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Lived experiences of adolescents and young adults receiving inpatient psychiatric care
Get PDFBackground: Adolescents and young adults in low-and middle-income countries (LMICs), face multiple barriers to accessing quality mental health care, shaped by cultural expectations, systemic gaps, and widespread stigma. In Nigeria, little is known about how these factors intersect within psychiatric inpatient settings. This study explored the lived experiences of adolescents and young adults receiving inpatient psychiatric care to inform more culturally responsive, family-engaged, and psychologically supportive models of care. Methods: Using an Interpretative Phenomenological Approach, we conducted in-depth semi-structured interviews with 28 participants aged 13 to 28 years, all receiving care at a public psychiatric hospital in South-Eastern Nigeria. Participants were purposively sampled and represented a range of diagnostic categories. The hospital, serving a diverse catchment area, reflects a hybrid system of biomedical and traditional models of care. Interviews were conducted over nine months and analysed through iterative, reflexive engagement, supported by member checking to enhance credibility and contextual grounding. Results: Participants described a range of emotionally charged experiences, with stigma emerging as a major theme. Several reported social withdrawal, strained family dynamics, and shifts in how they were perceived by others. Relationships with peers in hospital varied, offering both connection and tension. Personal coping strategies, such as prayer, art, music, and peer dialogue were commonly described. Despite these efforts, many expressed a desire for consistent psychological support and greater engagement from staff. Hospital environments were viewed as both protective and limiting, with concerns raised about overcrowding, lack of privacy, and emotional neglect. Conclusion: While the findings cannot be generalised, they offer important insights into the mental health journeys of young people within a Nigerian inpatient setting. Participants called for greater emotional and relational support, staff communication, and culturally sensitive care. These perspectives highlight areas for further research and service improvement in youth mental health provision across similar contexts.</p
Lived experiences of adolescents and young adults receiving inpatient psychiatric care
Get PDFBackground: Adolescents and young adults in low-and middle-income countries (LMICs), face multiple barriers to accessing quality mental health care, shaped by cultural expectations, systemic gaps, and widespread stigma. In Nigeria, little is known about how these factors intersect within psychiatric inpatient settings. This study explored the lived experiences of adolescents and young adults receiving inpatient psychiatric care to inform more culturally responsive, family-engaged, and psychologically supportive models of care. Methods: Using an Interpretative Phenomenological Approach, we conducted in-depth semi-structured interviews with 28 participants aged 13 to 28 years, all receiving care at a public psychiatric hospital in South-Eastern Nigeria. Participants were purposively sampled and represented a range of diagnostic categories. The hospital, serving a diverse catchment area, reflects a hybrid system of biomedical and traditional models of care. Interviews were conducted over nine months and analysed through iterative, reflexive engagement, supported by member checking to enhance credibility and contextual grounding. Results: Participants described a range of emotionally charged experiences, with stigma emerging as a major theme. Several reported social withdrawal, strained family dynamics, and shifts in how they were perceived by others. Relationships with peers in hospital varied, offering both connection and tension. Personal coping strategies, such as prayer, art, music, and peer dialogue were commonly described. Despite these efforts, many expressed a desire for consistent psychological support and greater engagement from staff. Hospital environments were viewed as both protective and limiting, with concerns raised about overcrowding, lack of privacy, and emotional neglect. Conclusion: While the findings cannot be generalised, they offer important insights into the mental health journeys of young people within a Nigerian inpatient setting. Participants called for greater emotional and relational support, staff communication, and culturally sensitive care. These perspectives highlight areas for further research and service improvement in youth mental health provision across similar contexts.</p
IFRS S1 and S2 implementation readiness in emerging markets:a multi-dimensional assessment framework and market readiness index
