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This paper explores the contribution of script theory to understandings of animal health risks. Script theory has long played an important role in studies of health and risk, yet the application of script theories is often vague and confused. Theories from different ontological perspectives are conflated resulting in an overly cognitive and asocial understanding of health behaviour with the potential to misinform health promotion strategies. The paper addresses these problems by applying the concept of script formulations to an analysis of farmers' understandings of bovine tuberculosis in farmed cattle. Drawing on interviews with 61 farmers in England and Wales, the paper argues that farmers reveal animal disease to be a scripted event, but that these scripts also order identity and provide a form of moral accountability for farmers' behaviour. This has implications for attempts to communicate animal disease risks and suggests that a more productive approach is to reorganise governance structures and relationships between farmers and government. [ABSTRACT FROM AUTHOR]

There is a driving force within current UK child welfare policies which promotes a strengths led approach to both assessment and care planning for children in need. Social policy emphasizes the importance of tangible outcomes such as education achievement, which have been enshrined in statute. However, other developmental outcomes, such as identity, are subordinated. Notwithstanding the relevance of these more concrete indicators, this paper suggests that this focus has left a gap at theoretical, strategic and operational levels relating to more psychosocial aspects of human growth and development, such as identity. This paper seeks to redress that gap by considering identity as both a process and an outcome. Following a review of the literature on identity development, it presents an analysis of semi-structured interviews with 13 young people and their social workers. The findings show how young people's identity is shaped by their relationships, can be a protective mechanism, and deferred or put on standby. In the concluding discussion the implications for social work practice are highlighted. [ABSTRACT FROM AUTHOR]

There are growing numbers of people using personalised support and it has been argued that this system of social welfare requires a very different workforce, with a re-evaluation of the role of social work. This paper reports empirical research that explores the perceptions of sixty-six disabled people, carers and elders of the role social workers should perform in a personalised world. The study used a grounded theory approach, obtaining data from a thread posted on eighteen internet forums. This novel methodology allowed access to ‘hard to reach’ groups and encouraged participation by individuals whose contributions may be inhibited by more traditional research methods. The analysis revealed that notions of power and autonomy were fundamental in understanding respondents' views of social work with concerns raised about the power of social workers and statutory organisations. These findings have implications for the recommendations made by the Social Work Task Force in 2009 for the reform of social work that argues for social work to have a greater professional status and potentially more power in the support relationship. [ABSTRACT FROM PUBLISHER]

This paper reports some of the findings from a study (Farmer et al., 2007), commissioned by an independent foster-care agency (IFA), to examine the support services offered to foster-carers and the young people in their care. In particular, this paper documents the use of a ‘team parenting’ approach within a ‘therapeutic’ fostering environment. Whilst there were some issues regarding the comprehensive assessments and the provision of therapy, foster-carers were positive about the support provided both to themselves and directly to the young people within the team parenting approach. On the other hand, communication and inter-agency working between the IFA and the local authority could be problematic, particularly in relation to funding decisions, which could limit the effectiveness of the team parenting approach. [ABSTRACT FROM PUBLISHER]

This paper develops the concept of driver boredom by utilising a cluster analysis to describe different types of driver. A two-step cluster analysis of a 49-item questionnaire measuring driver boredom attitudes and perceptions was performed on 1563 UK drivers, yielding four groups, labelled as 'young, inattentive and dangerous', 'enthusiastic and attentive', 'slow and unwilling' and 'safe and experienced'. These clusters are compared to ascertain personality and affect differences and whether or not there are different crash and penalty histories. The significant differences found enable the clusters to be seen in wider terms than simply boredom; they are considered in terms of theories of flow and arousal and also in light of previous attempts to classify driver types. This paper reports analyses that are part of a larger study of driver boredom. [ABSTRACT FROM AUTHOR]

This paper reports on the first ever national study in the UK of the needs of disabled women experiencing domestic violence and of the services available to meet these needs. The study found that, in general, support services frequently overlook or respond inappropriately to disabled women in this situation. The overall findings of the research were very wide-ranging, as were the resultant recommendations for statutory agencies, disability organisations, domestic violence services and wider strategic and commissioning frameworks. In this paper, the general findings are discussed briefly, followed by a discussion of abuse by paid carers/personal assistants in the context of the personalisation agenda, with a focus on issues for adult care services. [ABSTRACT FROM PUBLISHER]

Complex socio-technical systems are notoriously difficult to evaluate. The relationships between measurable processes and high-level descriptions of performance are neither clear nor well understood. Consequently, it is extremely difficult to relate changes made to physical components to overall system performance. Using the relationships captured in work domain analysis, this paper introduces a new approach for evaluating the impact of system changes. An event and actor-independent model is used to describe the given domain at a number of levels of abstraction. The relationship between these descriptions forms the basis of this approach. A case study of a recently upgraded UK land military headquarters is used to demonstrate the approach. As the presented case study will show, a clear link can be made between system changes that result in an increase in overall system performance, as well as changes that result in a degradation. It is contended that the described approach adds important structure to the way that evaluations of complex socio-technical systems are considered, creating a traceable link between changes made at a component level to high-order descriptions of domain purpose. [ABSTRACT FROM AUTHOR]

