1993 research outputs found
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To explore strategies of personalised AI based e-learning to add value through training and development for healthcare staff: a case study of a care home in the UK
Personalised e-learning empowered by Artificial Intelligence (AI) holds promise for tailoring e-learning experiences to the specific needs and preferences of healthcare professionals to enhance the efficacy of e-learning and thereby delivery of care within healthcare and social care organisations. However, the full potential of personalised AI based e-learning remains largely untapped in healthcare organisations in the UK, as issues and challenges caused barriers to the adoption of this advanced technology. The critical aspect often overlooked is the understanding of staff perceptions, expectations, and needs regarding the adoption of personalised AI-based e-learning. Also, as people live longer to the older age in the UK and the need for more complex treatment is also increasing, healthcare staff need to be updated and well-trained to the latest knowledges and technologies in order to respond vigilantly to the patients’ needs. Therefore, it is important to understand healthcare staff perceptions, expectations and challenges to adopt an effective e-learning system that is personalised to their learning styles. The aim of this research is:
• to explore strategies of personalised Artificial Intelligence based e-learning to add value through training and development for healthcare staff in the UK.
Employing qualitative research methods, data was collected through interviews with healthcare professionals from a selected care home in the UK using purposive sampling techniques. A case study research approach was adopted to provide insightful responses to the research question and achieve the study's objectives. Thematic analysis was conducted on the collected data to explore the challenges faced by healthcare staff in the selected care home and to propose potential solutions for the adoption of personalised AI-based e-learning. Therefore, by applying thematic analysis, the analysed data is matched against proposed framework that identifies the barriers and incentives to the adoption of personalised AI based e-learning. The barriers and incentives are categorised into 'Technology,' 'Organization,' and 'Environment' contexts which they are aligned with the proposed conceptual framework of this doctoral study.
This research contributes to the body of knowledge of personalised AI-based e-learning and its integration into healthcare environments by reviewing a comprehensive literature review focused on identifying the obstacles of adopting personalised AI based e-learning. Also, this study developed two frameworks based on incentives and barriers of adopting personalised AI based e-leaning; identified from interviewing healthcare staff of the selected care home in the UK. In addition, an innovative conceptual framework is introduced to assist healthcare organisations and ICT specialists in comprehending the underlying challenges associated with the adoption of personalised AI-based e-learning. Additionally, a roadmap is formulated to guide healthcare organisations in adopting personalised AI-based e-learning, bridging the gap between theoretical insights and practical application.
Keywords: Artificial Intelligence, E-learning, Personalisation, Healthcare organisations in the U
Approaching the Formless: the non-figurative art of the Hindu traditions and its relevance to a contemporary arts practice
The aim of the research is to gain a deeper understanding of the non-figurative imagery of the
Vedic and Tantric traditions through an Arts Practice as Research methodology. The research
engages with traditional arts practices, and considers whether the practice of copying sacred
artworks is able to inform a contemporary arts practice. The research questions whether the
minimalist ‘lack of signifiers’ in the artwork allows a more immediate relationship with the
work itself; relationship which enables ‘experience’ without commentary and interpretation.
It questions whether this distillation might allow image to speak more easily across cultures,
and may contribute to the wide appeal of these Indian abstractions. The research revisits and
re-contextualizes the question of similarities to minimal works of certain western artists, and
considers whether this approach to the formless Absolute may instill the work with a sense of
awe, which is described within the Indian traditions according to the concepts of rasa
Evacuation to Pembrokeshire during the Second World War
The following study examines the experience and affect of the evacuation of civilians to Pembrokeshire during the Second World War from Britain's urban centres. The study is based upon the examination of existing local and central government documents relating to the evacuation, local and national contemporary news reports on the same and the oral and written testimonies of evacuees, foster parents and contemporary observers. The experience of Pembrokeshire is compared with that of other regions of Britain using a variety of secondary sources and is placed in its economic, cultural and war time context. The study attempts to draw some conclusion on the impact of a didactic central government policy upon a predominantly agricultural society disrupted by the turmoil and bureaucracy of war
Exploring the Lived Experience of Advocating for a Disabled Child While Engaging with Professionals and Institutions.
