Sign In Register More National Obituaries > — A community staple in southern Milwaukee County is seeing a growing need for help as more people are experiencing food insecurity and struggling to provide for their families than ever before "I believe all of us are two or three life decisions away from needing a facility like this," said Dan Reszel but I got here as soon as I could," said Reszel he has volunteered at South Milwaukee Human Concerns a nonprofit organization that offers clothing and an emergency food pantry for its clients Watch: South Milwaukee Human Concerns addresses food insecurity "One of my first weeks of volunteering here one client came up to me at the desk and said 'I don't know what I would do without you,'" Reszel recalled Executive Director Debra DeBoer says SMHC's reach has only continued to grow over the years "We are serving about one-third of the community at one time or another," said DeBoer That totals about 8,500 people a year and nearly 275 per month whether it’s that little pickup or that extra birthday gift you don’t have to worry about purchasing—anyway we can help," DeBoer added donating and distributing 94,200 pounds of food to the pantry so far this year "There are some things we can teach people but those are things that come from within I think if you spend any time here at South Milwaukee Human Concerns you'll see that in spades," said Michael Jonas Stream local news and weather 24/7 by searching for “TMJ4” on your device Available for download on Roku, Apple TV, Amazon Fire TV, and more. Report a typo or error // Submit a news tip Report a typo This website is using a security service to protect itself from online attacks The action you just performed triggered the security solution There are several actions that could trigger this block including submitting a certain word or phrase You can email the site owner to let them know you were blocked Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page On March 23, Al Reszel began his seventh cross-country solo bicycle ride to raise money for Pink Pedals for a Cure| Terry’s Ride and The Breast Cancer Research Foundation (BCRF) Augustine will become Reszel’s latest stop for a ride named to honor his wife What began in the Florida Keys will traverse through 12 states and two countries the 65-year-old cycle enthusiast has traveled more than 20,000 miles and raised over $50,000 for the BCRF Augustine Record caught up with the couple during a well-earned pit stop on March 27 Al Reszel: We’re working together to find a cure for breast cancer Survival is a common thread in this heroic story where love threads a narrative born from determination Terry wrote her chapter of sufferance and stoicism comforter and cheerleader while I raise funds an awareness for the Breast Cancer Research Foundation tell us about your battle with breast cancer Terry Reszel: After years of mammograms and biopsies I was diagnosed with breast cancer in 2010 and underwent a bilateral mastectomy Al and my family helped me to forge a path of perseverance to endure the dark times We found hope and conviction through faith and belief in our love for each other Al Reszel: Terry withstood insurmountable challenges we came up with another courageous journey You can even say we came up with a secondary And that’s when Pink Pedals 4 A Cure | Terry’s Ride in support of the Breast Cancer Research Foundation was born Al Reszel: I’ve been an avid cyclist and outdoorsman for years to honor Terry’s courageous journey we created Pink Pedals 4 A Cure | Terry’s Ride I completed a 500-mile solo bicycle ride from Afton I’ve crisscrossed the United States multiple times raising money for BCRF Terry Reszel: Years ago, Al left corporate America after 29 years to earn a master’s degree in special education from Bemidji State University He worked as a high school education teacher enriching his life and the lives of "his kids" for 10 years and five beautiful grandchildren when we’re not on the road Al Reszel: It’s been 14 years since Terry’s diagnosis and today we count our blessings Terry Reszel: This isn’t just a journey about our love for each other It’s a journey for those striving to survive and the families of those in need We were able to find peace in a turbulent existence But this is our goal to create awareness and financial support to fund breast cancer research in an endeavor to find a cure Al Reszel: I always say: I can’t do research Augustine Record: How does it feel to be in St Al Reszel: Not long after we got married almost 46 years ago We’re going to stop by again to let people know that I'm 65 years old that is my seventh cross-country bicycle ride Click here to track Reszel’s Pink Pedals for a Cure| Terry’s Ride Metrics details and pregnant and birthing people and their infants do not always receive care that aligns with the best available evidence Implementation science can inform how to effectively move evidence into practice While there are a growing number of examples of implementation science being studied in maternal-newborn care settings it remains unknown how real-world teams of healthcare providers and leaders approach the overall implementation process when making practice changes The purpose of this study was to describe maternal-newborn hospital teams’ approaches to implementing practice changes We aimed to identify what implementation steps teams take (or not) and identify strengths and potential areas for improvement based on best practices in implementation science We conducted a supplementary qualitative secondary analysis of 22 interviews completed in 2014–2015 with maternal-newborn nursing leaders in Ontario We used directed content analysis to code the data to seven steps in an implementation framework (Implementation Roadmap): identify the problem and potential best practice; assemble local evidence; select and customize best practice; discover barriers and drivers; tailor implementation strategies; field-test Frequency counts are presented for each step Participants reported completing a median of 4.5 of 7 Implementation Roadmap steps (range = 3–7) with the most common being identifying a practice problem Other steps were described less frequently (e.g. outcome evaluation) or discussed frequently but not optimally (e.g. Participants provided examples of how they engaged point-of-care staff throughout the implementation process but provided fewer examples of engaging pregnant and birthing people and their families Some participants stated they used a formal framework or process to guide their implementation process with the most common being quality improvement approaches and tools We identified variability across the 22 hospitals in the implementation steps taken we also identified areas where further support may be needed Future work is needed to create opportunities and resources to support maternal-newborn healthcare providers and leaders to apply principles and tools from implementation science to their practice change initiatives clinical practice changes can be particularly complex due to the involvement of different healthcare providers (e.g. care that focuses on two different patient populations (e.g. the pregnant or birthing person and infant) and the fact that some practices are affected by separate hospital units (e.g. It is important to assess if and how implementation evidence and tools are being applied to identify opportunities to optimize evidence-informed implementation these reports are typically focused on a practice change in a single setting likely over-represent teams that are more familiar (and potentially more successful) with implementation processes there is a need to shift from learning about single implementation strategies or single projects to also looking more holistically at how maternal-newborn teams implement practice changes in their day-to-day work and monitor and evaluate implementation projects Although hospitals have access to this large and robust data system it remains largely unknown what processes teams are using to implement practice changes and how well their processes align with current best practices in implementation science providing an opportunity to learn how Ontario maternal-newborn hospitals approach practice changes and how they use the dashboard to support their work One part of the evaluation involved