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Becoming a person-centred facilitator of learning in a hospital setting: Findings from a participatory action-oriented study with hospital-based educators
Get PDFBetty Ann Robinson - ORCID: 0000-0002-3339-9113
https://orcid.org/0000-0002-3339-9113Brendan McCormack - ORCID: 0000-0001-8525-8905 https://orcid.org/0000-0001-8525-8905Caroline Dickson - ORCID: 0000-0001-5132-0109 https://orcid.org/0000-0001-5132-0109Aim
Investigate the experience of hospital-based educators becoming person-centred facilitators of learning.
Background
Hospital-based educators working with staff are not well-prepared for their role. No person-centred pedagogical approaches exist specifically for use in hospital settings. Educators are positioned to advance person-centredness in clinical practice. To do so they need knowledge and skills in person-centred approaches. Little is known about how educators transform from teacher-centred approaches to person-centred facilitation. This study investigated how educators learn about and use person-centred principles to acquire educational theory and become person-centred facilitators.
Design
Participatory, action-oriented research
Methods
Guided by four person-centred principles blending relational inquiry and practice development, 10 educators participated in group and individual sessions over 18 months. Data were analyzed using relational inquiry and critical creative hermeneutics.
Results
Becoming person-centred facilitators was enabled through three principles: starting with self, developing community and belonging and bumping against culture and inviting transformation. Participants became person-centred facilitators through intrapersonal, interpersonal and contextual transformations during moments of discovery, reconciliation and action. Competence developed by experiencing and using four methodological principles of taking a relational stance; using active learning to learn in and from practice; being collaborative, inclusive and participatory; and linking creativity with cognition. This model resulted in improved trust, strengthened relationships and more meaningful and robust learning outcomes.
Conclusions
Hospital-based educators can be enabled to become person-centred facilitators by providing them with person-centred learning opportunities. The four methodological principles, as a model for person-centred education, provided an effective preparation and orientation to educational and person-centred theory.https://doi.org/10.1016/j.nepr.2024.10422282pubpu
Religious and moral education in Scottish non-denominational primary schools: charting curriculum change through school handbooks
Get PDFStephen C. Scholes - ORCID: 0000-0002-5808-6121
https://orcid.org/0000-0002-5808-6121Religious and Moral Education (RME) in primary schools has been an under-researched aspect of state-funded schooling in Scotland. It has received little scholarly comment, and even less empirical research has been conducted on the extent and nature of provision since the implementation of Scotland’s Curriculum for Excellence from 2010 onwards. Using the findings from a document analysis of ninety school handbooks from one local education authority, this article contributes to the limited scholarship on this topic. Through a discussion of the themes of compliance, content, and community, the article highlights ongoing challenges concerning implementing CfE RME in the primary sector. It concludes by considering the marginalisation of RME and suggesting that focusing on professional learning and further empirical research are vital next steps.https://doi.org/10.1080/01416200.2024.240915047pubpub
Beyond Accommodations: Supporting Autistic Professionals in Education. Practice based guide for employers and employees
Get PDFThis guide is intended to support neurodivergent people working by providing
information and practical suggestions based upon the views and preferences
of neurodivergent adults.
Autistic people can have poor employment outcomes, are under-represented in the
workforce, and often experience discrimination and poor mental health (Buckley
et al., 2021; Bury et al., 2021; Wood et al., 2022). Employment is often precarious (short term, part-time, low paid) and individuals are underemployed or overqualified for
their current roles. Although, as not all autistic people are diagnosed or choose to
share their autistic identity, the literature may not reflect the true picture.
It is therefore important that we increase our understanding of the challenges
facing autistic people not only in gaining employment but within the workforce.
This study draws on the experience of autistic professionals working in health and
education because professionals working within health and education are well
placed to become influential positive role models (Lawrence, 2019).
The guidance is based on information obtained during a review of published
literature and interviews with thirty-four autistic people who work in professional
roles within health and education in Scotland. They were asked about their
experiences of training, recruitment, and employment, particularly factors that
offered them support, and factors which challenged them. They also provided
recommendations for improving training, recruitment, and employment for
neurodivergent people in the future. The guide was also reviewed by people
working in management and human resources roles across health and education.
This guide is intended to provide information which will support neurodivergent
people in employment. Often adjustments to language, mindsets and actions do
not cost money and can provide benefit to the whole diverse workforce.
Throughout this guide we have included direct quotations obtained during
interviews with autistic professionals. This guide and the research on which it
is based was conducted by a team which includes autistic and non-autistic
researchers.
Although our focus has been on autistic people, it is well known that most autistic
people experience co-occurring mental health and neurodevelopmental
differences. Similar experiences are shared by people with ADHD or who identify
as neurodivergent.pubpu
Transnational Arab Stardom: Glamour, Performance and Politics
No full textStefanie Van de Peer - ORCID: 0000-0003-3152-2912
https://orcid.org/0000-0003-3152-2912Item is not available in this repository.Building on the work of star studies scholars, this collection provides contextual analyses of off-screen representation, as well as close textual analyses of films and star personas, thereby offering an in-depth study of the Arab star as text and context of Arab cinema. Using the tools of audience reception studies, the collection will also look at how stars (of film, stage, screen and new media) are viewed and received in different cultural contexts, both within and outside of the Arabic-speaking world.
