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Teacher voices hold weight for their colleagues. When teachers tell a story of a positive experience with technology (or other teaching tools or strategies), they are showing that it is possible. "Stories, particularly those that are concrete and readily identified with, are particularly powerful for transferring knowledge rich in tacit dimensions" (Swap, Leonard, Shields, & Abrams, 2001, p. 105). When teachers share their stories with each other, they create a reality based on concrete possibility. This article will focus on how we use teacher stories and conversations in professional development (PD) to create positive realities for teaching and learning.

BackgroundAntimicrobial stewardship to combat the spread of antibiotic-resistant bacteria has become a national priority. This project focuses on reducing inappropriate use of antimicrobials for asymptomatic bacteriuria (ASB), a very common condition that leads to antimicrobial overuse in acute and long-term care. We previously conducted a successful intervention, entitled "Kicking Catheter Associated Urinary Tract Infection (CAUTI): the No Knee-Jerk Antibiotics Campaign," to decrease guideline-discordant ordering of urine cultures and antibiotics for ASB. The current objective is to facilitate implementation of a scalable version of the Kicking CAUTI campaign across four geographically diverse Veterans Health Administration facilities while assessing what aspects of an antimicrobial stewardship intervention are essential to success and sustainability.MethodsThis project uses an interrupted time series design with four control sites. The two main intervention tools are (1) an evidence-based algorithm that distills the guidelines into a streamlined clinical pathway and (2) case-based audit and feedback to train clinicians to use the algorithm. Our conceptual framework for the development and implementation of this intervention draws on May's General Theory of Implementation. The intervention is directed at providers in acute and long-term care, and the goal is to reduce inappropriate screening for and treatment of ASB in all patients and residents, not just those with urinary catheters. The start-up for each facility consists of centrally-led phone calls with local site champions and baseline surveys. Case-based audit and feedback will begin at a given site after the start-up period and continue for 12 months, followed by a sustainability assessment. In addition to the clinical outcomes, we will explore the relationship between the dose of the intervention and clinical outcomes.DiscussionThis project moves from a proof-of-concept effectiveness study to implementation involving significantly more sites, and uses the General Theory of Implementation to embed the intervention into normal processes of care with usual care providers. Aspects of implementation that will be explored include dissemination, internal and external facilitation, and organizational partnerships. "Less is More" is the natural next step from our prior successful Kicking CAUTI intervention, and has the potential to improve patient care while advancing the science of implementation.

When the contemporary art show documenta 14 (d14) moved to Athens in 2017 claiming to embrace the periphery and destabilize Eurocentric neoliberalism, it triggered a scathing critique that its interest in the city was Orientalist and that its political agenda was contradicted by its own financial structures. This article dwells on the disjuncture between the sanguine exaltation of the native subject and the natives' own disdain. By drawing on d14's embodiment of an anthropological perspective and its celebration of tribal subaltern subjectivity, I revisit unresolved problems in the discussion of exoticism and scrutinize the nativist fantasies in which anthropology has historically participated and that reemerge today in sovereigntist movements, such as Brexit. I propose that d14's cultural investment in the South as well as Athenians' responses may be understood by considering the encounter between European tourists and shepherds in the Sfakia region of Crete from the 1960s to the present. The Sfakian scope becomes valuable in recovering the simultaneous positivity and oppressiveness of Romantic ideas concerning sublime natives. This positivity, ironically, may spark an anticolonial disdain fueled by Greeks' renewed sense of subjugation in the debt crisis and their ambivalent relationship to Europe and the concept of colonialism, the exploration of which can shed light on cultural complexities of global inequality today. [ABSTRACT FROM AUTHOR]