interviews with nursing leaders in Ontario maternal-newborn hospitals about how they implement practice changes we aimed to understand maternal-newborn leaders’ usual approaches to implementing practice changes in their hospital units and identify potential areas where the implementation process could be improved The objective of the primary study was to qualitatively explore potential factors that may explain the differences among maternal-newborn hospitals in their use of the dashboard Because the purpose of the interviews was to inform the development of a questionnaire for all Ontario maternal-newborn hospitals to measure the identified factors the interview data were never prepared for publication The primary study used a qualitative descriptive design [26] The interviews were conducted between November 2014 and March 2015 by one of two female research staff (master’s-prepared research coordinator with expertise in quality improvement; research assistant with maternal-newborn nursing experience) Both interviewers had qualitative research experience and were trained by the study investigators The interviewers did not have a prior relationship with study participants which lasted an average of 34 min (range of 17 min to 49 min) were completed by telephone and audio-recorded Interviews were transcribed verbatim by a transcriptionist and verified by the research team The objectives of this current secondary analysis were to: (1) describe maternal-newborn teams’ approaches to implementing practice changes; (2) identify the implementation steps and activities that teams do and do not take; and (3) identify any strengths and potential areas for improvement based on best practices in implementation science but was not directly involved in the collection or analysis of the primary dataset The co-principal investigator (Dunn) and a co-investigator (Graham) from the primary study were involved in this secondary analysis and provided contextual and methodological details as needed We obtained permission from the co-principal investigator of the primary study (Dunn) and research ethics board approval to access the de-identified transcripts Aggregate demographic information was provided for contextual information We did not collect any new supplementary data The codes were grouped into broader categories The coder (Reszel) met weekly with one other team member (Graham) who was the developer of the Implementation Roadmap who has expertise in knowledge translation and implementation reviewed all coded transcripts for accuracy and comprehensiveness Daub) met to discuss the coding and categories and to reach consensus The coding of the transcripts was subsequently updated The coding review did not result in any changes to the coding scheme a summary of the analysis was presented to and discussed by the broader research team which included a parent representative (Pervez) and implementation science experts (Cassidy This discussion served to confirm and challenge the analysts’ interpretation and informed the final presentation of results Our team includes healthcare providers and leaders with many of us having experience in multiple domains We believe that the care provided to pregnant and birthing people should be informed by the best available evidence We recognize it can be challenging to implement evidence-informed practices but we believe that these challenges can be overcome and that maternal-newborn teams should be supported to develop the knowledge and skills to apply evidence in practice This position influenced the question we chose to investigate and our professional and lived experiences informed the interpretation of our findings *Discussed does not mean it was done optimally; but there was at least a general mention of the step All participants (n = 22) described how their teams came to identify a potential practice problem that needed to be addressed The problem was identified through provincial or organizational priorities or mandates; emerging evidence learned through conferences and guidelines; seeing a red signal on their dashboard; and through seeing how their practice rates compared to other hospitals: “The thing that actually drove the change wasn’t the evidence we’re red [on the dashboard] and this is embarrassing’…now we’re being compared to other people and how we fit in and it wasn’t pretty.” (Participant 5) 32%) discussed how they identify potential best practices that could address the problem Registered Nurses’ Association of Ontario [RNAO] Society of Obstetricians and Gynecologists of Canada [SOGC]) and evidence from obstetrical safety training programs (e.g. Only one participant mentioned appraising the evidence underlying the potential best practice 77%) gave at least one example of how they learn about their current practice and the context in which the practice is occurring This assessment occurred by collecting data and team experiences and impressions Participants mentioned local data sources such as the BORN data registry and the dashboard “You have subjective impressions of ‘we have a problem here; we know we do too many social inductions.’ You get that subjective perspective from staff and physicians but what the data does is make it clear There’s no arguing with: here’s how many you did Participants described how they used different data sources to “drill down” to specific cases and explore precipitating factors leading to a more fulsome understanding of what may be driving current practice (e.g. two participants (9%) described conducting what would be considered a formal “gap-analysis” to measure the difference between current practice and the best practice they are targeting (i.e. 32%) discussed how their teams select and customize the best practice for their setting While no participants described a structured process for selecting the specific best practice to be implemented five participants (23%) explained the importance of securing the support or endorsement of others This support was achieved through sharing the evidence for the best practice in an understandable way showing how the best practice aligns with provincial and regional priorities and ongoing discussions to share and resolve concerns “People don’t stay up at night trying to do things wrong so helping them understand the rationale for why—taking that extra time to appraise the research and look at translating that so it’s in simple terms that they would be able to understand why Sometimes telling them who else has already done it this way helps with the buy-in and engagement as well.” (Participant 6) One participant described the challenge of working as an interprofessional team where different professions rely on and value different sources of evidence highlighting the need for a tailored approach to build support for the selected best practice only one participant described how they customized the best practice providing the example of modifying the recommendation to make it more achievable in their setting There were no examples of teams customizing the best practice to align with their context by explicitly considering the who 95%) stated they consider potential barriers to implementing the selected best practice Participants generally described the barriers assessment process as informal involving brainstorming among the working group and general discussions with the broader clinical team Several participants stated they were just familiar with the “usual” barriers based on their previous experience resulting in a barriers assessment not being repeated for the current practice change initiative Three participants (14%) described a more systematic approach to assessing barriers detailing specific steps they take to identify barriers and the application of a framework: “When you do your root cause analysis you always look at opportunities and barriers And then what are we anticipating from a change perspective is going to be a barrier Who do we have to engage to eliminate that?” (Participant 10) No participants described assessing which barriers are feasible to address or prioritizing which barriers to target for the most impact 50%) indicated they take some steps to tailor the implementation strategies either by tailoring them to identified barriers or by tailoring them to the local context Five participants (23%) gave examples of