17 results
Search Results
2. Public health approaches to youth involvement in violence: Examining stakeholders' perspectives in Australia and the United Kingdom.
- Author
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Klose, Hannah and Gordon, Faith
- Subjects
PUBLIC health ,VIOLENCE ,STAKEHOLDERS - Abstract
Australia and the United Kingdom (UK) have each witnessed a 'punitive turn' in relation to youth justice responses. A lack of contextualisation, such as the impact of trauma and adverse childhood experiences on young people, is often overlooked by media outlets, governments and policymakers, in favour of individual pathologisation of young people. In direct contrast to these punitive responses, the public health approach (PHA) has emerged particularly in the UK; and it identifies experiences of trauma as one of the leading causes of violence within communities. Drawing on the perspectives of those working with children and young people, we critically explore whether the implementation of a PHA could be an effective approach to addressing the underlying causes of young people's involvement in violence. The paper focuses specifically on a case study of the youth justice system in Victoria, Australia and draws on domestic and global perspectives of key stakeholders, to consider whether the introduction of a PHA in Victoria, Australia, would position young people's diverse needs at the centre of policy change in youth justice and better outcomes for young people and communities. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
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3. Financial distressed companies and directors' obligation to consider creditors' interests: An Anglo-Australian comparison of the obligation's trigger and application.
- Author
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Keay, Andrew and Lombard, Sulette
- Subjects
- *
JUDGE-made law , *CORPORATE directors , *OBLIGATIONS (Law) , *DEBTOR & creditor , *COMMON law , *JURISPRUDENCE - Abstract
Many common law jurisdictions recognise that directors have an obligation to consider the interests of company creditors when the company is experiencing financial distress. Despite numerous cases attempting to crystalise legal principles related to this obligation and significant academic commentary on the topic, the parameters of the obligation remain uncertain. This paper provides an analytical comparison of the latest case law in Australia and the UK concerning the two most important issues that exist in relation to this obligation, namely when is the obligation triggered and what do directors have to do to ensure that they comply with the obligation. We found that the UK courts appear to be adopting a much more restrictive approach regarding the trigger for the obligation, whereas the obligation may arise much earlier in Australia, due to the liberal framing of the trigger. An analysis of case law also revealed that the weight attached to the interests of creditors once the obligation is triggered seems to be much more significant in the UK, compared to Australia. This analysis is important as there is no doubt that courts in other common law jurisdictions, and particularly in the Commonwealth, will examine the Australian and UK jurisprudence in making their decisions in relation to any claim that directors have failed to comply with the obligation to consider the interests of creditors. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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4. Ethical considerations and dilemmas for the researcher and for families in home-based research: A case for situated ethics.
- Author
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Palaiologou, Ioanna and Brown, Alice
- Subjects
FAMILY research ,RESEARCH ethics ,RESEARCH personnel ,ETHICAL problems ,CODES of ethics ,ETHICS ,IDEA (Philosophy) - Abstract
When researching with or about families in home-based research, there are numerous unexpected ethical issues that can emerge, particularly in qualitative research. This paper is based on reflective accounts of four homed-based research projects, two in the UK and two Australia, which examined ethical dilemmas identified when engaged in home-based research with young children. Using a synergy of ecocultural theory and Foucauldian ideas of Heterotopia as theoretical conceptualisations, the authors employed reflective lenses to guide their approach, and examine dilemmas and complexities when conducting research in the home. We argue that, to address ethical dilemmas, researchers need to problematise and reflect upon the nature of respectful approaches and the ethical implications of their behaviours. We conclude that, although ethical codes are valuable when researching families at home, researchers should plan for and forefront their methodological approaches in ways that are family-centred, whilst also framed by practices that are ethical, respectful and reflective to the situated contexts of family's ecologies and heterotopias. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
5. Nurse Migration in Australia, Germany, and the UK: A Rapid Evidence Assessment of Empirical Research Involving Migrant Nurses.
