Queen Margaret University eResearch

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    The Role of Faith in Child Marriage: Empirical Evidence from Mozambique, Nepal, and the Philippines

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    Kanykey Jailobaeva - ORCID: 0000-0002-1316-8449 https://orcid.org/0000-0002-1316-8449Traditional and religious justifications have been identified to support the continued practice of child marriage. However, the role of faith in child marriage has not been widely studied. This mixed-method study investigates the role of faith in child marriage in Mozambique, Nepal, and the Philippines. Faith and religion are deeply ingrained in these communities, as most survey respondents identified with a faith group and practiced their religion in both private and public domains. Faith was found to have an impact on child marriage through beliefs around gender roles. Although this trend was observed in all countries, there were variations between them, highlighting the significance of local context. Addressing child marriage requires a comprehensive approach that considers both faith and gender norms.This research was supported by World Vision.https://doi.org/10.1080/15570274.2024.237584722pubpub

    Rethinking Ideology in Turkey’s Media Environment

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    Item is not available in this repository.https://www.wiley.com/en-kr/Media+Compass%3A+A+Companion+to+International+Media+Landscapes-p-9781394196241pubpu

    A scoping review exploring people’s perceptions of healthcare uniforms

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    From Crossref journal articles via Jisc Publications RouterHistory: ppub 2024-08-13, issued 2024-08-13Publication status: PublishedItem is not available in this repository.Background: Healthcare staff uniforms are a subject of debate in the UK, and this is particularly true in the case of less understood roles such as advanced nurse practitioners. Aim: This review explores what is known about people’s perceptions of health professionals’ uniforms. Method: A mixed methods scoping review following the Joanna Briggs Institute (JBI) methodology. Five databases (CINAHL, ASSIA, PsycINFO, and EMBASE) and several search engines were searched. Eligible reports were peer-reviewed English-language studies using any methodology to explore people’s perceptions of different uniforms for health professionals. Findings: Forty-six studies (mainly from North America) were included, presenting a variety of perspectives on the uniforms worn by doctors, nurses and other health professionals. Conclusion: Culture and context likely influence how uniforms are understood. Practitioners should consider how this may affect communication with both patients and colleagues. What health professionals wear matters, particularly in relation to less well understood roles.pubpu

    Opening the black box of cognitive functional therapy for low back pain: a review of interventions using the template for intervention description and replication (Tidier) checklist

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    From Crossref journal articles via Jisc Publications RouterHistory: epub 2024-08-07, ppub 2024-08-07, issued 2024-08-07Publication status: PublishedItem is not available in this repository.Background and study purposeA recent systematic review with meta-analysis of eight randomised controlled trials concluded that Cognitive Functional Therapy (CFT) for low back pain might be effective in reducing disability, pain and fear-avoidance beliefs. However, the descriptions of a CFT intervention are not always clear. This study aimed to rate the replicability of the CFT interventions and control groups in the systematic review.MethodsTwo reviewers independently extracted data from the study articles, protocols and appendices into Microsoft Excel using the Template for Intervention Description and Replication (TIDieR) checklist. This checklist has 12 items to describe the ‘why’, ‘what’, ‘who’, ‘how’, ‘where’, ‘when and how much’, ‘tailoring’, ‘modifications’, and ‘how well’ for each intervention. We rated the replicability of the CFT interventions and control groups as ‘reported’, ‘partially reported’ and ‘not reported’ and resolved discrepancies by consensus.ResultsNo studies reported 100% of the TIDieR items; the mean ‘reported’ rating was 54% (range 33–67%) for the CFT interventions and 35% (range 8–67%) for controls. The six most replicable items were the same for both CFT and control groups. These were ‘brief name’ (CFT=100%; control=100%), ‘why’ (CFT=100%; control=50%), ‘how’ (CFT=100%; control=50%), ‘what procedures’ (CFT=88%; control=63%), ‘where’ (CFT=88%; control=75%) and ‘planned adherence’ (CFT=75%; control=38%). Items that were not sufficiently ‘reported’ for either CFT or control groups included ‘when and how much’, ‘tailoring’ and ‘adherence’.ConclusionIncomplete descriptions of CFT interventions mean that clinicians and patients cannot implement those that have demonstrated effectiveness, and poor descriptions of control groups prevent researchers from replicating them in future studies.Conflict of interestNo conflicts of interestSources of fundingNo funding obtaine

    Holy grail or convenient excuse? Stakeholder perspectives on the role of health system strengthening evaluation in global health resource allocation

