Background: Primary care providers, family physicians and nurse practitioners provide most mental health services in Canada. However, primary care providers lack knowledge, skills, and time to provide these services. Access to onsite mental health consultation or collaborative mental health care, affords primary care providers support to offer patients increased access to mental health services. Researchers suggest that interprofessional collaborative relationships are foundational to the success of collaborative mental health care. However, there is little understanding of how to build these relationships. Purpose: The purpose of this grounded theory study was to develop an understanding of how primary care and mental health care providers collaborate to deliver mental health care in primary care settings. Methods: Counsellors, family physicians, psychiatrists, nurse practitioners, and program leaders were recruited (N=40). Data were collected using individual (19) and focus group (7) semi-structured interviews. Interviews were audio recorded, transcribed and open coded. After open coding the first seven interviews, memos were written on each participant and focus group. These memos were sorted, compared to previous memos and then used to create a coding table. This iterative process of open coding, memo writing and then adding emergent codes to the coding table was repeated for all transcripts. Similar codes were grouped then collapsed to create the preliminary categories. Preliminary categories were sent to the participants after the primary care provider interviews and again after the provider focus groups to create the final categories. The final categories were compared to examine their relationships to one another. Findings: The main finding of this study is a theoretical rendering of the participants’ experiences and ascribed meaning of interprofessional collaboration to deliver mental health services in primary care. Specifically, a collaborative relationship building model with four developmental stages: 1) Primary Care Providers Need for Collaboration, 2) Initiating Co-location, 3) Fitting-in, and 4) Growing Reciprocity is offered. Conclusions: The findings underscore that collaborative care requires an understood need for collaboration, organizational support, contextually effective modes of communication, and a perception that collaboration improves patient care. Further research may explore the applicability of this model to other health care contexts. / February 2017

In the contemporary tourism industry, the competitive game is between destinations. Tourism operations struggle to remain competitive on the international market and their success depends to a large extent on other complementary and competing tourism organizations at the destination. It is the sum of the total tourism offerings at the destination which determines its attractiveness. This research explores tourism collaboration process as a means of generating destination competitiveness. The focus of the research is on the enhancing factors which contribute to the success of the collaboration and to the development of quality tourism products. The research studies the case of Biking Dalarna, a collaboration of different organizations at five biking destinations in Dalarna, Sweden. Its purpose is to develop biking tourism in the region and to make Dalarna into Sweden’s leading biking destination. It is a qualitative research; the empirical data was collected through in depth interviews with representatives of six Biking Dalarna member organizations. The qualitative data collected from the participants provides inside look into the members reflections and experience of collaborating. The findings of this research demonstrate how collaboration has improved the biking product in Dalarna and promoted solutions to development problems. The research finds the good relationship between the collaborating actors and the involvement and leadership of the regional tourism management organization as the most contributing factors to the success of Biking Dalarna. The research also suggests that a third desired outcome of collaboration, improved marketing attributes was yet to be achieved in the case of Biking Dalarna.

Objective: To analyze factors that lead nurses and doulas to have positive views of each other. Design: A multivariate analysis of a cross-sectional survey, the Maternity Support Survey. Setting: Online survey with labor and delivery nurses, doulas, and childbirth educators in the United States and Canada. Participants: A convenience sample of 704 labor and delivery nurses and 1,470 doulas. Methods: Multiple regression analysis was used to examine five sets of hypotheses about nurses' and doulas' attitudes toward each other. Scales of nurses' attitudes toward doulas and doulas' attitudes toward nurses included beliefs that nurses/doulas enhance communication, are collaborative team members, enhance a woman's birth experience, interfere with the ability to provide care, or interfere with relationships with the women for whom they care. Results: For nurses, exposure to doulas in their primary hospitals was associated with more positive views, whereas working more hours, feeling overworked, and a preference for clinical tasks over labor support were associated with more negative views of doulas. For doulas, working primarily in one hospital and certification were associated with more positive views of nurses. Nurses with more positive attitudes toward common obstetric practices had more negative attitudes toward doulas, whereas doulas with more positive attitudes toward common obstetric practices had more positive attitudes toward nurses. Conclusion: Our findings show factors that influence mutual understanding and appreciation of nurses and doulas for each other. These factors can be influenced by educational efforts to improve interprofessional collaboration between these maternity care support roles.

After almost two semesters as a graduate student at the University of Vermont, I decided that I wanted to do more in my second year of graduate school. It was through conversations with my colleagues that I determined that stepping out of my comfort zone of student affairs and looking into academic affairs would help develop me as not only a student affairs professional but as an educator as well. During the fall semester of 2016, I participated in an independent study where I served as a Teaching Assistant for a university diversity requirement course titled “The Political Economy of Race”. For this course I worked directly with a faculty member in the Department of Economics to cultivate a holistic classroom experience for the students in the course. Throughout the course of the semester, I was able to witness many different dynamics that were helpful to not only the students but to the professionals in the room as well. Upon completing the semester, I determined that I wanted to do more research and explore the benefits of collaborative partnerships between faculty and staff on college campuses; my focus for this research was to be around partnerships between professionals in student affairs and academic affairs. Although there has not been a lot of research around this particular topic in Higher Education, it is beginning to be studied as colleges and universities are expected to produce more valuable experiences for students. Through both research and experiential learning, I have found that there are benefits to collaborative partnerships between academic and student affairs in Higher Education as well as drawbacks to these partnerships. I have also made recommendations for future collaborative projects between faculty and staff as well as recommendations for future research in this area. Overall, there is value in the collaboration of student and academic affairs; however, it is the duty of Higher Education professionals to understand that value and work more collaboratively to ensure that students are served holistically.

Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal.

This thesis explores the process of building community over time, through collaboration, to rehearse and produce a portable production of Shakespeare's The Comedy of Errors, looking at the elements of time, trust and age with an ensemble of ten men, all actors over the age of 55. The building of trust over time was vital to the production process and the actors had the time to embody their roles and the language of the play. We look at the questions “why this play,” “why all men?” and “why theatre?” and investigate the physical nature of the play and its violence a la Three Stooges or Punch and Judy. We will look at the themes of aging, discrimination and the search for family and identity, all of which have resonance today, through the lens of play.

Over the last 20 years, internal use of Performance Management(PM) within organizations has become much more complex in terms measurement techniques and approaches as well as their deployment within different organizational structures. In contrast to the traditional use of PM as an intra-organizational system, the emergence of networked operations, has extended organizational boundaries of Performance Management System (PMS) to new operational settings where actors often deal with a challenge of Collaborative Measures. Consequently, there is a significant lack of feedback and feedforward reporting mechanisms. This raises an important question for Performance Measurement &amp; Management (PMM) literature. How do actors manage operations through inter- organizational performance measures? Hence, the purpose of this thesis is to investigate the management of collaborative measures in a quest to attain better operational performance for inter- organizational PM. The thesis builds on four studies investigating a collaborative PMS for capacity enhancements in airport operations. Due to their operational complexity and highly networked subsystems, airport operations provided a fitting empirical scene for studying PM that transcends organizational boundaries. Within the context of this thesis, airports are viewed as a System of System (SoS), and inter- organizational PM is investigated with the dimensions Organizational Complexity, Continuous Improvement and Social system. The studies use a multimethod approach, including longitudinal action research, multiple-case study, Systematic Literature Review (SLR), Classification and Regression Tree method (CART) and Artificial Neural Network (ANN) Method. The findings show that that (1) inter- organizational performance is affected by intrinsic Performance Measurement Complexity (PMC) which aggregates as interactive complexity with many actors. (2) The challenge of feedback and feedforward mechanisms as a dual control for collaborative performance is analysed with four cybernetic functions: sensor, commander, actuator and process. (3) The concept of Reflective Performance Measurement System (RPMS) is introduced with general conditions to facilitate collaborative decision-making within such platforms. / <p>This research was conducted within the framework of the European Doctorate in Industrial Management—EDIM, which is funded by the Education, Audiovisual and Culture Executive Agency (EACEA) of the European Commission. QC 20170524</p> / MASCA- Managing System Change in Aviation

This thesis explores the strong support for collaboration in schools’ while synthesizing literature already conducted on the subject. The primary objectives of this thesis is to discuss possible scenarios as to why educators are not collaborating, explore characteristics and implementations of collaboration with three specific groups including colleagues, stakeholders, and practicing professionals, and identify four key benefits of collaboration which include improved health, pedagogy, autonomy, and time. Evidence supports the idea that teachers who work in isolation can hinder growth within their profession. Additional evidence provides conclusive evidence that supports the benefits of collaboration by adding responsibilities to key contributors by holding them accountable for student learning.

To ensure that services can be delivered reliably and continuously over theInternet, it is important that both Internet routes and edge networks aresecured. However, the sophistication and distributed nature of many at-tacks that target wide-area routing and edge networks make it difficult foran individual network, user, or router to detect these attacks. Thereforecollaboration is important. Although the benefits of collaboration betweendifferent network entities have been demonstrated, many open questionsstill remain, including how to best design distributed scalable mechanismsto mitigate attacks on the network infrastructure. This thesis makes severalcontributions that aim to secure the network infrastructure against attackstargeting wide-area routing and edge networks. First, we present a characterization of a controversial large-scale routinganomaly, in which a large Telecom operator hijacked a very large numberof Internet routes belonging to other networks. We use publicly availabledata from the time of the incident to understand what can be learned aboutlarge-scale routing anomalies and what type of data should be collected inthe future to diagnose and detect such anomalies. Second, we present multiple distributed mechanisms that enable col-laboration and information sharing between different network entities thatare affected by such attacks. The proposed mechanisms are applied in thecontexts of collaborating Autonomous Systems (ASes), users, and servers,and are shown to help raise alerts for various attacks. Using a combina-tion of data-driven analysis and simulations, based on publicly availablereal network data (including traceroutes, BGP announcements, and net-work relationship data), we show that our solutions are scalable, incur lowcommunication and processing overhead, and provide attractive tradeoffsbetween attack detection and false alert rates. Finally, for a set of previously proposed routing security mechanisms,we consider the impact of regional deployment restrictions, the scale of thecollaboration, and the size of the participants deploying the solutions. Al-though regional deployment can be seen as a restriction and the participationof large networks is often desirable, we find interesting cases where regionaldeployment can yield better results compared to random global deployment,and where smaller networks can play an important role in achieving bettersecurity gains. This study offers new insights towards incremental deploy-ment of different classes of routing security mechanisms.

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