Get PDFPurpose This paper aims to examine IFRS S1 and S2 sustainability disclosure standards awareness and implementation readiness among public interest entities (PIEs). Design/methodology/approach A quantitative research approach with a cross-sectional survey of 241 PIEs across 11 sectors was used. Data was collected using a closed-ended structured questionnaire based on the four pillars of IFRS’s sustainability framework: governance, strategy, risk management and metrics and targets. Data was analysed using different statistical analyses. Descriptive statistics and factor analysis were used to establish the four pillars, with their relative importance determined through the analytic hierarchy process based on expert pairwise comparisons. Findings Findings reveal high general awareness of IFRS S1 and S2 standards (82%), although detailed implementation knowledge is lower (55.6%). Readiness assessment across pillars yielded an overall Ghana Sustainability Reporting Market Readiness Index (GSRMRI) score of 46.6% based on the four pillars (governance [48.25%], strategy [49.25%], risk management [46.50%] and metrics and targets [41.00%]). Sectoral analysis indicates renewable resources and energy sectors lead in readiness, while technology and communications lag. Research limitations/implications The study was limited to Ghana, with self-reported cross-sectional survey data from public interest entities. However, it establishes a foundation for future IFRS S1/S2 implementation research across emerging markets and other African countries. Practical implications The study proposes a phased IFRS S1 and S2 implementation roadmap, starting with voluntary adoption and capacity building before moving to mandatory implementation, while providing practical recommendations for stakeholders to enhance sustainability reporting capabilities. Social implications The research contributes to advancing sustainable business practices in emerging markets, potentially improving environmental and social accountability. It supports the development of more robust sustainability reporting frameworks, benefiting stakeholders, including investors, regulators and the broader society in their decision-making processes. Originality/value This study contributes three key novel advances: First, it provides a pioneering assessment of IFRS S1 and S2 implementation readiness in emerging markets. Second, it introduces the GSRMRI framework as a standardised methodology adaptable across emerging markets. Third, it offers unique insights through sector-specific analysis of preparedness levels.</p
Keith Hollinshead:new wave thinking and new sense conceptualizations
No full textThis short profile piece has been compiled for Professor Keith Hollinshead after his sad passing in September 2022. Keith, who worked as a scholar for over 40 years, made a notable impact within the applied field of Tourism Studies and as a Professor of Public Culture. Not only were his academic contributions celebrated and distinguished, but his incredibly generous and warm-hearted character touched upon the lives of many, through his nurturing of young academics and collaborations with more seasoned scholars. The commentary which is to follow will give readers an insight into Keith’s background, those authors which influenced his own academic pathfinding and a short overview of the contributions he made to the applied field of Tourism Studies and Public Culture. This piece will end with a short verse by the great Sufi mystic and poet, Mevlana Rumi, entitled ‘Proud Scholar’, which captures Keith’s passion for knowing people and gaining knowledge.</p
Tactics:the missing link in performance
No full textAdventure sports performance is a complicated business. There is a popular story about Wolfgang Gullich, the first climber to climb the sport grade of 9a, who after a winter of hard physical training, failed on one of his test pieces and exclaimed, ‘Climbing is so complex!’ Wolfgang had trained very hard and even created new training protocols that would be adopted by elite climbers across the sport, but he trained something that he was already strong in and neglected things that may have helped his performance more. You might be thinking: well how do I avoid the same mistake? How can I know that I have considered all of the factors that might impact my athlete’s performance? The answer might lie in completing some kind of activity demands profile for your activity before evaluating training needs. A framework that helps to consider the elements that contribute to performance might also help. A number of sports, for example, skiing and paddle-sport (see the BASI Alpine manual, 2014 and BCU Coaching Handbook, 2006) have adopted a framework that breaks performance into key areas as part of their coach training syllabus. The physical, physiological, technical, tactical, equipment and environment model (Figure 9.1) is a starting point for the coach to consider limitations on current performance levels and also to ensure that an athlete is developing in a rounded and holistic manner. We need to ask; where are this learner’s priority needs? Do they need to be fitter, more accurate, more mentally robust, or do they need a smarter approach to the task?.</p
Barriers and facilitators to the rapid adaptations of healthcare service delivery during public health emergencies: a systematic integrative review of literature
