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Smart tourism:advancing sustainable ‘smart’ tourism by a critical analysis of the disparity between the factors driving consumer decision-making and the offerings and challenges within the industry
No full textThis chapter assesses the advancement of smart tourism, aimed at offering convenient and timely travel services while potentially enhancing the operational efficiency and visitor capacity of tourist destinations. Additionally, this research scrutinizes the factors influencing consumer decision-making and existing challenges within this domain, with the aim of fostering advancement and forecasting potential future developments and trends.<br/
Learning to learn at Bedfordshire: week 0 to week 7 induction
No full textDr Kathryn Nethercott, Dr Lindsey Smith, Dr Steve Briggs, RukiHeritage and Michelle Everitt discuss the development of the newLearning to Learn induction pathway for foundation year and level4 students at the University of Bedfordshire
A survey of mental health nursing students who witness self-harm / injury (SHSI) amongst service users during placement.
No full textTitleA survey of mental health nursing students who witness self-harm / injury (SHSI) amongst service users during placement.BackgroundSelf-harm and self-injury (SHSI) behaviour is a commonly observed within mental health services (Klonsky et al, 2003). This has been recognised to be an international health care problem (Hawton et al, 2009; Hawton et al, 2012). Mental health nursing students, whilst on placement, would likely be working with service users who might have SHSI thus could elicit strong emotional reactions (Karman et al, 2015; Patterson et al, 2007; Wilstrand et al, 2007). Few studies address the personal impact of witnessing SHSI upon the mental health nursing students whilst they are on clinical placements. AimsThe overarching aim is to support mental health nursing students’ mental health and wellbeing whilst on clinical placements consequently combating attrition thus improving students’ retention and outcome. MethodsFour universities collaborated to conduct this study using a survey hosted on Qualtrics. This preliminary data was drawn from December 2022 until March 2023. Descriptive statistics and thematic analysis were used to analysis the data. Results86 participants consented to the survey. With 74.9% undergraduate mental health nursing students and 70.5% females. Mean age 31.44±9.04. Previous number of years (mean) of health care employment 7.22±5.15. 62.3% of students were placed in NHS clinic setting. 23.9% of the participants had previous personally experienced selfharm and 40.9% had family and friend who had SHSI experienced. Cutting (36.4%), headbanging (33%) and ligature (26.1%) were the most common SHSI witnessed by the mental health nursing students. Students were empathetic towards the service users SHSI struggles even though they might find it “emotionally hard”. Most students echoed the needs for debriefing post witnessing SHSI. Most placements seemed to be supportive post SHSI incidences however a minority of students reported that some staff made verbal comments such as that students were “too gullible or too soft” or “get told to get used to it”.Discussion/ConclusionsPreliminary three-month data provided some insight towards witnessing SHSI. This ongoing study hope to be able to report a larger data set in the next 9 months thus will be able to provide a fully understand upon the impacts of witnessing SHSI upon the mental health nursing students whilst they are on clinical placement
Health and social care professional’s experiences, views and responses of people who use new psychoactive substances in different Mental Health and Addiction Healthcare Services
No full textTitleHealth and social care professional’s experiences, views and responses of people who use new psychoactive substances in different Mental Health and Addiction Healthcare Services.BackgroundBackground New psychoactive Substances (NPS) cause harms to both physical and mental health of people who use NPS (PWUNPS). Health and social care professionals working in mental health and drug and alcohol settings experience daily challenges surrounding the identification of NPS types, related symptoms resulting from NPS. Although a limitation of research exists surrounding how Hcps manage PWUNPS, more research is needed on Hcps views, responses, and experiences across different healthcare services (HCSs) surrounding their engagements with PWUNPS. AimsAim (s) Exploring the experiences, views and responses of health and social care professionals contact with people who use new psychoactive substances. 1. Describe Hcps’ experiences in response to users of NPS in different healthcare sectors. 2. Identify factors that affect the assessment process of Hcps responding to PWUNPS 3. Explore Hcps perceptions of their knowledge toward PWUNPS, legislation and drug policy. 