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GNurseSIM intercultural simulation for caring for elderly patients: Reflections on co-creation of artefacts
This case study presents the experiences and perceptions of nursing lecturers and students jointly co-creating video simulation artefacts for an Intercultural Care for Elderly Patients.
Context
Globally, the number of elderly over the age of 80 is expected to triple by 2050 up to 426 million. Complexities with cultural perceptions of disorders or healthy ageing impact on access to and appropriate care or health promotion. Global movements mean it is likely diverse elderly patients will encounter as culturally diverse nurses and carers with varied perceptions of elderly and careneeds. Simulation can supplement situated learning to explore complex topics such as intercultural care. An EU funded project: GNurseSIM European consortium (7 partners across 5 countries) was the driver of developing simulations.
Method
This UK case study resulted from student reflections, piloting and evaluation and learning from the co-creation approach and scenarios.
Results
Reflective narratives reveal an awareness of the breadth of culture expression, fallibility of assumptions, self-development and being a ‘professional’ that translate into practice.
Conclusion
The experience of partnership in building these simulation videos point to a deep and transformative learning experience through student co-creation. This approach offers means to develop professional attributes otherwise challenging to teach
Awareness of ovarian cancer symptoms and risk factors in a young ethnically diverse British population
Background: Ovarian cancer does not cause many symptoms in the early stages, which is why the majority of cases are of advanced disease. Increasing awareness of ovarian cancer symptoms may lead to earlier diagnosis and improved outcomes. Methods: Participants in Britain completed the Ovarian Cancer Awareness Measure by online survey (n = 459). Results: Our participants were 75% female, 25% male and a young (27.89 ± 11.44 years) ethnically diverse population (40.3% White, 29.3% Asian and 18.0% Black). Individuals recalled 1.24 ± 1.30 symptoms, and recognised 5.96 ± 2.4 symptoms. We found higher levels of recall and recognition compared to previous research possibly due to using an online survey. Recognition was lowest for difficulty eating (39.4%) and persistently feeling full (38.7%). Males had slightly lower symptom recall and recognition than females. Participants incorrectly recalled an irregular menstrual cycle (22.4%) as an ovarian cancer symptom and 67% answered the age of incidence question incorrectly. Suggesting that participants incorrectly associate ovarian cancer as a disease of pre‐menopausal women. Individuals recalled 1.47 ± 1.20 risk factors, and recognised 6.1 ± 2.4 risk factors. Family history of ovarian cancer was recalled by 59% of participants. Recognition was lowest for in vitro fertilisation treatment (23.0%) and talcum powder in the genital area (23.0%). The generic cancer risk factors of alcohol (9.3%) and poor diet (8.8%) were recalled as specific ovarian cancer risk factors. 57.9% of participants incorrectly answered that there is an ovarian cancer screening programme. Suggesting confusion between ovarian and cervical cancer as participants also recalled cervical cancer risk factors of sexually transmitted diseases (6.3%) and human papillomavirus (1.5%). 29.7% of female participants would seek help for an ovarian cancer symptom within 1–2 days. Help seeking was higher in the Black and Asian ethnicities (44.4% and 45.0%; p = 0.018). Conclusion: Awareness of ovarian cancer symptoms is low. Ovarian cancer awareness campaigns should include common misconceptions identified in this research
Narratives and practices on agency and participation of migrant children in early childhood education
The chapter discusses data collected by the CHILD-UP project in Germany and Italy in the context of Early Childhood Education and Care. In particular, data from interviews conducted with professionals as well as data from video-recordings of educational activities are discussed. This chapter explores educators’ position with regard to migrant children’s integration and the relationships between integration and agency in Early Childhood Education and Care. Three main themes emerged from the analysis of the interviews: (a) the rejection of the migration background as a basis for categorising children in order to approach each child as a unique person; (b) the observation of cultural diversity as part of the rich personal identity that makes each child unique; and (c) the interrelation between the proficiency in the language of education and active participation in the sense of exercising agency of migrant children. The observation of facilitative practice supports the idea that when children are valued as social agents in the here and now, and their access to the status of authors of knowledge is facilitated, they are able to construct, and co-construct, narratives of personal and cultural identities that can be exchanged in the negotiation of hybrid identities
SWIPT-based cooperative NOMA for two-way relay communications: PSR versus TSR
Spectrum and energy efficiency with simultaneous wireless information and power transfer (SWIPT) to prolong the lifetime of power-constrained wireless devices in cooperative relaying nonorthogonal multiple access (CR-NOMA) has received great attention in the last decade. This paper investigates a two-way relay channel in a CR-NOMA system where two users exchange data with the assistance of a relay. Power-splitting relaying (PSR) and time-switching relaying (TSR) protocols are employed at the relay to harvest RF energy and process information from two users. We firstly derive the exact expressions of outage probability (OP) and system throughput (ST). The impacts of signal quality, energy coefficients, the distance of the nodes, and the data rate of two users on these performance metrics are then evaluated through several system settings to reflect practical network scenarios. It is shown that the OP and ST of the TSR are superior to that of the PSR protocol. Specifically, numerical results indicate that a higher throughput of up to 8% can be achieved with the TSR when compared to the PSR. It is further revealed that the OP and ST of the PSR are strongly affected by energy harvesting (EH) coefficients, while the performance obtained with the TSR is nearly independent of the EH capability at the relay
State crime
Definitions evolve and are often unable to catch up with the actions they attempt to describe. The following pages intend to convey the definitional uncertainty that surrounds state crime, its ever-changing nature and the permanent difficulties we encounter when trying to grasp its definite features
Corporate incentives for obtaining higher level of carbon assurance: seeking legitimacy or improving performance?
