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This article sets out the findings of a systematic review on research into career guidance policy in the Nordic countries between 2008 and 2022. In total 60 papers were reviewed from across the Nordic region. They focused on national career guidance systems, career guidance systems for young people, the adult guidance system and career guidance for migrants. The corpus proved to be methodologically diverse with studies utilizing a wide range of different research strategies, although important differences were found between academic and grey literature. Most of the papers reviewed were atheoretical, with the remaining, mainly academic, literature drawing heavily on critical theory. The thematic analysis identified four major themes in the corpus: the context for career guidance policy; career guidance provision and practice; technologies of governance; and beneficiaries and outcomes of career guidance policies. The findings are discussed in relation to the strengths and weakness of the corpus and used to propose a research programme for the next 15 years. [ABSTRACT FROM AUTHOR]

Introduction: Due to high volatility in the healthcare market and financing of healthcare services, outsourcing has been developed as an efficient method to facilitate financing and providing quality services to clients. The purpose of this paper was to determine the challenges and issues healthcare centers confront during the process of outsourcing while proposing some solutions to overcome the challenges to optimally facilitate the process of outsourcing. Methods: We reviewed papers in multiple databases including PubMed, Scopus and ProQuest, and carried out a qualitative thematic analysis to obtain the major challenges and solutions regarding the process of outsourcing in the healthcare units. Results: Several inter-organizational and intra-organizational challenges exist within the process of outsourcing, while organizational reforms and adopting new initiatives and resources are considered major solutions to resolve challenges within the process of outsourcing in healthcare centers. Main conclusions: A successful experience of outsourcing depends on precise strategic situational analysis before the implementation of such policy. Meanwhile, early assessment and feedback after the implementation of outsourcing in healthcare centers contribute to the successful implementation of such policy in healthcare centers. [ABSTRACT FROM AUTHOR]

The purpose of the paper is to explore social works practice response to sexual violence and the impact of victim blaming narratives for sex workers. Using a feminist standpoint epistemology, in keeping with an interpretivist/feminist qualitative framework, we critically explore the oppressive structures which impact on service users′ lives. Data collection consisted of interviews with 15 female sex workers in the Republic of Ireland. In locating sex workers experiences, we set out the argument that social work practice is complicit in victim blaming narratives in response to sexual violence. Themes emerging from the data to support this claim are (1) victim blaming perspectives for sex workers (2) reporting sexual violence to authorities, and (3) impact of the Law. By using the Irish standpoint, and the 2017 Criminal Law (Sexual Offences) Act, where sex work activities remain subject to penal measures our paper provides conclusive evidence which calls into question social works response to sexual violence. We argue for a revised social work response to sexual violence which includes a critical examination of ′victim blaming′ narratives and the current legislative process which inform their practice. [ABSTRACT FROM AUTHOR]

Much has been written about teachers' beliefs, including their beliefs about reading. Due to its established impact on how it affects classroom practices, teachers' beliefs as a psychological construct is considered by some researchers as the most important in relation to teaching and teaching education. Thus, increasingly teachers of reading have been encouraged to reflect on their teaching practices as well as beliefs about reading. However, less work has been done on investigating reading teachers' beliefs through the lens of the questions they ask about reading itself. This paper argues that questions are constitutive of people's beliefs about what they deem important in life or in professional practice, and are regulative acts and evidence of reflection. Thus, analysing inquiry questions or what teachers ask about reading will enable identification and description of certain beliefs held by the teachers themselves. In other words, framed within an understanding of teachers' questions as teachers' beliefs, through thematic analysis this paper presents six themes that reveal teachers' beliefs related to reading instruction. [ABSTRACT FROM AUTHOR]

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The research on Early Childhood Education and Care leadership has mainly focused on the kindergarten manager's perspectives. However, to fully understand leadership in ECEC settings, the middle-management level of pedagogical leaders must be included. The distributed framework is applied to investigate how the pedagogical leaders at the middle-management level enact and understand their leadership role. This study demonstrates that pedagogical leaders' enactments emerge differently and manifest as three distinctive leadership types categorized as the administrative-, equality-, and reflective leader. This paper builds on data collected using the qualitative methodological framework of semi-structured group interviews, participatory observation, and a stepwise thematic analysis. It discusses how contextual factors impact the development of different leadership enactments. Findings challenge the notion of leadership in ECEC as highly democratic, flat in structure, weak, and demonstrate variations in leadership enactments. The conclusions drawn from the results suggest that a deeper insight into contextual factors is needed to understand the leadership's complexity fully. [ABSTRACT FROM AUTHOR]

Underlying thematic analysis are a few fundamental human cognitive processes, such as categorizing, prototyping and metaphorical mapping. By unpacking these basic processes of human cognition, this paper hopes to provide a cognitive basis for thematic analysis as a foundational method in data analysis for qualitative research. In particular, it hopes to address the gap between qualitative methodologists' assumption of thematic analysis as a subjective, creative and flexible process and editors/reviewers' expectation that thematic analysis shall be objective, reliable and rigorous. By consciously and purposefully applying these cognitive processes, thematic analysis can be subjective and yet disciplined, creative and yet rigorous, flexible and yet reliable. The ultimate goal of this paper is to demystify, delineate and further demarcate the thematic analysis process for young and novice qualitative researchers. [ABSTRACT FROM AUTHOR]

This paper focuses on how social group work is integral to teaching and learning about critical reflection on practice (CRoP), on three different levels. The paper provides an overview of the theory and practice of CRoP, followed by a description of group work in two MSW CRoP course sections at a school of social work in Ontario, Canada. The paper describes the process of integrating CRoP into practicum integration seminar groups to sustain skills in critical reflection, as well as our own group process in our small faculty research and teaching group. By integrating group work and critical reflection literature and by focusing on the development of critical acceptance and mutual aid, this paper will outline benefits, challenges, and opportunities related to the use of groups in facilitating the CRoP process, along with next steps and further discussion. [ABSTRACT FROM AUTHOR]

The current study identifies the most important corporate governance topics being discussed in the industry and academia. The findings are based on a series of comparative automated content analyses of 742 public tourism and hospitality companies' governance statements published between 2013 and 2022 and on 129 corporate governance-related journal articles in tourism and hospitality. The findings show that industry's top corporate governance themes are executive compensation, board of directors' qualifications, and voting. The paper compares these with academia's top five themes: firm performance, corporate social responsibility, management practices, local development, and growth opportunities. Future research directions are also presented. [ABSTRACT FROM AUTHOR]