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    From Springer Nature via Jisc Publications RouterHistory: received 2024-06-13, registration 2024-10-11, accepted 2024-10-11, epub 2024-10-24, online 2024-10-24, collection 2024-12-01Acknowledgements: Our thanks to Krista Kruja, Melanie Michener and Poulami Bhattacharya for their support in data collection and analysis.Publication status: PublishedFunder: The Bill and Melinda Gates Foundation; Grant(s): INV-006183, INV-006183, INV-006183, INV-006183Background: The role of evaluation evidence in guiding health systems strengthening (HSS) investments at the global-level remains contested. A lack of rigorous impact evaluations is viewed by some as an obstacle to scaling resources. However, others suggest that power dynamics and knowledge hierarchies continue to shape perceptions of rigor and acceptability in HSS evaluations. This debate has had major implications on HSS resource allocation in global-level funding decisions. Yet, few studies have examined the relationship between HSS evaluation evidence and prioritization of HSS. In this paper, we explore the perspectives of key global health stakeholders, specifically around the nature of evidence sought regarding HSS and its potential impact on prioritization, the challenges in securing such evidence, and the drivers of intra- and inter-organizational divergences. We conducted a stakeholder analysis, drawing on 25 interviews with senior representatives of major global health organizations, and utilized inductive approaches to data analysis to develop themes. Results: Our analysis suggests an intractable challenge at the heart of the relationship between HSS evaluations and prioritization. A lack of evidence was used as a reason for limited investments by some respondents, citing their belief that HSS was an unproven and potentially risky investment which is driven by the philosophy of HSS advocates rather than evidence. The same respondents also noted that the ‘holy grail’ of evaluation evidence that they sought would be rigorous studies that assess the impact of investments on health outcomes and financial accountability, and believed that methodological innovations to deliver this have not occurred. Conversely, others held HSS as a cross-cutting principle across global health investment decisions, and felt that the type of evidence sought by some funders is unachievable and not necessary – an ‘elusive quest’ – given methodological challenges in establishing causality and attribution. In their view, evidence would not change perspectives in favor of HSS investments, and evidence gaps were used as a ‘convenient excuse’. Respondents raised additional concerns regarding the design, dissemination and translation of HSS evaluation evidence. Conclusions: Ongoing debates about the need for stronger evidence on HSS are often conducted at cross-purposes. Acknowledging and navigating these differing perspectives on HSS evaluation may help break the gridlock and find a more productive way forward.pubpu

    The role of spousal support as a coping mechanism for pregnant women experiencing trauma during the Covid-19 pandemic in the UK

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    The COVID-19 pandemic significantly damaged pregnant women’s mental health, underscoring the critical need for robust support networks. This research adopted a systematic literature review which was based on studies published between 2019 and 2024 that examine the coping mechanisms and support systems available to pregnant women in the UK at the time of the pandemic in a comparable environment, assess their efficacy, and consider the function of spouse support. Key findings from a thematic analysis of recent literature show that social isolation, fear of infection, and limitations on birth partners raised the stress, anxiety, and depression levels of expectant mothers. It was discovered that professional, social, and emotional support networks were crucial for reducing these detrimental impacts. Strong social networks, such as those with family and friends, helped people feel less stressed and anxious, while professional health services offered the assurance and care they needed. Prenatal depression and anxiety were shown to be greatly reduced in pregnant women who received supportive spouse connections and good communication. Additionally, pregnant women's difficulties were greatly alleviated by the availability of health resources, such as online support groups and mental health counselling. Enhancing maternity services, boosting social support networks, fostering partner involvement, promoting health and well-being, strengthening emotional and psychological support are just a few of the recommendations. The results provide insightful information for creating focused interventions and policies to support pregnant women during traumatic situations

    ‘I couldn’t change the world, but the world changed me.’ Experiences, perspectives and patient care impact of midwives in Scotland following traumatic perinatal and Significant Adverse Events

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    In this dissertation, I explore the experiences of midwives working in Scotland who have been involved in traumatic perinatal or Significant Adverse Events, and how these affected their personal wellbeing and subsequent care provision. By conducting 10 semi-structured interviews with midwives who had worked in a tertiary hospital in the last year, I was able to thematically analyse the data, to which 4 themes arose: feeling unprepared for traumatic events, changes to emotions and personal perceptions, the weight of interpersonal relationships, and systemic frustration from lack of support. The findings suggest the subjectivity of trauma in midwifery and a link between how events are managed and the personal perceptions of those involved. Participants reported feelings of fear, self-criticism, and burnout, which they felt impacted their ability to provide the quality of care they wished to. The importance of supportive interpersonal relationships was emphasised, with many midwives expressing frustration at systemic issues and lack of formal support in policy. This research adds to the growing body of literature on vicarious trauma in maternity care. The findings indicate an intrinsic connection between workplace culture, midwives' self- perceptions, and care quality. Recommendations include implementing automatic support mechanisms, involving staff in defining trauma, and further research into blame culture in healthcare settings. The findings highlight the need for cultural change and improved support systems to enhance both midwife wellbeing and patient safety and satisfaction

