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UNDERSTANDING HOW ENGLISH-SPEAKING EXPATRIATE NURSES CARE FOR EMIRATIS WHO HAVE BEEN INVOLVED IN SUBSTANCE MISUSE: A HERMENEUTIC PHENOMENOLOGY STUDY
Full text linkIn the UAE, English-speaking expatriate nurses are the backbone of substance misuse treatment facilities. This research aims to study their experiences and perceptions, exploring their lived experiences while caring for Emiratis who have been involved in substance misuse. The study adopted hermeneutic phenomenology, to uncover the meaning of the nurses’ experiences. This study is the first to explore this phenomenon in the UAE.
Twenty English-speaking expatriate nurses working in substance misuse treatment facilities in the UAE were purposefully recruited for face-to-face semi-structured interviews. The results were analysed structurally and compared to the existing literature. The findings of this phenomenological perspective provide new insights into the lived experiences of English-speaking expatriate nurses, highlighting the unique challenges they face, reflecting the essence of lived experiences, meaning, feelings, needs, and unique challenges while caring for Emiratis involved in substance misuse.
Four main themes were identified: “Behind the Scene”, “Clinical Facilitators”, “Professional Identity of Nurses”, and “Expatriate Nurses’ Coping Strategies”, with significant findings concerning workplace violence, professional jealousy, a lack of specialist nurses, poor verbal communication and working language. In addition, the role of nursing leaders is crucial in providing specialist nurses and establishing professional development education programs and orientation programs that upscale the knowledge and skills of nurses. The concern of not “Being Trusted or Respected” by service users also negatively impacted the nurses’ motivations, feelings, thoughts, and coping strategies. The four themes reflect these findings.
It is necessary to improve the working environment to address the identified issues and significantly improve the care provided by English-speaking expatriate nurses to Emiratis involved in substance misuse. These insights are relevant to contemporary nursing leaders and expatriate nurses and offer valuable directions for future research on nursing within the UAE, instilling a sense of optimism for the future of nursing in the region
Sexual and reproductive health (SRH) knowledge of women: a cross-sectional study among the women experienced abortion in urban slums, Dhaka, Bangladesh
Full text linkFrom Springer Nature via Jisc Publications RouterHistory: received 2023-07-13, accepted 2025-01-12, registration 2025-01-13, epub 2025-05-10, online 2025-05-10, collection 2025-12-01Acknowledgements: We are thankful to the field workers and respondents for their efforts on data collection and data verification. The team also appreciates RHSTEP for the financial support in implementing the study. icddr,b acknowledges to the governments of Bangladesh, Canada, Sweden and the UK for providing unrestricted supportPublication status: PublishedFunder: Reproductive Health Services Training and Education ProgramDaniel Reidpath - ORCID: 0000-0002-8796-0420 https://orcid.org/0000-0002-8796-0420Background: Women in urban slums are particularly susceptible due to a lack of knowledge about sexual and reproductive health (SRH), and abortion is frequently performed. Our study investigates the level and predictors of SRH knowledge among the reproductive-aged women who have had abortions and lived in urban slums in Dhaka, Bangladesh. Methods: We adopted a cross-sectional survey among the reproductive-aged women who experienced any kind of abortion from July 2020 to January 2022 living in the UHDSS sites, applying a predefined interviewer-assisted survey questionnaire. Data were analyzed using descriptive statistics (i.e., mean, standard error, and 95% confidence interval (CI)) for continuous and percentage distribution for categorical variables. Bi-variate analysis was used to examine for associations. After checking the assumptions, multinomial regression analysis was used to confirm the determinants with 95% CIs. Results: A total of 338 women participated (221 spontaneous abortions and 117 induced abortions) with an average age of 26.59 ± 0.355, age at first marriage of 16.69 ± 0.173, and marital length of 9.45 ± 0.386. Except for the use of emergency contraceptives (32%), many women correctly identified condom effectiveness for preventing pregnancy (89%), STDs and HIV/AIDS prevention (79–80%), and abortion (98%). About 34 to 64% of them experienced stigmas attached to sexually explicit items. Few of them knew about abortion complications (9 to 57%), with the exception of bleeding associated with abortion (91.7%). Overall, 3 out of 4 women lacked sufficient SRH knowledge, with a mean score of 58.28 (95% CI: 56.70, 59.87), which was slightly higher for women who had spontaneous abortions 58.90 (95% CI: 57.02, 60.78) and lower for women who had induced abortions 57.69 (95% CI: 54.94, 60.45). Women aged 20–29 and 30 + years had high level of SRH knowledge than those of under 20 years. Women with higher education, longer marriages, and who availed post abortion care had high level of SRH knowledge than respective counterparts. However, employed slum women other than garment workers had lower levels of SRH knowledge than housewives. Conclusion: Our findings can be used in the abortion policies and strategies for vulnerable women and we recommend an intervention to increase awareness and knowledge on SRH, which is essential for those women to achieve the maternal reproductive health parameters.pubpu