Actual accounts of the experiences of Aboriginal and Torres Strait Islander peoples since colonization remain largely misunderstood and misrepresented within Australian education systems and the broader social consciousness. Culturally sensitive practice and ethnic diversity are challenging topics to teach social work students when truth-telling is absent. Social workers need to develop an understanding of intergenerational trauma experienced by Aboriginal and Torres Strait Islander peoples, critically reflect on perpetuated stereotypes, and confront internalized beliefs about peoples of diverse ethnic and cultural identities in preparation to work respectfully with Indigenous communities. A course focused on building students' knowledge and skills for culturally responsive practice is described in this paper, along with suggestions for enhancing teaching and learning. The paper argues for the importance of truth-telling about Australia's continuing racism in social work education to create cultural safety for service users. [ABSTRACT FROM AUTHOR]

This paper examines a new first-year EAP course in a Hong Kong university. It utilizes teacher and student reflections to understand the course's strengths and weaknesses, aiming to enhance its design and delivery. The study employed a qualitative approach whereby textual analysis was used to interpret the data collected in the form of written teacher reflections, written student reflections, and notes of teacher reflective dialogue. The thematic categories for coding the data were established based on the course's main learning outcomes: Effective Learning, Spoken Language, and Written Language. Findings reveal that teachers were more critical of the course compared to learners. Teachers expressed dissatisfaction with the pedagogical approach to Effective Learning unit, insufficient time provided in the course to teach solo speaking, and the inability to cover too many organizational and linguistic features in the writing unit. Students, however, did not have much to reflect on about Effective Learning, had mixed views about Spoken Language with some worried about reading from notes, and wrote extremely positively about their learning of Written Language. Nonetheless, their views provide valuable insights for course improvement. Consequently, the paper advocates for a reflective pedagogy approach to EAP that considers both teacher and student reflections to enhance teaching and learning outcomes. [ABSTRACT FROM AUTHOR]

The number of people aged 50 and over entering the criminal justice system (CJS) in England and Wales is growing. This raises questions as to the suitability of the CJS to equitably accommodate individuals with complex illness or impairment, who might experience difficulties in cognitive function, frailty, and/or impaired mobility. Findings from the government, the third sector, and academic literature have highlighted the difficulties experienced by older adults in the CJS and those tasked with supporting them. To inform the development of the Ministry of Justice’s national strategy for older people in prison, we conducted a series of nominal focus groups with policy makers, practitioners, prison staff, representatives from the third sector, and academics, each focusing on a specific topic area that impacts older adults in prison. These were: 1) older adult trajectories; 2) long term conditions; 3) dementia; 4) mental health; 5) social care; 6) end of life care; 7) women; 8) ethnicity; and 9) COVID-19. An additional nominal group was also held with older adults currently in prison to discuss what they thought should be included in the national strategy more broadly. This paper presents the methodology of the nominal groups and subsequent analysis, as well as providing a rationale for the research. It serves as a precursor to a series of papers reporting and discussing the findings of the topic-specific nominal groups. [ABSTRACT FROM AUTHOR]

Community participation in tourism development has gained significant attention in recent years. While ample research has investigated how the community participated in developing tourism destinations and their industries, little is known about what factors, motivations and contributions of the community participating in the development of marine ecotourism. To fill the void, the present study conducts a qualitative systematic review of how community participation contributes to the development of marine ecotourism. The papers were included in the SCOPUS and WOS databases published between 2011 and 2021. In this study, the papers were selected using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. The keywords include “community participation”, “marine ecotourism” and “qualitative”. From 244, 12 articles matched the objective of the study and the keywords. Using thematic analysis, this systematic review discovers the factors, types, and outcomes of community participation in developing marine ecotourism. Additionally, the synthesis has revealed three challenges of community participation in marine ecotourism such as lack of training, local government support, and sociocultural awareness. This study significantly contributes to empirical considerations when involving the coastal community in planning and developing sustainable marine ecotourism. [ABSTRACT FROM AUTHOR]

The academic landscape is fraught with challenges, particularly for scholars whose identities intersect with marginalised backgrounds. This reflective paper explores the nuanced implications of revisions, corrections or rejections (RCRs) on the academic journey of a Black isiZulu-speaking African woman scholar in Audiology from South Africa. It contends that the effects of RCRs extend beyond the confines of a single manuscript, impacting the scholar’s sense of self, existence within the academic realm, and the deliberate ‘cancelling’ of one’s knowledge. Focusing on the unique challenges faced by African scholars, particularly the perceived emphasis on publishing as a measure of belonging, the paper employs a benefit-risk evaluation lens. This approach delves into the complex interaction between personal and environmental factors, shedding light on the multifaceted considerations that African scholars grapple with to establish their presence within the academic sphere. The paper outlines the well-known ‘publish or perish’ phenomenon, emphasising the hypercompetitive nature of the academic and research environment. Peer review, considered a critical component in the publication process, is explored for its role in quality assurance. However, the paper contends that the peer review process can inadvertently perpetuate inequalities, especially for scholars from underrepresented backgrounds. Thematic analysis of reviewer reports from papers I recently submitted forms the core of the paper. Seven emergent themes, such as the influence of proximity to native English speakers and the dominance of Western narratives, illustrate the challenges I faced in both local and international journals. Notably, the paper provides direct quotes exemplifying each theme, offering a very personalised perspective on the adversities encountered during the publication journey. The paper situates the field of audiology within the broader context of institutional and systemic racism, highlighting the underrepresentation of certain racial groups within the profession. It argues that this underrepresentation extends to knowledge generation and publishing, perpetuating the normalisation of Euro-American-centric norms and the exoticisation of Afrocentric standards. The reflective paper concludes by asserting that epistemological racism, intertwined with individual and institutional racism, stifles my pursuit of decolonisation and Africanisation of speech-language and hearing knowledge and practice. It contends that the peer review process, often Euro-American-centric, contributes to the silencing and exclusion of diverse knowledges, hindering local knowledge development and intellectual practices. In navigating the academic minefield, the paper calls for a re-evaluation of existing norms and practices within the peer review process to create a more inclusive and equitable academic environment for scholars with diverse backgrounds. [ABSTRACT FROM AUTHOR]

Background: This paper presents the findings from an exploratory study on alcohol and other drugs (AOD) nurses' views on current career opportunities and challenges and on how their role has been affected by clinical and structural changes in service delivery. Methods: The paper is based on qualitative interviews with a purposive sample of twelve AOD nurses in the UK. A narrative approach to interviewing aimed to encourage emergence of new insights and suggest theories for future examination. Interview domains were informed by the research team's knowledge of AOD nursing and by themes from published literature. Interviews were recorded, transcribed, and coded and a reflexive thematic analysis was conducted. Results: Key themes emerging focused on the growth, advantages, and challenges of non-medical prescribing (NMP), and the impact on AOD nursing of changes in workforce structures and environments. The findings indicate considerable doubts about career opportunities for nurses in AOD services although NMP may offer some limited routes to career advancement. Conclusions: Some long-standing issues around the identity and professional status of AOD nurses persist and current clinical and structural changes have created a "liminal space" within which the nursing role and AOD nurse identityare disrupted and in transition. [ABSTRACT FROM AUTHOR]

