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Development and Evaluation of Strategies to Support Rural Secondments for Junior Physiotherapists
Get PDFAbstractPurposeRural workforce shortages are a national issue. One strategy is the use of secondments from larger healthcare sites to staff rural sites on a rotational basis. The purpose of this evaluation is to explore the impact of the development, implementation of an educational, training and supervision package for junior Physiotherapists undertaking rural secondments in Northern NSW.Design/methodology/approachPre post evaluation of a training, education and supervision package to support junior Physiotherapists undertaking rural secondments across Northern NSW. A baseline survey of Physiotherapists who had undertaken a secondment in the previous 12 months defined current practice and limitations. From this a targeted education, training and supervision package was developed. Post implementation surveying for a period of 12 months was undertaken to evaluate the packages implementation.FindingsStatistically significant improvements in staff reporting they felt supported and were aware of escalation processes for patients under their care were reported. Additionally improvements were seen in staff reported access to and completing competencies relevant to their secondment.Research implicationsThese findings provide guidance in regards to junior Physiotherapists working on rural secondments and the importance of structured education, training and support mechanisms.Practical implicationsThe findings from this work support the development and implementation of structured education, training and supervision plans prior to undertaking rural secondments.Originality/valueThese findings provide evidence and support the need for structured and target training, education and supervision for staff undertaking rural secondments to ensure staff are confident to work in a rural setting.LimitationsLarger response rates for post implementation survey results may result in different outcomes being reported in comparison to pre implementation results
Breaking up is hard to do? Devolution and the sovereignty dilemma of post-Brexit UK
Get PDFBrexit was ostensibly about the assertion of sovereignty of the UK parliament in ‘taking back control’ from the EU. The UK government believed it could reimpose the traditional sovereignty view practised prior to joining the then European Economic Community. However, changes since then mean that within the UK’s ambiguous constitutional order account must be taken of the 1998 devolution of certain powers to Scotland, Wales, and Northern Ireland.This article addresses this sovereignty dilemma in post-Brexit UK against a background of both EU withdrawal and regional differentiation. The UK government’s post-Brexit push for centralisation has raised the stakes as regions seek to accommodate the centripetal force of their intra-UK economic relations with the centrifugal force of their culture and identity. It is argued that path dependence formed from the shared experience of the evolving institution of devolution promotes that accommodation thereby offering a path to a viable and unified UK
Earth system governance and science diplomacy: commonalities of emerging shapers of institutions
Get PDFEarth System Governance (ESG) is a broadly formulated network of research agencies and governance bodies which aims to integrate science with policy and governance as a means of managing environmental change. Taking into consideration the broader context of ongoing attempts to define optimal solutions for major contemporary challenges, a comparison of ESG and science diplomacy focuses on four commonalities. The purpose of this comparison is to explore mutual learning opportunities because both strands of enquiry aim at addressing the global challenges in a comprehensive manner through tailored relations between science or research and policy or diplomacy. ESG and science diplomacy share an interest in exploring the top-down and bottom-up dynamics of multi-level governance, circulation of ideas, terms, including the expansion of their meanings, experimentation outside the existing institutional structures, as well as anticipation of future developments. A primary focus on Europe articulates areas where ESG and science diplomacy may find thematic intersections for mutual learning
Economic exclusion: Should the EU refuse trade deals in the interest of climate change?
Get PDFESAANZ ESSAY PRIZE WINNERAn analysis of European economic trade policy and its role in international diplomacy on climate change. This accounts for both the objective financial benefits and incentives of preferential trading agreements as well as the influence of these deals on wider foreign relations. The findings of this paper are that withholding trade agreements to encourage or coerce similar progressive causes such as demilitarisation are highly limited in their impact, and that many of the causes of this outcome apply equally to climate issues. A loose explanation of how trade agreements and the associated diplomatic relationships which accompany them could be utilised to promote better environmental practices is also provided, based on the economic conditions of countries and communities involved. Trade progression with a focus on achievable climate goals is found to be far more beneficial than an exclusionary approach by the EU
