Many researchers have suggested positive patient-health provider relationships can positively impact patient outcomes. A few focused explicitly on bariatric weight loss surgery (BWLS) professional-patient interactions. This study is significant because BWLS is a recommended tool to combat obesity. The purpose of this study was to analyze the perceptions of BWLS education nurses regarding their patient encounters. This mixed methods research study used an online survey combining quantitative Likert scale questions and open-ended qualitative questions, with social cognitive theory as the theoretical foundation. These explored viewpoints relate to their patient relations expressed by a health professional. Health professional beliefs incorporated into patient interactions has merit within BWLS continuum from presurgery requirements, to the procedure, and post-surgery lifestyle. Many respondents are employed in obesity services programs and received 'snowballs' from other contacted health professionals. The analyzed written response word clouds favor patient-focused care. Participation reluctance by not answering or skipping short answer perspective questions was a quantitative trend. Data revealed survey specific noticeable qualitative tendencies favorable toward patient-centered care and patient health accountability. The anticipated positive social change is a better understanding of issues surrounding the choice for and against BWLS and improved healthcare and health professional-patient communications.

National parliaments (NPs) are vital to the European Union’s (EU’s) democratic legitimacy. They are tasked with controlling their governments through oversight and scrutiny while providing a deliberative forum by offering policy alternatives, informing, and connecting citizens to the EU. NPs can only provide public accountability if they adequately meet these challenges, ensuring a well-informed citizenry that is able to form and vote according to their preferences on European integration. To do this, Members of Parliament (MPs) need to publicly communicate EU issues and important developments concerning the EU project. Yet, the use of the communicative function of NPs in EU affairs remains underexplored and questions of public accountability unanswered. Against this background, this study aims to shed light on the general salience of the EU in the plenary by adopting a principal-agent framework to analyze the factors that co-vary with the willingness of MPs to discuss the EU. Employing regression analysis on a novel dataset with observations from 17 European NPsincluding over 20,000 plenary protocols from 2006-2019, this study notes a general upwards trend of the emphasis MPs put on the EU over time, driven by critical junctures, most notably, the Lisbon treaty and the Eurozone crisis. The results of this study also indicate that MPs are most consistently responsive to elections and other key EU events. Besides, factors related to authority transfers and EU legislation as well as strategic party incentives determine how much MPs use their communicative function in the plenary. Nevertheless, this study unveils some challenges to the democratic legitimacy of the EU.

Thesis advisor: Zhushan Li / Educational public private partnerships (PPP), referring to the shared delivery of education services by the government and private providers, have been increasing in recent decades, especially in low- and middle-income countries (LMIC). Yet to date, there has been limited research on their role in the education landscape, in part due to the difficulty of classifying PPP schools in large-scale datasets, which typically classify schools as either public or private. In addition, few studies have assessed PPPs and school quality assurance indicators typically associated with them.  The study had two purposes. First, to explore the possibility of classifying PPP schools in a large-scale dataset using a statistical method. And second, to use these classifications to examine the differences between PPP, public, and private schools on school quality assurance measures, including but not limited to achievement. These analyses were performed using data from the Program for International Student Assessment (PISA), with schools from six of the global emerging economy countries: Brazil, China, Indonesia, Mexico, Russia and Turkey.  Schools were classified using a two-step clustering method using funding and management variables. This revealed three good-quality clusters with a silhouette measure of cohesion and separation of 0.6 (IBM, 2015b; Wendler & Gröttrup, 2016). These were classified as public, private, and PPP based on the characteristics of each school type. With these classifications, the study assessed the relationship between school type and achievement in mathematics, science and reading, and 24 school quality assurance measures from PISA. The analyses controlled for school resources and socio-economic and cultural status. The study found that overall, PPP schools performed better than public schools on three indicators, and better than private schools on five indicators; public schools performed better than PPP schools on one outcome and better than private schools on three outcomes, although with mostly small effect sizes. Private schools did not outperform other school types on any outcome. A country wise analysis showed that these results differed by country. The study highlights the possibility of using two-step clustering to identify PPP schools, the effects of shared funding and management on school performance, and the importance of context in examining countries’ education policies. / Thesis (PhD) — Boston College, 2021. / Submitted to: Boston College. Lynch School of Education. / Discipline: Educational Research, Measurement and Evaluation.

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During recent public health emergencies, such as COVID-19 pandemic, the spread of over, false and misinformation in social media, resulted in an exponential use of digital social listening methodologies- in summary defined as collection and analysis of voices, concerns and/or perceptions expressed by individuals and communities- as part of the humanitarian response.  This raises the question on how those social listening findings are being used and influence emergency responses, while also addressing affected people’s needs and concerns, as part of the Accountability to Affected Populations (AAP) mandate- an obligation of every organisation on the ground to place people affected by crisis at the centre of humanitarian action and promote respect for their human rights.  Trough the comparative analyses of social listening reports and a mixed survey responded by Risk Communication and Community Engagement (RCCE) practitioners, using COVID-19 context as an example, this project helps understanding the role social listening has had in humanitarian responses, while providing possible ways to better connect social listening to programming.  On way forward is urgent to harmonise the definition of social listening and clearly distinguish social media listening and its limited role in terms of communities’ participation, while acknowledging the risk of exclusion of digital channels in general. Social listening cannot continue to be limited to the RCCE field, but involve other programme sectors, besides effectively engaging governments, civil society and affected populations. Offline mechanisms seem to be better shaped to address inclusion, localisation and contextualisation (and AAP in general), and therefore the need to invest in specific community-based mechanisms and/or systems that combine online with offline tools. For accountability purposes, monitoring action taken based on Social Listening findings and evaluating how it impacted programmes, it is an urgent priority. Besides the obvious humanitarian obligation of communicating (looping) back to communities what was done with their voices.

This study investigates the accountability of agencies responsible for countering Malign Information Influence (MII) during the 2018 general election in Sweden and the 2017 snap election in the United Kingdom. Using a comparative methodology, the study emphasizes the importance of timely, accurate, transparent, and sufficiently disseminated information as prerequisites for accountability. Qualitative data analysis of annual reports and media coverage was conducted, revealing that both Sweden and the UK were highly aware of the MII risks and implemented various measures to protect electoral integrity. While the conditions of timeliness were fulfilled,  limitations were identified in terms of transparency as well as dissemination. The study highlights common challenges and areas for improvement in the accountability mechanisms of government agencies, providing valuable lessons for countries facing similar issues. Ultimately, the thesis underscores the ongoing challenge for agencies to protect the electoral process from new sharp power threats, while also maintaining citizen trust. Suggestions for future research include incorporating mixed-methods approaches, broadening the research question to explore additional factors, conducting in-depth data analyses, and exploring additional cases to further enhance the generalizability of findings.

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