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    How can the NHS enhance its management approach and strategies to address the junior doctor retention crisis? A Systematic Review

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    Abstract   Background: A reported analysis of scientific literature has identified the junior doctor (JD) retention crisis experienced by NHS hospitals and recognised by governmental bodies in the United Kingdom (UK). Organisations such as the British Medical Association (BMA) have actioned multiple JD strikes for pay restoration to highlight the detrimental impact of these shortages on the future of staffing and the attainment of patient-centred care in the NHS. The growing and ageing population of the UK has increased the management of chronic disease further pressuring NHS waiting times and availability of doctor appointments; with these JDs pivotal in first-hand patient care, this phenomenon has been exacerbated by these doctors leaving the NHS training pathways. Ensuring quality of care in the NHS is a significant concern, as is the sustainability of the future of this organisation. Hence, the research question was: “How can the NHS enhance its management approach and strategies to address the junior doctor retention crisis?” Methods: A systematic review was implemented, and multiple databases were searched to collect literature for analysis. Databases included OVID and Google Scholar, as well as grey literature. Inclusion criteria: assessing interventions to recruit and retain medical professionals in the NHS, with a broader inclusion on staff retention strategies from various industries. Peer-reviewed English language papers within the years of publication 2008-2024 were screened iteratively in three stages, including titles and abstracts for the first screening stage. Eligible studies underwent the second screening stage, where the whole article was compared against the inclusion and exclusion criteria, and further suitable papers underwent Critical Appraisal Skills Programme (CASP) analysis. Finally, papers were categorised and the selected documents underwent thematic analysis using Delve software. One author conducted data extraction and thematic analysis.   Results: Twenty-three studies were eligible after the CASP analysis phase; six of these papers underwent thematic analysis to investigate the outcomes and success of implemented interventions. Delve software analysis generated 20 areas of interest, which where collated into five overarching themes. The themes were career development, management/leadership, work culture, autonomy, and location. All codes were sub-grouped and cross-grouped within the overarching theme. The theme with the highest number of different codes was management/leadership. The theme with the highest repetition was career development. Total code occurrence in order: Career Progression (n=19), Management/ Leadership (n=17), Work Culture (n=16), Location (n=7), Mentorship (n=6), Engagement (n=5), Flexibility (n=5), Performance review (n=5), Pay (n=5), Doctors within management (n=5), Autonomy (n=3), Exit interviews (n=3), Training (n=2), PCC (n=2), Goal setting (n=1), Recruitment checks (n=1), Career clinics (n=1), HR Practices (n=1), Team orientated interventions (n=1), Gender (n=1). Conclusions: This project reviewed and proposed the essential role and implementations of career progression opportunities and leadership practices within the NHS to address the JD retention crisis. The findings underscore the necessity for multifaceted, context-sensitive, and sustainably implemented strategies to foster a work environment conducive to professional growth and satisfaction. These strategies can significantly improve retention and satisfaction amongst JDs, with implications that extend through patient-centred care within the NHS

    Cynthia Enloe, Twelve Feminist Lessons of War (University of California Press, 2023)

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    Review of Cynthia Enloe, Twelve Feminist Lessons of War (University of California Press, 2023)

    To what extent does UK law adequately address the harms that platform/surveillance capitalism cause to individuals and communities with protected characteristics?

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    Online platforms have gained astounding prevalence as a means of spreading discourse, with social media playing a significant role in both high and low-level communication. Social media platforms “allow users to opportunistically interact and selectively self-present… with both broad and narrow audiences”, suggesting that harmful communication is able to reach a multiplicity of people. This essay aims to address the potential harms caused by platform/surveillance capitalism, focussing on TikTok’s algorithmic techniques and the experiences of female TikTok users, before determining whether UK law adequately addresses these harms. The first section of this essay will explain the business model of platform/surveillance capitalism and how the algorithmic techniques used by TikTok are successful in generating user engagement. The second section will address how these techniques can facilitate the online sexual harassment of women and girls as a specific form of gendered harm. It will focus on the sexualisation of content that is not inherently sexual nor intended to be sexually suggestive by the original poster (OP). The final section of this essay will examine the regulatory responses to this form of harm within UK law, however as some responses will be beyond the scope of this essay there will be an analysis of the most relevant legislation as well as suggestions for reform. It will also address the limited regulation of algorithmic techniques used within platform/surveillance capitalism, encouraging robust sanctions for platforms that enable harmful communication. &nbsp

    Refiguring Digital Landscapes: Online Pedagogical Hubs of Indigenous Latinx Youth