- Author
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Smith, Jamie B, Herinek, Doreen, Woodward-Kron, Robyn, and Ewers, Michael
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LABOR mobility ,CINAHL database ,MEDICAL databases ,ONLINE information services ,MEDICAL information storage & retrieval systems ,SYSTEMATIC reviews ,MIGRANT labor ,FOREIGN nurses ,LABOR supply ,NURSE supply & demand ,PSYCHOSOCIAL factors ,QUALITY assurance ,DESCRIPTIVE statistics ,RESEARCH funding ,MEDLINE ,GREY literature - Abstract
Forecasts predict a growing shortage of skilled nursing staff in countries worldwide. Nurse migration is already a common strategy used to address nursing workforce needs. Germany, the UK, and Australia are reviewed here as examples of destination countries for nurse migrants. Agreements exist between countries to facilitate nurse migration; however, it is not evident how nurse migrants have contributed to data on which these arrangements are based. We examined existing primary research on nurse migration, including educational needs and initiatives to support policymakers', stakeholders', and health professions educators' decisions on measures for ethical and sustainable nurse migration. We conducted a rapid evidence assessment to review available empirical research data which involved, was developed with, or considered migrant nurses to address the research question: what are the findings of research that directly involves migrant nurses in producing primary research data? A total of 56 papers were included. Four main themes were identified in this research data: Research does not clearly define what is meant by the term migrant nurses; discrimination is often reported by migrant nurses; language and communication competencies are important; and structured integration programs are highly valued by migrant nurses and destination healthcare employers. Migrant nurses continue to experience discrimination and reduced career opportunities and therefore should be included in research about them to better inform policy. Structured integration programs can improve the experience of migrant nurses by providing language support (if necessary), a country-specific bridging program and help with organisational hurdles. Not only researching migrant nurses but making them active partners in research is of great importance for successful, ethical, and sustainable migration policies. A broader evidence base, especially with regard to the views and experiences of migrant nurses and their educational support needs, should be promoted to make future immigration policy more needs-based, sustainable and ethically acceptable. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
6. Comparative moral economies of crisis.
- Author
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Manning, Benjamin and Browne, Craig
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CORONAVIRUS diseases ,CRISIS management ,ECONOMICS & ethics ,COMPARATIVE sociology - Abstract
At times of crisis, existing institutional arrangements of societies are thrown into question. Crises that occur in multiple societies simultaneously present rare opportunities for comparative empirical analysis. Social theory can reveal the framing conditions of the responses to crises and the sources of variations between them. This paper compares the immediate responses of the Australian, UK and US governments to the global COVID-19 pandemic, particularly with regard to financing lockdowns, and points out significant differences between the three approaches. Drawing on Polanyi's method of institutional analysis, we compare the responses of these same national groups to an earlier crisis, the Japanese prisoner of war camps during the Second World War, to show similar patterns of integration recurring eight decades apart. This analysis shows that aspects of moral economies that are not usually apparent can become pronounced during crises, and points to the importance of enduring social imaginaries. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
7. Taking "Thanks" for Granted: A Cross-Cultural Exploration of Gratitude in the UK and Australia.
- Author
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Morgan, Blaire, Gulliford, Liz, and Waters, Lea
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CULTURAL pluralism ,EMOTIONS - Abstract
Examinations of the influence of culture on how gratitude is experienced are sparse, as are studies that simultaneously explore developmental differences in understandings of gratitude. This paper presents three studies that examine whether perceptions and experiences of gratitude differ across children, adolescents and adults in two individualistic, WEIRD and Commonwealth cultures—Australia and the UK. Studies 1a (N = 88, ages 17–39) and 1b (N = 77, ages 17–25) provide initial insights into "features of gratitude" in Australia through two stages of a prototype analysis. These features are compared to a previous prototype study of gratitude in the UK, alongside a further comparison to the US. Study 2 employs vignettes to examine how perceptions of the benefactor, benefit and mixed emotions influence the degree of gratitude experienced across adolescents and adults in Australia (N = 1937, ages 11–85), with a comparison to the UK (N = 398, ages 12–65). In Study 3, factors examined in Study 2 are adapted into accessible story workbooks for younger children (Australia N =135, ages 9–11; UK N =62, ages 9–11). Results across these studies demonstrate similarities and differences in understandings and experiences of gratitude across cultures. While adults across Australia and the UK responded similarly to gratitude scenarios, cross-cultural differences are observed between children and adolescents in these two countries. Developmental differences are noted in relation to more sophisticated reasoning around gratitude, such as recognition of ulterior motives. These findings highlight the need for gratitude research and interventions to be cross-culturally, and developmentally, responsive. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
