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Alcohol management in care homes: a good practice guide for care staff
Get PDFThis guide aims to help care staff deliver a high standard of care in relation to alcohol. It is based on the findings of a research study which gathered the views and experiences of care staff, people living in care homes, their families and CQC inspectors. It takes account of legislation, standards for care set out by CQC and codes of conduct for adult social care workers and nurses
Promoting good practice in relation to alcohol use in care homes for older people
Get PDFThere are an increasing number of people who drink alcohol in later life and older people who are alcohol dependent. However, internationally there has been very limited research on alcohol policy and practice in care homes and no research has been conducted in England. The international research has not included the voices of all key stakeholders, including residents, families, care staff and inspectors. This is important because these groups may have differences in perceptions, values and priorities
Thinking about ‘readiness’ and risk assessment processes when supporting the participation rights of children and young people with lived experience of child sexual abuse and exploitation: practitioner briefing
Get PDFWe asked participants to comment on some of the logistical and practical considerations surrounding the participation of young survivors, particularly in group-based activities. One area we were interested in was the concept of ‘readiness’ – when and who decides when a young survivor may be ‘ready’ to be engaged in particular types of initiatives and activities, such as joining an advisory group or contributing to resource or project development. We also wanted to understand more about risk assessment processes, who was involved in these processes and how they were undertaken. We have produced this briefing to convey what participants shared in response to this topic
Complex issues in supporting the participation rights of children and young people with lived experience of child sexual abuse and exploitation: practitioner briefing
Get PDFOur research highlighted a number of issues that require careful thought and consideration when supporting the participation of young survivors in decision-making processes or activities that seek to address the sexual abuse and exploitation of other young people. Four areas that were particularly notable were: • the potential for triggering • feelings of anger and frustration • public identity disclosure • compensating young survivors for their time and contributions We have produced this briefing to share what we found out about these complex issues – and to highlight that young people and professionals can have different views about them
Special and additional needs and disabilities: an essential guide
No full textThis text supports teachers, students, other educators and families to deepen their understanding of the special educational, additional support, and learning needs of children and young people and effective ways to address these needs. The text offers up to date overviews of legislation, including the various Codes of Practice, across the U.K.. Chapters on key areas of need within Early Years settings, schools and colleges will enable readers to address barriers to learning and behaviour from a confident, well-informed position. The book translates theory into practice through illustrative case studies and suggestions for practical activities and threads learning and teaching points throughout the text to encourage readers students to think critically about how to manage particular issues. This book offers firstly a critical edge of understanding of how and why the statutory rights and entitlements of young people with special and/or additional learning and support needs and disabilities and their families, and the accountabilities of teachers, educational institutions and local authorities in meeting needs, have been extended over the years. Secondly it is intended to support educators to carry out their duties, and young people and their families to know what they might reasonably expect from others, from a thoughtful, confident position that is very well-informed in practice, theory and critical understanding of the issues in the field
Environmental CSR, customer equity drivers and travellers’ critical outcomes: a stimulus-organism-response framework
Get PDFWhile environmental corporate social responsibility (CSR) has gained increased attention in sustainable tourism research, little is known about its impacts on customers in the context of the airlines. This study investigates the impact of environmental CSR on two critical customer outcomes namely purchase intention (PI) and switching behaviour (SB). In light of the stimulus-organism-response (S-O-R) framework, this study further examines the joint mediating impact of customer equity drivers (CEDs) in the previously mentioned relationships. With a sample of Iranian air travellers, the results of the structural equation model revealed that environmental CSR significantly affects CEDs. While CEDs predict PI, they failed to reduce SB. Hence, CEDs jointly mediate the impact of environmental CSR on PI only. The results of the current study revealed nuances to the service marketing research by extending the impact of environmental CSR on travellers' PI and SB via CEDs. Theoretical and practical implications are provided
3D numerical analysis of the structural behaviour of a carbon fibre reinforced polymer drive shaft
Get PDFDue to their high strength and favourable mechanical behaviour, metals are used in a variety of applications within the automotive industry, including drive shafts. However, the use of metallic drive shafts in the automotive sector presents some disadvantages such as high inertial masses. This work investigates the mechanical benefits of using Carbon Fibre Reinforced Polymers (CFRP) for manufacturing drive shafts. A Formula Student car was used as a model for the present work design for the drive shaft. Drive shafts made of Steel AISI 4340, Aluminium, and CFRP are investigated when subjected to mechanical excitations. Simulation includes the use of Comsol Multiphysics software. The CFRP drive shaft was modelled using the layered material feature. Various stacking sequences are tested. Results show that [90°/0°/-45°/+45°] sequence presents the best mechanical behaviour. Analytical and numerical calculations for the natural frequencies are performed and compared. CFRP drive shaft is observed to give the highest fundamental natural frequency when compared to the metallic counterparts. Fatigue analysis are also studied and revealed that the drive shafts can sustain the applied load for its expected fatigue life, with the CFRP drive shaft having the highest fatigue usage factor. Critical buckling analysis showed that the drive shaft made of steel has the highest critical buckling torque. However, drive shafts made of carbon fibre reinforced polymer was found to be 40.7% lighter than the aluminium tube and 79.6% lighter than the steel tube
