Search

Objective: To determine impact of undertaking an international educational program during a nurse's or midwife's pre-registration program on subsequent practice, focusing on how nurses and midwives were transformed personally through participation in such programs. Background: Participation in international educational programs has been reported to enhance nursing and midwifery students' personal and professional development, however long-term impacts remain unclear. This paper presents findings drawn from a larger grounded theory study. Study design and Methods: Charmaz's grounded theory methodology was used to elicit experiences from 13 general nurses, two mental health nurses, three midwives and four dual qualified nurse/midwives across eight different countries. Data analysis led to the creation of three categories, with this paper reporting on the category of Developing as a Person. Findings: Participation in international educational programs can be transformative for nurses and midwives with long-lasting impacts, contributing positively to their personal growth and development. Discussion: The study findings underscore significant long-term impacts of international educational programs for nurses and midwives. These outcomes highlight the importance of incorporating international experiences into healthcare education. Conclusion: By providing opportunities for healthcare professionals to engage with diverse settings and populations, organisations and educational institutions can foster the development of well-rounded and globally competent practitioners. Implications for research, policy, and practice: The study's findings hold significant implications for research, policy, and practice in healthcare education. To deepen our understandings, additional longitudinal research across diverse countries is warranted. Policymakers have an opportunity to acknowledge the positive impact of these programs on the personal growth and development of nurses and midwives, potentially leading to the integration of global competency requirements into licensure programs. In order to provide comprehensive education, educational institutions should consider the inclusion of study abroad opportunities, cultural exchanges, and global clinical placements within nursing and midwifery curricula. What is already known about the topic? • International educational programs are widely used as a way of developing nursing and midwifery students' cultural understandings. • Previous studies have reported on short-term impacts of international educational programs. What this paper adds: • Long-term impacts of participation in an international educational program on nurses and midwives are described. • Personal development and subsequent transformations occur for nurses and midwives as a result of participation in international educational programs. [ABSTRACT FROM AUTHOR]

Paternal incarceration (PI) is recognised as a severely stigmatising event that undermines social connections leaving affected children isolated and vulnerable. However, few studies have explored social group membership as a potential mediator of positive outcomes. This paper analysed data from two national contexts, Scotland and the United States, to examine the potential for social group membership in childhood to mediate the association between PI and child behavioural and emotional outcomes. Study 1 reported on cross‐sectional data from the Growing Up in Scotland dataset of children aged 12 years. Study 2 used longitudinal data from the Fragile Families cohort study (USA) of children aged 9 years and then 15 years. Children and parents completed measures of PI, children's group membership, as well as positive functioning. In Study 1, a mediated indirect effect of PI on prosocial behaviour via children's group membership was observed. In Study 2, children's reported social group membership mediated the effect of PI on positive adolescent functioning longitudinally. Whilst experiences of PI at age 9 were linked with lower group membership at age 15, group membership was associated with higher levels of positive adolescent functioning. This has implications for the support families receive when a parent is incarcerated to avoid children serving sentences for 'the sins of their fathers'. [ABSTRACT FROM AUTHOR]

This paper offers a nuanced perspective of two families' lockdown literacy journeys with their young children during the COVID 19 pandemic. We present informal home learning examples stimulated by play and by school-sanctioned synchronous and asynchronous activities from homes geographically miles apart yet close in terms of shared experience. In response to the catch-up and learning loss narrative which threatens to overshadow some of the positive learning experiences taking place at home, we redirect the 'catch-up' narrative towards a nuanced understanding of family learning at home by articulating the complexity of circumstance. Methodologically, drawing on Autoethnography, we present vignettes of lockdown life from Scotland and Michigan, USA. Throughout this paper we articulate challenges with the catch-up narrative and root our conclusions in the early childhood philosophy that learning extends beyond the mind to a whole body, holistic experience. [ABSTRACT FROM AUTHOR]

Schizophrenia is a global concern, and, this paper, describes the caring roles of health professionals who are mothers of adult children with schizophrenia. A thematic analysis of data from a doctoral study identified a blending of expertise into an informed care model. Caring roles included: constant carer; coordinator carer; watchful bystander carer; and life coach carer. Previous research has not explored these dual roles. This paper elucidates their responsive approaches and contributions to mothering and caregiving roles. Informed by a fusion of professional and mothering knowledges, their insights into mental health care have been forged by their experiences and is an untapped resource. [ABSTRACT FROM AUTHOR]