8. Tenure transitions at the edges of ownership: Reinforcing or challenging the status quo?
- Author
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Ong ViforJ, Rachel, Clark, William A.V., Smith, Susan J., A. Wood, Gavin, Lisowski, William, Truong, N.T. Khuong, and Cigdem, Melek
- Subjects
HOME ownership ,RENTAL housing ,LANDLORD-tenant relations ,ECONOMIC equilibrium ,GLOBAL Financial Crisis, 2008-2009 - Abstract
This paper provides an empirical overview of housing tenure transitions in Australia, the UK and the USA during a period of unprecedented economic instability in 2001–2017. Focusing on the neglected theme of episodic homeownership, we profile those who straddle the tenure divide by moving into and out of renting from time to time. Using panel data we model this 'churn' in three jurisdictions, showing that even the dislocation of a global financial crisis does not eclipse the independent impact of life events during rental spells. We find that whatever individuals bring from prior ownership, shocks occurring during a rental spell – unemployment, loss of a partner, additional dependent children – can be sufficient to prevent return. Churning is also health- and age-selective, adding 'drop-out' among the old to 'lock-out' for the young as a policy concern. Even those who successfully regain owner-occupation increase their credit and investment risks without necessarily improving their housing position. Overall 'churners' are a diverse constituency whose life chances are powerfully shaped by episodic ownership: what they share is time spent in an unacknowledged, under-instituted space between tenures where there is latent demand for innovative financial services and untapped potential for radical policy shifts. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
9. The barriers and enablers to accessing sexual health and sexual well-being services for midlife women (aged 40–65 years) in high-income countries: A mixed-methods systematic review.
- Author
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Simmons, Kiersten, Llewellyn, Carrie, Bremner, Stephen, Gilleece, Yvonne, Norcross, Claire, and Iwuji, Collins
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HEALTH services accessibility ,HEALTH literacy ,SUPPORT groups ,ENDOWMENTS ,MEDICAL care ,DEVELOPED countries ,AFFINITY groups ,NONBINARY people ,SYSTEMATIC reviews ,MEDLINE ,THEMATIC analysis ,WOMEN'S health ,ONLINE information services ,TRANS women ,INTERPERSONAL relations ,SEXUAL health ,PSYCHOLOGY information storage & retrieval systems ,SOCIAL stigma ,INTERGENERATIONAL relations ,HEALTH care teams ,INTEGRATED health care delivery - Abstract
Midlife, beginning at 40 years and extending to 65 years, a range that encompasses the late reproductive to late menopausal stages, is a unique time in women's lives, when hormonal and physical changes are often accompanied by psychological and social evolution. Access to sexual health and sexual well-being (SHSW) services, which include the prevention and management of sexually transmitted infections, contraception and the support of sexual function, pleasure and safety, is important for the health of midlife women, their relationships and community cohesion. The objective was to use the socio-ecological model to synthesise the barriers and enablers to SHSW services for midlife women in high-income countries. A systematic review of the enablers and barriers to women (including trans-gender and non-binary people) aged 40–65 years accessing SHSW services in high-income countries was undertaken. Four databases (PubMed, PsycINFO, Web of Science and Google Scholar) were searched for peer-reviewed publications. Findings were thematically extracted and reported in a narrative synthesis. Eighty-one studies were included; a minority specifically set out to study SHSW care for midlife women. The key barriers that emerged were the intersecting disadvantage of under-served groups, poor knowledge, about SHSW, and SHSW services, among women and their healthcare professionals (HCPs), and the over-arching effect of stigma, social connections and psychological factors on access to care. Enablers included intergenerational learning, interdisciplinary and one-stop women-only services, integration of SHSW into other services, peer support programmes, representation of minoritised midlife women working in SHSW, local and free facilities and financial incentives to access services for under-served groups. Efforts are needed to enhance education about SHSW and related services among midlife women and their healthcare providers. This increased education should be leveraged to improve research, public health messaging, interventions, policy development and access to comprehensive services, especially for midlife women from underserved groups. Plain language summary: Sexual health and sexual wellbeing services for midlife women in high income countries Midlife, beginning at 40 years and extending to 65 years, a range that encompasses the late reproductive to late menopausal stages, is a unique time in women's lives. Access to Sexual Health and Sexual Wellbeing (SHSW) services, which include the prevention and management of sexually transmitted infections, contraception and the support of sexual function, pleasure and safety, is important for the health of midlife women, their relationships and community cohesion. The objective of this systematic review was to use the socio-ecological model to synthesise the barriers and enablers to SHSW services for midlife women in high income countries. Eighty-one studies were included; a minority specifically set out to study SHSW care for midlife women. The key barriers that emerged were the intersecting disadvantage of under-served groups, poor knowledge, about SHSW, and SHSW services, among women and their HealthCare Professionals (HCPs), and the over-arching effect of stigma, social connections, and psychological factors on access to care. Enablers included intergenerational learning, interdisciplinary and one-stop women-only services, integration of SHSW into other services, peer support programmes, representation of minoritised midlife women working in SHSW, local and free facilities, and financial incentives for under-served groups to access services. The appetite for education about SHSW and SHSW services among midlife women and their HCPs should be capitalised upon, and utilised to improve research, public health messaging, interventions and access to holistic services, particularly for midlife women from under-served groups. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