There is an increasing need of gerontological education in social work to enhance the knowledge of aging and interests in senior care among students. This study is conducted based on an experiential-learning strategy with a combination of having an ethnographic interview with an older adult and writing a reflection paper afterward as an assignment embedded in a Gerontology course of the Bachelor of Social Work program in western Canada. Thematic analysis was applied to eight reflection papers in which a consent was obtained from 2020 to 2021 cohorts of social work students. Three key themes emerged: connection between learned knowledge and interview topics, resonation interview content with personal experiences, and a positive perception of aging and a positive attitude toward working with aging populations. The findings support the combination of ethnographic interview and reflection paper as a pedagogical approach in gerontological education not only for improving students' learning experience and knowledge but also for establishing a positive perception of aging and older adults. The study also reveals the necessity of more interaction between students and older adults to enhance a better understanding of aging-related issues and promote willingness to work with older adults. [ABSTRACT FROM AUTHOR]

Participation in a paediatric, complex randomized controlled trial (RCT) might add to the family burden when a child is diagnosed with a severe disease. Although important, there are only a limited number of papers describing this aspect of research from the family point of view. This study explored parents' and children's experiences of participation in a research study shortly after the child had been diagnosed with type 1 diabetes. Sixteen parents (nine mothers, seven fathers) and nine children were interviewed by an independent researcher about their inducement, the decision-making process within the family which led to their participation, and their experience of having done so. The result showed that the parents wanted to contribute to improve treatment for children with diabetes in general but also specifically for their own child. Older children were more involved in the decision making than the younger children. Study information needs to be communicated clearly and effectively since decision-making based on information of a clinical trial directly after the child's diabetes onset proved difficult. Being randomized to the intervention group in this specific study was considered somewhat burdensome. However, parental participants in both intervention and control group claimed that they would recommend participation in research studies to other parents in a similar situation, and so did the children. There was no difference between the mothers' and fathers' experiences. Implications: Parents' expectations: A predominant driving force for the parents was the expectation that the study outcome could lead to something good for both their own child and other children with type 1 diabetes. Children's perspective on participation: Older children appreciated being involved in the decision-making process and valued their role in potentially helping others with diabetes. However, younger children were less involved and often relied on their parents for decision-making. Personal benefits: Both children and parents considered it important to gain something for themselves; by participating, they could benefit from more advanced technology and more rigorous follow-ups. Importance of control group: It was important for the families' motivation for completing the study that the researchers conveyed that the control group was as important for the outcome of the study as the intervention group. Future treatments: The parents felt that participation in the clinical trial could eventually lead to new treatments that could help their own child. Perceived safety: The fact that the clinical trial was considered well-planned and safe and implied no risk for the child made it easier to agree to participation. Effective communication: Since the onset of diabetes is emotionally stressful, and diabetes treatment itself is demanding, effective communication about the content of such a clinical trial is necessary, otherwise families may not understand what they are agreeing to. Burden on the intervention group: This clinical trial was somewhat burdensome for the intervention group to participate in; nevertheless, all of the families remained committed to their reasons for participating and completed the study [ABSTRACT FROM AUTHOR]

Purpose: This paper examines the subjective experience of medical interventions on intersex bodies to reduce cancer risk. Methods: Twenty-five individuals with intersex variations took part in semi-structured interviews, analysed through thematic discourse analysis. Results: Intersex bodies were positioned as inherently sick and in need of modification, with cancer risk legitimating surgical and hormonal intervention. This resulted in embodied shame, with negative impacts on fertility and sexual wellbeing. However, many participants resisted discourses of bio-pathologisation and embraced intersex status. Some medical interventions, such as HRT, were perceived to have increased the risk of cancer. Absence of informed consent, and lack of information about intersex status and the consequences of medical intervention, was positioned as a human rights violation. This was compounded by ongoing medical mismanagement, including health care professional lack of understanding of intersex variations, and the objectification or stigmatization of intersex people within healthcare. The consequence was non-disclosure of intersex status in health contexts and lack of trust in health care professionals. Conclusions: The legitimacy of poorly-evidenced cancer risk discourses to justify medical intervention on intersex bodies needs to be challenged. Healthcare practitioners need to be provided with education and training about cultural safety practices for working with intersex people. [ABSTRACT FROM AUTHOR]

Purpose: For children with neurodevelopmental disabilities (CWNDs), early diagnosis that leads to early intervention with regular targeted therapies is critical. In Qatar, private therapy centres that address this demand often have highly exclusive prices restricting families from availing them. This paper examines the challenges faced by families with CWNDs, as well as various financial and systemic obstacles, from the vantage point of these centres, all of which culminate in an extraordinarily high disability price tag for disability families in Qatar. Methods: This study is based on qualitative, semi-structured, and in-depth interviews with private therapy centres and developmental paediatricians. Results: Therapy centre representatives expressed common struggles in lengthy and cumbersome administration and licencing procedures, difficulty in hiring and retaining high quality staff, and expenses that need to be paid to the state. From their experience, families largely struggle with delayed diagnoses that significantly slow down intervention plans and therapies as well as staggeringly high financial costs with a dearth of funding options. Conclusions: We recommend sincere engagement, dialogue, and cooperation between multiple stakeholders; a supportive ecosystem to balance and distribute the demand that includes schools and parents; as well more efficient administrative procedures and recruitment strategies. [ABSTRACT FROM AUTHOR]