how they consider the identified barriers when choosing which implementation strategies to use one participant described how they changed the days they were offering a specific clinical service to address an identified barrier to meeting best practice guidelines: “A perceived barrier was that physicians couldn’t get a scheduled time for their cesarean section after 39 weeks so they were doing them earlier that’s a barrier that we were really only doing elective sections from Monday to Friday So we’re working at removing that barrier by doing a bit more planning with anesthesia to plan the cesarean section on a weekend.” (Participant 21) Seven participants (32%) indicated that they take some steps to tailor the implementation strategies to the local context some participants described how instead of “recreating the wheel” they looked to strategies used by other sites and adapted them to fit with their local culture and ways of doing things Two participants (9%) described piloting or trialing their change initiatives prior to full-scale implementation These “tests of change” were described as an important way to engage a core group of key supports and gather their feedback on what works and what does not This information was then used to adjust the selected strategies prior to broader implementation: “And then being willing to trial something rather than implement something and just say ‘this is how it is.’ So we’ve adapted to try an idea and then if it doesn’t work adjust it to what we’ve learned from that experience.” (Participant 12) No participants described developing an evaluation plan prior to implementation or completing a pre-launch assessment 95%) stated they engaged in some form of evaluation and/or sustainability activities The most frequently described activity was monitoring adherence to the best practice Eighteen participants (82%) described how they monitored their practice change initiative over time by using tools such as the BORN data registry and the dashboard to track changes in rates and colored signals This monitoring data could be used to assess whether the implementation strategies were effectively bringing about the desired change or if the strategies needed to be adjusted or boosted: “The BORN data lets us know exactly where we’re sitting and when you can pull it month-to-month you can kind of get a glimpse as to: are we making any improvements in the interventions [best practices] We rolled out a signed consent for formula supplementation—did that make any difference in our rates The lunch and learns that we do around supplementation and around breastfeeding issues and techniques—are they making any difference?” (Participant 13) Participants described how the monitoring results were shared with staff via meetings and posting on unit boards and communicated to leadership (e.g. some participants described the challenge of monitoring changes without access to timely data Fewer participants described undertaking process evaluations or impact evaluations with only one participant stating they also evaluate process indicators and patient outcomes 73%) stated that they were taking steps to ensure the sustainability of their practice changes Examples of sustainability strategies included partnering with healthcare providers from the onset to secure their buy-in; making organizational changes that entrench the change in day-to-day work; ongoing monitoring for non-adherence; and maintaining ongoing communication with the team about the practice change “We’re measuring it consistently and communicating that back to the clinicians: the physicians So that will definitely be one of our initiatives to make sure that it is sustained.” (Participant 15) Nine participants (41%) named at least one formal process or framework they used to guide their change process These processes and frameworks included Lean (n = 5) Plan-Do-Study-Act (PDSA) or Plan-Do-Check-Act (PDCA) (n = 5) Baby Friendly Initiative (BFI) steps (n = 3) as well as theories such as adult learning theory (n = 1) and change management theory (n = 1) One participant described the benefit of having a consistent process that is applied across different practice change initiatives to help the team understand the steps: “It [previous practice change initiative] was a good exercise to go through with the staff…when it came time to launch our next project they’re understanding it’s the same—we’re going to follow the same model.” (Participant 12) Another nine participants (41%) stated that their organization did not use a formal process or framework to guide the change process with one participant stating they “fly by the seat of [their] pants” (Participant 2) 18%) stated their organizations do use a formal framework to guide practice changes they could tell you what our actual change management tool is that we use I just don’t have a good handle on that this morning but it’s the basic principles that everyone else uses.” (Participant 4) Five participants (23%) gave examples that indicated their level of engagement with point-of-care staff was meant to inform staff of the changes This tended to be one-way communication from the working group to point-of-care staff about what decision was made and how it will be implemented when asked if clinical staff offer their opinions on practice changes We just made an executive decision around what we thought would help” (Participant 18) Over three-quarters of participants (n = 17 77%) provided examples of two-way exchanges with point-of-care staff during the implementation process Participants most frequently provided examples of how they consulted with point-of-care staff (n = 12 by asking for suggestions on what practice changes to prioritize or soliciting input on how the change process is working These consultations occurred through formal ticket systems (i.e. 27%) described involving point-of-care staff (and in one case patient advisors) in the change process through their involvement in unit committees and councils “We have a patient and family-centered care steering committee which is comprised of both hospital employees and patient advisors and we solicit their input quite frequently with different actions that we need to take.” (Participant 13) Two participants (9%) described collaborating with point-of-care staff by including them in the core implementation working group as equal partners in the process: “They’re [clinical staff] part of the working group They contribute in terms of the root cause identification we identified which steps were most frequently discussed (e.g. which were less frequently discussed (e.g. and which were discussed frequently but not optimally (e.g. including efforts to work through varied implementation steps By noting gaps in the implementation process we identified potential areas where further capacity development and support may be needed and resources to support evaluation are needed to better assess the effect of the practice change initiatives there are opportunities to build further capacity in this area We assert that implementation science can enhance (not replace) these existing quality improvement approaches and tools providing a systematic and comprehensive approach for teams and so this challenge would likely remain if the interviews were conducted today we were liberal with our coding and coded according to participants’ descriptions identifying where participants provided short answers without any elaboration on when or how the step is actually performed and highlighted this in our results (e.g. social desirability was likely not an issue across all participants as some did explicitly acknowledge their lack of awareness or completion of some steps these findings would likely still ring true today These results are being used to develop a survey to distribute to all Ontario maternal-newborn hospital units to learn about what Implementation Roadmap steps teams are currently taking The results we report here are informing the development of survey questions to probe identified gaps and to tailor the question wording to align with local language The upcoming survey will complement this qualitative secondary analysis by providing updated data from a wider sample of hospitals allowing us to better understand what gaps and needs remain allowing us to interpret the data in a new light