    ASSESSING THE RELATIONSHIP OF FOOD SECURITY, CHILD MENTAL HEALTH, AND DEVELOPMENT IN RURAL NIGERIA: A NARRATIVE REVIEW

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    Aims: This narrative review aims to critically examine existing literature spanning from 2013 to 2023, focusing on unravelling the intricate connections between food security, child mental health, and development in rural Nigerian settings. Methods: Employing a narrative review methodology, this study carefully selected and analysed six key studies. Diverse research designs, including cross-sectional surveys, descriptive study, and prospective study, were utilised to investigate the relationships between food security, child mental health, and development in rural Nigeria. Results/Findings: The outcomes of the selected studies illuminate multifaceted challenges faced by children in the rural areas of Nigeria. Notable disparities in food security, psychological well-being, and dietary diversity across different regions were identified. The findings underscore the urgent need for context-specific interventions and policies tailored toward addressing the unique socio-economic, geographical, and cultural factors influencing child well-being in rural Nigeria. Discussion: The discussion center on the implications of the research findings, emphasizing the pressing need for targeted interventions to address the identified challenges. It explores the complex interplay of socio-economic, geographical, and cultural factors affecting child well-being, with a focus on how these factors contribute to disparities in food security and mental health outcomes. Conclusion: In conclusion, this review should contribute with insights to the academic discourse, providing guidance for future research endeavours and informing evidence-based strategies. The urgent recommendation is the implementation of context-specific interventions and policies to enhance the overall health and development of children in rural Nigerian settings. The discussion also emphasizes the critical importance of addressing factors such as poor road networks and infrastructure in tackling the deepening food crisis. Finally, it acknowledges the alarming rate of population growth compared to food availability, the conclusion therefore emphasizes the need for comprehensive strategies to alleviate the impact on children, who emerge as the major victims in this complex scenario

    INFLUENCE OF SOCIAL MEDIA ON HEALTH SECURITY AMONG ADOLESCENTS IN SELECTED HIGH SCHOOLS IN EDINBURGH, SCOTLAND (11-16 YEARS)

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    Background: The influence of social media is considered a major security health challenge in the 21st century which if not properly addressed may lead to a significant collapse of the health system. In spite of extensive studies carried out on social media and health security, studies on the influence of social media on health security among adolescent in selected high schools in Edinburgh has received scanty attention. This study aims at determining the prevalence of social media usage among high school students in Edinburgh, Scotland. Methodology: The survey research design has been adopted while the positivist research philosophy was employed in the study. Data was collected using structured survey questions. The population of this study is made up of all school-aged students in Edinburgh, Scotland. The sample of the study is made up of 35 school-aged students who were selected from the study area using convenience sampling. Data collected was analyzed using descriptive statistics. Findings: It was revealed that there is a low rate of parental guidance when it comes to the adoption of social media while the respondents did not agree that seeing the standards raised by others on social media leads to envy. The students also agreed that sharing information on social media can results to making students vulnerable. Conclusion: In conclusion, social media usage has a negative impact on the health security of high school students in Edinburgh, Scotland. Self-efficacy among learners’ rests on the quality of support that they get from their parents, teachers, and adults in their immediate society

    Sexuality and Spirituality in the Bible Belt: A Qualitative Pilot Study Exploring Attitudes Towards Sex and Sexuality

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    Background: The intersection of faith and sexuality remains a complex issue, particularly in regions with strong religious influence. Within this context, understanding how different denominations approach discussions surrounding sex and sexuality is essential to grasp the nuanced interplay between sexual attitudes and religious influences. This study aims to explore these dynamics by examining attitudes towards sexuality among participants from various Christian denominations, shedding light on how diverse religious perspectives shape and influence sexual attitudes. Method: Utilizing a qualitative approach, the research conducted in-depth interviews with church leaders and members from Episcopal, Southern Baptist, and United Methodist congregations in North Carolina. A thematic analysis was conducted through a social constructionist lens to identify and develop themes. Results: A total of 10 themes were identified through the thematic analysis: Biblical Interpretation, Affirming vs. Non-Affirming Stance, Gender Norms, Location Impact, Sexual Shame, Normalizing LGBTQ+ Inclusion, Comfort in Discussing Sexuality, Programs and Resources, Leadership Role, and the Church’s Role in Addressing Sexuality. The discussion defined attitudes in relation to these themes as follows: View of Sex and Sexuality, Affirming vs. Non-Affirming Perspectives, Gender Norms, Comfort with Sexuality, Sexual Shame, and the Role of the Church. The analysis of congregational programs and resources provided insight into how religious leadership can potentially influence individual attitudes toward sex and sexuality. Additionally, geography, community, and biblical interpretations were found to significantly shape both attitudes and the availability of congregational resources. Conclusion: The study underscores the influence that congregations have on individual's attitudes towards sex and sexuality. This presents an opportunity for potential benefits of interfaith dialogue and collaboration with health professionals to develop more comprehensive, affirming resources for congregants

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