Healthcare managers, professionals and service users operate in an increasingly complex environment in terms of policy, regulation and governance arrangements. The policy process is becoming pluralised as competing narratives are drawn upon to influence practice. A wide range of contradictory and inconsistent policies are on offer to healthcare stakeholders, which ultimately results in a broad spectrum of responses, adaptations and improvisations throughout the process of policy implementation. The impact on managerial and professional practice is significant: Whilst some voices are suppressed or ignored, the complex nature of contemporary policy contexts can also help local actors exercise their agency and advance their agenda. This edited volume investigates how contemporary policy trends are influencing healthcare systems, organisations and professions and explores the various ways in which policy implementation could be enacted, resisted and reinvented by healthcare managers and professionals on the ground. It sheds light on the complex web of connections that exist between policy development (Part I), its translation into practice (Part II), and the activities of organisational leaders who are trying their best to make sense of - and succeed in - challenging policy contexts (Part III).

Describes the physical characteristics and habitats of a variety of different frogs, toads, and turtles. Includes related activities and scrapbook pages.

An introduction to the world of insects, caterpillars, and butterflies including identification information, educational activities, and fun facts.Invites young naturalists to spot wildlife. Safety tips are provided and interesting activities are sugested. Color illustrations enhance the presentation. ---HORN BOOKS (Tracks, Scats and Signs)

An introduction to the world of insects, caterpillars, and butterflies including identification information, educational activities, and fun facts.Invites young naturalists to spot wildlife. Safety tips are provided and interesting activities are sugested. Color illustrations enhance the presentation. ---HORN BOOKS (Tracks, Scats and Signs)

Healthcare managers, professionals and service users operate in an increasingly complex environment in terms of policy, regulation and governance arrangements. The policy process is becoming pluralised as competing narratives are drawn upon to influence practice. A wide range of contradictory and inconsistent policies are on offer to healthcare stakeholders, which ultimately results in a broad spectrum of responses, adaptations and improvisations throughout the process of policy implementation. The impact on managerial and professional practice is significant: Whilst some voices are suppressed or ignored, the complex nature of contemporary policy contexts can also help local actors exercise their agency and advance their agenda. This edited volume investigates how contemporary policy trends are influencing healthcare systems, organisations and professions and explores the various ways in which policy implementation could be enacted, resisted and reinvented by healthcare managers and professionals on the ground. It sheds light on the complex web of connections that exist between policy development (Part I), its translation into practice (Part II), and the activities of organisational leaders who are trying their best to make sense of - and succeed in - challenging policy contexts (Part III).

Suspect there's something "different" about your child? This book will help you navigate those early stages of your child's life when a diagnosis is nowhere in sight. Not knowing how to help your child can leave you totally frustrated, or frightened into inaction by a vision of what may lie ahead. Written by a mother who understands (At first, she tried with all her might to avoid her son's diagnosis!), this book humorously and gently prods parents into action, beginning with the chapters "Was That the Exit to Normal?" and "Rules of the Road," and then getting to the nitty gritty in" Labels - You Gotta Love 'Em" and "To School or Not to School."