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Positive psychology pioneers: Mihaly Csiksentmihalyi's power and potential to influence mental health nursing
This article is the second in a series that celebrates the work of positive psychologists and how their work has the power and potential to influence mental health nursing practice. Focusing on Mihaly Csikszentmihalyi (1934–2021) and his work on flow will help to bring interest and understanding to this exciting and developing area of mental health nursing practice. The practical activities provided in the article will help the reader increase their own awareness of flow to develop its use and transferability within their own life
Secure smart wearable computing through Artificial Intelligence-enabled Internet of Things and Cyber-Physical Systems for health monitoring
The functionality of the Internet is continually changing from the Internet of Computers (IoC) to the “Internet of Things (IoT)”. Most connected systems, called Cyber-Physical Systems (CPS), are formed from the integration of numerous features such as humans and the physical environment, smart objects, and embedded devices and infrastructure. There are a few critical problems, such as security risks and ethical issues that could affect the IoT and CPS. When every piece of data and device is connected and obtainable on the network, hackers can obtain it and utilise it for different scams. In medical healthcare IoT-CPS, everyday medical and physical data of a patient may be gathered through wearable sensors. This paper proposes an AI-enabled IoT-CPS which doctors can utilise to discover diseases in patients based on AI. AI was created to find a few disorders such as Diabetes, Heart disease and Gait disturbances. Each disease has various symptoms among patients or elderly. Dataset is retrieved from the Kaggle repository to execute AI-enabled IoT-CPS technology. For the classification, AI-enabled IoT-CPS Algorithm is used to discover diseases. The experimental results demonstrate that compared with existing algorithms, the proposed AI-enabled IoT-CPS algorithm detects patient diseases and fall events in elderly more efficiently in terms of Accuracy, Precision, Recall and F-measure
Primary curriculum futures
In this chapter we seek to address what the current trends in primary curriculum seem to indicate about the future, as well as exploring some of the possible curriculum developments that may be needed to enable primary schools to make an appropriate response to the shape of the future world. There is little argument that developments since the time of the Plowden Repor
Developing priorities for quality improvement in acute medicine using a modified Delphi method A consensus process hosted by the Society for Acute Medicine Quality Improvement Committee (SAM-QI)
Introduction: The SAM Quality Improvement Committee (SAM-QI), set up in 2016, has worked over the last year to determine the priority Acute Medicine QI topics. They have also discussed and put forward proposals to improve QI training for Acute Medicine professionals.Methods: A modified Delphi process was completed over four rounds to determine priority QI topics. Online meetings were also used to develop proposals for QI training.Results: Same Day Emergency Care (SDEC) was chosen as the priority topic for QI work within Acute Medicine.Conclusion: The SAM-QI group settled on SDEC being the priority topic for Acute Medicine QI development. Throughout the Delphi process SAM-QI has also developed proposals for QI training that will help Acute Medicine professionals deliver coordinated meaningful improvements in care
Positive psychology in dual diagnosis recovery: a mixed methods study with drug and alcohol workers
Background: In traditional dual diagnosis treatment, the primary aim is to attend the substance use problem and tackle the mental health issues with little attention to the positive aspects of clients’ lives. This deficit-based approach, however, may bring about an ignorance of clients’ potentials. The present study primarily aimed at investigating practitioners’ views of their clients; acquiring information on how to improve a previously designed positive psychology intervention for dual diagnosis, and finding ways of integrating positive psychology with current approaches.Methods: A positive psychology intervention developed for dual diagnosis individuals was delivered to two groups of psychosocial intervention workers (n = 17) at a drug and alcohol service. The study employed a mixed methods approach with a quantitative and a qualitative element (focus group).Results: Participants reported a number of personal and professional benefits gained from the intervention, but also discussed the structure of the intervention, practitioner qualities, and difficulties of incorporation into existing treatment as challenges that may arise in terms of feasibility with this client group.Conclusions: Through a strengths-based positive approach, a more balanced treatment would enable the recognition and appreciation of both the vulnerabilities and the emerging potential of clients. This would lead to better outcomes with clients achieved by a healthier workforce
Frailty assessment and acute frailty service provision in the UK: results of a national ‘day of care’ survey
Background: The incorporation of acute frailty services into the acute care pathway is increasingly common. The prevalence and impact of acute frailty services in the UK are currently unclear.Methods: The Society for Acute Medicine Benchmarking Audit (SAMBA) is a day of care survey undertaken annually within the UK. SAMBA 2019 (SAMBA19) took place on Thursday 27th June 2019. A questionnaire was used to collect hospital and patient-level data on the structure and organisation of acute care delivery. SAMBA19 sought to establish the frequency of frailty assessment tool use and describe acute frailty services nationally. Hospitals were classified based on the presence of acute frailty services and metrics of performance compared.Results: A total of 3218 patients aged ≥70 admitted to 129 hospitals were recorded in SAMBA19. The use of frailty assessment tools was reported in 80 (62.0%) hospitals. The proportion of patients assessed for the presence of frailty in individual hospitals ranged from 2.2 to 100%. Bedded Acute Frailty Units were reported in 65 (50.3%) hospitals.There was significant variation in admission rates between hospitals. This was not explained by the presence of a frailty screening policy or presence of a dedicated frailty unit.Conclusion: Two fifths of participating UK hospitals did not have a routine frailty screening policy: where this existed, rates of assessment for frailty were variable and most at-risk patients were not assessed. Responses to positive results were poorly defined. The provision of acute frailty services is variable throughout the UK. Improvement is needed for the aspirations of national policy to be fully realised