This paper analyses the role that different components of the academic strength of the secondary-school curriculum (i.e. number, subjects and grades of advanced academic courses) play in explaining social origin differences in access to prestigious universities (but also to other higher education institutions) in Scotland and the USA. A central aim of the paper is to investigate whether the mechanism behind the studied patterns of inequality differs depending on the characteristics of each educational system. Our results show pronounced social class gaps in entering top higher education institutions in both Scotland and the USA. Academic curriculum plays an important role in explaining these social class differences in both countries. However, while in Scotland type of subjects taken at an advanced level is the strongest mediator for the identified social class differences, in the USA, number of advanced subjects is the strongest. Moreover, taking into account the three academic components combined entirely explains the social class differences in Scotland. Considerable inequalities which are not explained by the strength of academic curriculum remain in the USA. [ABSTRACT FROM AUTHOR]

The purpose of this paper was to explore: (a) What stories do the Street Soccer players draw upon to construct meaning around their experiences of trauma, social exclusion, and homelessness? and (b) What stories are linked to the subjective sport programming experience and resulting future orientations? A longitudinal narrative approach was adopted with semi-structured interviews conducted with players from Scotland and the United States (n = 16, 7 female, 9 male, M age = 27.5) across three time points. Interviews were also conducted with significant others (n = 13) at time point three. All data were analyzed using thematic narrative analysis and represented in creative non-fiction approaches through three composite narratives. These narratives depicted visceral accounts of complex and developmental trauma, along with consequential experiences that unfolded before, during, and after the Homeless World Cup. While both preparing for and attending the event, players recalled concurrent feelings of anxiety and pride which manifested in various resilient and maladaptive coping behaviors. As the stories progressed, players battled a post event crash by engaging in support seeking and/or self-destructive behaviors before positive implications of the Homeless World Cup materialized. Through creative narrative approaches, this study presents novel and engaging accounts of players' experiences before, during, and after the event. We also identify potential safeguarding concerns that can be addressed through trauma-informed practices. • Novel stories exploring the lives of socially excluded and homeless people and their unique experiences in sport. • Composite narratives illuminate depictions of trauma, along with consequential experiences through the Homeless World Cup. • The universal post-event crash was observed in each story before varying resilient and support seeking behaviors prevailed. • Trauma-informed practices may ensure a safe transition between players' return home and positive future orientations. [ABSTRACT FROM AUTHOR]

Research into the role of place in shaping inequalities in health has focused largely on examining individual and/or localised drivers, often using a context-composition framing. Whilst this body of work has advanced considerably our understanding of the effects of local environments on health, and re-established an awareness of the importance of place for health, it has done so at the expense of marginalising and minimising the influences of macro political and economic structures on both place and health. In this paper, we argue that: (i) we need to scale up our analysis, moving beyond merely analysing local horizontal drivers to take wider, vertical structural factors into account; and (ii) if we are serious about reducing place-based health inequalities, such analysis needs be overtly linked to appropriate policy levers. Drawing on three case studies (the US mortality disadvantage, Scotland's excess mortality, and regional health divides in England and Germany) we outline the theoretical and empirical value of taking a more political economy approach to understanding geographical inequalities in health. We conclude by outlining the implications for future research and for efforts to influence policy from 'scaling up' geographical research into health inequalities. • Health-place research commonly examines focuses individual and/or localised drivers. • Health geography should 'scale up' analysis of health-place relationships. • Research needs to account for wider, vertical and structural factors. • Political economic approaches add value to insight on geographic health inequalities. • Considers the policy implications of taking a political economy approach. [ABSTRACT FROM AUTHOR]

• The Finnish Baby Box provides parents of newborns with a wide range of infant clothing and other basics. • The cardboard box in which the infant can sleep was emphasized by the media and commercial companies outside Finland. • The box preventing SIDS was advanced by private companies and the media. • This was less the case in Wales and Scotland, a result of their being governed by authorities with a "left" orientation. For over 80 years the Finnish state has provided expectant mothers with a cardboard box containing an extensive collection of clothing, bathing products for the baby, nappies, bedding and a small mattress. Numerous jurisdictions have implemented it in some form. We investigated through a critical case study methodology whether its translation into the liberal welfare states of Canada, UK, and USA experienced message distortion (the box as a means of preventing SIDS), commercialization, watering down of content; and separation from the complex of Finnish welfare state policies that support families with children. We find that only Scotland and Wales recognized the decommodification and equity roles played by the baby box. This study identified numerous barriers to building progressive public policy in Canada, UK, and USA: the structures and processes of the liberal welfare state, commercial interests that skew public policymaking and media logic that limits news reporting to the concrete and simple, eschewing complex analysis. [ABSTRACT FROM AUTHOR]

