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: Objective: To describe a process of meaningful Aboriginal community engagement that repositioned and valued community members’ knowledge(s) and lived experiences while strengthening relationships, research processes and outcomes. Background: Aboriginal Australians have the oldest continuous culture in the world, yet due to effects of colonisation, experience some of the world's poorest health outcomes. The AKction [Aboriginal Kidney Care Together – Improving Outcomes Now] project brought together Aboriginal people with lived experience of kidney disease, clinicians and researchers to improve kidney care. Methodology: Using Aboriginal methodologies of Ganma and Dadirri within community‐based participatory action research (cb‐PAR), a core advisory group of Aboriginal people with lived experiences of kidney disease worked closely with clinicians and researchers. Results: Three community consultation workshops that deeply valued Aboriginal knowledge(s) were co‐created. Community members formed a reference group, established partnerships and influenced health research, policy and service provision. Non‐Indigenous researchers engaged in critical self‐reflection and levelling of Western‐Aboriginal and clinician‐consumer power imbalances. Conclusions: Deeply respectful community engagement is possible through co‐creation and cb‐PAR. It results in multiple positive impacts and beneficial relationships between community members, clinicians and academics. Implications for public health: Meaningful consultation with Aboriginal communities guides culturally safe research processes, health policy and service delivery., We respectfully use the term First Nations to describe the people of colonised countries such as Australia, New Zealand, Canada and the Unites States of America who have ancestral, cultural [...]

: Objective: To describe the experiences, perceptions and suggested improvements in healthcare identified by Aboriginal patients, families and community members living with kidney disease in South Australia. Methods: Community consultations were held in an urban, rural and remote location in 2019 by the Aboriginal Kidney Care Together – Improving Outcomes Now (AKction) project and Kidney Health Australia. Consultations were co‐designed with community members, using participatory action research, Yarning, Dadirri and Ganma Indigenous Methodologies. Key themes were synthesised, verified by community members and shared through formal and community reports and media. Results: Aboriginal participants identified the importance of: family and community and maintaining their wellbeing, strength and resilience; the need for prevention and early detection that is localised, engages whole families and prevents diagnosis shock; better access to quality care that ensures Aboriginal people can make informed choices and decisions about their options for dialysis and transplantation, and; more Aboriginal health professionals and peer navigators, and increased responsiveness and provision of cultural safety care by all kidney health professionals. Conclusion: Aboriginal community members have strong and clear recommendations for improving the quality and responsiveness of health care generally, and kidney care specifically. Implications for public health: Aboriginal people with lived experience of chronic conditions wish to significantly inform the way care is organised and delivered., The health care needs of Aboriginal and Torres Strait Islander people have unique elements that require a specific response. While the challenges of living with chronic illnesses and needing to [...]

Why you should read this article: • To understand that preserving action or process when coding gerunds in constructivist grounded theory research can help discover the participants’ main concerns, which provide context for the substantive theory • To appreciate that looking for and recognising gerunds in qualitative data can be confusing for novice researchers • To benefit from an example of coding gerunds to gain deeper insights and depth to qualitative data analysis. Background: Coding for gerunds is useful in developing theory in grounded theory. However, it can be confusing for the novice researcher to recognise these words, which consider actions more abstractly. Aim: To explain how to identify, analyse and code gerunds, using the example of a constructivist grounded theory study investigating the design of operating rooms. Discussion: Coding for gerunds helped to illustrate participants’ actions and sequences in the example study and added depth to the researcher’s understanding of certain topics. Conclusion: Coding gerunds can improve the insights obtained in grounded theory studies. Implications for practice: This article may encourage nurse researchers to focus on actions to add depth to their qualitative analyses. [ABSTRACT FROM AUTHOR]

Historically, Massive Multiplayer Online Games (MMOGs) have been used for entertainment purposes, but that is rapidly changing. Advances in computer technology and an enhanced perception of functionality have allowed MMOGs to combine with other technologies, such as networking and web-based learning, to provide educators with opportunities to create new and unusual learning environments. Through MMOGs, it is possible for learners to engage in explorations that promote a constructivist perspective; that is, learners will experience, build, and modify their virtual world based upon prior knowledge and understanding. In these virtual worlds of MMOGs, learners actually experience the concrete realities that words and symbols only describe.MMOGs represent the wave of the future in not only entertainment, but also in education. (Contains 1 table.)

Background: Disrespect and abuse violates women's basic human rights and autonomy and can traumatize women who are already in a vulnerable position during childbirth and deter them from utilizing skilled care for future childbirth. This study explored women's perspectives on the acceptability of disrespect and abuse during facility-based childbirth in Ethiopia. Methods: A qualitative descriptive design using five focus group discussions and fifteen in-depth, semi-structured, interviews was conducted with women between October 2019 to January 2020 in north Showa zone of Oromia region, central Ethiopia. Using purposive sampling, women who had given birth at public health facilities of North Showa zone during the twelve months preceding data collection were recruited, regardless of birth outcome. Inductive thematic analysis using Open Code software was used to explore the perspectives of participants. Results: While women reject disrespectful and abusive acts during childbirth generally, they may consider some disrespectful acts as acceptable and or necessary under certain circumstances. Four emerging themes were identified. (1) Disrespect and abuse is not acceptable, (2) Disrespectful and abusive actions are acceptable only if intended to save lives, (3) Disrespectful and abusive actions are an accepted part of everyday practice to prevent complications and adverse outcomes, (4) Disrespectful and abusive actions are necessary to discipline disobedient women. Conclusion: Women's perceptions of disrespectful and abusive acts of care providers is deeply rooted within the context of violence in Ethiopia and the societal hierarchies that have systematically disempowered women. Given the pervasiveness of disrespect and abusive actions during childbirth, policymakers, clinical managers and care providers must take these essential contextual and societal norms into account and devise comprehensive clinical interventions that addresses the root causes. [ABSTRACT FROM AUTHOR]

If the 'new public management' theory is right, organizations that measure their performance and report their results should be more accountable to their customers. In the case of government, the [...]

Sixty-two years ago, the political scientist V O. Key articulated the indictment that still plagues public finance: public budgeting has no theory. Specifically Key asked, 'On what basis shall it [...]