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2036 research outputs found
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PsychMapping exercise: streamlining client intake and progress monitoring across diverse profiles
Conducting an initial analysis of clients and tracking their progress are critical components of effective applied sport and exercise psychology. This project investigates the #PsychMapping exercise in practice, focusing on its integration into applied scenarios. The exercise, characterized by an integrative perspective and holistic self-reflection, delineates personal descriptors, self-regulation, and external factors. Employed across four distinct client profiles, the exercise is shown to be a valuable tool for both intake sessions and monitoring intervention efficacy. The report explores changes in summary maps, clients’ experiences, and practitioner insights, highlighting the adaptability and benefits of the exercise for clients and practitioners alike
Does distribution and type of aid affect internal migration following a cyclone? Evidence from Bangladesh
Purpose– The purpose of this study is to explore the impacts of aid in the form of food, cash, and agricultural inputs on internal migration following a series of cyclones in the southern coastal areas of Bangladesh. The impacts of sources of aid, such as institutional or social network sources, were also analysed. With the increasing frequency of extreme climatic events, it becomes crucial to understand the impacts of different post-cyclonic aid on human mobility. Design/methodology/approach– A total of 472 households across 16 blocks (moujas) in the Patharghata sub-district of Barguna district were selected for participation using a stratified sampling strategy. Data were captured via a survey which included individual and household-level demographics, migration and aid-receipt following cyclones. Data were analysed using a mixture of descriptive and inferential statistical methods. Findings– The analysis revealed that migration was significantly higher among households which did not receive institutional food aid. More specifically, non-receipt of food aid and cash aid after a cyclone, different sources of income, non-availability of alternative sources of income, lack of land ownership and severity of cyclones up to a certain level increased migration among the households where a minority of household members migrated. In contrast, the absence of food aid and the severity of cyclones were found to be significant factors in increasing migration among the households where a majority of household members migrated. The authors argue that the decision to migrate from the households where most members migrated increased with the rise in cyclone severity
Negotiating shared lives: territorialisation and conviviality in an urban community land trust
Urban Community Land Trusts (CLTs) have been acclaimed for their politically transformative potential: de-commodifying land and providing permanently affordable housing under community control. Few studies include CLT residents and this paper features two case studies to help fill the gap. St Clements in East London, UK, and Citizens House, Southeast London, both created by London CLT, collectively have 34 households living in them. Unlike more geographically focused CLTs, London CLT provides governance, knowledge, and skills to support people across London to build the affordable housing they campaign for. The selection criteria prioritised the needs of those failed by the existing housing market, who had long-standing connections to the borough, and contributed to community life. London CLT hoped residents would have a transformational impact on the neighbourhood, spreading the ethos of community control. Using the conceptualisations of territorialisation and conviviality, new knowledge has been produced about residents’ experience of negotiating shared lives. While residents are happy with their homes, and value the neighbourliness that comes from knowing others better, investing time and energy in more organised activity and decision making has been slow. The two spaces display both the affectivity and distancing associated with territorialisation and the ‘rubbing along’ and ambivalence of conviviality
First contact physiotherapy: an evaluation of clinical effectiveness and costs
Background: First contact physiotherapy practitioners (FCPPs) are embedded within general practice, providing expert assessment, diagnosis, and management plans for patients with musculoskeletal disorders (MSKDs), without the prior need for GP consultation.
Aim: To determine the clinical effectiveness and costs of FCPP models compared with GP-led models of care.
Design and setting: Multiple site case-study design of general practices in the UK.
Method: General practice sites were recruited representing the following three models: 1) GP-led care; 2) FCPPs who could not prescribe or inject (FCPPs-standard [St]); and 3) FCPPs who could prescribe and/or inject (FCPPs- additional qualifications [AQ]). Patient participants from each site completed outcome data at baseline, 3 months, and 6 months. The primary outcome was the SF-36 Physical Component Summary (PCS) score. Healthcare usage was collected for 6 months.
Results: In total, 426 adults were recruited from 46 practices across the UK. Non- inferiority analysis showed no significant difference in physical function (SF-36 PCS) across all three arms at 6 months (P = 0.667). At 3 months, a significant difference in numbers improving was seen between arms: 54.7% (n = 47) GP consultees, 72.4% (n = 71) FCPP- St, and 66.4% (n = 101) FCPP-AQ (P = 0.037). No safety issues were identified. Following initial consultation, a greater proportion of patients received medication (including opioids) in the GP-led arm (44.7%, n = 42), compared with FCPP- St (18.4%, n = 21) and FCPP- AQ (24.7%, n = 40) (P<0.001). NHS costs (initial consultation and over 6-month follow-up) were significantly higher in the GP-led model (median £105.5 per patient) versus FCPP-St (£41.0 per patient) and FCPP-AQ (£44.0 per patient) (P<0.001).
Conclusion: FCPP-led models of care provide safe, clinically effective patient management, with cost-benefits and reduced opioid use in this cohort.
Keywords: general practice; physiotherapy; delivery of health care; musculoskeletal diseases; opioids
Exploring UK sonographers’ views on the use of professional supervision in clinical practice – Stage one findings of a mixed method study
Introduction
Professional Supervision has been described across multiple professional groups, however to date, minimal research has been conducted exploring the use of professional supervision within the United Kingdom (UK) sonographer workforce.
