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Society for Acute Medicine Benchmarking Audit 2021 (SAMBA21): assessing national performance of acute medicine services
No full textIntroduction: The Society for Acute Medicine Benchmarking Audit 2021 (SAMBA21) took place on 17th June 2021, providing the first assessment of performance against the Society for Acute Medicine's Clinical Quality Indicators (CQIs) within acute medical units since the start of the COVID-19 pandemic.Methods: All acute hospitals in the UK were invited to participate. Data were collected on unit structure, and for patients admitted to acute medicine services over a 24-hour period, with follow-up at 7 days.Results: 158 units participated in SAMBA21, from 156 hospitals. 8973 patients were included. The number of admissions per unit had increased compared to SAMBA19 (Sign test p<0.005). An early warning score was recorded within 30 minutes of hospital arrival in 77.4% of patients. 87.4% of unplanned admissions were seen by a tier 1 clinician within 4 hours of arrival. Overall, the medical team performed the initial clinician assessment for 36.4% of unplanned medical admissions. More than a third of medical admissions had their initial assessment in Same Day Emergency Care (SDEC) in 25.4% of hospitals. 62.1% of unplanned admissions were seen by two other clinical decision makers prior to consultant review. Of those unplanned admissions requiring consultant review, 67.8% were seen within the target time. More than a third of unplanned admissions were discharged the same day in 41.8% of units.Conclusion: Performance against the CQIs for acute medicine was maintained in comparison to previous rounds of SAMBA, despite increased admissions. There remains considerable variation in unit structure and performance within acute medical services
Settling into life at University
No full textThis chapter aims to:• Demystify the university environment by exploring more about how universities work and what they can offer to students.• Alleviate concerns which students may have about their transition to university and provide advice as to how best to prepare for academic life, both prior to starting their course and throughout the duration of their studies.• Set expectations for students to enhance their approach to and responsibility for studying and to grasp opportunities that university life affords them.• Encourage reflection on the skills students currently possess and those which can be developed throughout their student life to enhance successful transition into further study or their chosen career
An exploration of the implications of human resources analytics for workforce planning
No full textWorkforce is a tangible and talent-driven asset for high-performing organisations in today's global economy. Arguably, if workforce is not adequately planned, it impacts the effective execution of future business strategies. This research uses Standard Chartered and HSBC Holdings as a case study. A sample size of 60 participants is selected and descriptive data analysis employed to examine the online survey questionnaire. The findings indicate that HRA helps organisations to develop and sustain high-quality planning and eliminates the conventional obstacles HRA provides. It aligns strategic planning by head counting and establishing a clear view of talent demand and supply problems. It is a useful tool used to evaluate the impact of their decision and prioritise future investments in the workforce. Key identifiers include: Control, employee production efficiency, and structure. The study recommends organisations combine demand planning and internal supply analysis to identify workforce gaps and plan accordingly
Secure web gateway on website in cloud
No full textDeveloping interest for transfer work from home associations needs to permit numbers of specialists to get to confidential organizations on the business' nearby web. This leads to greater expenses to authorize the homeworker admittance to the association's assets secretly and safely through assigned gadgets and administration. The primary purpose of additionally supports the association execution with various administrations for telecommuters.SASE utilizes Zero Trust Engineering as its spine, without confiding in any gadget or client, yet validate and approve at each solicitation. The main purpose to apply designated spot capabilities such as Secure Web Passage and Cloud Access Security Representative to additionally uphold the security of the association's resources that may not be trusted in the cloud. Toward this paper's end, we will comprehend how those strategies referenced for doing the work on secure systems for work with associations' system associations and security. We conduct a systematic literature review of security challenges of cloud computing. In addition to security issues, the benefits of cloud computing security were also studied. Whenever a website is hacked by an attacker, businesses and organizations lose their valuable data. Thus, we choose the best platform to organize and secure the data online in a valuable way. The main point of attack in the website is the use of weak passwords and sharing authentication to other users
Bridging the skills gap: apprentice assistant practitioners having an impact in mental healthcare services. Part 4. The practice trainer experience
No full textIn understanding the impact of apprentice assistant practitioners (AAPs) on mental healthcare services, it is important to understand the role of the practice trainer (PT). This article is the last in a series of four looking at AAPs in mental healthcare services. It will focus on the experiences of the PTs as they support AAPs working towards their qualified AAP role.The challenges faced by mental healthcare services and the role of the PT in supporting workforce development via the AAPs will be introduced. Semi-structured interviews were carried out on two PTs working in the north west of England and employed at the University of Bolton. Both participants work with AAPs employed in mental healthcare services and consented to take part. During the interview, the PTs were asked to outline how long they had worked in role, followed by an exploration into their experiences of supporting AAPs within mental healthcare services.The PTs were asked to give their opinion on the development of their role, throughout the programme, with particular reference to the restrictions and changes COVID-19 had made to their role