Background: The global COVID-19 pandemic has shown the vulnerability of some population groups, including persons with intellectual and developmental disabilities (IDD). Aim: The present paper will provide more clarity and understanding of the experiences of family members of persons with IDD housed in residential facilities in Catalonia within the period of maximum restrictions during the COVID-19 pandemic. Methods and procedures: Semi-structured interviews were conducted using an interpretive phenomenological qualitative approach. Study participants consisted of 14 relatives of IDD individuals who were institutionalized in residence facilities or homes. The guiding questions emerged from group discussions with relatives of those with IDD who did not participate in the subsequent interviews. Drawing from this group, the factors that were identified to have had the greatest impact on their lives were later used to guide the interviews. Data collection was carried out in face-to-face individual interviews that were recorded together with the observations of two researchers between February and October 2022. Results: Our analysis identified 4 main themes that developed into additional factors: the decision to stay at home or in the residence, fear, illness, and protocol. Individuals with IDD lost their daily routines, suffered from social isolation, and did not understand the situation. Conclusion: The results of this study allow for a better understanding of the experiences of families of persons with IDD in residential centres during the lockdown by identifying their needs and how to better support them in the future. Outcomes and results: Knowledge and understanding of these events should allow for better management of similar situations in the future. The impact of the present research: This study contributes to a growing body of research that examines the experiences of IDD individuals and their families during the early months of the COVID-19 pandemic. A qualitative phenomenological interpretative approach was used following the recommendations of qualitative research practices in health care. Our findings reveal that relatives of persons with IDD who lived in residential care homes felt that the residents were not adequately cared for by the staff, who applied measures for containment and contagion prevention that were disproportionate, resulting in their needs not being considered; these recommended measures had been developed for elderly care homes. Individuals with IDD lost their daily routines, suffered from social isolation, and did not understand the situation. The present findings show that residential care homes for persons with IDD require specific action protocols in crisis situations that are adapted to the needs and characteristics of each centre,thus adopting a model of care based on human rights. [ABSTRACT FROM AUTHOR]

The academic voice related to learning and teaching (L&T) professional development (PD) is an important consideration in supporting universities' pursuit of improving their teaching as a core function of their mission. Framed by a typology of L&T PD in Australian universities, this paper reports on a study that investigated academics' perceptions of L&T PD in an Australia regional university. A thematic analysis was conducted on semi-structured interviews of both academics and academic developers. The findings suggest that L&T PD has a complex dynamic which impacts on academic development in regional-based universities generally and can inform academic development work globally. [ABSTRACT FROM AUTHOR]

Background: According to the UN Committee Against Torture, all state parties to the Torture Convention have a responsibility to meet the rehabilitation needs of torture victims who have sought asylum within their borders. General practitioners (GPs) can play a crucial role in identifying torture victims and securing rehabilitation when needed. There is a pressing knowledge gap on the knowledge and practices of GPs vis-à-vis potentially tortured patients, and an urgent need for research that investigates GPs' practices of identification, referral, and rehabilitation – in Norway and beyond. This article presents an exploratory qualitative pilot study that investigates the experiences of GPs in Oslo vis-à-vis this patient group. Methods: Semi-structured interviews with five experienced GPs in the greater Oslo area. Interview data was analyzed through thematic analysis and discussed within a theoretical framework seeing GPs as street-level bureaucrats. Results: Issues that emerged in the pilot involve a consistent professional confidence and a particular concern for victims of sexual violence and sexualized torture. The pilot also found a troubling commonsensical reasoning about identification in the asylum process. The GPs asked for the re-establishment of specialist rehabilitation centers for refugees and torture victims to consult in case of need. Alas, the study also confirmed that GPs are a difficult profession to recruit for research. Conclusions: This study indicates that GPs are important actors in terms of identifying torture victims after resettlement, but that there are shortcomings in their training and knowledge, in the overall organization of the healthcare system, and in specialized healthcare, that limit prospects for rehabilitation. KEY POINTS: To what extent are torture victims met or identified by GPs in resettling contexts? This paper presents a pilot study designed to address this knowledge gap and prepare future studies. We found: GPs were confident in their abilities to identify and meet torture victims in a good way – and in the value that is patient-doctor continuity in general medicine. Troubling commonsensical reasoning about identification in the asylum process and in consultations. A lack of and need for qualified and available expertise to consult with and/or refer tortured patients to. [ABSTRACT FROM AUTHOR]

AbstractIncreasing but unknown numbers of women are adopting itinerant lifestyles on the road, in the pursuit of ambitions and aspirations that extend beyond the conventional role of women as they age. Using data from a study that aimed to describe women who travel without men, either alone or with other women, across Australia in self-contained accommodation, this paper illustrates the richness and diversity of these lives through the narratives of four women. The study from which these data were taken was informed by an ethnographic approach. A montage has been used to present four narratives that together illustrate dominant themes that emerged from the analysis. Initially 29 women, travelling either alone or with other women in mobile accommodation across Australia, were interviewed using audio-visual media or telephones between March 2020-March 2022. From the thematic analysis of these interviews, four participants’ narratives were chosen to represent the main themes derived from the analysis while at the same time retaining the women’s individual perspectives and voices. The four narratives included in this montage paper exemplify four key themes: the adventure of exploring Australia; experiencing the new and unknown; developing self-knowledge and self-confidence; and taking control of one’s life. The women’s stories demonstrate commonality as well as diversity, of a chosen lifestyle beyond the conventional view of women as homemakers, and redefining the conventional view of ageing as one of decline and deterioration. These narratives demonstrate older women living lives that provide new and different pathways to personal growth, independence and self-confidence. [ABSTRACT FROM AUTHOR]

Focusing on the participation agenda, this paper explores the definitions, negotiations and implementation of cultural policy at the intersection of national policy aims and local level strategy. Recognised as partners with national cultural policy bodies and holding statutory obligation for the arts within a highly centralised system, Irish local authority arts offices offer unique opportunity for exploring the intersection of a national policy agenda with local implementation. Drawing from thematic analysis of interviews with arts officers and of the arts plans for their associated areas, this examination reveals a complex and diverse interpretation of participation within top-down national cultural policy that is defined in practice at local level through the local authority context and the agency of arts officers. While this agency provides opportunities to ensure situated policy relevance, opportunity for reflection and shared learning is required to support strategic thinking. The paper deepens our understanding of the relationships between policy actors and actions, seeking to promote a stronger learning culture between these agents. The analysis advances the emerging literature about policy as situated practice by raising broader questions regarding national – local policy making models. [ABSTRACT FROM AUTHOR]

Community-based development (CBD) evaluation is often rooted in mainstream evaluation theories and methods to the detriment of Afrocentric evaluation philosophies and practices. Afrocentric values, grounded in cultural ideals and relational patterns, are the foundation of the search for new knowledge. The notion is that indigenous evaluation values and assumptions could aid in developing alternative concepts, approaches, and practices for assessing CBD initiatives. Employing a thematic analysis approach rooted in indigenously responsive evaluation (IRE), this paper identified tangible and intangible notions such as social networks, relational stakeholders, social accountability, mutual respect, community participation, community spirit, relational feedback, and consensus building as some of the key concepts embedded in social and development activities that have the potential for effective CBD and evaluation activities. This paper outlined cultural evaluation components that Ghana and Africa at large may effectively include in contemporary evaluation frameworks to ensure the sustainability of CBD and evaluation initiatives. [ABSTRACT FROM AUTHOR]

