11370 research outputs found
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Nurse academics’ understanding and experience of ‘guidelines’ in clinical practice
Full text linkBackground.
Literature suggests there are numerous factors relating to adherence of guidelines in clinical practice. It is proposed that a potential barrier to adherence is that nurses may not view guidelines as mandatory and instead see them more of a tool for guidance.
Aims.
To analyse nurse educators’ understanding and experience of the term ‘guidelines’ in relation to clinical practice and clinical decision making.
Methods.
One focus group interview was undertaken; the data collected was analysed using Interpretive Phenomenological Analysis.
Findings.
Data analysis resulted in the identification of three personal experiential themes (PETs): lack of consensus regarding a definition of ‘guideline’, barriers to guideline adherence, and the impact of clinical guidelines on professional judgment.
Conclusion.
Nurse academics discussed a lack of understanding of what ‘guidelines’ are, and how this may influence their decision to follow guidelines when making clinical decisions. When guidelines are viewed as ‘recommendations’ rather than ‘rules’ then nurses may be inclined to use their own intuition and experience instead when decision-making. As this may lead to inconsistent use of guidelines in clinical practice, further research is recommended to investigate potential implications
What the cat dragged in : quantifying prey return rates of pet cats (Felis catus) with outdoor access in the UK
Full text linkNon-native predators can cause great harm to natural ecosystems through competition for resources and by directly predating on native species. Domestic cats (Felis catus) predate on wild prey throughout the world and have been implicated in a number of species declines. However, in the UK, long-term, widespread research is lacking. Here, the study aimed (i) to quantify prey returned home across the country and (ii) to investigate factors which may influence these return rates. A predation survey was conducted on 553 cats across the UK for up to 43 months (2018–2021), recording all prey returned home and subsequently detected by the cats' owners. All owners of cats with outdoor access were encouraged to participate, the only exclusion criterion being indoor-only. Data were gathered upon registration regarding the age, sex, and body condition of participating cats, allowing for the analysis of the potential influence of such factors. It was estimated here that the current UK population of pet cats (10.8 million total) return a total of between 37.25 million and 140.4 million prey per year, the majority being mammals (83% of detected prey). Sex, age, and body condition of cats, along with the presence of a cat flap, whether a bell was worn, level of urbanisation, and the season of data collection all had a statistically important effect on prey return rates. While most cats returned 0–1 prey per month, a small minority (n = 3 cats) returned over 15 individuals monthly. It is important that true predation rates (in addition to the return rates found here) are further explored and quantified, along with the actual impact that this has or does not have on prey populations. Future efforts to limit the impact of cat predation should focus in particular on identifying super predators with a view to limiting their predation
The landscape of validity and reliability practices from applied performance analysts: Establishing a best practice framework
Full text linkWhilst Theoretical Performance Analysts benefit from established validity and reliability frameworks, their practical appli- cation faces several challenges for Applied Performance Analysts (APAs). We explored the current practices and percep- tions regarding validity and reliability by APAs to formulate best-practice recommendations. An open and closed-answer survey was completed by 175 APAs from a range of sports and countries, with responses analysed based on experience (early-career APAs vs experienced APAs). Findings reveal a desire for robust validity and reliability methods, particularly among experienced APAs. Collaborative approaches amongst APAs and other stakeholders were identified when deter- mining performance indicators, yet decisions for live data collection were primarily made by APAs. Familiarisation and reliability processes varied, specifically the frequency of checks, with experienced APAs dedicating more time to learning new systems and checking data more frequently. Despite the existing theoretical frameworks, time constraints and per- sonnel changes pose challenges for practical implementation, with APAs calling for an applied framework. These insights inform the development of a best-practice recommendations framework for collecting, analysing, and presenting accurate and meaningful performance analysis data in applied settings
The role of technology in developing resilient supply chains: A systematic literature re-view during the COVID-19 Pandemic and the disruptions of economic sanctions
Full text linkPurpose - This study investigates the role of technology in enhancing the resilience of humanitarian and commercial supply chains during disruptions such as the COVID-19 pandemic and economic sanctions.
Design/methodology/approach - A five-step review process for conducting a systematic literature review was adopted to frame future technological interests that depict the role of technology.
Findings – The study identified key technological inventions, such as Industry 4.0 technologies, that help supply chains recover and adapt to crises. The study findings show that while technology offers significant benefits in mitigating disruptions, a gap remains between technological advancements and practical performance, particularly in humanitarian contexts. Humanitarian supply chains require technology that provides quality information sharing and collaborative decision-making capabilities for reactive approaches. Most literature prioritizes large and complex data processing and transactions, cyber security, hybridized systems, visibility, transparency, interconnection, responsiveness, and collaborative technological features that lead to a resilient supply chain and the ability to respond to future crises.
Limitations - This study explores the role of technology in building resilient supply chain systems during disruptions, utilizing a time-bound approach for efficient research and comprehensive literature analysis.
Practical implication – Understanding the role of technologies in logistics and supply chain activities helps evaluate and select various technologies and technological features to overcome the impact of disruptive events or shocks on supply chains.
Theoretical implication – Shaping, expanding, and forecasting the technological requirements for supply chain systems provides the conceptual foundation for developing resilient supply chains.
Originality – The new insights from this study demonstrate how the technology was used across
industry sectors to overcome the pandemics and Russian economic sanctions’ impact on supply
chains
Lean implementation case study for manual order picking and packing in warehousing operations
Full text linkPurpose: This study analyses the application of lean thinking in warehousing operations’ picking and packing processes.
Methodology: The research design used is a conceptual framework based on the literature for lean practitioners’ guidance.