Optimum operation management of microgrids with cost and environment pollution reduction approach considering uncertainty using multi-objective NSGAII algorithm
Generating electricity near the consumption can provide more flexibility to supply various services to consumers as well as reduce system losses. The limited fossil fuels and air pollution are among the main incentives for the expansion of this technology. One of the perspectives proposed for effective increase in these resources’ involvement is to combine these resources with the objectives of the visibility of the relationship between distributed generation resources and power network, as well as control of these resources more efficiently. One of the methods of combining distributed generation sources is a new concept called micro grid; a topic that is of great importance in this regard is the proper management of distributed generation resources in micro grid aimed to reduce the costs of generating electricity and polluting the environment. The resource management in micro grid is a completely non-linear and top-order problem. In this paper, micro grid optimum programming has been studied considering the capacities available in the electricity market. In order to realize this, as well as reduce pollution and cost simultaneously, NSGAII multi-objective genetic algorithm is used. Studies have been conducted in the form of three scenarios on a sample micro grid consisting of solar, wind, micro turbine, fuel cell and battery resources, considering the uncertainty of load and solar and wind generations. The probabilistic distribution function (PDF) and Roulette Wheel were used to create variables with uncertainty. The first scenario objective was to reduce costs by PSO, GA, and ABC algorithms’ optimization. In the second scenario, pollution was reduced and the studies were repeated using these three algorithms. Finally, in the third scenario, there was a simultaneous reduction in pollution and cost by these three algorithms, taking into account weight coefficients as well as NSGAII algorithm
To Hellingly and back: two autoethnographic accounts of life in a mental hospital
This article discusses life in one asylum, Hellingly, near Eastbourne in Sussex. Where once the majority of mental health professionals worked in asylums, their gradual run down and closure saw most staff, as well as patients, transfer into new community services. The two main protagonists in this paper both found themselves at Hellingly Hospital in the 1970s. One was a charge nurse who ran the therapeutic community ward in the hospital. The other was an inmate, who was to begin his alternative mental health career as a ‘revolving door’ patient. Both start by giving their respective memories of the hospital and its impact on their lives. They then reflect on what happened to them after they left the hospital. Now both in their 70s, they have each achieved a sense of contentment with their respective careers in mental health, but via completely different routes. The lessons we can learn from both accounts are drawn out in the discussion section. The fact that the accounts feature a professional and a patient show how far mental health nursing has come over the ensuing 50 years. Patients are partners, and lived experience narratives are indispensable to understand the phenomenology of mental health problems
‘People miss people’: a study of school leadership and management in the four nations of the United Kingdom in the early stage of the COVID-19 pandemic
The COVID-19 pandemic has confronted school leaders across the four devolved nations of the UK with a period of exceptional crisis. This responsive, small-scale, but UK wide study focuses on headteacher perspectives on leadership and management in the initial stages of this pandemic, contributing to our understanding of this crucial period. The headteacher respondents met the multiple predicaments and situational ambiguities of the pandemic with a resilience which drew heavily upon the strengths of pre-existing structures and teams. They were required to provide effective emotional and moral leadership in uncharted and rapidly shifting territory. They spoke most eloquently of how they developed pragmatic, versatile and personally reassuring approaches to communication with parents, staff, pupils, and a range of external agencies, all of which were also facing extraordinary circumstances with varying degrees of resilience. The paper concludes by conceptualising the key elements of headteachers’ leadership and management, both inside and outside of school, at in the early stages of societal crisis
Remarkable lives - Ella Vadasz in conversation with Robert Hurst
PurposeThe purpose of this paper is to share Ella Vadasz's story. Design/methodology/approachElla wrote a biography of her experiences, including two poems. Robert then asked a series of questions from the perspective of a mental health academic. FindingsElla shared stories from her life and how her experiences have shaped her. She talked about the emotional impact of a custody battle. Research limitations/implicationsRecovery narratives such as this give us an overview of only a single person's experiences. However, they allow the person with lived experiences to explore their story in depth. Practical implicationsWhat Ella has written is very emotional. Her story will give readers an insight into her life and experiences. Social implicationsThere is so much to learn from stories such as Ella's, in particular from her critique of social services in Scotland and England. Originality/valueTo the best of the authors' knowledge, this is the first time that Ella has chosen to share her unique story. This paper features two poems written by her - a first for Remarkable Lives. The value of Ella sharing her story is apparent upon reading it