This paper aims to investigate the premise that community land trusts (CLTs) offer a method of delivering affordable housing that empowers local communities and provides democratic management of community assets. The paper provides a comparative analysis of CLT developments in England, Scotland and the USA, reviewing the policy and literature to identify two key approaches that underpin CLTs: an approach to property development that emphasises resale restrictions used to preserve housing use for the CLT's target clientele, and an approach to citizen governance that privileges local communities. The paper identifies a variation of practices that underpin the operation of CLTs in each country and uses the advanced developments in Scotland and the USA to illustrate some of the challenges that remain if the CLT sector in England is to continue its recent growth. [ABSTRACT FROM PUBLISHER]

This paper draws on findings from a research project funded by the Scottish Executive which analysed the gender balance in teaching and explored the underlying reasons for the decline in the number and proportion of men, particularly in secondary schools. As in other developed countries, such as Australia, the USA and Canada, the proportion of men entering teaching has declined fairly rapidly over a ten-year period. At a time when women are participating in paid work in greater numbers than ever before, their concentration in certain areas of work, particularly in the service sector and the 'caring' professions, is increasingly apparent. Despite the clarity of this trend, it is evident that responses from academics and policy-makers have been very different, with some policy-makers linking the declining proportion of men in teaching with the problem of boys' underachievement and a perceived 'crisis in masculinity', whilst some feminist writers have questioned these views, drawing on recent gender theory which questions the utility of the binary categories of 'man' and 'woman', instead suggesting that gender is performed and may have little to do with the body of the person who is involved in the particular performance. Sex and gender thus become decoupled, with the focus on individual actors freely choosing the version of gender they wish to practice. This line of argument suggests that the sex of the teacher is irrelevant; what really matters is the way in which they perform gender in the classroom. Work on the gender balance in teaching therefore provides an opportunity to reflect on underlying tensions in gender theorising and policy-making. The paper begins by considering tensions between modernist and post-structuralist accounts of sex and gender. Having outlined the underlying theoretical tensions, it then goes on to consider the accounts given by teachers and students of the reasons for their own choice of teaching as a career, their experiences in teaching and their views of the reasons underlying the declining proportion of men in teaching. The aim is to consider whether students and teachers believe that sex is an important variable structuring their lives, including their decision to become a teacher and their experiences of working as a teacher, or whether they regard gender as something which is chosen from a wide repertoire of options and is relatively free from the constraints of embodiment. In relation to research on the gender balance in teaching, the paper concludes by suggesting that there is a need to make use of the idea of gender as performance, whilst at the same time holding on to the foundational concepts of 'woman' and 'man'. This is necessary to monitor and understand the career paths and underlying power relations of women and men in teaching and to transform these over time. [ABSTRACT FROM AUTHOR]

The study of socio-economic inequalities from a cross-national perspective has been hampered by the lack of adequate common indices of socioeconomic status that can be used in a self-report survey instrument. This paper examines the construction and the properties of global social indexes in general, and of the Family Affluence Scale (henceforth FAS) in particular. The paper proposes a new strategy for making comparisons of the global index with stratified data, building a revised FAS based on Adapted Canonical Variate Analysis (henceforth ACVA). This alternative strategy for constructing a global index is available in standard software, and the new proposal for stratified data only requires a simple program, which is justified, explained and provided in the text. Data come from the 1998 Health Behaviour in School-Aged Children (HBSC), a WHO Cross-National Study using cluster sampling of schoolchildren from five countries: Denmark, Latvia, Portugal, Scotland and the USA. The results reveal that in every country we would have had a completely different evaluation of the three indicators of Family Affluence if we had used either linear or non linear approaches to compute the global indexes. Moreover, Family Affluence comparisons among countries shows that the relative contribution of the three indicators to the overall FAS, changes from country to country. We conclude that separate indicators of Family Affluence are not equally relevant in each country and, as a consequence, do not contribute equally to the global index. For cross-cultural studies, the strategy for constructing an index should be country specific. The methodological developments presented in the paper open up opportunities to study socio-economic patterning of health among young people in the developed world, since self completed surveys can now employ a common measure of family material wealth. The findings show that the RFAS (Revised FAS) is a useful index of socio-economic status for use in national and cross-national surveys of adolescent health and health behaviour. The new strategy for weighing observed indicators in the index gives it enhanced power to detect inequalities. [ABSTRACT FROM AUTHOR]

