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Editorial: Burnout in the health, social care and beyond: integrating individuals and systems
Get PDFEditorial on the Research Topic Burnout in the health, social care and beyond: Integrating individuals and systems This Research Topic aimed at widening our knowledge base on occupational burnout, with the emphasis on interdisciplinary studies. The Topic includes 13 papers from various fields (e.g., health services, service and hospitality sectors and education), that looked at links between individual vulnerabilities, systemic failures and burnout
Guaranteed income: experiences of African American mothers in the Magnolia Mother’s Trust Project
Get PDFABSTRACT The Magnolia Mother’s Trust Project seeks to spotlight the impact of consumer sovereignty inherent in cash transfers to low-income single mothers. The project offered a guaranteed income benefit of $12,000 for one year to 110 Black single mothers in Jackson, Mississippi. Participants were within 200% of the poverty threshold. The aim of this investigation is to describe the project and report preliminary findings of outcomes related to community connectedness, health, and family wellness for Magnolia Mother’s Trust participants. This report highlights the differences in preliminary outcomes between Magnolia Mothers and similarly situated women who did not receive the cash supplement. Implications for policy and further investigation are discussed in the conclusion
Anchored in history: understanding the persistence of eco-violence in Nigeria’s Middle Belt through collective memory
Get PDFThe Nigerian Middle Belt is the epicentre of violent conflicts between Fulani herders and sedentary farmers over land and agricultural resources called eco-violence; existing research has not adequately addressed the persistence of these conflicts. Using Social Representations Theory (SRT), this paper examines empirical case studies conducted in April 2018 and May 2022 in Benue State, Nigeria, to determine why these conflicts persist. The paper argues that contending parties anchor, objectify, and socially represent past contestations in pre-colonial, colonial, and post-colonial Nigeria in present-day realities and events in the Middle Belt, leading to the re-experience of collective memories and their consequences on people’s violent collective behaviour. Consequently, people resort to violence to redress present grievances viewed through the prism of past events. To promote sustainable peace when tackling deeply-rooted conflicts, it is essential to comprehend the historical context and the significance of collective memory while employing a comprehensive strategy for conflict resolution. Implementing the Cognitive Reappraisal Technique to address issues related to collective memories is critical to this approach
Understanding a constellation of eight COVID-19 disease prevention behaviours using the COM-B model and the Theoretical Domains Framework: a qualitative study using the Behaviour Change Wheel
Get PDFBackground: The use of behavioural science and behaviour change within local authorities and public health has supported healthful change; as evidenced by its importance and contribution to reducing harm during the COVID-19 pandemic. It can provide valuable information to enable the creation of evidence-based intervention strategies, co-created with the people they are aimed at, in an effective and efficient manner. Aim: This study aimed to use the COM-B model to understand the Capability, Opportunity and Motivation of performing a constellation of eight COVID-19 disease prevention behaviours related to the slogans of ‘Hands, Face, Space, Fresh Air’; ‘Find, Isolate, Test, (FIT), and Vaccinate’ in those employed in workplaces identified as high risk for transmission of the SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) to support intervention development. Method: This qualitative study recruited twenty-three participants (16 female, 7 male), who were interviewed from three environments (schools, care homes, warehouses) across three local authorities. Semi-structured interviews were analysed using thematic analysis. Findings: Ten core themes were identified inductively; 1) Knowledge and skills, 2) Regulating the behaviour, 3) Willingness to act, 4) Necessity and concerns, 5) Emotional impact, 6) Conducive environment, 7) Societal influence, 8) No longer united against COVID-19, 9) Credible leadership, and 10) Inconsistent adherence to COVID-19 prevention behaviours. Themes were then deductively mapped to the COM-B model of behaviour change and the Theoretical Domains Framework and a logic model using the Behaviour Change Wheel (BCW: Michie et al., 2011; 2014) was produced to inform intervention design. Conclusion: This study offers a novel approach to analysis that has included eight behaviours within a single thematic analysis and COM-B diagnosis. This will enable local authorities to direct limited resources to overarching priorities. Of key importance, was the need for supportive and credible leadership, alongside developing interventions collaboratively with the target audience. COVID-19 has had an emotional toll on those interviewed, however, promoting the value of disease prevention behaviours, over and above their costs, can facilitate behaviour. Developing knowledge and skills, through education, training, marketing and modelling can further facilitate behaviour. This supports guidance produced by the British Psychological Society COVID-19 Behavioural Science and Disease Prevention Taskforce
The impact of COVID-19 (Coronavirus) on children and young people with Down syndrome in the United Kingdom
Get PDFThe COVID-19 pandemic had a profound impact across the globe. Evidence suggests children with Special Educational Needs and Disabilities and their families experienced impacts on well-being and disruptions in support from education and health services. This study investigated the impact of measures associated with the COVID-19 pandemic on children and young people (CYP) with Down syndrome in the United Kingdom, specifically changes in speech, language and communication abilities, behavior, social, emotional and mental health and access to education and healthcare services. Forty-six parents/carers of CYP with Down Syndrome (aged 2-25 years) completed an online survey between June and September 2020. Parents/carers frequently reported deterioration in speech, language and communication, literacy and attention skills since the onset of the pandemic. Deterioration in social and emotional wellbeing and behavior, including greater reliance on adults were also reported for some CYP with Down syndrome. Parents reported challenges with home-schooling and reductions in support from education and community services. Preferences for support during COVID-19 were for professional support or from other parents. These findings have implications for the support that is now needed for CYP with Down syndrome and their families and for periods of social restrictions in the future