and identify future areas for research and practical support our study makes a unique contribution to the literature by describing and comparing the implementation approaches of many maternal-newborn teams With data on 22 sites (about one-quarter of birthing hospitals in the province) our sample provides insight into the implementation processes of diverse teams highlighting commonalities and differences These insights serve as potential areas to focus future implementation capacity-building efforts in maternal-newborn health services we observed variability in the reported implementation processes used by 22 maternal-newborn hospital units While participants provided many examples of steps and activities they use to implement practice changes we identified several areas where teams may need additional support These results provide a foundation for future work to explore current implementation practice in maternal-newborn hospitals and will inform the development of tailored practice change resources for maternal-newborn healthcare providers and leaders The dataset used in this secondary analysis (i.e. interview transcripts) are not publicly available due to them containing information that could compromise research participant privacy/consent but they are available from the corresponding author on reasonable request Better Outcomes Registry & Network Ontario Society of Obstetricians and Gynecologists of Canada World Health Organization. Network for improving quality of care for maternal, newborn and child health. 2021. https://www.qualityofcarenetwork.org/ Provincial Council for Maternal and Child Health. Perinatal & newborn health. 2022. https://www.pcmch.on.ca/reproductive-newborn-health/ Weiss D, Dunn SI, Sprague AE, Fell DB, Grimshaw JM, Darling E, et al. Effect of a population-level performance dashboard intervention on maternal-newborn outcomes: an interrupted time series study. BMJ Qual Saf. 2018;27:425–36. https://doi.org/10.1136/bmjqs-2017-007361 Squires JE, Cho-Young D, Aloisio LD, Bell R, Bornstein S, Brien SE, et al. Inappropriate use of clinical practices in Canada: a systematic review. CMAJ. 2022;194:E279–96. https://doi.org/10.1503/cmaj.211416 Abu-Odah H, Said NB, Nair SC, Allsop MJ, Currow DC, Salah MS, et al. Identifying barriers and facilitators of translating research evidence into clinical practice: a systematic review of reviews. Health Soc Care Community. 2022;30:e3265–76. https://doi.org/10.1111/hsc.13898 Eccles MP, Mittman BS. Welcome to implementation science. Implement Sci. 2006;1:1. https://doi.org/10.1186/1748-5908-1-1 Beidas RS, Dorsey S, Lewis CC, Lyon AR, Powell BJ, Purtle J, et al. Promises and pitfalls in implementation science from the perspective of US-based researchers: learning from a pre-mortem. Implement Sci. 2022;17:55. https://doi.org/10.1186/s13012-022-01226-3 Rapport F, Smith J, Hutchinson K, Clay-Williams R, Churruca K, Bierbaum M, et al. Too much theory and not enough practice? The challenge of implementation science application in healthcare practice. J Eval Clin Pract. 2022;28:991–1002. https://doi.org/10.1111/jep.13600 Closing the science–practice gap in implementation before it widens Sharma R, Buccioni M, Gaffey MF, Mansoor O, Scott H, Bhutta ZA. Setting an implementation research agenda for Canadian investments in global maternal, newborn, child and adolescent health: a research prioritization exercise. CMAJ Open. 2017;5:E82–9. https://doi.org/10.9778/cmajo.20160088 Lassi ZS, Kumar R, Mansoor T, Salam RA, Das JK, Bhutta ZA. Essential interventions: implementation strategies and proposed packages of care. Reprod Health. 2014;11(Suppl 1):S5. https://doi.org/10.1186/1742-4755-11-S1-S5 Doherty E, Kingsland M, Wiggers J, Wolfenden L, Hall A, McCrabb S, et al. The effectiveness of implementation strategies in improving preconception and antenatal preventive care: a systematic review. Implement Sci Commun. 2022;3:121. https://doi.org/10.1186/s43058-022-00368-1 Imamura M, Kanguru L, Penfold S, Stokes T, Camosso-Stefinovic J, Shaw B, et al. A systematic review of implementation strategies to deliver guidelines on obstetric care practice in low- and middle-income countries. Int J Gynecol Obstet. 2017;136:19–28. https://doi.org/10.1002/ijgo.12005 Batinelli L, Thaels E, Leister N, McCourt C, Bonciani M, Rocca-Ihenacho L. What are the strategies for implementing primary care models in maternity? A systematic review on midwifery units. BMC Pregnancy Childbirth. 2022;22:123. https://doi.org/10.1186/s12884-022-04410-x Dadich A, Piper A, Coates D. Implementation science in maternity care: a scoping review. Implement Sci. 2021;16:16. https://doi.org/10.1186/s13012-021-01083-6 Nilsen P. Making sense of implementation theories, models and frameworks. Implement Sci. 2015;10:53. https://doi.org/10.1186/s13012-015-0242-0 Kitila SB, Sudhakar M, Feyissa GT. Compliance to immediate newborn care practice among midwives working in maternity wards: a best practice implementation project. JBI Evid Implement. 2020;18:337–44. https://doi.org/10.1097/XEB.0000000000000237 JBI Evidence Implementation. Special collection: women’s, children’s and adolescent health. 2023. https://journals.lww.com/ijebh/pages/collectiondetails.aspx?TopicalCollectionId=1 Murphy MS, Fell DB, Sprague AE, Corsi DJ, Dougan S, Dunn SI, et al. Data resource profile data resource profile: better outcomes registry & network (BORN) Ontario. Int J Epidemiol. 2021;5:1416–1417h. https://doi.org/10.1093/ije/dyab033 Secondary Qualitative Data Analysis in the Health and Social Sciences Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Heal Care. 2007;19:349–57. https://doi.org/10.1093/intqhc/mzm042 Sandelowski M. What’s in a name? Qualitative description revisited. Res Nurs Health. 2010;33:77–84. https://doi.org/10.1002/nur.20362 Mason M. Sample size and saturation in PhD studies using qualitative interviews. Qual Soc Res. 2010;11:Art 8. https://doi.org/10.17169/fqs-11.3.1428 Rycroft-Malone J. The PARIHS framework — a framework for guiding the implementation of evidence-based practice. J Nurs Care Qual. 2004;19:297–304. https://doi.org/10.1097/00001786-200410000-00002 Attieh R, Gagnon MP, Estabrooks Ca, Légaré F, Ouimet M, Roch G, et al. Organizational readiness for knowledge translation in chronic care: a review of theoretical components. Implement Sci. 2013;8:138. https://doi.org/10.1186/1748-5908-8-138 Gagnon MP, Labarthe J, Légaré F, Ouimet M, Estabrooks CA, Roch G, et al. Measuring organizational readiness for knowledge translation in chronic care. Implement Sci. 2011;6:72. https://doi.org/10.1186/1748-5908-6-72 Graham ID, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell W, et al. Lost in knowledge translation: time for a map? J Contin Educ Health Prof. 2006;26:13–24. https://doi.org/10.1002/chp.47 Heaton J. Secondary analysis of qualitative data: an overview. Hist Soc Res. 2008;33:33–45 (https://www.jstor.org/stable/20762299) Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15:1277–88. https://doi.org/10.1177/1049732305276687 Knowledge translation in nursing and healthcare: a roadmap to evidence-informed practice Manafò E, Petermann L, Vandall-Walker V, Mason-Lai P. Patient and public engagement in priority setting: a systematic rapid review of the literature. PLoS ONE. 2018;13:e0193579. https://doi.org/10.1371/journal.pone.0193579 Reszel J, Dunn SI, Sprague AE, Graham ID, Grimshaw JM, Peterson WE, et al. Use of a maternal newborn audit and feedback system in Ontario: a collective case study. BMJ Qual Saf. 2019;28:635–44. https://doi.org/10.1136/bmjqs-2018-008354 Reszel J, van den Hoek J, Nguyen T, Aravind G, Bayley MT, Bird M-L, et al. How community-based teams use the stroke recovery in motion implementation planner: longitudinal qualitative field test study. JMIR Form Res. 2022;6:e37243. https://doi.org/10.2196/37243 Harrison MB, Graham ID, van den Hoek J, Dogherty EJ, Carley ME, Angus V. Guideline adaptation and implementation planning: a prospective observational study. Implement Sci. 2013;8:49. https://doi.org/10.1186/1748-5908-8-49 Vroom EB, Massey OT. Moving from implementation science to implementation practice: the need to solve practical problems to improve behavioral health services. J Behav Heal Serv Res. 2022;49:106–16. https://doi.org/10.1007/s11414-021-09765-1 Westerlund A, Sundberg L, Nilsen P. Implementation of implementation science knowledge: the research-practice gap paradox. Worldviews Evidence-Based Nurs. 2019;16:332–4. https://doi.org/10.1111/wvn.12403 Boehm LM, Stolldorf DP, Jeffery AD. Implementation science training and resources for nurses and nurse scientists. J Nurs Scholarsh. 