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Sepsis online escape room
This is a version of an escape room based on managing sepsis that was originally developed for Nursing and Medicine students at the University of Lancashire (previously University of Central Lancashire). The version published here has been edited for sharing at a conference. Some of the puzzle answers are therefore provided.
In this simulation, health professional students work together in either a face-to-face or online escape room to solve clinical clues which unlocks equipment they can use to save the deteriorating patient. More information about this escape room and others developed by our team can be seen in the open access book chapter referenced below. Contact us to get copies of the facilitator guides which contain more detail on the puzzles involved and equipment needed for the in person version.
Gillaspy E, Jones A, Spencer G, & Robinson J (2024) Playful practicals: breaking free from educational norms with online escape rooms. In From Lab to Laptop: Case studies in teaching practical courses online (Chap.11). Open Press Sussex. https://doi.org/10.20919/VTII8045/1
THE EVOLUTION AND INFLUENCE OF THE HONG KONG AND SHANGHAI BANKING CORPORATION: IMPACTS OF INTERNATIONAL TRADE AND FINANCIAL MANAGEMENT STRATEGIES
The Hong Kong and Shanghai Banking Corporation (HSBC) stands as a testament to the intricate interplay between international trade and financial management. Founded in the mid-19th century primarily to facilitate commerce between Europe and China, HSBC has transformed significantly into one of the globe's largest banking and financial services entities, spanning over 55 countries. With approximately 40 million clients and a workforce of around 235,000, HSBC serves as a pivotal player in monitoring and adapting to fluctuating economic landscapes while providing essential banking services. This evolution has been propelled by strategic expansion, notable acquisitions, and a diverse portfolio that encompasses retail, commercial, global, and private banking. This article investigates HSBC's emergence as a global banking powerhouse, analyzing its interrelation with international trade dynamics and the consequential effects of exchange rate fluctuations. HSBC's core activities in international finance include facilitating cross-border transactions and providing trade finance services, segments that account for over 20% of its revenues and represent vital links to global commerce. The examination reveals that a correlation exists between HSBC's financial performance and the volume of international trade, underscored by historical data reflecting revenue trends relative to global export variations. Moreover, the influence of exchange rate movements poses distinct challenges for HSBC, impacting profits and necessitating robust risk management strategies. Strategies such as currency hedging and diverse geographical operations have been adopted to mitigate currency risk, demonstrating HSBC's proactive approach to navigating the complexities of the international financial landscape. Additionally, the bank’s liquidity management frameworks emphasize the importance of maintaining adequate cash reserves and employing stress testing to withstand potential economic shocks. This analysis culminates in recommendations for HSBC to reinforce its market position, including prioritizing digital transformation, diversifying revenue streams in emerging markets, and enhancing risk management practices concerning forex volatility. By adapting to the fast-evolving global landscape, HSBC can ensure its sustained relevance and operational efficacy in a competitive banking ecosystem. This exploration of HSBC serves not only to illuminate the factors influencing its historical and current operations but also reflects broader trends applicable to the global finance sector at large
Feminist Intellectual Disability Studies
This entry traces the evolution of feminist disability studies and critiques its early neglect of women with learning difficulties. It examines how institutionalization, community living, sexuality, parenthood, and experiences of violence have shaped the scholarship and activism in this area. Central to the discussion is the call for inclusive research practices, relational autonomy, and self-advocacy, foregrounding the epistemic authority of people with learning difficulties. This entry brings together historical analysis, international research, and lived experience to argue for a more expansive and participatory feminist disability studies, one that challenges cognitive ableism and fully includes the experiences and epistemologies of women with learning difficulties. In this entry, we use “people with learning difficulties” rather than “people with intellectual disability/learning disabilities” throughout, as there is no consensus and various activist and self-advocacy groups have expressed a preference for this terminology
Pre‐Registration Mental Health Nursing Students Who Witness Self‐Harm Amongst Service Users During Placement: A Cross‐Sectional Study
Mental health nursing (MHN) students may witness self‐harm on placements; however, little is known regarding the experience of MHN students who do witness this. This study aimed to understand the personal impact of witnessing self‐harm events upon MHN students who are on placement, with three objectives: (1) To identify the types of self‐harm witnessed by MHN students; (2) To evaluate MHN students' perceived self‐competence in working with service users who have self‐harmed; and (3) To assess the potential psychological trauma upon MHN students after witnessing self‐harm. A cross‐sectional questionnaire comprising researcher‐generated Likert‐style items and open‐ended response questions was utilised. Descriptive analysis was completed of 84 responses from MHN students. The types of self‐harm witnessed included cutting (65 participants; 77.4%); head‐banging/punching (62 participants; 73.8%); and ligation (36 participants; 42.9%). Additionally, we identified factors that either hindered or aided the MHN students in developing resilience post witnessing self‐harm. These findings are presented as three qualitative themes, and are: resilience; sources of stress and sources of support. Key findings were: (i) current MHN students can experience a range of negative outcomes after witnessing a self‐harm incident which can include wanting to withdraw from studies; (ii) student experience of witnessing self‐harm needs to be better understood and responded to; and finally, (iii) universities and placement providers should deliver relevant training, with trauma informed care (TIC) pedagogy potentially being an effective intervention. Ultimately, we recommend a joined‐up approach from universities and practice partners to address these issues