This paper describes the design, delivery and evaluation of a module on decision making for senior managers as part of a master’s programme for current and aspiring Chief Social Work Officers (CSWO). Scotland is unique in having a statutory duty that requires local authorities to appoint a CSWO to provide strategic and professional leadership in the delivery of social work services. The CSWO also has certain statutory decision-making responsibilities and as a key decision maker is responsible for decisions that affect individual rights and liberties to an extent that other services do not. This paper describes the key decisions CSWO’s are required to undertake before describing the pedagogical approach to developing and delivering the module. Rather than seeking to teach decision making the focus of the module is on raising awareness of factors that impact decision making, shifting from intuitive to active decision making and reflecting on the decision-making process. Results are presented from a thematic analysis of a post-completion survey of participants about their learning. The results highlight the isolation and vulnerability of the role, the weight of responsibility, the complexity and challenges of decision making and how the module supports managers to engage in analytical decision making. [ABSTRACT FROM AUTHOR]

The study examines issues related to achieving meaningful participation in class activities as an element of social inclusion of learners with cognitive disabilities aged 14–19 years that are enrolled in educational institutions (schools/centres) during COVID-19 in United Arab Emirates. The paper relied on a qualitative approach with 5 sessions of virtual observation and 18 semi-structured virtual interviews with learners themselves and their care givers/parents as the main methodological tool given lack of access to physical means at the time of data collection during the global pandemic (2021–22). The analysis was thematic, focusing on explored and extracted main issues that impact one important aspect of the social inclusion of such learners, which is their active participation during a difficult time. The results showed that learners with cognitive disabilities faced additional several issues in addition to what members of the surrounding community dealt with during the disaster. Data revealed that they were immensely affected by the pandemic, with another layer of social isolation, lack of peer interaction as well as family restriction that is directed at them with additional measures than everyone in the household. It also showed that despite the efforts and programmes designed by schools/institutes that were in place to support their engagement in academic and social activities, participation as an important social aspect of their school lives was badly impacted. Despite calls for prioritizing such learners, the study revealed that learners with cognitive disability were constructed as 'last on the list' among class community members in terms of their participation and active engagement in different class activities. The data were purposefully collected at a time that is unlikely to be replicated for many years to come (a global pandemic), the purpose was to give a reflection on the status allocated to such individuals during hard, unusual and/or difficult times for any future practice. The paper forwards recommendations to support educational institutions to promote active participation of learners with cognitive disabilities. [ABSTRACT FROM AUTHOR]

While language is widely recognized as one of the elements upon which nations have been built, emphasis has been placed on codified languages, rather than the uncodified vernacular spoken within a particular territory. Drawing on thematic analysis of qualitative surveys and political documents, this paper examines how Cypriot Greek, a local language variety, is claimed by counter-hegemonic perspectives in Cyprus to foster a sense of collective belonging designating the island as an independent cultural entity. By highlighting how such perspectives challenge the hegemony of Greek Cypriot nationalism, the paper underlines that uncodified vernaculars can shape senses of national belonging. [ABSTRACT FROM AUTHOR]

Background: A growing body of research has explored the benefits of animal companionship to trans people, yet too often this research reinforces human exceptionalism, and fails to explore what it means for trans people to engage in more-than-human relationships. Conversely, trans theorists have increasingly turned to consider what it means for trans people to lay claim to the category 'human', wrapped up as it is in normative claims to gender and sociality. Aims: This paper aims to investigate how trans people make sense of their relationships with non-human animals, so as to provide a critique of the binaries of animal/human and nature/culture. Methods: 27 binary trans or non-binary people living in Australia were interviewed about their experiences with family, with a specific probe question focused on animal companions. Thematic analysis was used to explore experiences of the more-than-human among the participants. Results: Three themes were developed: (1) Animals as facilitators of connections to the 'natural world', (2) Coming to understand animal ways of being, and (3) Challenging norms of animal ownership. Conclusions: The paper concludes by calling for ongoing theorization about more-than-human relationships as experienced by trans people and their animal companions. Specifically, there is a pressing need to think through what it means to claim the category 'human' when it is so often premised upon exclusion. [ABSTRACT FROM AUTHOR]

Margins are defined as the difference between a design parameter's minimum required value to ensure functionality, and its actual capability. Margins allow engineers to mitigate uncertainties of various kinds. While some margins are intentionally allocated, some others may get included inadvertently in designs or arise from changes to requirements. Although common in use, the concept of margins has not been formalised systematically. This paper offers the first systematic literature review of margins. Concepts related to margins can be found in various interrelated domains with similar underlying principles. However, these concepts have developed in isolation, leading to a divergent and fragmented understanding. This paper brings these strands together by differentiating between margins which may be deliberately added or discovered during a typical product lifecycle and relates this to various domains such as safety, manufacturing etc. The paper discusses approaches to model, size and allocate margins. The thematic analysis presents insights into the importance of systematic use and management of margins and also raises currently observable gaps in the literature. [ABSTRACT FROM AUTHOR]

Purpose: Throughout the world, mobility devices are usually distributed using product-based business models, where a device is provided to a user, and serviced or replaced when the user returns to the clinic with an issue. Moving to a service-based business model can provide continuous and customised support for the user, and provide the clinicians and manufacturers with better data to base their decisions on. This study reviews papers on assistive technology service-based business models and considerations in designing such a model to optimise economic and social value. It then applies the findings to the mobility device space. Method: A systematic literature search was undertaken in PubMed, Web of Science, and OVID databases to analyse studies that discuss service delivery models used to provide assistive products. Inductive thematic analysis determined the themes, facilitators and barriers associated with providing a service. Findings were applied to mobility device service provision. Results and conclusion: Themes from the 29 relevant papers were grouped into four categories: Access (affordability/availability/education), Utility (customisability/usability/adaptability), Integrity (quality/sustainability/impact), and Compliance (policy/privacy/security). The most common themes were customisability, affordability, availability, and education. There is a need for service-based delivery models to replace conventional product-based models, and many considerations to optimise their design. No publications discussed the design and implementation of a service-based model for mobility device provision that uses modern sensors, software and other digital technologies to optimise the service. Service-based models that use modern digital technologies are new for the mobility device field, but much can be learnt from other fields. IMPLICATIONS FOR REHABILITATION: Service-based business models that make use of modern digital technologies are likely to improve ongoing individual rehabilitation, but they are new for the mobility device field and currently lack research and evidence-based practice. The systematic review found that modern digital technologies like sensors, apps, and AI might be useful for providing ongoing support and more personalised rehabilitation for users of assistive products. To provide ongoing support for end-users, a successful design of service-based business model for assistive products should be accessible, both physically and financially, as well as easy to customise and adapt over time. [ABSTRACT FROM AUTHOR]