THE INFLUENCE OF THE PRACTICE ENVIRONMENT ON SHARING DECISION MAKING BETWEEN OLDER PERSONS AND NURSES IN RESIDENTIAL AGED CARE: AN AUSTRALIAN PERSON-CENTRED STUDY
Full text linkBackground: With an ageing population and recent recommendations from the Australian Royal Commission into Aged Care Quality and Safety, there is a need to understand how older persons are enabled to participate in care decisions. While sharing decision making is promoted widely in healthcare, the practice environment plays a key role in shaping how these decisions are made and how older people are included in their care. Aims and Objectives: The aim of this research was to explore how the constructs of the practice environment domain within the Person-centred Practice Framework influence sharing decision making between older persons and nurses in residential aged care. Approach and Methods: Using a person-centred methodological approach, the research utilised emotional touchpoint interviews, observations of practice and practice development methods in a residential aged care facility in Australia. A creative hermeneutic analysis was used with participants to interpret how the practice environment shaped decision making. Findings: Seven components were found to influence the relational connectedness and sharing decision making between older persons and nurses: affirming personhood, reciprocal trustworthiness, time as presence, intentional way of being, negotiating relational boundaries, organisational values in action, and policies in practice. This research contributes a new perspective of sharing decision making as a relational process continuously influenced by people, processes and structures within the practice environment. Conclusions and Implications: This research highlighted the practice environment as key to how decision making occurs between older persons and nurses. To support sharing decision making processes, aged care organisations need flexible policies, power sharing structures, and workforce models that prioritise relationship building. Nurses should be supported to develop emotional intelligence and have the time to connect meaningfully. Creating conditions where older people are respected, heard and genuinely involved in care must be embedded within the elements of the practice environment
Is the Past a Different Culture? Tracking Changes in Prosodic Features of Child-Directed Broadcasting Across Six Decades [Dataset]
No full textSupplementary data for: https://eresearch.qmu.ac.uk/handle/20.500.12289/14247
Kempe, V., Gravelle, C.D., Perschke, S., Williams, G. and Schaeffler, S. (2025) ‘Is the Past a Different Culture? Tracking Changes in Prosodic Features of ChildDirected Broadcasting Across Six Decades’, Proceedings of the Annual Meeting of the Cognitive Science Society, 47. is available at: https://osf.io/59wsb/
Informing transplant candidate and donor education in living kidney donation: mapping educational needs through a rapid review
Full text linkFrom Springer Nature via Jisc Publications RouterHistory: received 2025-01-20, registration 2025-04-11, accepted 2025-04-11, epub 2025-05-03, online 2025-05-03, collection 2025-12-01Acknowledgements: We would like to thank Dr. Megan Philson (née Kelly) for her assistance with data extraction.Publication status: PublishedFunder: Northern Ireland Kidney Research FundAlison Wood - ORCID: 0000-0002-5625-8778
https://orcid.org/0000-0002-5625-8778Objectives: Living donor kidney transplantation (LDKT) is a complex medical procedure requiring extensive education for both donors and transplant candidates. With technological advances in healthcare, video educational resources are becoming more widely used. This study aimed to synthesize the existing qualitative evidence on LDKT educational experiences, preferences, and needs from the perspectives of kidney transplant candidates and recipients, donors, and HCPs, to establish the essential LDKT education considerations for candidates and potential donors interested in kidney transplantation. Methods: A rapid review of qualitative studies on LDKT educational needs was conducted. A literature search was undertaken across MEDLINE, Embase, and CINAHL databases from 2013 to 2023. Cochrane Rapid Reviews Methods Group guidance was utilized. Results: Of 1,802 references, 27 qualitative studies were eligible for inclusion. Qualitative data was analyzed from 803 transplant candidates/recipients, 512 living donors, 104 healthcare providers, and 102 family/friends. Three main themes were identified, including Extensive LDKT Education Throughout Treatment; Shared Learning, Social Support, and Family Dynamics in LDKT; and Diversity and Inclusivity for Minorities. Conclusions: Improvements and innovations are needed regarding LDKT education for kidney transplant candidates, donors, and support networks.pubpu
Adolescent and Young Adult Rheumatology In Clinical Practice
No full textItem is not available in this repository.This concise guide takes a practical approach to adolescent and young adult (AYA) rheumatology, encompassing the needs of any healthcare professional working with young people aged 10-24 years. Each chapter contains key management points for readers to readily access disease-specific management, as well as highlighting specific AYA issues and approaches which differ from paediatric and adult practice.
