It is in our schools, colleges and universities; in the workplace; in the churches; and in the overarching environment that creates and supports monuments to hatred and oppression in public spaces like the halls of Congress.
"This behavior runs counter to VA's core values; the overarching environment and culture which allowed this state of practice to take root must be confronted head-on if VA is to evolve to be more capable of adjusting systems, leadership and resources to meet the needs of veterans and families.
The campus culture consists of the overarching environment that students are exposed to on a day-to-day basis and a positive culture would involve having LGBT-friendly institutional policies, grievance procedures, and equal opportunity measures.
Environmental factors according to the ICF embrace a broad range of aspects that make up the physical, social and attitudinal environment in which people live their lives, from the immediate environment to overarching systems in the society, such as infrastructure and policies [ 21].
This integrated intervention was built on a conceptual framework that posits the interactive role of the individual and the social environment, with overarching contextual factors which may influence psychosocial stresses, health behaviors and pregnancy outcomes.
It identifies 25 contextual factors for quality improvement, covering six overarching themes that they labelled as: external environment, organization, quality improvement capacity, the clinical microsystem, the quality improvement team, and a number of miscellaneous issues.
We discuss our findings on patients' perceptions of care on the general ward under two overarching themes: care and support, and ward organization and environment.
In Mediterranean environments, drought stress and inter-specific competition play overarching roles [ 23, 55] and, therefore, individuals with a delayed developmental status (i.e. that reach a bigger size before ontogenetic changes take place) could be more efficiently established, as suggested by our results.
So, the overarching principle in our support groups is to engender trust by creating a safe environment in which people can express their feelings to each other in open and honest ways.
While considerations of individual contexts and meanings of use clearly are important to ensure safe and successful use of ICTs in healthcare, patient safety issues at all levels are embedded within overarching cultural, social and political structures and circumstances that govern healthcare in the complex home environment [ 22].
While most of the implications of suggested research priorities concern the health sector, it would be important to recognize that overarching benefits may accrue from improved understanding of health impacts for the energy (including climate and housing), environment, and education sectors.