10. Legal controls of terms of insurance contracts in Nigeria: A comparative analysis.
- Author
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Anifalaje, Kehinde
- Subjects
- *
INSURANCE , *INSURANCE policies , *COMMON law - Abstract
Conditions and warranties, which are generally referred to as policy terms in insurance contracts, are crucial in the determination of the rights and obligations of the contracting parties. The article examines the enforcement of policy terms in insurance contracts at common law and the legislative measures that have been deployed in some common law countries, including Nigeria, the United Kingdom and Australia, to ensure fairness as well as to balance the inequality in the bargaining power of the contracting parties. In as much as the principle of freedom of contract will generally be honoured by the court, the paper argues that through legislative intervention in policy terms in these countries, the principle is being discountenanced with, in appropriate cases, in order to effectuate the just and reasonable expectation of the insured. It concludes by proffering suggestions to identified lacunae in the Nigerian Insurance law. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
11. A scoping review of the use of creative activities in stroke rehabilitation.
- Author
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Liu, Shuang, Huang, XianYi, Liu, Yan, Yue, Jie, Li, Yu, and Chen, Li
- Subjects
PHYSIOLOGY of the anatomical extremities ,ONLINE information services ,MEDICAL databases ,CINAHL database ,WELL-being ,MEDICAL information storage & retrieval systems ,SYSTEMATIC reviews ,CONVALESCENCE ,FUNCTIONAL status ,CREATIVE ability ,OCCUPATIONAL therapy ,TREATMENT effectiveness ,STROKE rehabilitation ,ART therapy ,STROKE patients ,QUALITY of life ,RESEARCH funding ,LITERATURE reviews ,MEDLINE ,MOTOR ability - Abstract
Objective: Clarifying the distinctions between art-based creative activities in the domains of occupational therapy and art therapy in the context of stroke rehabilitation, while also describing the effects of art-based creative activities on stroke rehabilitation. Design: Scoping review. Data source: A systematic search was performed in nine databases (Web of Science, PubMed, EMBASE, Cochrane Library, CINAHL and four Chinese database) from their inception to December 2023. Review methods: The study included randomized and non-randomized controlled trials involving art-based creative activities, as well as qualitative research providing detailed intervention measures. The study focused on stroke patients, with primary outcomes related to patients' physiological recovery, psychological well-being, ADL, etc. Data extraction included information on intervention strategies and study results. Results: Seventeen studies were included, extracting six similarities and differences in creative activity between two domains. Creative activities were observed to have positive impacts on daily living activities, limb motor function, fine motor ability, and emotional well-being in stroke patients. Conclusion: Creative activities, whether in occupational therapy or art therapy, involve providing participants with tangible crafting materials for the creation of artistic works. Future stroke rehabilitation practices should tailor activities and intervention focus based on patients' rehabilitation needs, preferences, and cultural background. The current comprehensive analysis provides initial support for the potential positive role of creative activities in stroke rehabilitation, but further in-depth research is needed to confirm their effectiveness. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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12. How good are we at reporting the socioeconomic position, ethnicity, race, religion and main language of research participants? A review of the quality of reporting in palliative care intervention studies.
- Author
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Selvakumaran, Keerthika, Sleeman, Katherine E, and Davies, Joanna M
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ETHNIC groups ,LANGUAGE & languages ,PALLIATIVE treatment ,HUMAN research subjects ,DESCRIPTIVE statistics ,EXPERIMENTAL design ,RELIGION ,DATA quality ,REPORT writing ,PSYCHOSOCIAL factors ,SOCIAL classes ,CULTURAL pluralism - Abstract
The article focuses on evaluating the quality of reporting in palliative and end-of-life care intervention studies regarding social characteristics like socioeconomic position, race, religion, and main language of participants. Topics include the findings that a significant proportion of studies do not report these characteristics adequately, with a tendency to use broad categories that may not capture the diversity of participants, hindering efforts to address inequalities in palliative care.