A conversation analytic study of calls to medical reception for doctor’s appointments
Get PDFA call to medical reception is regularly an entry point into primary health care services. Telephone-mediated interactions between patients and receptionists have been found to temper demand for doctor’s appointments and influence patient satisfaction ratings; yet little is known about what exactly happens to produce those effects. The present study asks how medical receptionists respond to telephone-mediated appointment requests. Audio recordings of 18 calls between receptionists and patients at a New Zealand University health care practice were collected, transcribed and examined in detail using conversation analysis. The findings reveal the complexity of telephone-mediated medical receptionist work which involves multiple engagements involving the caller and the on-line booking systems. The work has clinical components and evidence was found of receptionists’ orientations to the potential urgency of callers’ problems and how a triaging process was initiated. Overall, this study shows medical receptionists do skilful communicative work granting patient requests or progressing relevant courses of action in a clinically responsible way, thus delivering a valuable and unrecognised aspect of health care delivery. Keywords: primary health care; social interaction; mediated communication; telephone triage; qualitative, gendered wor
Examining the role of the health belief model framework in achieving diversity and equity in organ donation among South Asians in the United Kingdom
Get PDFOrgan donation continues to be low among ethnic minorities in the United Kingdom (UK), especially within the South Asian community, with a disproportionate number of patients of South Asian ethnicity awaiting organ transplants. In 2020/21, Minority Ethnic (ME) patients comprised almost a third of the national transplant waiting list, highlighting the continued imbalance between the need for transplants in South Asian communities and the availability of suitable organs. Median waiting times for transplants show that, generally, white patients wait less time than ME patients; Only 39.5% of ME families consented to proceed with deceased organ donation when approached compared to 69% of white families. How to increase awareness among the South Asian community on the scarcity of organ donors continues to be a growing challenge facing the healthcare system in the UK and globally. This article reflects on the education strategy implemented using the Health Belief Model. It provides a detailed framework with which to consider the rationale that led to a specific behaviour, in this case organ donation among the three major ethnicities (i.e., Indian, Pakistani, Bangladeshi) within the South Asian community as part of a single study
Laser interference lithography: a method for the fabrication of controlled periodic structures
Get PDFA microstructure determines macro functionality. A controlled periodic structure gives the surface specific functions such as controlled structural color, wettability, anti-icing/frosting, friction reduction, and hardness enhancement. Currently, there are a variety of controllable periodic structures that can be produced. Laser interference lithography (LIL) is a technique that allows for the simple, flexible, and rapid fabrication of high-resolution periodic structures over large areas without the use of masks. Different interference conditions can produce a wide range of light fields. When an LIL system is used to expose the substrate, a variety of periodic textured structures, such as periodic nanoparticles, dot arrays, hole arrays, and stripes, can be produced. The LIL technique can be used not only on flat substrates, but also on curved or partially curved substrates, taking advantage of the large depth of focus. This paper reviews the principles of LIL and discusses how the parameters, such as spatial angle, angle of incidence, wavelength, and polarization state, affect the interference light field. Applications of LIL for functional surface fabrication, such as anti-reflection, controlled structural color, surface-enhanced Raman scattering (SERS), friction reduction, superhydrophobicity, and biocellular modulation, are also presented. Finally, we present some of the challenges and problems in LIL and its applications
Use of atomic force microscopy in UVB-induced chromosome damage provides important bioinformation for cell damage assessment
Get PDFThe chromosomal structure derived from UVB-stimulated HaCaT cells was detected by atomic force microscopy (AFM) to evaluate the effect of UVB irradiation. The results showed that the higher the UVB irradiation dose, the more the cells that had chromosome aberration. At the same time, different representative types of chromosome structural aberrations were investigated. We also revealed damage to both DNA and cells under the corresponding irradiation doses. It was found that the degree of DNA damage was directly proportional to the irradiation dose. The mechanical properties of cells were also changed after UVB irradiation, suggesting that cells experienced a series of chain reactions from inside to outside after irradiation. The highresolution imaging of chromosome structures by AFM after UVB irradiation enables us to relate the damage between chromosomes, DNA, and cells caused by UVB irradiation and provides specific information on genetic effects
What can we learn from multi-agency meetings to address extra-familial harm to young people?
Get PDFMulti-agency panel meetings to address extra-familial harm (EFH) are an integral part of the safeguarding landscape. In recent times, there has been a proliferation of such meetings with the aim of creating safety for young people. Yet little is known about what happens in these meetings or what difference they make to lives of young people at risk or experiencing EFH. This chapter is based on 16 meeting observations across three sites. It presents practitioner talk within meetings to illuminate the degree to which they align with the four domains of Contextual Safeguarding and position young people’s perspectives as pivotal to the development of safeguarding responses within extra-familial contexts. It identifies a series of essential features to ensure that meetings move beyond “talking and tasking” and focus on actions that really are ‘actions’ to intervene in contexts of concern rather than over-relying on tasking practitioners to gather more information
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