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    Educational literature has long invisibilized Indigenous Latinx youth in favor of a monolithic discourse of Latinidad. For example, being grouped by nationalities (i.e. Mexican or Guatemalan) or as pan-ethnic identities (i.e. Hispanic or Latinx ) does not fully express Indigenous peoples’ cultural breadth, experiences, and languages throughout Latin America. As such, many Indigenous Latinx migrants bring with them traditions, epistemologies, and family histories that they embrace and sustain through multiple avenues. In this paper, we focus on educational spaces created on Instagram, where Indigenous Latinx youth actively engage in discourses and cultural production of indigeneity, borderlands, and colonialism. We situate the emergence of Instagram as a site of pedagogical depth that Indigenous Latinx youth deploy as co-curricular building projects. Finally, we deploy Critical Latinx Indigeneities to make sense of a post shared by a Quechua-Aymara account titled “Detribalized, Reconnecting, Indigenous: Further Debunking Attacks to ‘Latinx’ Reindigenization” and the various user responses to the post who actively participated in refiguring the conversation by nuancing, situating, and contemplating the overall premise of the post, which was mestizo/Latinx “reindigenization” through reclamation of an Indigenous identity. Users crafted responses to specifically address components of the post creating a “hub” whereby others could engage in this type of public pedagogy. Our purpose is not to center any particular narrative but more so create an opportunity to witness how Instagram has and is a generative site of pedagogical co-creation, by, in this case, the various user responses to the post who actively participated in refiguring the conversation by nuancing, situating, and contemplating the overall premise of the post, which was mestizo/Latinx “reindigenization” through reclamation of an Indigenous identity. Instagram is therefore a generative site of pedagogical co-creation, a move we call refiguring digital landscapes. ​​We define refiguring digital landscapes as spaces of dialogue, where Indigeneity is in motion and actively being articulated and re-articulated and contested. This paper suggests three key components: 1) how youth from differing Indigenous territories can provide nuances on Latinidad and indigeneity based on their own experiences 2) complicate the way in which settler colonialism (as an ongoing process) is interpreted within multiple geographic contexts 3) map the way that CLI is enacted via online interfaces. Through refiguring digital landscapes, Indigenous youth are actively establishing robust digital worlds that, although they can be in contestation, do foster a depth of epistemological and ontological importance

    Calling (Out) Contemporary Settlers: Tanya Tagaq's Split Tooth and "Colonizer" as Trans-Media Indigenous Wonderwork

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    In Split Tooth (2018), Tanya Tagaq (Inuit) crafts the story of a young Indigenous woman who understands and relates to other-than-human elements like land, ice, and the northern lights in ways that depart radically from the teachings of Western epistemologies. Tagaq’s acclaimed 2022 album Tongues is in many ways Split Tooth’s companion piece, borrowing lyrics from the text and using them in songs that contest the Canadian settler project. For instance, the album’s closing track, “Colonizer” attacks the Canadian residential school system while highlighting audience complicity in the projects of their settler states. In both Split Tooth and the music video for “Colonizer” (the “Video”), Tagaq opposes the Canadian settler project by foregrounding the other-than-human. In particular, the land and the northern lights function in both works to transform each into instances of what Daniel Heath Justice (Cherokee Nation) calls Indigenous wonderworks. I argue that through the common elements of land and northern lights, the Text and the Video speak with one another across borders of artistic expression to become what I call a trans-media Indigenous wonderwork, in which the Video’s pointedly decolonial music, lyrics, and images underscore and bolster the text’s more indirect decolonial message. Combined, Split Tooth and the Video act as a novel form of cultural production grounded in Indigenous ways of knowing, working together to call out settler audiences for their complicity in the settler project—past, present, and future

    coexistence (Billy-Ray Belcourt)

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    coexistence (Billy-Ray Belcourt) - book revie

    ᒫᒥᑐᓀᔨᐦᒋᑲᓂᐦᑳᐣ ᓂᒦᑭᓯᐢᑕᐦᐃᑫᐏᐣ ᐁᑿ ᓂᒥᑐᓀᔨᐦᒋᑲᐣ / mâmitoneyihcikanihkân nimîkisistahikêwin ekwa nimitonêyihcikan: my reflections of beading with a computer

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    Four Generations is a digital media installation I coded that computationally generates portraits of my Indigenous lineage using 3D generated beads. Initially exhibited in my Master of Fine Art exhibition at the University of British Columbia in the summer of 2015, this work was then curated for the Transformer: Native Art in Light and Sound exhibition at the Smithsonian National Museum of the American Indian in New York City from November 2017 through January 2019. The work now resides in the collection of the Crown-Indigenous Relations and Northern Affairs Canada (CIRNAC) Indigenous Art Centre. My original intent for Four Generations was to create a dialogue between my nehiyaw (Cree) Métis ancestry, my Indigenous art practice (beadwork), and computational media. However, it has since become a work reviewed by others to explore deeper understandings of digital representations of Indigenous culture, heritage, and identity, and peripherally as an example for critical discussions about language revitalization, Indigenous data sovereignty and computer code studies. This paper reflects on my artwork Four Generations (2015), examining its contributions to Indigenous artistic production and digital translations of Indigenous cultural praxis, including language, medicine, and ceremony, and its impacts on computer programming and computing philosophies. I explore how this work has shaped Indigenous media art through contemplations of public discussions and critiques and express how these discussions have (re)shaped my identity as an Indigenous artist and computer programmer

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