Providing person-centred dementia care on general hospital wards
No full textDementia is caused by conditions that result in a progressive loss of brain function. People with dementia often have complex multimorbidity which increases their risk of admission to hospital. However, care in acute hospitals is often not adapted to patients with dementia, who have reported negative experiences of their hospital stay from admission to discharge. Person-centred care has been shown to make a positive difference to how well people with dementia cope in hospital. This article discusses how nurses working on general hospital wards can enhance the experiences of people with dementia and improve their outcomes by providing person-centred care
When did Zambia start going green? assessing the allusion to and inclusion of climate change and incidental phenomenon in development planning policy from 1964 to 2021
No full textCombining a three-pronged document review approach with semi-structured and in-depth interviews, this study provides a critical assessment of the emergence and progression of inclusion of climate change and incidental phenomenon in Zambia’s development policy. Specifically, the study seeks to trace these issues within each and every National Development Plan (NDP) published by the Government since Zambia’s independence in 1964. Results, synthesized from the different data sources, show that NDPs have progressively incorporated environmental issues from as early as the 1960s, with more recent consolidation of climate change and its increased inclusion beginning in the early 2000s. Practical implications of these results are presented in this paper, but mainly suggest: (i) the need to learn from past NDP best practices and contextualise them to the current complexion of the country; (ii) formulation of a handbook of implementation for climate change as an accompanying volume to the NDPs; (iii) importance of determining the climate change-industrial development trade-off; (iv) harnessing the dual correlational effect of international stimuli and domestic political forces on climate change inclusion in NDPs; (v) use of domestically-defined climate change mainstreaming and policy formulation tools; and (vi) adoption of a holistic climate change performance indicator methodology for formulating climate change related KPIs
The impact of liquidity and credit risks on financial performance: a case study of Islamic banks in Africa
No full textIslamic banks in Africa have been trying to grow and compete with their conventional counterparts in Africa for more than 20 years considering the large number of Muslim population (47%) in the region. However, Africa has major issues and challenges peculiar to the region which have affected the Islamic banking industry over the years. The issues and challenges influence the major risks faced by Islamic banks. Thus, bringing a different dynamic into how Islamic banks in Africa manage these risks as compared to Islamic banks in other regions.As liquidity risk and credit risk are two of the most important risks faced by Islamic banks, this research examines the influence both risks have on the profitability of these banks. The research investigates the factors that influence liquidity risks and credit risks in Islamic banks in Africa before examining the impact of both risks on the financial performance of Islamic banks in Africa between 2014 to 2019. The research is conducted using 34 Islamic banks in 11 African countries, developing four empirical models through fixed effects regression model with respect to the identified research aims and objectives.The first empirical model is linked to the second objective of the study which aims to determine the factors that influence liquidity risk in Islamic banks in Africa. The result indicates that liquidity risk has a significant positive relationship with non-performing loans and bank size, while it has a negative significant relationship with asset quality ratio, unemployment rates and GDP growth rate. Thus, indicating the major determinants of liquidity risks in Islamic banks are asset quality ratio, bank size, non-performing loans, unemployment, and GDP growth. The second empirical model is linked to the third objective of the study which aims to determine the factors that influence credit risk in Islamic banks in Africa. The result indicates that Islamic bank rates, capital adequacy, GDP growth and unemployment rates in African countries significantly influence liquidity risk in Islamic banks in Africa.The third empirical model is linked to the fourth objective of the study which aims to understand the impact of liquidity risk on the financial performance of the Islamic banks in Africa. The result indicates that liquidity proxied with liquidity ratio has a positive relationship with financial performance in Islamic banks in Africa. The fourth empirical model is linked to the fifth objective of the study which aims to understand the impact of credit risk on the financial performance of the Islamic banks in Africa. The result indicates that credit risk as proxied with loan loss provision, and non-performing loans have a negative relationship with the profitability of Islamic banks in Africa.Based on the findings, recommendations were further inferred for Islamic banks in Africa, the governments, and for future research
Positive psychology: kindness and its role within mental health nursing
No full textThis is the seventh article in a series that explores the meaning of positive psychology and the importance of applying the latest related research findings for the wellbeing of the mental health workforce. It will focus on positive psychology interventions that consider how we can carry out more acts of kindness to others while experiencing their uplifting effect through contemporary use in the field of mental health nursing. It will explain what the terms mean and report on neurological changes when they are practised. Finally, it emphasises the importance of effective leadership in how the application of kindness can benefit the individual, the organisation and the client. The practical tasks provided in the boxes throughout the article will help the reader identify what kindness means for them and understand how to further develop their transferability through evidence–based, user-friendly exercises