde Nasies se Volhoubare Ontwikkelingsdoelwitte (SDG's) van kwaliteit onderwys en geslagsgelykheid en die "Art-Lab for Human Rights and Dialogue" wat eties ingryp vir menseregte as "kunsaktivistiese" dade van sorg vir plattelandse woonhuiskuns.

ABSTRACT The finest resource for a scientist today is time. One minute without a specific vaccine, proper treatment, or a safe protocol means thousands of deaths. Based on this need, this research aims to show the functionalities of the Coronavirus Metric Observatory developed by the Pinar del Río University "Hermanos Saíz Montes de Oca" as a tool that allows the monitoring, compilation, analysis and visualization of information from peer-reviewed scientific papers and invention patents registered in international databases on Coronavirus. For its development, different methods and procedures were used that, together with the applied technology and the defined metric indicators, made it possible to have a dynamic platform that significantly reduces the search and interpretation times for relevant information on the scientific and technological domain Coronavirus. Having a dynamic platform that significantly reduces the time for analysis and interpretation of relevant information is also a timely and valuable contribution that contributes to the search for solutions to this deadly pandemic. This Observatory is a space for transforming information into knowledge for action. It is a scientific result that contributes to linking the Academy with the research and productive sector of Biotechnology in the country, driven by the interests and priorities of the Government at the service of all Cuban society.

RESUMEN El recurso más finito de un científico hoy es el tiempo. Un minuto sin una vacuna específica, un tratamiento adecuado o un protocolo seguro significa miles de muertes. A partir de esta necesidad, la presente investigación tuvo como objetivo caracterizar las funcionalidades del Observatorio Métrico de Coronavirus desarrollado por la Universidad de Pinar del Río “Hermanos Saíz Montes de Oca” como herramienta para el monitoreo, la compilación, el análisis y la visualización de la información procedente de artículos científicos arbitrados y de patentes de invención registradas en bases de datos internacionales sobre Coronavirus. Para su desarrollo se utilizaron diferentes métodos y procedimientos que permitieron, de conjunto con la tecnología aplicada y los indicadores métricos definidos, disponer de una plataforma dinámica que reduce significativamente los tiempos de búsqueda e interpretación de la información relevante sobre el dominio científico y tecnológico Coronavirus, lo que supone ser también un aporte oportuno y valioso que contribuye a la búsqueda de soluciones ante esta letal pandemia. Este Observatorio es un espacio de transformación de la información en conocimiento para la acción investigativa y la toma de decisiones. Es un resultado científico que contribuye al encadenamiento de la Academia con el sector investigativo y productivo de la Biotecnología en el país, conducido por los intereses y prioridades del Gobierno al servicio de toda la sociedad cubana.

ABSTRACT Over the course of several weeks following the first diagnosed case of COVID-19 In the U.S., the virus rapidly spread across our communities. It became evident that the pandemic was going to place a severe strain on all components of the U.S. healthcare system, and we needed to adapt our daily practices, training and education. In the present paper we discuss four pillars to face a pandemic: surgical and outpatients service, tele-medicine and tele-education. In the face of unprecedented risks in providing adequate health care to our patients during this current, evolving public health crisis of COVID-19, alternative patient management tools such as telemedicine services, allow clinicians to maintain necessary patient rapport with their healthcare provider when required. As a subspecialty, urology should take full advantage of telehealth and teleeducation at this juncture. As tele-urology and tele-education can obviate the potential drawbacks of “social distancing” as it pertains to healthcare, the platform can also reduce the risk of COVID-19 spread, without compromising quality urological care and educational efforts. Telehealth can bring urologists and their patients together, perhaps closer than ever.

Resumen Los comentarios y valoraciones en línea realizadas por los clientes de establecimientos hoteleros ofrecen información relevante para determinar diversas dimensiones del servicio recibido. En este contexto, el propósito de este trabajo es evaluar la calidad percibida por huéspedes nacionales e internacionales alojados en diferentes hoteles en Medellín (Colombia). Para ello, se recurrió a la técnica de escalamiento multidimensional de mapas perceptuales aplicada a 9.153 comentarios realizados en la plataforma TripAdvisor a 57 hoteles entre los años 2.005 y 2.016. El principal hallazgo muestra que los factores que más valoran los huéspedes son la limpieza, la calidad del descanso y el servicio por encima de la ubicación, el precio y la comodidad de las habitaciones; aunque dichos factores difieren según las características del visitante y del hotel.

Abstract The online comments and assessments made by hotel customers provide relevant information to determine the various dimensions of the service received. In this context, the purpose of this work is to evaluate the quality perceived by national and international guests staying at different hotels in Medellín (Colombia). To this end, the multidimensional scaling technique of perceptual maps was used to apply to 9,153 comments made on the TripAdvisor platform to 57 hotels between 2005 and 2010. The main finding shows that the factors most valued by guests are cleanliness, quality of rest and service above the location, price and comfort of the rooms, although these factors differ according to the characteristics of the visitor and the hotel.

Résumé Les commentaires et l’évaluation en ligne effectués par les clients des établissements hôteliers offrent de l’information pertinente pour déterminer les différentes dimensions du service reçu. Dans ce contexte, le but de ce travail est d’évaluer la qualité perçue des clients nationaux et internationaux logés dans différents hôtels de Medellin (Colombie). Pour cela, la technique de mise à l’échelle multidimensionnelle des cartes perceptives appliquée à 9 153 commentaires réalisés sur la plateforme TripAdvisor a été utilisée pour 57 hôtels entre les années 2005 et 2016. La principale découverte montre que les facteurs qui valorisent le plus les clients sont la propreté, la qualité du repos et le service au-dessus de l’emplacement, le prix et le confort des chambres; bien que ces facteurs diffèrent selon les caractéristiques du visiteur et de l’hôtel.

A través del análisis de los beneficios y oportunidades de la plataforma de aprendizaje de la Universidad de la República (UdelaR) desarrollada en base al software Moodle, la Biblioteca de la Facultad de Ingeniería plantea optimizar el servicio de formación de usuarios de acuerdo a los postulados de la alfabetización informacional. Se destaca el rol del bibliotecólogo como educador, tutor y diseñador de los contenidos publicados.

Through an analysis of the benefits and opportunities of the Moodle-based learning platform of Universidad de la República (UdelaR), the Library of the Faculty of Engineering plans to optimize its user training services according to the international literacy standards. The role of the librarian as educator, tutor and designer of published contents is highlighted.