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Objectives To explore the views held by general practitioners, practice nurses, and patients about the role of guided self management plans in asthma care.

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In this paper, we introduce a framework for implementing Six Sigma. We utilise the PDCA cycle (Plan-Do-Check-Act) to operationalise Six Sigma implementation. By defining Six Sigma as projects aimed at achieving specific goals, we address the importance of executive commitment and the role of Black Belts in effective implementation of Six Sigma projects. In addition we link implementation of Six Sigma with quality management and the PDCA cycle. Several propositions have been developed and key areas of research have been identified.

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The business sector has created a need for higher educational institutions to prepare students to be effective team players. Responding to this need, higher educational institutions have been using different forms of active learning as methods to promote teamwork among students and enhance their learning. Results from such initiatives have shown that students recognize that the teaming experience improves their interpersonal skills, yet they still prefer work individually. Attitude originated from negative team experiences. The purpose of this study was to determine what relationship exists between individual attitudes toward teaming and the presence of characteristics deemed essential for an effective team. The study suggests that when mature communication, accountable interdependence, psychological safety, common purpose, role clarity and clear goal are present during the process of teaming, the experience will have a positive effect on individuals' attitude toward teamwork.