Reflective essays have become common in higher education, especially for modules and programmes focused on the development of practical skills. This paper analyses the efficacy of reflective essays specifically for social research methods education and training. In order to do so, a thematic analysis of qualitative survey data from undergraduate students taking a compulsory second-year social research methods module was undertaken. Overall, I contend that while the process of reflecting itself has clear benefits, and students themselves generally perceive the act of reflecting as being personally beneficial, the requirement to write up into an essay for submission has more mixed results. Further, while previous studies have suggested that reflective essays are confidence-building exercises, this research suggests that while this was the case for some students who completed the assignment, others found the process more discouraging. The paper concludes by suggesting several potential improvements that could be made to reflective essays in order to mitigate these issues. [ABSTRACT FROM AUTHOR]

This study showcases how the Leximancer program can be used to review Leximancer-based research published in tourism and hospitality journals during 2014-2020. Along with a Leximancer-generated concept map, a new tags' association visual analysis was also performed. This innovative method of analysis is a key contribution, as past Leximancer studies in hospitality and tourism have predominantly relied on thematic analysis only. An Insight Dashboard report that is based on Bayesian algebra algorithm in calculating Prominence Scores (PS) for key concepts and compound concepts emergent from the data, supplemented the visual analyses. Thirty-three (33) tourism and three (3) hospitality papers were analysed. The most common tourism context was China and Chinese tourism, and the most prominent phenomena were tourists' experiences, shopping experiences, tourists' evaluations and perceptions. Data for these research studies were predominantly obtained from online reviews, user-generated content (UGC), social media and news media. In the hospitality context, research studies used Leximancer to analyse sentiment, risk factors, and attitudes of frontline hotel employees. Tourism Management and Current Issues in Tourism, had the most papers which used Leximancer. Australian researchers were identified as the leaders in tourism research using Leximancer, followed by lead researchers from Portugal and China. [ABSTRACT FROM AUTHOR]

Background: Historical marginalisation and ongoing trust deficits in health and government systems shape present-day vaccine perceptions among marginalised communities. This paper sought to understand the role of trust in decision-making about COVID-19 vaccine uptake in the transgender and disability communities in India. Methods: Using a participatory approach we interviewed 24 community representatives, identifying themselves as transgender individuals or as persons with disability, and 21 key informants such as vaccine programme managers, vaccine providers, and community advocates. We undertook an inductive thematic analysis of the data using a socio-ecological model. Results: Fear of side effects in relation to specific needs of the two communities and mistrust of systems involved in vaccination shaped four different pathways for vaccine decision-making. Mistrust of systems was influenced by past negative experiences with the health system, creating contexts in which information and misinformation are shared and interpreted. Participants negotiated their doubts about safety and mistrust of systems by interacting with different sources of influence showing patterns of decision-making that are dynamic, context-dependent, and intersectional. Conclusion: These findings will help in determining the content, strategies and approaches to equitable vaccine communication for these two communities. The two communities ought to be included in vaccine trials. Vaccine information must respond to the specific needs of these two communities which could be enabled by collaboration and engagement with community members and influencers. Finally, long-term investment towards the needs of marginalised communities is vital to dismantle cycles of marginalisation and distrust and in turn improve vaccine acceptance and uptake. [ABSTRACT FROM AUTHOR]

As the debate on how harmful online content translates into violent offline actions continues in the Global North, this debate should be enriched by data from the Global South. In Libya, the kidnapping of a female politician (Seham Sergiwa) in 2019 was arguably foreshadowed on social media, with some analysts warning of an imminent danger to her life when tracking social media discourse in June/July 2019. Following her abduction, the outcry was loud and reverberated outside of Libya. However, this was short lived and similar occurrences happen in Libya still. This paper contributes a systematic analysis of Facebook content in the months leading up to and after Sergiwa's disappearance. Using thematic content analysis to explore 259 posts and 4,367 comments – between January and December 2019 – this paper outlines three dominant themes: Contempt, ridicule and indifference. This study presents a refocus on the dangers of online speech while acknowledging complexities around categorising the former. The study adds nuanced understandings on online discussions in Libya and gendered dynamics in a violent, post-revolutionary environment. [ABSTRACT FROM AUTHOR]

This paper presents a systematic literature review exploring the Family Group Conferencing experiences with racially minoritised families in England. The literature search identified eight qualitative studies that met the inclusion criteria. This review found that racially minoritised families felt that Family Group Conferencing was empowering and met their cultural needs at times, but suggested caution about how culturally adaptable the approach is for this population. We argue that FGC could be presented as an Indigenous model of engaging with family networks with relevance for social workers working with racially minoritised communities in England. We suggest that Family Group Conferencing aligns with aims of decolonisation and cultural competence and argue the need to explore how Indigenous knowledge can be valued more effectively in global social work debates. [ABSTRACT FROM AUTHOR]

Hospital to home transfers for older people require effective communication, coordination and collaboration across multiple service settings. Rural Nursing Theory and the Beyond Periphery model explain why this is particularly difficult in rural areas, but there are few examples of how rural services respond. This paper presents a case study of the district of Tärnaby in the inland north of Sweden. Data are drawn from interviews with health and care staff in Tärnaby, observations, and experiences of the researchers. Data were analyzed thematically, with four main themes emerging – role clarity, communication, geography, and understanding of the rural context. Responses to challenges included increasing opportunities for communication between service providers and improving documentation. The paper concludes that informal "workarounds" run the risk of further disconnecting rural service settings from "the city". Rather, the aim needs to be to improve contextual understanding through formally incorporating "the rural" in service design. [ABSTRACT FROM AUTHOR]

One of the major impacts of hearing disability that hinders the individual's effective participation in society and full enjoyment of human rights and fundamental freedoms is his/her ability to communicate with others. Sign language is one of the main methods of communication used by people with hearing disability. Therefore, improving access to sign language services and increasing the availability of interpreters contribute to better inclusion and integration of people with hearing disability into society. This paper explores the experience of a Jordanian university that launched a pioneering initiative by offering a sign language course for its students. It reports the findings of a study that evaluated this initiative from the perspective of students. Feedback was recorded during unstructured interviews with 23 student participants who had taken the course. The paper concludes that universities can play a significant role in integrating people with disabilities into the education system and promoting their participation in society. [ABSTRACT FROM AUTHOR]