Arab cinema is often discussed in terms of political representation and independent art film, but rarely in terms of stardom, glamour, performance or masquerade. Aside from a few individual studies on female stardom or aspects of Arab masculinity, no major English-language study on Arab stardom exists, and collections on transnational stars or world cinema also often neglect to include Arab performers. This new book seeks to address this gap by providing the first study dedicated entirely to stardom on the Arab screen.
Structured chronologically and thematically, this collection highlights and explores Arab film, screen and music stars through a transnational and interdisciplinary set of contributions that draw on feminist, performance and film theories, media studies, sound studies, material culture, queer star and celebrity studies, and social media studies.https://www.bloomsbury.com/uk/transnational-arab-stardom-9781501393242/pubpu
Orbit Bound. Predictors of ‘readiness to space’ and government support.
Get PDFSteph Paladini: ORCID: 0000-0002-1526-3589 https://orcid.org/0000-0002-1526-3589AM replaced with VoR 27/05/2024The number of countries investing in the space sector grows by the day but the enabling factors are still either underestimated or misunderstood, due to the lack of comparative research, statistical analysis, and a few, dangerous misconceptions. Working with a panel dataset of forty years and employing methods such as survival analysis and predictive data mining (machine learning), the article shows that government support of civilian and commercial activities, more than military and defence, play a determinant role in the development of a national space sector and they are, eventually, the key factors for venturing to lower orbit and beyond.aheadofprintaheadofprin
Level of diagnostic agreement in musculoskeletal shoulder diagnosis between remote and face‐to‐face consultations: A retrospective service evaluation
Get PDFFrom Wiley via Jisc Publications RouterHistory: received 2023-11-28, rev-recd 2024-03-22, ppub 2024-04-01, accepted 2024-04-03, epub 2024-04-21Article version: VoRPublication status: PublishedLouise Cockburn - ORCID: 0000-0002-2713-4645
https://orcid.org/0000-0002-2713-4645Gill Baer - ORCID: 0000-0002-1528-2851
https://orcid.org/0000-0002-1528-2851Background and Aims: To determine the level of diagnostic agreement between remote and face‐to‐face consultation in assessing shoulder complaints. Methods: A retrospective service evaluation with three groups of patient data; those assessed only face‐to‐face (group 1), remotely then face‐to‐face (group 2), remotely only (group 3). Patient data were extracted from 6 secondary care shoulder Advanced Physiotherapy Practitioner's (APPs) records, covering six sites. Three‐hundred‐and‐fifty‐nine sets of patient data were included in the final evaluation. The main outcome measure was the percentage of agreement between diagnosis at initial and follow‐up consultation, when assessed by APPs across the three groups. A Pearson χ2 test was used to assess the relationship between the method of consultation and the level of diagnostic agreement. Diagnoses were categorized as either the same, similar, or different by an independent APP. Secondary outcome measures investigated whether age or the length of time between appointments had any effect in determining the level of diagnostic concordance. Results: There was exact agreement of 77.05% and 85.52% for groups 1 and 3, respectively, compared with 34.93% for patient data in group 2. Similar clinical impressions across both initial and follow‐up were seen 16.39% of the time in group 1, 7.24% of the time in group 3, and 36.99% in group 2. Lastly, the percentage of times a diagnosis was changed between initial and review appointments occurred in only 6.56% of group 1 contacts, 7.24% of group 3 contacts, but 28.08% of the time in group 2. Conclusion: There was a large mismatch in the diagnosis of musculoskeletal shoulder complaints, when patients are initially assessed remotely and then followed‐up in‐person. This has implications for the future provision of shoulder assessment in physiotherapy.pubpu
Evaluation of acceptability of 3 vegan oral nutritional supplements
No full textFrom Elsevier via Jisc Publications RouterHistory: epub 2024-05-20, issued 2024-06-30Article version: AMPublication status: PublishedItem is not available in this repository.pubpu
Risk communication and community engagement in the context of COVID-19 response in Bangladesh: a qualitative study
Get PDFFrom Frontiers via Jisc Publications RouterHistory: collection 2023, received 2023-07-26, accepted 2023-12-13, epub 2024-01-05Peer reviewed: TrueAcknowledgements: The researchers extend their gratitude to all the participants who voluntarily took part in this study. The UNFPA, Bangladesh, supported this research, and the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) expresses gratitude for this assistance. Additionally, ICDDR,B appreciates the core or unrestricted support provided by the Governments of Bangladesh and Canada.Publication status: PublishedDaniel Reidpath - ORCID: 0000-0002-8796-0420 https://orcid.org/0000-0002-8796-0420Background: The global COVID-19 pandemic profoundly impacted nations worldwide, and Bangladesh was no exception. In response, the government of Bangladesh implemented community awareness initiatives aimed at containing the spread of the virus, aligned with international guidelines and recommendations. Despite these efforts, a lack of comprehensive community awareness programs played an essential role during the pandemic, not the preventive measures. A qualitative study employing framing theory was conducted to gain a deeper insight into how the social context influenced risk communication and community response throughout the COVID-19 pandemic in Bangladesh. Methods: The study was conducted in four selected districts of Bangladesh from February to May 2022 using complementary data collection methods, including key informant interviews, in-depth interviews, and focus group discussions with purposely selected participants. Data were