Get PDF<jats:title>Abstract</jats:title> <jats:p>Rapid adaptation of healthcare services during public health emergencies is key in ensuring continuous delivery of essential healthcare services. However, challenges associated with rapid adaptation can lead to disruptions in care delivery, impacting responses to population healthcare needs. To prepare for a prompt future response, it is important to identify and understand the barriers and facilitators influencing rapid adaptation efforts. A systematic integrative review was conducted between March and October 2022, with five healthcare-related databases searched from 2012. Weekly auto-alerts continued until March 2023. The Mixed-Methods Appraisal Tool was used for quality assessment and data extraction conducted using the Consolidated Framework for Implementation Research. Seventeen eligible studies utilised quantitative (10/17, 59%), mixed-methods (4/17, 23%) or qualitative designs (3/17, 18%). Most rapid adaptation in healthcare service delivery happened within 3 months after the World Health Organisation declared Coronavirus disease a pandemic (13/17, 76%), with telehealth being the key rapid adaptation that occurred. Inner setting and process factors served as both barriers and facilitators. Two additional factors not present in the consolidated framework, namely: (1) emergency command and control at the healthcare level and (2) acceptability and resilience, were identified as facilitators to rapid adaptation. This systematic integrative review underscores that while healthcare services rapidly adapted within the initial 3 months of the pandemic, inadequate readiness may have hindered their capacity to respond inclusively, potentially impacting on the sustainability of adapted services. Addressing these issues will support greater preparation for public health emergencies.</jats:p>
Whatever happened to the affluent worker?:deindustrialisation, the British sociology of class and class composition in Luton, UK
Get PDFThis article challenges longstanding trends in the British sociology of class by drawing on insights drawn from class composition analysis and applying them to Luton, UK, the site of the original affluent worker study. Class composition has received little attention from sociologists, though neo-Weberian and cultural approaches struggle to grapple with the relationship between deindustrialisation, social reproduction, migration and class. This is because both approaches are (1) methodologically nationalist; (2) concerned primarily with subjective identification with a class, and (3) ahistorical in their theory building. Class composition offers a means of mediating between the objective and subjective dimensions of class. This demonstrates how class has changed in response to the demands for continued surplus-value creation through waged and unwaged work. Finally, the article will take a historical view ofLuton’s class composition as a way to demonstrate how the approach can offer an alternative to the sociology of class
Virtual reality game-based training for preventing falls among community-dwelling older adults with mild cognitive impairment: a pilot randomized control trial study
Get PDFUsing a Virtual Reality (VR) game-based application represents an innovative approach to falls prevention in community aged care service. The study investigated the effects of VR training on falls prevention among community-dwelling older adults with mild cognitive impairment. A pilot randomized controlled trial was conducted to compare the effects of full-immersive VR training with group-based exercise (Baduanjin) training on falls prevention. Eighteen participants were recruited through convenience sampling and were randomly assigned to either the VR group or the non-VR exercise group. Both groups participated in 16 falls prevention training sessions over eight weeks. Participants, identified with mild cognitive impairment (MCI), underwent three fall risk measurements. They had been screened using Montreal Cognitive Assessment (HK-MoCA). The primary outcomes assessed included changes in physical risk factors of falls (i.e. functional mobility, walk speed and postural balance), and the secondary outcomes assessed included changes in executive function and fall efficacy. The measurement of physical outcomes was Time Up and Go test (TUG), Berg balance scale (BBS) and Six-minute Walk Test (6MWT). The participants’ executive function and fear of falling were assessed through the Trail marking test (TMTA and TMTB) and the Fall Efficacy International scale (FES-I). The results showed that the VR group had significantly greater improvement than the non-VR group on measures of cognitive-motor performance, such as global cognition, functional mobility, balance and walk speed over time. However, no significant differences were observed between the two groups in executive functions and the fall efficacy. The study provides potential evidence that VR game-based cognitive-motor training can be effective for fall prevention in community dwelling older adults with MCI. However, the findings do not support significant improvements in secondary outcomes. Despite this, the growing trend of VR research suggests increasing interest and potential for future applications in aged care and rehabilitation services.</p
Empowering sustainability education with AI: a resounding success at the ANTF Symposium 2025
No full textMy NTF project (SET with AI) is far more than just a training program; it's a dynamic platform meticulously designed to empower universities to embed sustainability, digital innovation, and crucial climate action directly into their core teaching and learning strategies. In an era where environmental consciousness and technological prowess are paramount, equipping the next generation with these essential skills isn't just beneficial it's imperative. SET provides academics and students with the practical tools and strategic framework to achieve this transformation
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