2020;52:47–54. https://doi.org/10.1111/jnu.12510 Sprague AE, Dunn S, Fell D, Harrold J, Walker M, Kelly S, et al. Measuring quality in maternal-newborn care: Developing a clinical dashboard. J Obstet Gynecol Canada. 2013;35:29–38. https://doi.org/10.1016/s1701-2163(15)31045-8 Clarke GM, Conti S, Wolters AT, Steventon A. Evaluating the impact of healthcare interventions using routine data. BMJ. 2019;365:l2239. https://doi.org/10.1136/bmj.l2239 Dixon-Woods M, McNicol S, Martin G. Ten challenges in improving quality in healthcare: lessons from the Health Foundation’s programme evaluations and relevant literature. BMJ Qual Saf. 2012;21:876–84. https://doi.org/10.1136/bmjqs-2011-000760 Proctor E, Silmere H, Raghavan R, Hovmand P, Aarons G, Bunger A, et al. Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Adm Policy Ment Heal Ment Heal Serv Res. 2011;38:65–76. https://doi.org/10.1007/s10488-010-0319-7 Dawson T. Tacit (intuitive) knowledge has issues. Medium. 2018. https://theo-dawson.medium.com/tacit-knowledge-has-problems-420272c4cf1 Essential content for teaching implementation practice in healthcare: a mixed-methods study of teams offering capacity-building initiatives Powell BJ, Fernandez ME, Williams NJ, Aarons GA, Beidas RS, Lewis CC, et al. Enhancing the impact of implementation strategies in healthcare: a research agenda. Front Public Heal. 2019;7:3. https://doi.org/10.3389/fpubh.2019.00003 Powell BJ, Waltz TJ, Chinman MJ, Damschroder LJ, Smith JL, Matthieu MM, et al. A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project. Implement Sci. 2015;10:21. https://doi.org/10.1186/s13012-015-0209-1 Campbell A, Louie-Poon S, Slater L, Scott SD. Knowledge translation strategies used by healthcare professionals in child health settings: an updated systematic review. J Pediatr Nurs. 2019;47:114–20. https://doi.org/10.1016/j.pedn.2019.04.026 Waltz TJ, Powell BJ, Fernández ME, Abadie B, Damschroder LJ. Choosing implementation strategies to address contextual barriers: diversity in recommendations and future directions. Implement Sci. 2019;14:42. https://doi.org/10.1186/s13012-019-0892-4 Tailored interventions to address determinants of practice Koczwara B, Stover AM, Davies L, Davis MM, Fleisher L, Ramanadhan S, et al. Harnessing the synergy between improvement science and implementation science in cancer: a call to action. J Oncol Pract. 2018;14:335–40. https://doi.org/10.1002/14651858.CD005470.pub3 Leeman J, Rohweder C, Lee M, Brenner A, Dwyer A, Ko LK, et al. Aligning implementation science with improvement practice: a call to action. Implement Sci Commun. 2021;2:99. https://doi.org/10.1186/s43058-021-00201-1 Hess RG, Weaver SH, Speroni KG. Shared governance during a pandemic. Nurse Lead. 2020;18:497–9. https://doi.org/10.1016/j.mnl.2020.05.008 Boaz A, Robert G, Locock L, Sturmey G, Gager M, Vougioukalou S, et al. What patients do and their impact on implementation. J Health Organ Manag. 2016;30:258–78. https://doi.org/10.1108/JHOM-02-2015-0027 Bergen N, Labonté R. “Everything is perfect, and we have no problems”: detecting and limiting social desirability bias in qualitative research. Qual Health Res. 2020;30:783–92. https://doi.org/10.1177/1049732319889354 Morris ZS, Wooding S, Grant J. The answer is 17 years, what is the question: understanding time lags in translational research. J R Soc Med. 2011;104:510–20. https://doi.org/10.1258/jrsm.2011.110180 Download references We thank the research team of the primary study (led by co-author Dr Sandra Dunn and co-principal investigator Dr Mark Walker) who collected the data used in this secondary analysis We also thank the nursing leaders for their time and willingness to share their implementation experiences The primary study was funded by the Canadian Institutes of Health Research (CIHR FRN #133576) and the Ontario Ministry of Health and Long-Term Care (MOHLTC #06684) JR is funded by a CIHR Vanier Canada Graduate Scholarship and has received awards from the Integrated Knowledge Translation Research Network (IKTRN) and the University of Ottawa IDG is a recipient of a CIHR Foundation grant (FDN# 143237) Better Outcomes Registry & Network (BORN) Ontario School of Communication Sciences and Disorders IDG contributed to the conceptualization and design of the study IDG contributed to interpreting the data; JR drafted the initial manuscript draft IDG contributed to critically reviewing and editing the manuscript drafts IDG supervised the overall conduct of the study All authors approved the final version of the manuscript Ethics approval for the secondary analysis reported in this paper was obtained from the University of Ottawa Research Ethics Board (H-11-22-8739) The Children’s Hospital of Eastern Ontario (CHEO) Research Ethics Board (#13/218X) and the University of Ottawa Research Ethics Board (A01-14-03) approved the primary study a research staff reviewed the study information letter with each participant and obtained their verbal informed consent Due to the interviews being conducted by telephone and the low risk to participants the abovementioned research ethics boards approved the use of verbal informed consent All methods were carried out in accordance with relevant guidelines and regulations The authors declare no competing interests Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations unless otherwise stated in a credit line to the data Download citation DOI: https://doi.org/10.1186/s12884-023-06042-1 Anyone you share the following link with will be able to read this content: a shareable link is not currently available for this article Be one of the first to try our new activity feed Two of the world’s top long-course coaches dig into the good and bad behind racing with data or racing by feel Today we’re totally immersed in data—data about how well (or how much) you sleep At some point data can become a boat anchor rather than a turbobooster Should we race by numbers or race by instinct As the evolution (and perhaps our reliance) on data in triathlon becomes ever greater it seems an increasingly pertinent question It was also one addressed by Ironman World Championship St. George third place-finisher Braden Currie in a recent blog post The post revealed how influential the work of his coach Ben Reszel had been in breaking down the bike course in St George to give the Kiwi a very detailed plan of how it should be attacked “I have always felt that I needed to read the race and make decisions on the fly,” Currie wrote before explaining how the additional time to prepare for the race in Utah allowed him a different approach and deep-dive analysis of what power numbers were required and when RELATED: How Braden Currie (Nearly) Raced the Perfect IMWC St. George With Currie having arguably the best ride of the day—and probably the best of his life—it clearly worked or should intuition transcend the digital display of watts While Coach Lorang is admittedly more of a data guy there’s much more grey area between the two than you’d expect But most importantly it should depend on the athlete Do they want to integrate data into the training and then racing And for those who really like to stick to the numbers can they disconnect them from their feelings is your day already done because you are so stressed it would be better not to work with data at all “I have both categories in the athletes I coach The data instruction is on the training plan—bike at this power run at this pace—but the effort is more important By sticking to his numbers and the right zones in training it gives him the confidence to know when he’s race ready “Anne races completely by feel and won’t see her watts during the bike but will sometimes wear a watch during the run to control the pace It’s not that he sticks specifically to data but uses it to compare with how his body is feeling we talk more about tactics of how the race could develop and the limitations How much time could Jan spend over 400 watts If he’s feeling great in the last 20 miles of the bike or riding towards Hawi [the hill ahead of the bike turnaround in Hawaii] we