Addressing the diversity principle–practice gap in Western higher education institutions: A systematic review on intersectionality
Extant research has focused on the barriers faced by minority faculty in academia. Despite outward notions of commitment to diversity, higher education institutions remain largely exclusive to anyone who does not prescribe to the ‘ideal’ faculty. Recently, more attention has been given to minority faculty who possess intersectional identities, highlighting their increased marginalisation. Equality, diversity and inclusivity (EDI) initiatives have been identified as a primary enabler of supporting minority groups, yet research on intersectionality and its operationalisation into practice is relatively scattered across disciplines. To provide an evidence‐based analysis and integration, this article systematically reviews the literature on intersectionality in the context of higher education using common intersectional categories. We systematically reviewed and thematically summarised key findings of 38 empirical studies conducted from 1990 to 2022, in which key recommendations related to EDI were identified. Recommendations were categorised into three levels based on where the onus for action lay: individual, organisational and institutional. Through an intersectional lens, our paper provides theoretical insights into the problematic nature of power and critiques of EDI initiatives. While we provide practitioners with tangible recommendations to redress intersectional inequality in academia, we heed caution on being overly reductionist and contend there is no single solution, delineating the importance of context in applying recommendations. Future research is needed to empirically evaluate the operationalisation of intersectionality vis‐à‐vis adopting a praxis lens
Thinking about meaning: Level-of-processing modulates semantic auditory distraction
An effect is reported of a level-of-processing manipulation on the between-sequence semantic similarity effect, the finding that the correct recall of visually-presented target items is disrupted more by the presence of to-be-ignored auditory items (distracters) drawn from the same as compared to a different semantic category. Participants engaged in either a vowel-counting task (shallow-processing) or a pleasantness-rating task (deep-processing) on lists during study. The between-sequence semantic similarity effect was observed in the deep-processing but not shallow-processing condition. Thinking about meaning therefore yielded susceptibility to disruption via the semantic properties of the irrelevant material. Intrusions of related distracters were found with both deep and shallow-processing, but shallow-processing resulted in more intrusions. We propose a two-process account of these findings wherein distracters have independent effects on response-generation and source-monitoring
Professionalising or politicising a profession: Politics, the PEQF, and policing in England and Wales
Gender, feminism and the project of critical disability studies (CDS)
In an era where basic ‘rights’ have been eroded on all fronts (e.g. income, employment, access, health and social care), we argue that acknowledgement of the contributions of disabled women, and collaborative action to improve the positions of disabled people in the academy is crucial. We highlight the need to understand how disabled women’s contributions to the development of theory were pivotal to the development of theories of disability, not least in a synthesis of experiential approaches with those which focus on social barriers. We show how disabled women’s contributions were fundamental to the specific development of Critical Disability Studies (CDS), but that they are increasingly excluded in current academic contexts. We discuss intersectional examples of disablism, and assess the value and inter-relationships of various feminist and Disability Studies/CDS approaches, raising questions about how they could be harnessed in alternative ways, in service of campaigns for disabled people’s rights
Registered Sex Offenders’ experiences of risk assessments and home visits in England & Wales – can we expect the police to integrate “risk” with “desistance” practices?
In England and Wales, adult male registered sex offenders (RSOs) are risk assessed and managed using a tool known as Active Risk Management System (ARMS) and this risk assessment is carried out by a specialist group of police officers known as Management of Violent or Sexual Offenders (MOSOVO) at the RSO’s home, known as ‘the home visit’. This study aimed to examine a sample of RSOs’ views of the risk assessment and home visit process and to make recommendations to MOSOVO, based on RSOs’ views, to improve the risk assessment and home visit practice. Three police forces in England and Wales agreed to facilitate sampling of 10 RSOs who varied in their level of risk - namely, low, medium, high and very high. Semi-structured interviews were thematically analysed and three themes were developed: Waiting for the first home visit provoked feelings of anxiety and heightened levels of shame; the first home visit was ‘like a chat’ but not for the higher risk RSOs; and the property search and observations were non-invasive, but RSOs were not fully informed of the home visit. We discuss these experiences in light of the growing call for MOSOVOs to both manage risk and assist desistance