Purpose
With the growing attention around carbon emissions disclosure, the demand for external carbon assurance on emissions reports has been increasing by stakeholders as it provides additional credibility and confidence. This study investigates the association between the higher level of external carbon assurance and improvement in a firm's carbon emissions. It provides an understanding of corporate incentives for obtaining a higher level of carbon assurance, particularly in relation to carbon performance enhancements.
Design/methodology/approach
Data are collected from 170 US companies for the period 2012–2017 and are analysed using a change analysis. Generalised method of moment (GMM) is used to address endogeneity.
Findings
Following the rationales taken by legitimacy and “outside-in” management views, the findings reveal that a higher level of carbon assurance (i.e. reasonable assurance) marginally improves firms' carbon performance (i.e. reported carbon emissions). This is consistent with “outside-in” management view suggesting that a higher level of assurance could be utilised as a tool for accessing more information about stakeholders' needs and concerns, which can be useful in enhancing carbon performance.
Research limitations/implications
The findings are generalisable to US firms and may not extend to other contexts.
Practical implications
The implication of this study for companies is that a high level of sustainability assurance is a useful tool to access detailed information about stakeholder concerns, of which internalisation can help to marginally improve carbon performance. For policymakers, the insights into and enhanced understanding of the incentives for obtaining carbon assurance can help policymakers to develop effective policies and initiatives for carbon assurance. Considering the possible improvements in carbon performance when obtaining a high level of sustainability verification, governments need to consider mandating carbon assurance.
Originality/value
This study extends the existing studies of assurance in sustainability context as well as in carbon context by explaining why companies voluntarily get expensive external verification (i.e. higher level of assurance) of their carbon emissions disclosure. This study responds to calls in the literature for empirical research investigating the association between environmental performance and external assurance with a focus on level of assurance
International financial regulation of cryptoassets and asset-backed tokens
Cryptoassets have recently attracted the attention of national and international financial regulators. Since the mid-2010s blockchains have increasingly been adapted to automate and replace many aspects of financial intermediation, and by 2015 Ethereum had created the smart contract language that underpins the digitization of real assets as asset-backed tokens (ABTs). Those were initially issued by FinTech companies, but more recently banks active on international capital and financial markets, and even central banks, for example, the Bank of Thailand, have developed their own digital platforms and blockchains. A wide variety of real and financial assets underpins ABTs, viz., real estate, art, corporate and sovereign bonds, and equity. Consequently, owing to the significant market capitalization of cryptocurrencies, the Basel Committee on Banking Supervision (BCBS) published two consultative papers delineating its approach on cryptoasset regulation. In this study, the authors analyze the mechanics of ABTs and their potential risks, relying on case studies of recent issuance of tokens in equity, real-estate, and debt markets, to highlight their main characteristics. The authors also investigate the consequences of the increasingly oligopolistic structure of blockchain mining pools and Bitcoin exchanges for the integrity and security of unregulated distributed ledgers. Finally, the authors analyze the BCBS’ regulatory proposals, and discuss the reaction of international financial institutions and cryptocurrency interest groups. The main findings are, firstly, that most ABTs are akin to asset-backed securities. Secondly, nearly all ABTs are “off-chain/on-chain,” that is, the underlying is a traditional asset that exists off-chain and is subsequently digitized. The main exception is the World Bank’s bond-i that is genuinely native to the blockchain created by the Commonwealth Bank of Australia, and has no existence outside it. Thirdly, all ABTs are issued on permissioned blockchains, where anti-money laundering/anti-terrorist funding and know-your-customer regulations are enforced. From a prudential regulatory perspective, ABTs do not appear to pose serious systemic risks to international financial markets. This may account for the often negative reactions of banks, banking associations, and cryptocurrency interest groups to the BCBS’ 2021 proposals for risk-weighted capital provisions for cryptoassets, which are viewed as excessive. Finally, we found that issuance of ABTS and other smart contracts on permissionless blockchains such as Bitcoin and Ethereum could potentially generate financial instability. A precedent involving Ethereum and The DAO in 2016 shows that (i) there is a significant accountability gap in permissionless blockchains, and (ii) the core developers of blockchains and smart contract technology, and Bitcoin mining pools, exercise an unexpectedly high- and completely unregulated-amount of power in what is supposedly a decentralized network