could try to push it within a certain power range but the decision is always taken by the athlete in the race and some athletes look at stride frequency or cadence on the run too “I just provide tools for them to make decisions in a good way My coaching style is always to have the athlete in the center and see it as a step in their progression as professional athletes athlete do’ strategy is not how I want to work I know there are athletes who can only bring their best in these conditions but I’d say it’s better to find another coach.” RELATED: Riding With a Power Meter Will Supercharge Your Training “My philosophy as a coach is to always do every aspect of training by feel and perceived effort I coached five of the top professional women in the world for the Ironman World Championship in Kona My pre-race talk was different for each because they were such different individuals “One wanted to break the course record and was ready to dig deeper than ever before to make that happen Another wanted to finish the race knowing she’d strung together as many great moments as possible and was present to take it all in and she was the only one that could get in the way of her having the race she dreamed of Another needed to be reminded of all the incredible work she’d done Another was out to prove something to her doubters She needed to be fired up to deliver at the highest level The only goal was for each athlete to race their own race using perceived effort they had dialled into day-after-day-after-day in training “This is how I have notoriously had many great athletes at the same point in time I was able to see each athlete for the individual they are and address their specific needs—not just training needs The first thing I noticed was that she was losing confidence and getting frustrated It took training from being a place of empowerment—knowing your body going as hard as you know you can and pushing beyond that to see what’s possible—to a constant judgement zone: ‘Am I good enough I said: ‘We’ve had tremendous results before let’s get rid of this fricking thing!’ Later but the screen would just show her cadence Training Peaks asked if I would share her power file They were wowed by its even distribution and asked how we used power in training Say an athlete has been training with power with 30-minute efforts at Ironman watts If the taper is managed properly—we do two weeks when they bring down their training in a very specific taper—their numbers on race-day are going to be numbers they’ve never seen before they hold their planned 200 watts and it’s a dream come true But what if they could be holding 210 watts because they had a great taper “Working with power and heart-rate can put a ceiling over the athlete’s head and they miss all the magic that’s just above and knowing exactly what a certain effort feels like so they’ll go for that feeling on race day and reach levels they couldn’t imagine “Knowing the human being is the key factor to understanding what type of training brings out the best in them and will help them achieve their dreams. If something outside of the sport that really matters to them is in crisis, a coach must help them through this and also understand the effect it will have on their physical and emotional capacity Adjusting the training is crucial at this time “A beautiful gift in training this way is that the triathlon journey becomes a vehicle through which athletes truly come to know themselves and their bodies All of this prepares them for life beyond the sport which is even more important “If you are only knowing yourself as the numbers you see on your bike or wrist you are missing out on truly getting to know you To me that seems like a missed opportunity.” RELATED: Stay or Go? When to Follow the Race Plan (and When to Go for Broke) Longtime fundraiser Al Reszel will once again trek across several states on a solo cycling trip to benefit BCRF will travel 3,500 miles from the Florida Keys to their home outside of Minneapolis—and aim to raise $20,000 for lifesaving research along the ride Since Al and Terry started their Pink Pedals 4 A Cure fundraising rides in 2016 the couple has traveled 16,600 miles and raised more than $43,000 for BCRF to fund 860 hours of research Al will have cycled the equivalent of a trip around the globe (18,000 miles) according to the Guinness Book of World Records was inspired to start cycling for BCRF after Terry underwent treatment for breast cancer 12 years ago Wanting to find a way to honor Terry’s strength and their appreciation for research that made her treatments possible Al set out to ride 517 miles from Minneapolis to Chicago on his first long-distance ride Terry accompanied him by car to handle logistics “I can never begin to tell you how many people we’ve met along the way who have been affected by breast cancer And these people are getting younger—more women in their 20s and 30s with young children who will need their mothers healthy and happy for years to come.” Terry said “I tell everyone that early detection is key and without all the research and discoveries made over the years the couple is thrilled to end their ride at home and members of their community will be there at the finish “Our previous rides have always ended at BCRF’s headquarters in New York City,” Al said “Over the years we’ve had so many family members and friends join us on the road or wanted to join us along the way we decided to celebrate the end of our ride near home with as many family members the couple will finish Mother’s Day weekend—making for especially fitting timing given Terry’s story and the urgency of BCRF’s mission “Ending on Mother’s Day weekend is so special to me,” Terry said “I was faithful with my mammograms and caught my breast cancer early enough I have been blessed with additional time with my husband kids, and now five grandkids who brighten my days.” Support Pink Pedals 4 a Cure/Terry’s Ride 2023 here and follow their adventures on the road on Instagram or Facebook I give to the Breast Cancer Research Foundation federal tax identification number 13-3727250 Breast Cancer Research Foundation28 West 44th Street, Suite 609, New York, NY 10036 General Office: 646-497-2600 | Toll Free: 1-866-346-3228bcrf@bcrf.org | BCRF is a 501 (c)(3) | EIN: 13-3727250 Bishop Verot senior Catie Reszel reached the 1,000-point mark in her high school career leading the Vikings with 20 points in a 56-21 victory over Canterbury Friday afternoon hit the milestone on a 3-pointer and led the Vikings with a game-high 20 points Addison Potts added 18 points and 14 rebounds for Bishop Verot Out-of-Door Academy 41: Chase Garrett led the Cougars (11-3) with 24 points Jovan Kojic and Alan Cedeno scored 20 and 19 points respectively for Canterbury Ida Baker 17: Sierra Moore went for a double-double with 21 points and 11 rebounds in the win for the Seahawks Savannah Lang scored 14 points and added five assists and four steals and Yarily Pacheco was a rebound shy of a double-double with 10 points and nine rebounds for Cape Coral Estero 35: Jayda Green had a double-double with 15 points and 10 rebounds to lead the Lightning in the win Deja Ridley added 12 points and nine rebounds for Lehigh SFCA 1: Patrick Horan and Austin Alley had matching hat tricks and combined for five assists in the win for the Cougars Ethan Wiese added a pair of goals for Canterbury Barron Collier 2: Killian Fernandez and Juan Parra found the back of the net in the draw for the Seahawks (13-2-3) Lehigh 0: Mackenzie Gorski scored four goals to lead the way for the Wildcats (10-0-2) Naysie Tianga scored two goals and Emily Rinaldi and Maddie Mancini added a goal each for Estero DODGE COUNTY (WLUK) -- Authorities in Dodge County are requesting the public's assistance in locating an escaped inmate Petersen left the Dodge County Detention Center before midnight Saturday for an approved medical visit She was last seen in the parking lot of Marshfield Medical Center in Beaver Dam but failed to report back to jail Petersen has court-ordered Huber privileges which allow her to leave the facility for work and medical appointments The Sheriff's Office said she was picked up by an approved driver 46-year-old Matthew Reszel of Milwaukee,in a red 2007 Ford Edge with Wisconsin plate AJA2190 Anyone with information about Petersen's whereabouts is