Previous research has shown that parent carers, despite their vital role in securing their children’s rights and wellbeing, often encounter systemic barriers that undermine their agency and advocacy. This study addresses the gap in understanding parent carer agency by exploring the impacts of care provision, examining barriers to seeking help, and identifying factors that could improve the advocacy experience. It employs an innovative approach by combining interpretative phenomenological analysis (IPA) with visual elicitation and a social justice lens to explore the lived experience of a parent carer advocating for a disabled child. The findings reveal that parent carer agency is a complex phenomenon, deeply rooted in the interconnected relationship between parent and child and intensified by disability. Four main themes emerged, each centred around this relationship: the specialness of the bond between a parent carer and child; the advocacy journey as a battle for voice and knowing; the particular importance of justice as recognition and rebalancing; and how time affects agency and recovery. The essence of parent carer agency is thus defined by the complex interplay of fragility and strength within this unique relationship. Enhancing parent carer agency is therefore important for dismantling systemic barriers to advocacy and ensuring the wellbeing of both the parent carer and their child. Supporting parent carers means listening to their stories and letting their lived experience and knowledge guide professional and institutional engagement. The study’s insights offer valuable contributions to pave the way for further research aimed at shaping policy and encouraging more reflexive and sensitive approaches to working with parent carers. Recommendations include mandatory lived experience training for professionals throughout the UK and the prioritisation of collaboration between universities, policymakers, and practitioners to promote anti-oppressive practices. These measures can help build a more empathetic system that genuinely supports parent carers in effectively advocating for their children, improves their advocacy experience, and recognises the importance of parent carer agency in advocacy partnerships
The Influence of Deprivation on Cardiovascular Disease (CVD) in Rural Indians
Background:
Cardiovascular disease (CVD) is a major cause of premature death in India, in which rural population experiences more vulnerability due to socio-economic absence, limited health literacy and poor access to healthcare. Despite the national prevention programs, intervals in service distribution and structural inequalities continue to diagnose late diagnosis and poor management of CVD in rural adults aged 40 and above.
Methods:
A systematic literature review was performed after the Prisma guidelines to investigate the impact of CVD circulation, management and lack of prevention in rural India. Twenty peer reviewed studies published between 2015 and 2025 were identified by database including PubMed, CINAHL, Scopus, and Google Scholar. The articles were evaluated using the CASP checklist, and thematic analysis was applied to the conjuncts synthesized on socio-economic barriers, service gaps and intervention effectiveness.
Findings/Results:
Four main themes emerged: aging and low health literacy vulnerability; Socio-economic damage delay in diagnosis and obstruction of continuity of care; Infrastructure intervals, caste and gender inequalities restrict service access; And public health intervention makes less pillars and poorly monitored. Poverty, dangerous work, weak primary care, and cultural obstacles were constantly associated with late CVDs.
Conclusion:
CVD prevention in rural India requires equity-focused strategies, including improved health literacy, gender-sensitive outreach, better infrastructure, workforce strengthening, and rigorous monitoring of national programmes to reduce avoidable morbidity and mortality
What is the Best Leadership Style to Connect People to Nature, and Can This Help Organisations Deliver the Welsh Government’s Well-being of Future Generations Act (2015) Goals?
A decade after it was launched, this dissertation looks at how organisations can help the Welsh Government deliver its Well-being of Future Generations Act (WFGA) goals of being a more equal, prosperous, community-focused, cultural, healthier, resilient, and globally responsible Wales, by leaders connecting employees and themselves to nature and creating a ‘nature culture’ in organisations across the country. This builds on research by White et al (2019), which found people who spent two hours per week in nature experienced many benefits including being happier, healthier, and more productive employees, and therefore building more efficient, profitable, and sustainable organisations. Plus, wider benefits of connecting people to place and community, the environment and planet, especially due to the stewardship being in nature inspires.