Gender differences in careers and publications within the sport management academy
Sport management programs are essential pathways by which aspiring professionals in the sport industry achieve their university education. While a substantial segment of sport management scholarship has focused on driving for higher rates of diversity, equity, and inclusion in the sport industry, less attention has been paid to the sport management academy. In this study, we examine the gender representation of full-time faculty positions, publications, and research methodologies in sport management. Our results show that men are employed in higher numbers overall. In the 329 sport management programs studied, the percentage of women employed at each level are as follows: assistant professor (46.8%), associate professor (39.5%), and full professor (37%), suggesting a drop-off aligned with the concept of career derailment, or a time-lag in reaching equity in the discipline. Women are also less published within top sport management journals (Journal of Sport Management, European Sport Management Quarterly, and Sport Management Review). Implications of these findings are discussed as well as future research directions
Making home through memories and ritualized social practices
This chapter offers an account of a critical and comparative overview of bodies of international literatures on mobilities, materialities, memories and homecomings. The core theme of the chapter focuses on exploring how migrants make home through memories and ritualised social spaces. These elements are addressed through empirical insights into key interdisciplinary debates that tackle the relationships of memories and rituals with how a sense of home and homing for migrants is shaped by gendered belonging. The discussion explores firstly the interplay between materialities and memories through which we conceptualise home, homing and their emotional context; secondly, the gendered understanding of this relationship between memory and materiality gives coherence to how migrant belonging is constructed through experiences, which leads to the third set of insights on how migrant memories are a conduit to understanding migrant ritualisation as a set of social practices that further shape belonging. Finally, the chapter points to avenues for future research from a multi-dimensional perspective, including the global pandemic
From architecture to community: adaptive reuse as social practice
This paper brings forward the idea of adaptive reuse as a social practice able to reconnect urban communities, and actively contribute towards their consolidation.
Further, it demonstrates how skills and competences from the academic realm can facilitate community engagement and (re)engender a sense of belonging.
Adaptive reuse, intended as a series of actions and processes to transform existing buildings into different ones ‘fit’ for new purposes, is a practice that has become the focus of discourse around architectural heritage, sustainability and the future of our cities. The central idea of the discipline is to reprogramme existing buildings through a set of tools and tactics able to modify structure and matter. However, it is our contention that the remit of the discipline has evolved, emphasising the notion that buildings are symbolic entities - “memory spaces” and “cultural experiences” able to actively contribute towards the building of communities.
Looking to the principles of maintenance and care that adaptive reuse embodies, we propose an interpretation of reuse, that considers how people interact and identify with places, rather than focusing on function or mode of inhabitation. Consequently, the process of re-activating/re-using architecture situated within the public realm, can be framed as a social practice.
As Spatial Designers we work on projects focused on establishing a dialogue with the community as both an idea and a real entity, identifying practices of engagement, gaining trust and exercising empathy. Working in contexts where communities are sometimes fragmented and not readily able to build a dialogue - a situation exacerbated by covid and the current cost of living crisis in the UK, our role is to support and enable a process of envisioning.
Spatial adaptive practices - by embedding principles of maintenance and care - become an effective strategy for actively engaging with the complex and often conflicting needs of diverse communities and neighbourhoods. The contribution to the Handle with care/Inclusivity track is enriched by the account of KilburnLab, a practice-based research project led by the Interiors Team at Middlesex University in London, comprising a series of collaborative activities with local stakeholders exploring the future of the area.
The Kilburn Lab project is part of a wider strategy for reframing adaptive reuse as a social practice that transposes the principles of ‘care’, that are evident in its processes and tactics, to urban regeneration. Buildings, and more generally existing spaces, are custodians of memory, history and legacy