Adolescent and Young Adult Rheumatology In Clinical Practice, 2nd Edition has been fully revised with the latest research and clinical findings in the field. The coverage in the book is comprehensive but concise and devised to act as a primary reference tool for AYA practice across the field of rheumatology. The book is designed for paediatric/adult rheumatologists, primary care physicians, nurses and allied health professionals to increase understanding of AYA related topics and enhance the delivery of developmentally appropriate rheumatology health care.https://doi.org/10.1007/978-3-031-82102-8pubpu
Cultural self-orientalism and its impact on Turkey’s communication: From Kemalism to Islamism – A theoretical discussion of the country’s two ‘isms'
No full textItem is not available in this repository.Taner Doğan - ORCID: 0000-0003-0727-1455
https://orcid.org/0000-0003-0727-1455https://www.bloomsbury.com/uk/reframing-political-communication-and-media-practices-in-the-middle-east-and-north-africa-9780755653812/inpressinpres
The effectiveness of the Sierra Leone health sector’s response to COVID-19: a quantitative analysis
Full text linkFrom Springer Nature via Jisc Publications RouterHistory: received 2025-02-03, registration 2025-02-24, accepted 2025-02-24, epub 2025-03-12, online 2025-03-12, collection 2025-12-01Acknowledgements: The authors express their gratitude to the leadership of Oxford Policy Management and the Maintains Consortium for their guidance throughout this research project, with special thanks to Mrs. Fatu Yumkella, founder and managing director of Dalan Consultant, and the consortium’s managing partner.We also acknowledge the contributions of all IfD staff involved in the survey, particularly Bailah Molleh for survey programming, as well as Muallem Kamara and Alhaji Sawaneh for leading the data collection efforts.Publication status: PublishedSophie Witter - ORCID: 0000-0002-7656-6188 https://orcid.org/0000-0002-7656-6188Background: The COVID-19 pandemic posed significant challenges to health systems globally, particularly in low-resource settings like Sierra Leone. Understanding the effectiveness of leadership, health workforce performance, community engagement, and service delivery during the pandemic is critical for strengthening future pandemic, preparedness and response. Methods: A cross-sectional study was conducted with 303 respondents, including stakeholders from the Ministry of Health, district health management teams, and community health workers. Data were collected using structured questionnaires and analyzed to assess perceptions of leadership, workforce performance, community participation, and disruptions to health services. Results: Leadership and governance were rated as “effective” or “very effective” by 58% of respondents, with key challenges including inadequate communication, delays in resource mobilization, and limited transparency. The health workforce demonstrated strong commitment (62%), but gaps in infection prevention and control training (48%) and shortages of personal protective equipment (39%) were significant barriers. Community engagement was moderately effective, with 54% rating it as “effective” or “very effective.” However, low trust in the health sector and misinformation hindered compliance with preventive measures. Maternal and child health services were the most disrupted, but innovative approaches such as telemedicine and mobile health units were adopted to mitigate service interruptions. Conclusion: Sierra Leone’s COVID-19 response highlighted both achievements and challenges. While leadership structures, workforce dedication, and community health worker contributions were notable strengths, gaps in communication, resource availability, and community trust limited the overall effectiveness of the response. Strengthening communication channels, investing in workforce training and resources, and enhancing community engagement strategies are critical for improving preparedness and response in future health emergencies.pubpu
POS0283 EFFECT OF CUSTOMISED FOOT ORTHOSES ON PEAK PRESSURE AND PRESSURE TIME INTEGRALS IN CHILDREN WITH JUVENILE IDIOPATHIC ARTHRITIS: A RANDOMISED CLINICAL TRIAL
No full textFrom Elsevier via Jisc Publications RouterHistory: issued 2023-06-30, epub 2025-01-02Article version: AMPublication status: PublishedItem is not available in this repository.Background
Children with juvenile idiopathic arthritis (JIA) often exhibit joint symptoms in the lower limb. Prolonged joint disease may cause further physical and functional impairment, which can lead to significant disturbances in gait such as abnormal pressure distributions and sub-optimal peak plantar pressures [1-3]. Recent studies have shown that children with JIA compared to an age and sex matched cohort displayed significantly higher peak pressures (PP) in most areas of the plantar foot [2]. Research also showed that children with JIA are displaying elevated pressure time integrals (PTI), meaning they are spending higher amounts of time in the stance phase of gait and less in the swing phase and thus a less propulsive gait [2]. To our knowledge only one previous clinical trial has explored the effect of a mechanical intervention such as foot orthoses (FOs) to improve the distribution of peak plantar pressures in children with JIA [4].