4. Identify areas in which education and training would enhance Hcps knowledge across different services. MethodsPurposive sampling was used, and analysis was through descriptive statistics and thematic analysis. The experiences, views and responses of health and social care professionals toward PWUNPS in three different service type provisions namely statutory, non-statutory and private sectors across five mental health and drug and alcohol HCSs. A Sequential Explanatory Design consisted of 2 phases. Phase one survey data explored the responses of 92 health and social care professionals; thus, the results of the survey informed the development of the interview questions for phase 2. Phase 2 consisted of fourteen health and social care professionals’ responses were explored through 14 semi-structured interviews. ResultsResults 92 Health and social care professionals took part in the survey design across different healthcare services. Most Hcps were female (n=47) in comparison to male Hcps (n=3) and some Hcps (n=2) did not disclose their gender. The findings indicated that 45% of Hcps reported no assessment or procedures were in place for PWUNPS,and views were predominately neutral towards PWUNPS and engagement experiences were deemed neutral. The phase 2, 14 semi-structured interviews results identified 5 common themes associated with Hcps experiences and responses toward PWUNPS including organisational issues, assessment, stigma, harm minimisation and a symptoms as contributing factors toward Hcps experiences surrounding the management of PWUNPS. 81 | P a g e81Discussion/ConclusionsDiscussion/ Conclusions Hcps frequently come into contact with PWUNPS across different HCSs presenting with various health-related co-morbidity. Organisational issues impacted the engagements, access and funding toward treating PWUNPS. HCSs need to integrate specific NPS trainings for Hcps across the different HCS sectors is recommended to reduce the harms associated with NPS use. This study demonstrates the potential of implementing newer assessment, policy, and a Harm Minimisation approach toward PWUNPS across different HCSs. Recommended reading• Campbell, A., O Neill, N & Higgins, K (2017). Health and Social Care workers' perceptions of NPS use in Northern Ireland. International Journal of Drug Policy, 40, pp. 93-101. doi: 10.1016/j.drugpo.2016.11.003. • Gittins, R., Guirguis, A & Schifano et al, (2018). Exploration of the Use of New Psychoactive Substances by Individuals in Treatment for Substance Misuse in the UK. Brain sciences, 8, 4, 58. https://doi.org/10.3390/brainsci8040058• Ralphs R & Gray P., 2018. New psychoactive substances: new service provider challenges. Drugs: Education, Prevention and Policy. 25, 4. pg. 301–312. doi:10.1080/09687637.2017.1417352.3390/brainsci804005
Practice supervision and assessment in nursing, health and scial care
No full textThis is an essential guide for all health and social work practitioners supporting an increasing number of learners, trainees, apprentices and pre-registration students engaging in practice-based and work-based learning. Applying educational learning theory to underpin the role and practice of the contemporary practice supervisor, assessor and educator, this accessible book presents strategies for practice learning and personal development. Acknowledging the problematic nature of learning within the workplace, the authors place the lived experience of the learner at the heart of this text and emphasise the critical importance of an expansive and compassionate learning environment for all. The book includes chapters on the context of practice learning, the role of the supervisor/assessor and educator, learning environments, coaching, assessment and supporting the learner in difficulty, among others. It also spotlights practice learning in a range of settings, from working with children, through social care and maternity care. Each chapter includes learning outcomes and activities, as well as a chapter summary. Designed for nurses, midwives, social workers, therapists and operating department practitioners who support learners in the workplace, this text is particularly relevant to registrants completing practice supervisor/assessor/educator preparation and pre-registration students taking modules on supporting learning.</p
‘Do no harm’? Rethinking risk and harm narratives in abuse-focused research with children
Get PDFDespite increasing recognition of children's right to have a say about matters that affect them (Article 12, United Nations Convention on the Rights of the Child), this right is often denied in the context of child abuse research. This article explores the ways in which ethical decision-making can contribute to the denial of this right and the negative implications of this at both an individual and societal level.Ethical decision-making that stymies the conduct of abuse-focused research with children is usually justified with reference to protecting participants from risk of harm. Whilst in no way suggesting that this is not a critical consideration, the authors question the simplistic and deterministic ways in which this can be understood within ethical decision-making, and the unnecessarily risk-averse decisions