analyzed thematically by following six steps of the thematic analysis process. Codes were developed based on the data and summarized into themes and sub-themes grounded on the codes. Results: The findings indicate that the government of Bangladesh, along with development partners and non-government organizations, made a significant effort to raise awareness about COVID-19 in the community. However, there were certain limitations to this effort. These include a lack of social science and public health approaches to understanding the pandemic; inadequate coordination among the authorities for COVID-19 prevention and control; technological and geographical barriers for disseminating messages; the living conditions and lack of facilities; socio-cultural norms in understanding the COVID-19 health messages, and the gendered understanding of the messages. The findings also revealed that the awareness activities remained a one-way approach to inform the people and faced challenges to actively engage and create ownership of the community in the pandemic response. Conclusion: The study identified gaps in implementing risk communication and community engagement strategies in Bangladesh during the COVID-19 pandemic. Increasing focus on public health and prioritizing community ownership is essential to designing a more effective community awareness campaign. This approach will help ensure that health messages are communicated effectively and tailored to different communities’ needs.The author(s) declare financial support was received for the research, authorship, and/or publication of this article. The study received financial support from the United Nations Population Fund (UNFPA) in Bangladesh.pubpu
Political economy analysis for health financing: A ‘how to’ guide
Get PDFSophie Witter - ORCID: 0000-0002-7656-6188
https://orcid.org/0000-0002-7656-6188Maria Paolo Bertone - ORCID: 0000-0001-8890-583X https://orcid.org/0000-0001-8890-583Xhis “Political Economy of Health Financing: How-to Guide” lays out a structured way to organize and analyze key political economy factors that can impact a health financing reform. This Guide, along with WHO’s broader programme of work on Political Economy of Health Financing Reform, explicitly recognizes the importance of political economy factors in influencing health financing reform trajectories. This Guide is not intended as a toolbox or comprehensive mapping of all the potential political economy factors and strategies related to health financing reform. Rather, it provides a stepwise process for analysis and structured thinking about issues related to health financing and political economy. By understanding the various stakeholders involved in health financing reform, their relative power, interests and position, along with the institutions that shape the bargaining process and the related contextual and economic factors, strategies can be developed to overcome or take into account stakeholders’ resistance or support. The objective of incorporating political economy analysis in this way is to support a more strategic approach to reform as a way to increase the likelihood of effective design, adoption and implementation and ultimately progress towards UHC.https://www.who.int/publications/i/item/9789240092099pubpu
Opening decision spaces: A case study on the opportunities and constraints in the public health sector of Mpumalanga Province, South Africa
Get PDFFrom PLOS via Jisc Publications RouterHistory: received 2022-08-10, collection 2024-01-01, accepted 2024-05-19, epub 2024-07-05Acknowledgements: We would like to thank all community and health system participants whose insights and experiences informed this article. We thank ReBUILD for support with the publication costs.Publication status: PublishedFunder: Medical Research Council; funder-id: http://dx.doi.org/10.13039/501100000265; Grant(s): MR/P014844/1Sophie Witter - ORCID: 0000-0002-7656-6188
https://orcid.org/0000-0002-7656-6188Background: Decentralised and evidence-informed health systems rely on managers and practitioners at all levels having sufficient ‘decision space’ to make timely locally informed and relevant decisions. Our objectives were to understand decision spaces in terms of constraints and enablers and outline opportunities through which to expand them in an understudied rural context in South Africa. Methods: This study examined decision spaces within Mpumalanga Province, using data and insights generated through a participatory action research process with local communities and health system stakeholders since 2015, which was combined with published documents and research team participant observation to produce findings on three core domains at three levels of the health system. Results: Although capacity for decision making exists in the system, accessing it is frequently made difficult due to a number of intervening factors. While lines of authority are generally well-defined, personal networks take on an important dimension in how stakeholders can act. This is expressed through a range of informal coping strategies built on local relationships. There are constraints in terms of limited formal external accountability to communities, and internal accountability which is weak in places for individuals and focused more on meeting performance targets set at higher levels and less on enabling effective local leadership. More generally, political and personal factors are clearly identified at higher levels of the system, whereas at sub-district and facility levels, the dominant theme was constrained capacity. Conclusions: By examining the balance of authority, accountability and capacity across multiple levels of the provincial health system, we are able to identify emergent decision space and areas for enlargement. Creating spaces to support more constructive relationships and dialogue across system levels emerges as important, as well as reinforcing horizontal networks to problem solve, and developing the capacity of link-agents such as community health workers to increase community accountability.pubpu
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