Objectives
The aim of our randomised clinical trial is to further evaluate the effect of customised prefabricated FOs in improving PTI and PP in children with JIA.
Methods
A multicentre, parallel design, single-blinded randomised clinical trial was used to assess the impact of customised preformed FOs on plantar pressures in children with JIA. Children with a diagnosis of JIA, exhibiting lower limb symptoms and aged 5-18 were eligible. The trial group received a low-density full length, Slimflex Simple device which was customised chair side and the control group received a sham device. PP and PTI were used as the main gait outcomes and were measured using portable Tekscan gait analysis technology at baseline, 3 and 6 months. PP were measured using kilo pascals (kPa) and PTI measured kPa per seconds (kPa/s). Differences at each follow-up were assessed using the Wilcoxon rank sum test.
Results
A total of 66 participants were recruited. Customised prefabricated FOs were effective in altering plantar pressures in children with JIA versus a control device. Reductions of PP in the heel (baseline p=<0.001 (-104.33 kPa), 3-month p=0.004 (-126.16 kPa)), forefoot (baseline p=0.027 (-131.5 kPa)), 5th metatarsophalangeal joint (baseline p=0.007 (-37.17 kPa), 3-month p=0.001 (-69.5 kPa), 6-month p=0.016 (-50.91 kPa)) were statistically significant in favour of the trial group. These results were also positively correlated with PTI with the trial group spending less time and pressure on the heel, forefoot and rearfoot than the control. Finally, PP and PTI reductions were also associated with statistically significant increased midfoot contact with the trial device at baseline (29.84 kPa), 3 (24 kPa) and 6-month (43.75 kPa) data collections, showing that the trial intervention was successful in capturing the arch profile of participants and redistributing pressure. The trial intervention was safe and well accepted by participants, which is reflected in the high retention rate (92%).
Conclusion
Clinicians may prescribe customised prefabricated FOs in children with JIA to deflect pressure from painful joints and redistribute from high pressure areas such as the rearfoot and forefoot.
References
[1]Woolnough L, Pomputius A, Vincent HK. Juvenile idiopathic arthritis, gait characteristics and relation to function. Gait & Posture. 2021;85:38-54.
[2]Merker J, Hartmann M, Haas J-P, Schwirtz A. Combined three-dimensional gait and plantar pressure analyses detecting significant functional deficits in children with juvenile idiopathic arthritis. Gait & Posture. 2018;66:247-54.
[3]Hartmann M, Kreuzpointner F, Haefner R, Michels H, Schwirtz A, Haas J. Effects of juvenile idiopathic arthritis on kinematics and kinetics of the lower extremities call for consequences in physical activities recommendations. International journal of pediatrics. 2010;2010.
[4]Coda A, Fowlie PW, Davidson JE, Walsh J, Carline T, Santos D. Foot orthoses in children with juvenile idiopathic arthritis: a randomised controlled trial. Archives of Disease in Childhood. 2014;99(7):649-51.
Acknowledgements:
NIL.
Disclosure of Interests
None declared.pubpu
Talking About Teaching: The Value of Conversations
No full textHelen Donaghue - ORCID: 0000-0002-7227-7864
https://orcid.org/0000-0002-7227-7864Item is ot available in this repository.https://www.bloomsbury.com/uk/reclaiming-the-teaching-discourse-in-higher-education-9781350411487/inpressinpres
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