that can ensue.Sharing examples from their cumulative 30 years' experience of engaging children and young people in abuse-focused research, the authors stress the need for a more holistic, nuanced and dynamic approach to assessing and managing risk of harm. This would consider risks of both inclusion and exclusion. Understanding that risk and harm are neither static nor universally experienced concepts, it would recognise the implausibility of the ‘do no harm’ guarantees often expected of social researchers. Instead, informed by rights-respecting and trauma-informed perspectives, it would focus on holistically promoting participant wellbeing in, and through, research. Key to this is permitting, and supporting, researchers to exercise contextually-informed, collaborative decision-making in the field; something the authors share their emerging practice framework for
The role of exercise intervention on insulin resistance
No full textInsulin resistance (IR) refers to the decrease of insulin sensitivity and the insensitivity of the body to insulin. The normal concentration of insulin cannot maintain the normal level of blood sugar, and no matter how much insulin is secreted, it cannot achieve good hypoglycemic effect, thus causing diabetes. The major target organs and tissues of IR are liver, fat and skeletal muscle. IR can be improved by lifestyle intervention, such as diet and exercise control. Exercise is a non-drug intervention to prevent and treat IR. The clinical application of exercise is more and more extensive. Because it is more convenient, economical and effective. In this article, the pathogenesis and pathophysiological process of insulin resistance are reviewed. The mechanism of intervention of exercise on insulin resistance is combed, so as to try to find the best exercise prescription for improving IR and provide useful reference for clinics.</p
Identification, establishment of connection, and clustering of social risks involved in the agri-food supply chains:a cross-country comparative study
Get PDFSupply chain risk management (SCRM) literature is heterogeneous. While much attention has been given to the economic and environmental dimensions, the social dimension has so far received less focus. Thus, this study analyzes the social risks involved in the agri-food supply chains (AFSCs) of Argentina and China by employing an integrated approach. Semi-structured interviews were used to collect data, followed by using a combination of three complementary data analysis methods: thematic analysis to identify social risks, total interpretive structural modeling (TISM) to build interrelationships among the identified social risks, and fuzzy MICMAC (cross-impact matrix multiplication applied to classification analysis) to cluster social risks into four categories. Next, we conducted a comparative analysis between the two countries. Theoretical contributions are mainly threefold. First, we identified various social risks involved in the AFSCs of Argentina and China, including those just touched on by scholars, such as cultural issues, government’s weak monitoring system, the power differential between managers and subordinates, inappropriate disposal of agrichemical containers, and the lack of basic literacy skills. Second, we believe that our study is the first to establish connections among the identified AFSC social risks, which represents the originality of this work. Third, we discover that cultural issues is the key risk that has the highest capability to elicit other social risks involved in the AFSCs. Our work extends scholarship’s knowledge to understand AFSC social risks from the cultural perspective. This study also generates contributions to policymakers, migrant associations, and the government tax departments of Argentina and China.</p
A meta-review of systematic reviews on the effectiveness of music therapy on depression, stress, anxiety and cognitive function in adult's with dementia or cognitive impairment
Get PDFBackground: Subjective cognitive impairment has been reported to be associated with depressive symptoms, stress and anxiety in older people. This study examines the impact of music interventions on cognitive functioning, depression, anxiety, and stress for adults with dementia or cognitive impairment. Method: We searched Academic Search Complete, CINAHL, Medline, and PsycINFO without restriction to date. Systematic reviews with or without meta-analysis of music interventions were included. Effect sizes were estimated using standardized mean difference (SMD), weighted mean difference (WMD), mean difference (MD), and Hedges g, as reported. Effect sizes were reported as 〈 0.1 = small effect to 〉 0.5 as large effect. Results: Twenty systematic reviews were included. There is evidence that music interventions can have effects on cognitive abilities compared to standard care, with a small to large decrease in anxiety. Conclusion: Music interventions might have variable effects on improved cognitive functioning, depression, anxiety and stress.</p
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