The quantitative and qualitative research conducted (in the form of an online survey and interviews with around 200 people in South Wales) found the WFGA is already engrained and making a difference in some sectors, especially the Welsh National Health Service, where research showed the benefits of nature access are already being embraced, e.g. social green prescribing. However, other managers questioned did not know about or implement the WFGA in their organisation’s strategies, especially interviewees in the education and private sector – concerns were flagged by smaller private sector organisations that it could be time-consuming and costly to implement nature access activities in the workplace, or during working hours. Solutions were analysed, from free lunch break walks in local parks, to breaking the two hours of nature access down to a 20-minute activity in a green or blue space.
Research looked at what type of leadership styles were needed to create change, and introduce nature access opportunities within organisations. Based on definitions by Daniel Goleman (2015) and Kurt Lewin (1947), a ‘commanding’ style would help introduce new activities, a ‘visionary’ style would inspire employees to engage with nature, and a ‘democratic’ style could win employees over and embed a nature access culture. Empathy and emotional intelligence were found to be key leadership traits for this to be a success. Lewin’s Three-Stage (Unfreeze-Change-Refreeze) Model of Change was recommended to help the shift in organisational culture.
Findings from research conducted showed appetite for this change is already present in organisations in South Wales: 78% of managers said accessing nature made them a better leader; 72% thought the employees they managed performed better, were more productive, and helped organisations succeed if they accessed nature regularly; 98% said they felt more connected to nature after accessing it; and 77% stating they want to look after nature more due to spending time in it. However, only 36% said their place of work offers nature access activities, yet 55% of managers questioned would be willing to give employees time off for activities.
Activities that could be organised by workplaces, local councils, health centres, community, or hobby groups, to help people access nature easily for the two hours per week needed were exhaustive. Research showed it is important that whatever activities employees do they are accessible and enjoyable for take-up, and are seen to give value for buy-in, to allow long-term cultural change to take place, otherwise ‘green-washing’ could occur. There are many options, from the larger companies having on-site green spaces and facilities for yoga classes, to start-ups conducting walking meetings outdoors. If the time is spent volunteering, capacity gaps by conservation groups and local councils (e.g. litter-picking) could be met, as well as helping a stretched health service due to the mental and physical health benefits experienced by those accessing nature regularly. Interviewees reported feeling happier, calmer, energised, focused, peaceful and fitter when accessing nature.
Recommendations were given. From legislating for the WFGA to feature in all Wales-based organisations (including schools, so children grow up learning about, respecting and accessing nature as a lifelong habit, even attending forest schools), to legislating for the working week to include two hours spent doing nature-based activities – 77% surveyed said they would be more likely to access nature if they had activities arranged for them. Introducing a Welsh and word that translates to ‘nature connectedness’ was also recommended for a nature culture to embed throughout Wales (and the UK) in and out of workplaces, because all countries researched with a strong culture of nature connectedness had a specific word for this.
Accessibility was also found to be important, from access to paths in green spaces to public transport to them, with car parks and toilets with baby changing facilities, drinking water and disabled access. Also cafes for refreshments, giving another wider benefit of employment opportunities much needed in South Wales.
The dissertation also looked further than cultural change in Wales, because organisations do not exist and operate in a silo. Those that operate in a healthy environment, on a healthy planet, thrive – which brings together the link to workers’ access to nature and more profitable companies. And rethinking economics in a way that balances social well-being and planetary health to truly achieve the WFGA goals, was also researched. Including Kate Raworth’s Doughnut Economics (2023), because it is not just about providing employees with nature access, but also about integrating nature culture into a holistic strategy that involves promoting sustainability, health equity, social well-being, and economic prosperity through nature-based solutions to get national benefits. This could position the country as kinder, cleaner and fairer, which could attract organisations and employees from around the world to Wales
Exploring the Relationships Between Social Media Influencers and Consumer Purchase Intentions in the Chinese Fashion Industry
The rapid development of the internet and social media has changed the ways consumers access information before purchasing. Social media influencers in particular have become a powerful source of information, but little is known about which factors influence consumers in this context. Despite the growing interest in influencer marketing among researchers and practitioners, the academic literature remains divergent, localised, and fragmented. With the world’s largest e-commerce market and one of the highest social media penetration rates, China’s unique online environment is very different from that of Western countries. The preferences and consumption patterns of Chinese fashion consumers are influenced by unique cultural, social, and economic factors that set them apart on a global scale. The study examines the cognitive and emotional processes through which consumers make decisions about influencer content. This study applies a qualitative case study strategy to collect data through semi-structured in-depth interviews with 34 Chinese fashion consumers in the social media environment. Participants were purposefully sampled according to predefined criteria to ensure the acquisition of rich information. A dynamic, recursive and iterative thematic analysis was conducted along with data collection until data saturation was achieved.