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- 2024
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13. Why Social Enterprises Resist or Collectively Improve Impact Assessment: The Role of Prior Organizational Experience and "Impact Lock-In".
- Author
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Ormiston, Jarrod
- Subjects
SOCIAL enterprises ,ORGANIZATIONAL response ,SOCIAL impact assessment ,INVESTORS ,SOCIETAL reaction - Abstract
This article examines how organizational experience influences social enterprise responses to impact assessment practices. Limited attention has been paid to why organizations resist or challenge impact assessment practices or how prior experience with impact assessment may shape organizational responses. The study draws on interviews with practitioners involved in social enterprise–impact investor dyads in Australia and the United Kingdom. The findings reveal that social enterprises enact either combative or collaborative responses in their relationships with impact investors based on past experiences with impact assessment. The study shows how more experienced social enterprises reach a state of impact lock-in —where they become committed to particular approaches to understanding, measuring, and reporting impact. The article contributes to the literature on impact assessment and impact investment by showing how organizational experience shapes divergent reactions to the demands imposed by impact investors, creating complementary forces of institutionalization and contestation of impact assessment practice. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
14. Supermarket tribes and the temple of Aldi: A comparison between the UK and Australia.
- Author
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Spanjaard, Daniela and Freeman, Lynne
- Subjects
CONSUMER behavior ,SUPERMARKETS ,HOUSE brands ,GROCERY shopping ,TRIBES ,TEMPLES ,CONSUMERS - Abstract
This research began as an investigation into consumer responses to the increasing number of supermarket own brands appearing in the grocery aisles of Australia when compared with the United Kingdom (UK) where retailer brands tend to dominate. Where the study ended was with the revelation of consumer 'supermarket tribes' and that this connectedness is linked to the consumption space as a way to endorse a lifestyle. We propose that the significance of spatial structure to ordinary practices, such as grocery shopping, may have been previously overlooked due to assumptions around its relative unimportance, when in fact this activity makes a valuable contribution to the culture of consumption. People do not always make economically rational decisions and instead support cultural theories that their lives are fashioned around the consumption experience, which ultimately contributes to their multiple realities. This study reveals that these realities can be made up of a series of fleeting moments as part of a grocery shop from which a perceived uniqueness, or not, is formed, and this is influenced by different market offerings. This was an unexpected outcome. Using a mix of focus groups and ethnographic data, we uncovered the presence of consumer tribes within the UK market, but which were not replicated in Australia. The exception to this was Aldi, where Australian shoppers revealed higher devotion to the store. This article contributes to theory by investigating the presence of consumer tribes for supermarket retailers where the number of different stores, and the type of customer interactions influence the likelihood of such a phenomenon to occur. This is a departure from the conventional retailer perspective and recognising this change to consumer expectations and consumption is important for retailer growth and improved market presence. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
15. Child Sexual Abuse Prevention: Parental Discussion, Protective Practices and Attitudes.
- Author
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Rudolph, Julia I., Walsh, Kerryann, Shanley, Dianne C., and Zimmer-Gembeck, Melanie J.
- Subjects
PREVENTION of cyberbullying ,PREVENTION of child sexual abuse ,CHILD sexual abuse risk factors ,EDUCATION of parents ,HEALTH behavior in children ,DISCUSSION ,CHILD sexual abuse ,SUBSTANCE abuse ,SEX offenders ,CONFIDENCE intervals ,HUMAN sexuality ,PORNOGRAPHY ,SOCIAL media ,ATTITUDE (Psychology) ,PUBERTY ,PATIENTS' attitudes ,CHILDREN'S accident prevention ,SCREEN time ,SAFE sex ,RISK perception ,RESEARCH funding ,FACTOR analysis ,ONLINE social networks ,DESCRIPTIVE statistics ,PARENT-child relationships - Abstract
Understanding parental practices and attitudes regarding child sexual abuse (CSA) prevention could be used to improve CSA prevention, but little information is available. In this study, we summarise survey data collected from 248 Australian and UK parents (87% female) with at least one child aged 6-11 years (M = 8.6, SD = 1.8). This is the first study to quantify parental use of protective practices, other than prevention education, which may guard against CSA. Parental media mediation, which may safeguard against online dangers, was another unique focus of this study. Participants reported their discussion of sensitive topics with their children including CSA; behaviors that may reduce the incidence of CSA (e.g., monitoring, supervision, delegation of care and checking-in with the child); mediation of their child's media use; and attitudes towards CSA prevention education. Parents reported discussing sexual abuse less than other sensitive topics such as abduction dangers, drugs, and death but more than issues surrounding puberty, sex and pornography. Parents reported using high levels of protective behaviours, however some areas of concern were revealed. Of concern was the low-moderate level of parental media mediation, with substantial numbers of children potentially exposed to online risks such as using devices unsupervised in bedrooms or chatting to individuals unknown to their parents and not having their devices checked for concerning content. Almost all parents were supportive of CSA prevention education and felt they should provide this education. However, two-thirds of parents thought CSA education may be associated with harms for the child and two-thirds of parents believed children could prevent their own abuse. Reported results will aid in our understanding of which areas of parenting could be strengthened to create safer environments for children. This research has particularly highlighted the need for parents to be more protective around their children's access to online devices. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