asked tocontact the Dodge County Sheriff’s Office's non-emergency number at (920) 386-3726 usually keeps his two wheels on the trails of Central Minnesota but a life-changing event led him to bigger plans After a double mastectomy and vigilant monitoring plans on taking his bike over 500 miles from St Paul to Chicago in hopes of raising awareness for breast cancer Al Reszel said while living in Oklahoma he had a neighbor who constantly rode bikes and so I've been riding ever since," Al Reszel said On weekends Al Reszel will hop on his bike and ride the trail systems from St "I'll pick him up and he'll say 'I could go longer,'" Terry Reszel chuckled Al Reszel said he had previously ridden with charitable breast cancer rides in the Twin Cities Al Reszel said he always enjoyed the rides Through research Al Reszel found the Breast Cancer Research Foundation which allowed him to set up his own ride and build a website that would accept donations goes to research," Al Reszel said about the BCRF Al Reszel said after discovering this he knew just what to do maybe I could raise some awareness," Al Reszel said Al Reszel deemed the seven-day ride 'Pink Pedals 4 A  Cure: Terry's Ride' Al Rezel is expected to pedal over 500 miles through Minnesota He is currently riding daily on a stationary bike to train waiting for warmer weather so he is able to hit the road "As soon as the weather breaks I'll get out and start getting some outside riding for five or six weeks," Al Reszel said He said he is also visiting with a nutritionist before the big trip "I know how to fuel for a one-day 100-mile ride but I've been researching how to fuel for seven days," Al Reszel said Al Reszel is equipped with pink pedals and a pink jersey to raise awareness along the trip but Al Reszel has yet to set a starting date His plans are to watch the 10 day forecast and leave Afton once he knows there will be clear skies Terry Reszel said she is amazed by the ride her husband plans to undertake "I'm like 'are you sure you want to do this?'" "I just hope we can get a lot to contribute." The Reszels are accepting donations on their fundraising page at https://give.bcrfcure.org/PinkPedals4ACure but his real excitement about the ride is helping the cause of breast cancer awareness and donating toward research then they don't find a cure," Al Reszel said Al Reszel hopes it will impact cancer patients in the future "When people get that call I want them to be able to hear 'OK this is what we're going to to do Follow Ben Rodgers on Twitter at @benrodgers1 and on Facebook at Ben Rodgers — St (WPDE) — A man on a 5,000-mile cross-country bike ride made a stop in Myrtle Beach last weekend is continuing his long journey in support of the Breast Cancer Research Foundation (BCRF) and Pink Pedals 4 A Cure | Terry’s Ride CA on March 5 and he will travel through 16 states over 55 days before reaching his final destination at the global headquarters of the BCRF in New York And after her diagnosis we decided we wanted to do something to help with breast cancer but we wanted to help work on finding a cure we hooked up with the breast cancer research foundation there out of Manhattan," he said Al and Terry Reszel have traveled 12,000 miles and raised over $32,000 dollars for breast cancer research The 2022 Pink Pedals 4 A Cure | Terry’s Ride will once again be one for the record books looking very different from previous cross-country rides including a series of firsts for Al and Terry Previous rides have taken place in the summer months but the 2022 PP4AC ride is taking place during the spring allowing Al and Terry to end the ride before the onslaught of searing summer heat and humidity New York City and the global headquarters of The Breast Cancer Research Foundation (BCRF) Bunnell discussed America's extended popularity working with a famous record producer and the future of the band A glimmer of hope still ripples for the future of a lakefront festival that has brought Bay View-area residents together for 68 years will not hold the event in the summer of 2018 due to it being a money loser for three of the past four years, organizers announced early Wednesday Reviving it for future years depends largely on finding major funding sources and securing cost concessions from the city and county Increasing costs for park use and security is plunging the event into the red Also crippling the Frolics is the loss of a firework display that was a signature of the event Known as "blow up the beach," it was a series of progressively louder booms that opened the regular display The "blow up the beach" display once brought large evening crowds and subsequent spending for food and beverages to the event look to attend any of the other summer festivals and events “A number of our fixed costs continue to increase leaving us with no options except to suspend the Frolics for 2018,” Bay View Lions Club President Lyn Graziano wrote on the South Shore Frolics Facebook page the club expended about $90,000 to host the three-day event last year “Our basic costs from the city of Milwaukee have risen to the point where it is extremely difficult to produce a profit — any profit," Graziano wrote Reszel said the club doesn't expect a "free lunch," but it's asking the county and city to take another look at the fees they're charging the club for park rental and security Renting South Shore Park for the event cost $8,000 last year Another expense was the club paying $17,000 to city police the county sheriff and a private firm to provide security "That's a lot of money for a little festival like ours," he said The club has to pay for a clean-up crew and to put up fencing at a cost of thousands of dollars Graziano added that despite having a group of "loyal and generous sponsors," the need for more permanent sponsorship remains a challenge to counterbalance rising costs "we're looking for a godfather to be a major sponsor — a business or foundation," Reszel said The club also wants its ability back to hold firework displays, which it could not do in 2016 or 2017 because the Milwaukee County Parks Department would not issue the necessary permits some residents complained about the fireworks rattling their windows and people love fireworks," Reszel said Graziano is disappointed the long-term future of the South Shore Frolics is up in the air.  "The South Shore Frolics has had an incredible 68-year run and put smiles on the faces of so many through the years," Graziano wrote "While we won’t close the door entirely for 2019 and beyond local government officials and business leaders to work together with us to help bring the event back." Graziano added the lack of profitability from the festival has also resulted in the Bay View Lions Club not having revenue for other community projects began in 1948 as the South Shore Water Frolic and is held the second full weekend of July The Bay View Lions Club has hosted the event since 1995 a classic car show and many family activities There have been many coaching changes over the past few months after the 2021-22 school year ended There are a few familiar faces that switched schools or took new positions in the St Cloud area and there are some newer faces to the community that will become new head coaches for the upcoming school year Here's a breakdown of some of the new head coaches for various programs throughout the St Ellingson comes from Triton Public Schools where he spent 19 years with the Triton football program He was an assistant coach for 15 years and a head coach for the last four years starting in 2018 the Cobras won one Class 2A state championship and a Class 2A second place state finish Ellingson will be the fourth head coach in Albany football history after former coach Mike Kleinschmidt stepped down after 19 years as head coach and 37 years in the Huskies football program He will also be a middle school math teacher at Albany Area Schools Maus is familiar with the Albany dance program as she was an assistant coach last season She'll be stepping into the head coach role this year and replacing Madelyn Woods The Pawettes have always been a strong team and look to compete in the conference and section this season with a new head coach More:'A perfect situation': Bruce Thompson prepares for Sartell activities director role Reszel will replace former coach Alex Evan who took