This paper examines Reformed clergy across two different settings - the United States and Scotland in an effort to determine how theological orthodoxy is related to political participation. The paper demonstrates that (1) clergy in both settings tend to be politically active (2) the level of clergy political activity tends to be greater in the United States than in Scotland (3) the relationship between orthodoxy and political activity is complex, varying by the specific type of activity examined and (4) while theological orthodoxy and modernist clergy tend to differ in the nature of their political activities, there is no longer a major "gap" in level of political activity between the two groups of ministers. [ABSTRACT FROM AUTHOR]

With an aging global population, the number of dementia cases is growing exponentially. To address the upcoming dementia crisis, the World Health Organization and Alzheimer's Disease International (2012) collaborated on an extensive report, Dementia: A Public Health Priority. In the United Kingdom, Prime Minster David Cameron initiated a national challenge on dementia, forming 3 dementia challenge champion groups aimed at improving health and care, creating dementia-friendly communities, and promoting dementia research. In the U.S., President Obama signed the National Alzheimer's Project Act, which led to the formation of the Advisory Council on Alzheimer's Research, Care, and Services and the launch of the first National Plan to Address Alzheimer's Disease. The term "dementia capable" was introduced in the 2012 Recommendations of the Public Members of the Advisory Council and has since been adopted in both the recommendations and annual updates of the national plan. This paper will first compare and contrast government usage of the concepts dementia friendly and dementia capable, along with another valuable concept, dementia positive, that was added after reviewing the literature. Finally, a new vision statement for the U.S.' national plan will be proposed and recommendations incorporating these 3 concepts in policy, research, and practice will be made. [ABSTRACT FROM AUTHOR]

To identify the patient classification systems used to classify nursing intensity in the assessment of nursing staffing resources currently used in home health care, with a special emphasis on validity, reliability and staff allocation. Scoping review of internationally published and grey literature, based on a methodological framework by Arksey and O'Malley. Searches of the electronic databases Cinahl, Medline, Embase and SweMed, the websites Google and Google Scholar and hand searches of reference lists occurred. Eligibility criteria included (A) a focus on patient classification systems measuring nursing intensity and workload in home health care and (B) published in English between January 2007 and March 2019. In level one testing two team members screened titles and abstracts, in level two testing two team members determined which papers should undergo a full text review. Data were extracted using structured extraction by one team member and verified by two other members. Thirteen peer-reviewed articles and grey literature documents were identified, from Canada, Ireland, the UK, the USA, Scotland, Turkey and the Netherlands. Four patient classification systems had been tested for both validity and reliability. Validity was tested through face validity, predictive validity, concurrent validity or content validity index. Reliability was tested through stability, internal consistency, observer agreement or inter rater reliability. One patient classification system had been tested only for reliability, through interrater reliability and observer agreement. Two patient classification systems had been evaluated through summative evaluation; one qualitatively through focus group interviews and one through semi-structured interviews. Only one patient classification system had been validity and reliability tested and evaluated. Overall, the patient classification systems in the included papers (13) were considered to have benefits and to be appropriate for the measurement of patients' needs, workload and allocation of staff, although specific information was not always given. Little has been published on validity or reliability tested patient classification systems linked to staffing allocation in home health care in the past decade. Limited research was seen where a patient classification system was considered to be fully operational in home health care. [ABSTRACT FROM AUTHOR]

In 2007 the Scottish Government introduced an outcomes based approach to culture set within a National Performance Framework. One of the main data sources to measure “culture” in Scotland is the Scottish Household Survey (SHS). In this article, the SHS and its “Culture and Sport” Module are explored to show how useful the data is within the Scottish Government's economic agenda. This way, the paper reflects on the usefulness of the main data source used to understand cultural activity within Scotland. There are general difficulties measuring “culture”, but overall the SHS provides adequate national data for Scotland on cultural participation and attendance. However, the SHS cannot provide in-depth local level information and provides limited data on non-participants. Other surveys in Scotland and England give some example practices that could be incorporated to improve survey outcomes. Overall, the SHS is a useful policy tool but more could be done to utilise the data it can provide on the Scottish cultural sector. [ABSTRACT FROM PUBLISHER]