Findings: The results of the empirical study reveal an increase in efficiency of 30% in picking
and packing operations when analysing and decreasing the non-value-added processing the case study.
Originality: Our study overcomes the lack of a structured framework for lean manual order picking and packing and evaluates the potential of a set of lean and process analysis tools to increase the efficiency of order picking and packing.
Limitations: The proposed framework has not been implemented in a wide range of operations. The findings are limited due to the focused feature of the case study. Additional cost‐benefit analysis can be investigated.
Practical implications: This study can guide warehousing logistics practitioners toward achieving excellence in manual picking and packing operations through lean thinking implementatio
A research project considering the adaptation and practice of NDP for adults with a diagnosis of young onset dementia
No full textThis chapter focusses on the adaptation and practice of NDP with adults (18-65), who have a diagnosis of young onset dementia. With an Arts & Humanities Research Council Grant (UK), two researchers from the University of Derby and one from the University of Northampton adapted the main components of NDP (Jennings 2011). They focused particularly on the developmental paradigm of Embodiment Projection and Role (EPR, Jennings 2011) which involves movement, embodied play, art and story making, character and role development and drama, over a ten-week period with two groups of people living with a diagnosis and their family members.
Over the last decade several people have begun to consider the potential of using aspects of NDP with adult and older populations, (Janniste 2016, Holmwood 2021). This research project has a focus on strengthening bonds between people with young onset dementia, their family members, and caregivers, supporting individuals living in the community.
This chapter describes some the barriers and facilitators of working with this population group and makes suggestions towards best practice
Can prescriptive analytics empower metaverse for sustainable operations and supply chains? A text mining and introspective analysis
Full text linkPurpose: The arrival of the Metaverse is expected to revolutionize organizational practices, which substantially impact sustainability in logistics and supply chain. In addition, prescriptive analytics-based methodological improvements might make Metaverse self-sustaining. This study assesses the current reflective discussion about the function of prescriptive analytics in Metaverse. It proposes alternative streams for additional research in this area so that we can understand the relationship between Metaverse, prescriptive analytics, sustainable operations, and supply chain.
Design/methodology/approach: We use structural topic modeling (STM), a text-mining approach, to critically assess the literature and analyze 161 articles.
Findings: Primary and secondary topics were developed using STM findings for comparison. Also, a research framework is created by sketching out the study following the findings of the review. Finally, we conclude with a list of unanswered research issues that might serve as a starting point for future investigations into the role of prescriptive analytics in empowering Metaverse for sustainable operations. Originality: This study provides original insights into how prescriptive analytics can drive sustainable operations through Metaverse, offering a roadmap for future empirical research in this emerging area
I love America and America hates me
No full textThis short film and series of still images is a reimagining of German artist Joseph Beuys’ seminal 1974 performance piece, I like America and America likes me. Beuys made this work where he reluctantly arrived in America for the first time amidst his anxiety towards the political actions of the USA and their global influence. Beuys travelled via ambulance to the René Block Gallery in New York City. For three consecutive days he undertook a durational performance contained within a space with a live coyote before returning to the airport by ambulance and back to Europe.
Fifty years later, I love America and America hates me meditates on the same anxieties felt by Beuys, now contextualised in the twenty-first century by a female protagonist. In sharing a lexicon of visual and performative symbolism with Beuys, this work was made in Nevada on the 20th January 2025 – Donald J. Trump’s second inauguration as the 47th President of the United States of America. This visual testimony navigates an uncanny allegory of symptomatic estrangement from the current socio-political landscape
Seeking to be heard: reflections on the value of a partnership approach to involving victims in the development of domestic abuse policy and practice
Full text linkThis paper outlines the development and delivery of a novel, collaborative, co-production approach to incorporating lived experience in the development of policy and practice in the area of domestic abuse. “SEEKERS” (Sharing Experience, Expertise and Knowledge for Effective Responses and Support) is an initiative which brings together victims and advocates, police, practitioners and researchers as equal partners. It creates opportunities for them to share their experiences, expertise, and knowledge, so that others can learn from these and use this learning in addressing domestic abuse-related issues more effectively. Throughout this paper, we discuss some of the challenges encountered in developing and delivering activities and how these were addressed. Notable benefits of the approach will be highlighted, as indicated by feedback from those involved in a range of capacities, including police and law enforcement practitioners, policy makers, councillors, service providers, support services, victim advocates and survivors of domestic abuse. It is hoped that this paper will contribute to ongoing discussions regarding the ways in which different agencies and stakeholders can work together more effectively and how we can create methods and spaces to support meaningful interaction, collaboration, and co-production with victims
Unveiling TNFAIP8L2-related immune evasion mechanisms in colorectal cancer
Full text linkColorectal cancer (CRC) remains to be a leading cause of cancer-related mortality worldwide. Although immune evasion appears to play a critical role in CRC progression, the underlying mechanisms are poorly defined, necessitating further scientific investigation. Here we report a differential co-expression gene pattern involving TNFAIP8L2 (TIPE2), a newly described immune checkpoint gene, which may be employed by CRC to evade immune surveillance. Single-cell RNA sequencing and bioinformatic analyses of CRC revealed significant positive correlations between TNFAIP8L2 and the metastatic gene OLR1 as well as the immune checkpoint gene PDL1, indicating potential functional synergistic interactions among these genes. Additionally, the TNFAIP8L2 differentially co-expressed genes (Dco-EGs) in macrophages were positively associated with the p53 signaling pathway, indicating an important mechanism in regulating tumor immunity in CRC. These findings provide new insights into the complex mechanism of immune evasion in CRC, laying the foundation for the development of innovative tumor immunotherapies