over the program in the 2016-17 season Reszel has been a head coach for Montevideo and understands the Minnesota wrestling community He was also an assistant coach when Montevideo merged with Dawson Boyd and Lac qui Parle Valley Reszel will be a middle school social studies teacher at Albany Area Schools Sauk Rapids-RiceJason Allen - Boys basketball Cloud area as he's been the Apollo boys basketball coach for five years he's made the switch over to Sauk Rapids-Rice as Derek Peterson stepped down after six years as head coach Allen understands the Central Lakes Conference and has played against Sauk Rapids-Rice for a number of years He will get the chance to wear green and gold for the first time in the 2022-23 school year Elizabeth Walek stepped down as head coach for Sauk Rapids-Rice gymnastics The Storm activities department is still looking for a head coach for the 2022-23 season Barker has been surrounded by basketball throughout his entire life He played basketball at Maple Grove High School before heading to Bethel University where he led the MIAC with 145 assists in his senior season He became an assistant men's basketball coach at Bethel for a couple of seasons after graduating from the program Barker was the head junior varsity coach and assistant varsity coach for boys basketball at Monticello High School who was the head coach since the 2018-19 season More:Spring all-metro lists, St. John's football, townball in latest SC Times sports podcast Marod just graduated from Bethel University this past spring and he has a passion for hockey He played boys hockey at Little Falls High School from 2015-18 and then played one season of NCAA Division III men's hockey with Bethel he played three season of ACHA Division II men's hockey with Bethel and just finished his last season in the 2021-22 school year who was the head coach for the Stars over the past two seasons and earned trips to state both years Janson has been around the ROCORI girls tennis program for a while as he was an assistant coach and helped start the program He will be taking over a program with a handful of experienced players as well as developing the future of the ROCORI girls tennis team who stepped down after the 2021 tennis season Sign In Subscribe Now I avoid cycling in bike lanes that have barriers as I do not feel safe with the lack of wiggle-room on either side of me I have not owned a vehicle for 20 years and bike and walk everywhere I now avoid riding in dedicated bike paths with barriers The city could have saved the taxpayers massive amounts of money by only painting lines if you are nervous about cycling alongside traffic then don't do it – you are a danger to others Dialogue and debate are integral to a free society and we welcome and encourage you to share your views on the issues of the day. We ask that you be respectful of others and their points of view, refrain from personal attacks and stay on topic. To learn about our commenting policies and how our community-based moderation works, please read our Community Guidelines PAUL – Senior members Kyle and Emily Yaremko hauled home a truck full of awards from St Paul 4-H Multi Club’s Beef Show on June 5 where Kyle showed both the Grand Champion Steer and the Reserve Supreme Champion Heifer while Emily showed the Supreme Champion Female both gathering up an impressive number of wins along the way The show started off with Grooming and Showmanship classes for all three age groups Showmanship honors went to: Junior – 1 Kale Lavoie; Intermediate – 1.Mercedes Trefanenko Next came the Parade of Champions for the steer class with Kyle Yaremko and Christian Lavoie advancing from Class 1 Kurt Yaremko and Nate Reszel from Class 2 and Taiten Reszel and Ashlynn Trefanenko from Class 3 advancing to the final round where Kyle Yaremko’s steer was named Grand Champion while Taiten Reszel’s steer was the Reserve Champion Tyson Trefanenko fourth and Kale Lavoie firth Emily Yaremko third and Courtney Werstiuk fourth Three groups of weight class steers were next in the ring Courtney Werstiuk fourth and Emily Yaremko fifth.  The second class Kale Lavoie third and Mercedes Trefanenko fourth with yearling heifers divided into two classes by date of birth Kyle Yaremko second and Ethan Yaremko third in the January – February 2020 class and Ashlynn Trefanenko first Mercedes Trefanenko third and Tyson Trefanenko fourth in the March 2020 class Emily Yaremko’s heifer was named Grand Champion and Kyle Yaremko’s the Reserve The two also showed two-year-old cows with calves at foot and Kyle showing the only three-year-old cow with calf The two cow-calf pairs and the Reserve Champion yearling won Kyle the Herd Class award With the top animals from all five classes in the ring Emily Yaremko’s yearling was declared the Supreme Champion Female while Kyle Yaremko’s two-year-old with calf became the Reserve Supreme Champion Along with Tymko as this year's leader More SPOTLIGHT > The Ontario Securities Commission has appointed Nathan Shaheen and Jacqueline Sanz as new Investor Advisory Panel members after a public application process They replace departing panel members Leslie Wood and Supriya Kapoor; Catellier and Kapoor concluded their terms yesterday while Singer had chaired the panel since November 2022 Shaheen joins the independent panel for a two-year term commencing on July 2 He is a Bennett Jones LLP partner who has tackled domestic and international fraud and complex financial crimes tracked and protected misappropriated assets and been involved in civil claims against perpetrators and third-party facilitators His clients have included domestic and international fraud victims and he brings considerable knowledge of Canada’s anti-money laundering regime Henderson’s two-year term as panel member begins on July 2 She is an associate professor at Queen’s University Faculty of Law whose research and teaching areas cover securities regulation She served as principal investigator on a research project examining financial literacy in Ontario elementary schools She is set to conclude a five-year term on the Financial Consumer Agency of Canada’s Consumer Protection Advisory Committee Reszel was a previous Canadian Investor Protection Fund president and chief executive officer regulatory and governance expert who is a Fellow of the Institute of Chartered Accountants and a Chartered Financial Analyst She was once a director of the OSC’s Investor Education Fund and obtained her MBA from the Harvard’s Graduate School of Business She has tackled concerns involving risk management securities policy initiatives and stakeholder engagement Her two-year term as IAP panel member began today The Chartered Professional Accountant and Chartered Accountant brings more than three decades of financial services experience and is an expert in securities regulatory compliance and risk management She spearheaded the development of client-centric anti-money laundering privacy and securities compliance programs She currently manages global consulting firm Protiviti’s Canadian risk and compliance practice and has been appointed to senior compliance and internal audit positions The OSC also revealed that IAP member James Sinclair took over for Singer as panel chair on February 3 “The IAP plays a crucial role in our commitment to investor protection. By providing independent and thoughtful insights, the panel ensures that the voices of investors are heard and considered in our regulatory processes,” said Grant Vingoe, OSC Chief Executive Officer, in a statement 'Days of $125 Rent are just a fading memory in 2025' I rented a bachelor apartment in Edmonton for approximately $300 a month in the mid 1980s I remember feeling very independent being on my own and happy to not be living with mom and dad anymore my husband and I rented a whole house with a nice yard for $600 The rent never changed for the dozen years we lived there until we moved to the Island in 2004 What we need happening is 100% purpose-built rental buildings that are built No 10% of units set aside for renters with the rest being owned I will never be able to own my own home here and have serious worries about if I'll ever be able to retire I am faced with knowing that I will have to continue working well into my 70s just to make ends meet Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page.