The aim of this paper is to explore how the experiences of international volunteer tourists can contribute to the rejuvenation of the concept of pilgrimage in the contemporary world. Through thematic analysis of the individual portraits, this paper identifies the intertwining of the rejuvenation of pilgrimage with the concepts of meaning, ritual, and transformative experiences within the context of international volunteer tourism. The findings suggest that the current understanding of pilgrimage in contemporary tourism surpasses the notion of a journey to a religious destination, transcending religion itself. This paper extends the comprehension of modern pilgrimage and spirituality, and highlights the necessity for further research into the complex interconnections between tourism, religion, and spirituality. [ABSTRACT FROM AUTHOR]

The adult-centric concept of 'age-appropriateness' is an arbitrary signifier and yet it commands a powerful common-sense appeal in governing the shape of sexuality education. The visibility of LGBTQ+ lives in primary schools is deeply impacted by the cis-heteronormative ways in which age-appropriateness is commonly understood and mobilised; very often resulting in silence and delay. The concept of age-appropriateness also becomes entangled with moral panics about 'promoting' LGBTQ+ lives, or children being somehow 'recruited' to identify as LGBTQ+. This paper draws on findings from a study with the parents of eleven trans and gender diverse children (then aged between 5 and 13) conducted in 2017, as well as a follow-up study conducted with seven participants from the same group of parents and children in 2022. The paper explores how the politics of age and agency intersect and become intensified as trans and gender diverse children and their parents navigate and make decisions about their bodies, lives and everyday worlds in primary schools. These stories of trans and gender diverse children provide an arresting invitation to adults to attend closely to the rich stories of children themselves in (re)considering the potential of sexuality education across contexts. [ABSTRACT FROM AUTHOR]

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The last two decades have seen an increase in climate financing channelled to the Global South from multiple sources, putting a spotlight on climate finance coordination challenges in recipient countries. However, the climate finance coordination debate has largely been centred at climate finance provision at the global level. Emerging literature has called on recipient countries to establish effective climate finance coordination mechanisms. Yet, the calls have not clarified what accounts for an effective coordination mechanism. This paper addresses the gap by analyzing stakeholder perceptions of effective climate finance coordination in Kenya. Kenya has instituted a legal and institutional framework to guide climate finance coordination, but challenges of coordination persist. Using the political economy framework, the paper analyzes political economy factors influencing stakeholder perceptions and climate change policy implementation to identify political contestations that need to be reconciled. Data is drawn from relevant literature, 29 key informant interviews and 4 focus group discussions at the national level in Nairobi and at the sub-national level in Turkana County. Deductive thematic analysis is adopted for coding and analyzing data. Results indicate that different ideologies, interests, incentives, politics, power relations and contestation over resources largely influence stakeholder perceptions of an effective climate finance coordination mechanism and climate policy implementation. The operationalization of the National Climate Change Council and the National Climate Change Fund are the most contested. The paper calls on policy actors to reconcile political issues of contention for recipient countries to institute coordination mechanisms that gain ownership and widespread legitimacy from stakeholders. Underlying political economy factors including different ideologies, interests, politics, incentives, power relations and contestation over resources largely influence stakeholder perceptions of effective climate finance coordination as well as climate change policy implementation. The consequential political contestations need to be reconciled; otherwise, the established coordination mechanism is less likely to gain ownership and widespread legitimacy from climate change stakeholders. This calls for meaningful and extensive stakeholder engagements and consensus building to minimize contention, particularly over the operationalization of the National Climate Change Council and the National Climate Change Fund in Kenya. [ABSTRACT FROM AUTHOR]

The experience of pregnancy and motherhood is complex and changeable, marked by feelings of fulfilment, growth, and joy, but also depression, stress, anxiety, increased conflict, and regret. Yet the chaotic realities of motherhood remain taboo subjects, rarely discussed, in society and across the media. This paper shows how discussion forums can work as powerful outlets to capture the meaningful expression of viewpoints that mothers may not feel able to articulate or confess elsewhere. These anonymous online spaces offer a supportive space where the reality of the often-hidden maternal experience can be communicated, in resistance to the dominant narratives reinforcing the idea of the “good” mother. Analysis of UK forum Mumsnet suggests that public digital communities provide a valuable space to explore a socially relevant research area relating to maternal suicide and lived experience. This paper responds to a need to understand how women discuss suicidal thoughts, facilitating an understanding of the hidden discourse around motherhood. Through thematic analysis of Mumsnet posts (n = 4,186), five themes were identified: escaping the burden of motherhood; motherhood or pregnancy trauma as a trigger; feeling that children would be better off without them; children being a reason to live; and perceived shameful thoughts leading to silenced feelings. [ABSTRACT FROM AUTHOR]

As competition for student enrollment and funding among universities increases, higher education institutions (HEI) need to critically endeavor to implement and offer high quality service experiences. Drawing on current literature on student co-creation, this paper aims at presenting a systematic review of the literature on co-creation strategies in higher education (HE) in order to map extant research on this topic and offer a consolidated view of how co-creation may contribute to creating mutual value for institutions and students. The findings of our review include a descriptive analysis of the body of papers and a thematic analysis structured under three themes; (1) co-creation strategies that can be used by HEI; (2) Co-creation barriers and benefits for HEIs; and (3) Co-creation barriers and benefits for students. We identify an exhaustive inventory of the strategies, barriers and benefits studied in extant literature. Finally, directions for further studies are identified. [ABSTRACT FROM AUTHOR]

The proliferation of mobile phones across the world has contributed to the rise of mHealth interventions as a complementary means for improving health outcomes in areas where health facilities are limited. However, community members who do not own or have access to mobile devices feel excluded from such interventions. In this paper, we seek to understand and explore engagement strategies that support the inclusion of non-mobile phone owners in mHealth interventions. We conducted a review of mHealth and community engagement literature to gauge the strategies different studies have employed to engage non-mobile phone owners and users. We further reflected on two Southern African case studies from health and citizen engagement sectors to gain insights on ways non-mobile phone owners may feel included in mHealth interventions. Through a process of thematic analysis, we have identified three areas that mHealth implementers could draw from when designing more inclusive mHealth interventions. These strategies include the need for sensitising communities, using multi-stakeholder and multi-sectoral collaboration, and embracing a braided approach to communication technologies. We hope that this paper will inform mHealth project implementers on different strategies they can use to include community members, regardless of whether they own mobile phones or not. [ABSTRACT FROM AUTHOR]

