Office of The Vice-Chancellor - Research Publications

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    Research and education in public sector practice: a systems approach to understanding policy impact
    Althaus, C ; Carson, L ; Sullivan, H ; van Wanrooy, B (TAYLOR & FRANCIS LTD, 2021-07-03)
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    Implementation for impact-Measurement, partnership approaches, and storytelling
    Carson, L ; Althaus, C ; Sullivan, H ; van Wanrooy, B (WILEY, 2021-09)
    Abstract This is an introductory article to the AJPA symposium on 'Generating and demonstrating implementation impact'. It provides an overview and synthesis of key themes canvassed in the papers, which includes a focus on implementation for impact regarding measurement, partnership approaches, and storytelling.
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    Different paradigms of evidence and knowledge: Recognising, honouring, and celebrating Indigenous ways of knowing and being
    Althaus, C (WILEY, 2020-06)
    Abstract Debates over evidence‐informed policymaking are predominantly structured from a western paradigm of ontology and epistemology. Other ways of being and knowing are neither privileged by the policy space nor the discipline, certainly not in the same way or to the same degree. This is changing, however, in the face of cultural recognition and with diversity and inclusion agendas and within the contexts of post‐truth politics and the questioning of expertise. This article explores the contribution of Indigenous ways of knowing and being as providing valid, alternative forms of evidence that ought to inform the policymaking process. Australian experience suggests that Indigenous evidence and knowledge offers unique, substantive insights that are offered as ‘gifts’ to inform policy and public administration communities. This contribution is unrecognised and unincorporated into public administration at Australia and the world's peril given that Indigenous approaches offer new exciting ways forward for engagement, sustainability, and policy innovation. It should not be co‐opted or presumed. Indigenous peoples need to be given self‐determination avenues to decide what they wish to share or not, why, and how.
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    Fear, Risk, and the Responsible Choice: Risk Narratives and Lowering the Rate of Caesarean Sections in High-income Countries
    Hallgrimsdottir, H ; Shumka, L ; Althaus, C ; Benoit, C (AMER INST MATHEMATICAL SCIENCES-AIMS, 2017)
    In Canada, as elsewhere in the world, caesarean sections are the most common surgical procedure performed in hospitals annually. Recent national statistics indicate 28% of infants in Canada are born by c-section while in the United States that number rises to 33%. This is despite World Health Organization recommendations that at a population level only 10-15% of births warrant this form of medical intervention. This trend has become cause for concern in recent decades due to the short and long-term health risks to pregnant women and infants, as well as the financial burden it places on public health care systems. Others warn this trend may result in a collective loss of cultural knowledge of a normal physiological process and, in the process, establish a new "normal" childbirth. Despite a range of interventions to curb c-section rates-enhanced prenatal care and innovation in pregnancy monitoring, change in hospital level policies, procedures and protocols, as well as public education campaigns-they remain stubbornly resistant to stabilization, let alone, reduction in high-income countries. We explore-through a review of the academic and grey literature-the role of cultural and social narratives around risk, and the responsibilization of the pregnant woman and the medical practitioner in creating this kind of resistance to intervention today.