This paper describes the relationship that exists between Scotland and its diaspora and the ways in which this has changed since the advent of devolution. Based on interviews carried out primarily in the United States, it explores how members of the diaspora have adopted a less historical and sentimental approach to their ‘homeland’ and are increasingly knowledgeable about Scottish constitutional change. In part this has resulted from the growth of the internet and the ease of finding out about developments in Scotland itself, as well as the greater ease and affordability of travel back to Scotland. But, most importantly, the existence of a government in Edinburgh has allowed Scottish politicians and organizations to engage with the diaspora in events such as Tartan Day, in a way in which London-based politicians were never likely to do. Tourist developments promoted by the Scottish government, such as the Year of Homecoming in 2009, have also been highly significant. Thus links between Scotland and its diaspora have been changed and strengthened in various ways. [ABSTRACT FROM PUBLISHER]

The integration of learning is a central goal for all professions. The question of how to bridge the gap between theory and practice, and between the classroom and the field, is one which has preoccupied social work education since its very beginnings in universities in the United Kingdom and the United States in the early twentieth century. Between 2003 and 2005, the Scottish Institute for Excellence in Social Work Education funded a project which piloted a new approach to the integration of learning for practice. This paper reports on the findings of that project, and suggests ways of taking its findings forward in the future. [ABSTRACT FROM AUTHOR]

We have been reminded many times in the medical and lay press about the views of London female obstetricians choosing elective caesarean section for non-medical reasons. This paper asked Scottish female obstetricians for their personal choice regarding delivery and showed that only 15·5% would choose elective caesarean section compared with 31% and 21% in two surveys of London female obstetricians. None of the women in this group who had had a vaginal delivery would choose elective section. [ABSTRACT FROM AUTHOR]

The aim of this paper is to argue that part of this dilemma results from the abandonment of the concepts of rle. Its reinstatement, in suitably modified ways, may provide that sense of form which is missing from much interactionist writing. The argument is based upon a study of professional-client interaction in various medical settings in Scotland and the United States.[2] The study was not undertaken in search of rles, indeed it was initially assumed that these, like the unicorn, would never be seen again. Nevertheless, only the. [ABSTRACT FROM AUTHOR]

This paper presents a comparison of prescribing habits for patients hospitalized in medical wards of university hospitals in America and Scotland. American patients received almost twice as many drugs both during and prior to hospitalization than did comparable Scots. The differences between the countries were consistent for symptomatic and for more specific therapies. As compared to Scotland, drug therapy in America costs patients more in terms of financial outlay and adverse drug effects. The data do not permit evaluation of the relative benefits to the patients of the different quantities or types of drug used for similar circumstances in these countries. [ABSTRACT FROM AUTHOR]

The article discusses the 15th International Philosophy of Nursing (IPONS) Conference held on 25–28 August 2011, at the West Park Centre in Dundee, Scotland. Several speakers at the conference included professor Sam Porter, Queen's University, Belfast, Peter Allmark, of Sheffield Hallam University and Robert Newsom from Guildford Technical Community College in North Carolina. Several papers presented at the conference focused on the theme of 'Healthcare and the Politics of Austerity.'

The author reflects on the recognition and disregard of the significance of Scottish philosophy to the intellectual history of the U.S. One example of a paper that recognizes the role of Scottish philosophy is a study of U.S. inheritance from the Scottish philosophical tradition by Scott Philip Segrest in 2010. He acknowledges uncertainty over the exact relationship between Scottish philosophy and the U.S. He expresses his hope that an essay by Brad Bow will bring awareness of the issue.

The article reports that a paper published in a 2005 issue of the "Environmental Science and Technology" which revealed high levels of arsenic in U.S. rice has attracted a strong criticism from the USA Rice Federation. The article from corresponding author Andrew Meharg of the University of Aberdeen has shown that seven samples of U.S. rice bought in supermarkets in Aberdeen, Scotland, had an average of 0.26 µg As/g of rice. The federation countered that the sample numbers used in the study were too small and that its own data indicate much lower arsenic concentrations.

Offers medical news briefs for four research papers that were published in JAMA or Lancet during 2005. Researchers found that erectile dysfunction could be a signal for cardiovascular disease in American men. Proton pump inhibitors and H2 receptor antagonists are being linked to the increased incidence of Clostridium difficile infections in the United Kingdom. A study on dementia found that it is a global problem that will aflict 81 million people by 2040. A study in Scotland found that sudden infant death syndrome is associated with complications in other pregnancies.