Methods
An online self-administered survey was conducted to explore UK sonographers views on the use of professional supervision in practice. The survey was open to sonographers, consultant or clinical specialist sonographers, ultrasound managers and professional body officers. Multiple choice questions were utilised to obtain quantitative data on the provision of support mechanisms, with free text questions allowing qualitative data to be elicited further to explore thoughts of participants.
Results
A total of 112 participants completed the survey in full and response rates varied across the subgroups. Varying support mechanisms were in place for sonographers. However only 55.4 % of sonographers felt supported in the clinical workplace. Thematic analysis of qualitative data highlighted that workload pressures, staffing and retention of sonographers, were key concerns that professional supervision could improve. It was highlighted that time to undertake professional supervision could be challenging, however if training for professional supervision was in place then this could provide improved quality of care and staff support.
Conclusion
Participants highlighted the challenges faced by UK sonographers and the positive impact that professional supervision could have on retention and staff support. There are limited support mechanisms in place for UK sonographers and this is impacting on how participants felt they were being supported in the workplace. Stage 2 of this research project will explore sonographers’ views in more detail.
Implications for practice
The approach to support mechanisms for sonographers should be considered to support improvement of professional wellbeing and retention of the sonographic workforce
Supporting autistic people through pregnancy and childbirth
Full text not available from this repository.
Official URL: https://uk.jkp.com/products/supporting-autistic-pe...
Abstract
This comprehensive and accessible guide is for every birthing and health professional looking to improve their care during pregnancy, birth, and aftercare for autistic women. With a distinct lack of scientifically approached work in this area, this much-needed book takes an intersectional, feminist approach and covers the background of modern birth practices and autism as a diagnosis.
With intersectionality as a core feature, the impact of cultural differences, underdiagnoses, stigma, and stereotypes amongst ethnic minorities is also included. It discusses how pain functions in the autistic brain as well as co-occurring conditions such as alexithymia, chronic pain, epilepsy, and Ehlers-Danlos Syndrome.
This multidisciplinary author team includes two well-established autism experts, and an experienced midwife and lecturer who provides invaluable birthing insight, as well as approaches for sensation management during birth, insider knowledge on midwifery protocols, and accessible tools for autistic pregnant people and families to use
Richard Serra, Beyond Minimalism, 1938–2024
This is an obituary for the sculptor Richard Serra commissioned by and published in ArtReview
Dear Daniel & Clara
This essay, written in the form of a letter, is a response to the Green Letters project by Daniel & Clara that has been a part of their Birding body of works. My own letter considers the importance of look and the visuality of written text in relation to other acts of looking, such as birdwatching
An introduction to open educational resources and their implementation in higher education worldwide
The digitization of (higher) education has exposed copyright infringement issues, as the unauthorized use of copyrighted materials has become more visible. This article explores the importance of open educational resources (OER) in higher education, focusing on their development, how they are understood, and the opportunities they offer. OER are defined as learning materials released under open licenses, allowing no-cost access, reuse, adaptation, and redistribution. The article discusses the OER movement, its milestones, and its integration into educational practice. It also presents arguments for OER: they enable free access to education, improve teaching practice, diminish legal issues, and foster open science. In addition, it highlights criticisms, including resistance from traditional publishers and concerns about marketing influence. The article concludes by examining current OER implementation in higher education and its promise of innovation. While OER are increasingly adopted, proprietary resources still dominate. The article emphasizes the need for educators to use open licenses meaningfully and innovatively and presents research on OER acceptance and usage. The monitoring of OER development in higher education is essential, but approaches may vary across countries
'Unless you've got a conviction, there's not much you can do’: rethinking long-term disruption and exit strategy in RASSO investigations
Purpose: This research was undertaken to assess how five Operation Soteria Bluestone (OSB) participating forces integrated principles of procedural justice and proactive disruption of offending into their investigations, specifically during the closing stages of a case when considering exit strategy and longer-term prevention.
Methodology: A mixed-methods approach was taken, including 32 semi-structured interviews with officers and 59 case reviews of recent RASSO offences. Data analysis methods included qualitative thematic analysis of interviews, while data from reviewed case logs was extracted and analysed using a bespoke case review tool.
Findings: Increased workloads, preparation of evidence, and relational/communication difficulties with CPS were identified as barriers to implementing long-term disruption options. Dedicated resourcing, training, and support is needed to promote suspect-focused investigative strategy and wider uptake of long-term disruption methods. Early investigative approach was also found to have ‘snowball’ effects on suspect exit strategy, with initial lack of suspect focus and preoccupation with victim credibility, impeding consideration of long-term disruption and safeguarding options. Findings also point to a disparity between promising practice in relation to procedural justice for victims, and (a relative lack of) proactive policing of repeat suspects.
Originality: The study represents a novel contribution to research on policing RASSO, illustrating the scale and nature of the obstacles to changing how these offences are investigated, even when under intense scrutiny from policy makers. It also highlights how increased organisational investment and support is linked to positive changes in practice in some forces