Integrated care for older people with different frailty levels:a qualitative sudy of local implementation of a national policy in Luton, England
Get PDFIntroduction: The NHS England General Medical Services 2017–18 contract made it mandatory for general practices in England to identify and manage older people proactively. In response to the national policy, the Luton Framework for Frailty (LFF) programme was developed to target older residents of Luton and offer interventions according to their frailty level. The aim of this study was to gain a deeper understanding of the LFF and the factors that affect the implementation of a proactive integrated care service for older people with different frailty levels (OPDFL). Methods: We undertook document analyses and conducted semi-structured interviews with stakeholders to create a ‘thick description’ that provides insights into the LFF. Results: Healthy ageing interventions bring beneficial outcomes but to increase the uptake they should be co-produced with older people. A common electronic system within primary care and multidisciplinary team meetings (MDT) aid implementation. However, variation in implementation across Luton, different levels of buy-in for MDT, and different data systems in primary and secondary care make implementation challenging. Conclusion: The LFF is a promising initiative and lessons learned are likely to be transferable to other settings as proactive management of frailty takes on greater policy prominence in the UK and worldwide
Mental health experiences and coping strategies of BAME care workers who worked in nursing and residential care homes during the COVID-19 pandemic in Luton, England
Get PDFThe COVID-19 pandemic intensified the risk factors for poor mental health among care workers in the UK. However, there is inadequate evidence on the mental health impact of COVID-19 on Black, Asian, and minority ethnic (BAME) care workers in particular. This study seeks to explore mental health experiences and coping strategies of BAME care workers who worked in nursing and residential care homes during the COVID-19 pandemic. This is a qualitative study conducted between February and May, 2021 in Luton, England. A sample of n = 15 care workers from BAME background working in nursing and residential care homes were recruited purposively using the snowball sampling technique. In-depth interviews were conducted around topics such as views on COVID-19, the impact of the COVID-19 pandemic on mental health and coping during the COVID-19 pandemic. Data from the interviews was analysed using the Framework Analysis Approach. The COVID-19 pandemic had a negative impact on the participants' mental health as they experienced stress, depression, anxiety, trauma and paranoia. The majority of the participants explained that they managed their mental health by belief in God and religious practices, by keeping themselves busy doing activities they were passionate about, following government guidelines on the prevention of COVID-19, seeing the service users happy and some participants managed through support that was offered by the government. However, some participants did not have any support for their mental health. Issues such as increased workload associated with COVID-19 restrictions engendered mental health problems among BAME care workers, however, the workload only further increased during the pandemic, but the health and social care sector was already affected by heavy workload due to staff shortages and this needs to be addressed through increasing their wages to encourage more people to work in the health and social care sector. In addition, some BAME care workers never received any support for their mental health during the pandemic. Hence, integrating mental health services such as counselling, supportive psychotherapy and recreational therapies in care homes could help to support the mental health of care workers in the COVID-19 era
Ethnic minority women's experiences of accessing antenatal care in high income European countries: a systematic review.
Get PDFWomen from ethnic minority backgrounds are at greater risk of adverse maternal outcomes. Antenatal care plays a crucial role in reducing risks of poor outcomes. The aim of this study was to identify, appraise, and synthesise the recent qualitative evidence on ethnic minority women's experiences of accessing antenatal care in high-income European countries, and to develop a novel conceptual framework for access based on women's perspectives. We conducted a comprehensive search of seven electronic databases in addition to manual searches to identify all qualitative studies published between January 2010 and May 2021. Identified articles were screened in two stages against the inclusion criteria with titles and abstracts screened first followed by full-text screening. Included studies were quality appraised using the Critical Appraisal Skills Programme checklist and extracted data were synthesised using a 'best fit' framework, based on an existing theoretical model of health care access. A total of 30 studies were included in this review. Women's experiences covered two overarching themes: 'provision of antenatal care' and 'women's uptake of antenatal care'. The 'provision of antenatal care' theme included five sub-themes: promotion of antenatal care importance, making contact and getting to antenatal care, costs of antenatal care, interactions with antenatal care providers and models of antenatal care provision. The 'women's uptake of antenatal care' theme included seven sub-themes: delaying initiation of antenatal care, seeking antenatal care, help from others in accessing antenatal care, engaging with antenatal care, previous experiences of interacting with maternity services, ability to communicate, and immigration status. A novel conceptual model was developed from these themes. The findings demonstrated the multifaceted and cyclical nature of initial and ongoing access to antenatal care for ethnic minority women. Structural and organisational factors played a significant role in women's ability to access antenatal care. Participants in majority of the included studies were women newly arrived in the host country, highlighting the need for research to be conducted across different generations of ethnic minority women taking into account the duration of stay in the host country where they accessed antenatal care. The review protocol was registered on PROSPERO (reference number CRD42021238115)
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