16. Managing post-stroke fatigue: A qualitative study to explore multifaceted clinical perspectives.
- Author
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Drummond, Avril, Nouri, Fiona, Ablewhite, Joanne, Condon, Laura, das Nair, Roshan, Jones, Amanda, Jones, Fiona, Sprigg, Nikola, and Thomas, Shirley
- Subjects
PROFESSIONAL practice ,TEAMS in the workplace ,STROKE ,NURSES' attitudes ,ATTITUDES of medical personnel ,WORK ,RESEARCH methodology ,EVIDENCE-based medicine ,INTERVIEWING ,PSYCHOLOGISTS ,FAMILIES ,VISUAL analog scale ,QUALITATIVE research ,HUMAN services programs ,EXPERIENTIAL learning ,RESEARCH funding ,HOSPITAL nursing staff ,EXERCISE ,FATIGUE (Physiology) ,JUDGMENT sampling ,THEMATIC analysis ,DATA analysis software ,PSYCHOLOGICAL adaptation ,PATIENT education ,DISEASE management ,OCCUPATIONAL therapists ,PHYSICAL therapists' attitudes ,DISEASE complications - Abstract
Introduction: Post-stroke fatigue (PSF) is common and debilitating. However, while its effective management is a priority for clinicians and stroke survivors, there remains little evidence to provide guidance or underpin practice. Our aim, therefore, was to gain insights into the experiences of clinicians who routinely manage patients with fatigue. Method: Qualitative interview study. The target was to recruit a purposeful sample of approximately 20 participants with expertise in managing PSF and fatigue arising from other conditions. Maximum variation sampling was used to ensure a balance of participants across different settings. Data were analysed using a framework approach, iteratively developed and refined by including emergent themes. Results: We recruited 20 participants: nine occupational therapists (OTs), five physiotherapists, three nurses and three psychologists, which included three 'fatigue experts' from Europe and Australia. Analysis generated core themes around management and strategies used; these were similar regardless of professional background, clinical or geographical setting or condition treated. OTs felt a particular responsibility for fatigue management, although multidisciplinary teamwork was stressed by all. Conclusion: There are clear similarities in clinicians' experiences of managing PSF and fatigue across different conditions and also across professional groups. Clinicians rely predominantly on their own clinical knowledge for guidance. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
17. Lived experience in people with inflammatory bowel disease and comorbid anxiety and depression in the United Kingdom and Australia.
- Author
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Mikocka-Walus, Antonina, Hanlon, Inna, Dober, Madeleine, Emerson, Catherine, Beswick, Lauren, Selinger, Christian, Taylor, Jo, Olive, Lisa, Evans, Subhadra, and Hewitt, Catherine
- Subjects
MENTAL depression ,ANXIETY ,INFLAMMATORY bowel diseases ,BIOPSYCHOSOCIAL model ,MENTAL health ,HEALTH status indicators ,SOCIAL stigma ,EXPERIENCE ,COMMUNICATION ,INTELLECT ,INTEGRATED health care delivery ,COMORBIDITY - Abstract
This study explored the lived experience of people with inflammatory bowel disease and anxiety/depression. It utilised a deductive biopsychosocial framework. Overall, 24 patients and 20 healthcare professionals from two countries participated. In the United Kingdom, the main themes included (1) bidirectional relationship between inflammatory bowel disease and mental health, (2) the need for healthcare integration and (3) lack of awareness about the disease. In Australia, (1) the 'vicious cycle' of inflammatory bowel disease and psychosocial health, (2) the need for biopsychosocial healthcare integration and (3) the stigma of a hidden disease. Better communication around mental illness is essential in improving inflammatory bowel disease healthcare. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
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