There has been a major growth in global health networks in recent decades to address health issues including tobacco use, alcohol abuse, and maternal mortality. Most conditions that incur high costs have provoked networks of advocates working to mitigate the impact, increase investment in research, and establish campaigns. Global health networks often work simultaneously across policy, knowledge creation, and advocacy. Until recently there has been limited activity in global health networks and advocacy addressing hearing loss and deafness which has contributed to its relatively low visibility with policymakers compared to other health conditions. This discussion paper reports on a global consultation that explored the views of advocacy groups and individuals on advocacy for the management of hearing loss, and cochlear implantation (CI). It focussed on stakeholders' views of current advocacy endeavours, opportunities and barriers, and the possible development of a global advocacy network to improve access to cochlear implantation and the supporting services. The subsequent development of a global health network, the Cochlear Implant International Community of Action (CIICA) is discussed and the conditions necessary for the successful development of health networks are explored. This paper will be of interest to those wishing to understand the factors influencing the development of health networks and advocacy. [ABSTRACT FROM AUTHOR]

The effects of physical activity on health are well-established for chronic diseases such as multiple sclerosis (MS), Alzheimer's disease (AD), and ischaemic heart disease (IHD). However, sustaining physical activity in everyday life is difficult. Lifeworld knowledge can help qualify interventions aimed at resolving this public health issue, but there is a gap in regard to synthesized research on peoples' experiences with integrating and sustaining physical activity. Hence, the purpose of this review is to explore and present the available evidence on experiences with integrating and sustaining physical activity in a lived life with MS, AD, and IHD. We conducted a scoping review with qualitative analysis and narrative syntheses in accordance with PRISMA-ScR. Based on SPIDER we ran a systematic search in Cinahl, Embase, Medline, and PsychInfo for primary qualitative research papers published until December 2022. 43 papers were included. A thematic content analysis found that individuals who have MS, AD or IHD find integrating and sustaining physical activity in everyday life meaningful on several levels: Physical activity can facilitate meaningful movement with outcomes of physical, psychosocial, and existential importance. The research literature presents a meaning to physical activity that extends the idea of physical fitness to one of existential movement and personal growth. In addition, our review finds that people are more likely to integrate and sustain physical activity if they feel acknowledged, supported and believe that physical activity has a meaningful purpose reflecting their sense of self. Taking a more person-centred approach in rehabilitative care might help qualify the content of physical activity in terms of integration into everyday life, but more research is needed on how to implement a person-centred approach in practice. The research literature presents an experiential meaning to physical activity that extends the idea of physical fitness to one of more existential movement and personal growth. To ensure the integration of physical activity in people's everyday life, future rehabilitation interventions might benefit from adapting a more person-centred approach. People are more likely to sustain physical activity when they feel acknowledged, supported through social relationships, can access activities adapted to their specific needs and preferences, and believe that physical activity has a meaningful purpose reflecting their sense of self. [ABSTRACT FROM AUTHOR]

The child perspective, i.e. an adult understanding and viewing of a child, is frequently being discussed. However, it is open to individual interpretation as the concept is only vaguely defined. This paper focuses on factors characterising the child perspective held by adults in an organisation which treats and supports adults and children who endure mental illness as a result of war, torture, and/or life as refugees. A cross-sectional descriptive design involving qualitative data was used. Data were gathered at the Health and care department, Swedish Red Cross, through open-ended questions in a web-based questionnaire answered by 69 employees. Additionally, ten semi-structured interviews were conducted with key individuals who represented a variety of professional functions within the department. The data were combined to form a united data set used for analysis. A thematic analysis was undertaken, based on the descriptions by Braun and Clarke, and three major themes emerged. Two of these described the professionals' perceptions in terms of a child perspective. The first, Considering the child as an individual, focused on how a child perspective encouraged the employees to create a friendly atmosphere and to seek out children's perspectives. The second, Acknowledging the child's rights, highlighted a view of the child perspective as involving the safeguarding of children and the provision of "voice". The third theme, Ambiguity in implementation, described the operationalisation of the child perspective in daily work, illustrating both favourable and problematic factors. To conclude, the understanding gained by this paper could be used to raise awareness of, concretise and operationalise a child perspective in other organisations in which adults encounter children. Likewise, this understanding could be used for ongoing research, knowledge development and further discussions in terms of child-focused work and rights-related initiatives involving children. [ABSTRACT FROM AUTHOR]

Playwork is a recognised profession in the United Kingdom (UK) and is currently a growing area of interest internationally. However, debates about the nature and purpose of playwork have raged in the playwork field since the profession was invented in the early adventure playgrounds. This study is the first to capture data about what the now international playwork workforce understands to be the purpose of playwork. The International Playwork Census (IPC) was an online survey which asked participants from 19 different countries about their knowledge and experience of playwork. This paper reports on one question from the IPC: what is the purpose of playwork? A thematic analysis was undertaken from 193 responses on what was considered "the purpose of playwork" and three themes emerged: Facilitate and Provide for children's play; Support and Advocate. This paper describes how these three themes reflect both the historical change in understandings of the purpose of playwork and how different understandings of playwork are developed through the experience of practitioners working in range of different contexts. [ABSTRACT FROM AUTHOR]

This paper presents a review of the existing qualitative research literature concerning people's experience of communicating using augmentative and alternative communication (AAC). The aims of conducting this review were to find out more about the values and outcomes that are important to people about the AAC they use to support their communication. This review was conducted to provide a deeper understanding of these experiences to inform the development of a patient-reported outcome measure (PROM). A qualitative evidence synthesis of existing qualitative research literature was undertaken to explore and appraise current knowledge about the experiences of people who use AAC. From 115 qualitative research reports 19 papers were identified that responded directly to the research question and aims of the review. Data were identified that could be organized within an a priori framework consisting of the constructs of values, outcomes, and context. The review has resulted in a deeper, analytical understanding of the experiences of people who require AAC. The results indicate a set of concepts that can be used to inform the development of a PROM. A PROM can be used to assist clinicians and researchers to better understand the perspectives of people who require AAC and evaluate interventions. The results also encourage professionals to reconsider the terminology and methods used when working alongside people who require AAC and to reflect on the multidimensional factors that influence people's experience of communication. Patient-reported outcome measures (PROMs) can be useful tools to support clinician-patient communication, facilitate shared decision making and establish priorities for rehabilitation. It can be difficult to engage people who have complex communication difficulties in decisions about the important outcomes to them from using augmentative and alternative communication (AAC). This qualitative evidence synthesis provides a deeper understanding of the experiences and perspectives of people who use AAC. The results will be used to inform the development of a PROM which can be used to facilitate shared decision-making, and evaluate AAC interventions from the perspective of the people who use these technologies. [ABSTRACT FROM AUTHOR]