The current study extracts four themes that summarise consumer perceptions of fashion social media influencers and content. The results of the interviews also reveal a typology of social media followers, based on their level of scepticism towards social media content and their level of attachment to social media influencers. The study proposes a conceptual model that illustrates the complex processes through which social media influencers persuade consumers. It contributes to existing research by providing a detailed exploration of how influencers in the context of fashion influence the purchase intentions of Chinese consumers. It also provides valuable insights for brand marketers and influencers to more effectively implement their marketing strategies
Aggravating Factors, Migraine Severity, and Healthcare Access among UK South Asians: A Systematic Review
Background:
Migraines are among the leading causes of disability worldwide, with an estimated 10 million people affected in the UK. Despite this, South Asians, comprising over 9% of the UK population, remain underrepresented in migraine research. Cultural stigma, language barriers, limited health literacy, and structural inequalities in healthcare access contribute to disparities in diagnosis and treatment for this population.
Methods:
A systematic literature review was conducted using databases such as PubMed, EBSCOhost, ScienceDirect, and Google Scholar. A total of 10 studies published between 2014 and 2023 were selected using a PICO-guided search strategy. Studies were critically appraised using the CASP and MMAT tools, and a thematic synthesis was performed, informed by the Levesque Health Access Model.
Results:
The review identified four main themes: cultural stigma and traditional health beliefs; language and communication challenges; socioeconomic stressors; and systemic healthcare barriers. South Asians in the UK commonly experience delayed diagnoses, limited access to specialist services, and low engagement with preventive care. The lack of disaggregated data and culturally tailored services further exacerbates health disparities.
Conclusion:
This review highlights a pressing need for culturally competent healthcare policies and targeted interventions that address the specific barriers faced by South Asian communities in migraine care. Improved representation in clinical research, enhanced provider training, and community-based education are essential for equitable and effective migraine management
Finding the Key to the Invisible Prison
Fear of Negative Evaluation (FNE) has longed been associated with social anxiety. Cognitive Behaviour Therapy (CBT) is currently acknowledged as the gold standard in treating social anxiety disorder. Although, CBT helps many individuals with social anxiety disorder it is not effective for everyone. It is unclear how CBT aids the change process in social anxiety symptomology or why it doesn’t work for some individuals. Social anxiety has been researched for decades with a dominance in cross sectional designs. Research has identified that one of the gaps in the social anxiety research is a lack of longitudinal research. The research study approaches the gap in the current research by using three years of personal data via a heuristic self-search inquiry to explore the change process in FNE and social anxiety symptomology. The heuristic design is a self-search inquiry, meaning the researcher is also the solo-participant and attends gestalt psychotherapy throughout. The research identifies themes obtained from journals and emerging themes from the heuristic process by utilising a thematic analysis. Therefore, the sub-themes are discussed alongside the core themes that include somatic awareness, self-protective behaviours, emotional aloneness, fear of abandonment, grief, and rediscovering self. The discussion draws together the research findings exploring the depths of pain around prolonged relational ruptures, culture, and intergenerational aspects. The findings recognise the importance of implicit memories accessed through the felt sense, mental imagery, dreams, and the heuristic process. The research contributes to the existing research providing insight to FNE and areas to consider in psychotherapeutic practice