The study reported in this paper aimed at exploring the views of staff and patients of a potential emergency nurse practitioner service in an acute trust in the UK. The role of the nurse in emergency care has changed considerably in recent years, and the evolution of the emergency nurse practitioner role has changed emergency service provision dramatically. The emergency nurse practitioner role is not uniformly defined across emergency care in the UK, and the resulting blurring of the role of emergency nurse practitioners with that of emergency department medical staff is not helpful to hospital staff or patients. A quantitative and qualitative mixed method design was used that enabled exploration of an individual's viewpoint within their own practice or natural surroundings. Self-completed questionnaires were used to determine health professionals' opinions, and semi-structured interviews were employed to explore patients' views. A total of 144 health professionals responded to the questionnaire survey giving a response rate of 28·5%, and 10 patients participated in qualitative interviews. Health professionals and patients alike were generally supportive of an emergency nurse practitioner service, but there were some concerns in relation to the role and functions of the emergency nurse practitioner and associated accountability issues. This paper contributes further data that demonstrate the inter-professional and patient support of the advanced role of the emergency nurse practitioner and highlights potential conflictual issues and barriers to implementation that can and must be resolved successfully through proper consultation prior to the service being introduced. This paper provides important information to health professionals and service providers that should help to facilitate the introduction and maintenance of a successful and effective emergency nurse practitioner service in any trust. [ABSTRACT FROM AUTHOR]

Abstract: This paper takes as its starting point Paley 's critique that the term 'spirituality ' in health care is artificial, unnecessary and obscurantist; and his conclusion that healthcare providers should abandon it to focus their resources on exclusively materialist ways of addressing the same issues. Accepting the force of Paley's critique and his conclusions, the author nevertheless argues that reductionist and 'spiritual' approaches to patient care are not mutually exclusive. They can be brought into a fruitful relationship through the use of resources that Paley himself commends. This means that his arguments can be understood to strengthen rather than weaken the case for a parallel chaplaincy provision; and help to define the role and purpose of chaplaincy in an avowedly secular organization. [ABSTRACT FROM AUTHOR]

Within the UK, there is growing recognition that individuals will need to take increased responsibility for managing their own health for there to be improvements in population health. The current evidence base on self care interventions reflects an interest in enhancing self care knowledge, skills and behaviour in relation to the management of long-term conditions. In contrast, this paper reports on a community-based self care initiative that was designed to promote self care approaches in the general population. The principal component was a self care skills training course delivered to groups of lay people in community and workplace settings. Self Care for People was piloted in three primary care trusts and a process evaluation was undertaken. The aim of this paper is to examine the feasibility, relevance and acceptability of the initiative. Qualitative interviews were conducted with a sample of stakeholders involved in implementation including coordinators, trainers and key informants from organisations hosting the course. In total 40 interviews and two focus groups were conducted from 2006 to 2008 and the data were analysed thematically. The evaluation found that implementation was relatively straightforward with few major barriers reported. Recruitment to the self care skills training course took place in both workplace and community group settings, including in organisations supporting socially excluded groups. The course was seen to provide a valuable space for contemplation on personal health, however, participation could raise sensitive issues that needed to be dealt with by skilled facilitators. Motivations for involvement differed markedly in host organisations and different strategies for marketing were adopted. The paper concludes by suggesting that while Self Care for People was both feasible and relevant to different stakeholder groups, there needs to be flexibility in responding to the needs of participants in different settings. [ABSTRACT FROM AUTHOR]

The General Medical Council instructs doctors not to allow their personal beliefs to interfere with their practice. But if attitudes can threaten to impact negatively on a doctor's practice then the question arises: should doctors ever be professionally required to change their attitudes? In this paper I suggest that doctors should be required to amend their attitudes if two conditions are met, namely: (1) the doctor has an attitude that if neglected by the doctor will (or is very likely to) compromise his or her fitness to practise; and (2) the only way in which the doctor can prevent that attitude from compromising his or her fitness to practise is by changing the attitude. I also answer three objections that might be raised against the position that I advance. [ABSTRACT FROM AUTHOR]

In this paper we distinguish between three channels that determine attitudes to further immigration: labour market concerns, welfare concerns, and racial or cultural concerns. Our analysis is based on the British Social Attitudes Survey. A unique feature of the survey is that it includes questions on attitudes towards immigration from different origin countries, with populations differing in ethnic similarity to the resident population. It also contains sets of questions relating directly to the labour market, benefit expenditure and welfare concerns, and racial and cultural prejudice. Based on this unique data source, we specify and estimate a multiple factor model that allows comparison of the relative magnitude of association of attitudes to further immigration with the three channels, as well as comparison in responses across potential immigrant groups of different origin. Our results suggest that, overall, welfare concerns play a more important role in determination of attitudes to further immigration than labour market concerns, with their relative magnitude differing across potential emigration regions and characteristics of the respondent. In addition, we find strong evidence that racial or cultural prejudice is an important component to attitudes towards immigration; however, this is restricted to immigration from countries with ethnically different populations. [ABSTRACT FROM AUTHOR]

The aims of the paper are to present the argument for pluralistic evaluation, by outlining and assessing the various measures that have been and might be used in the United Kingdom, and to question the value of relying on reconviction rates. Most evaluation studies of offender programmes in the community and in prison have been based on single measures, mostly the recidivism rate. Some studies have evaluated the effectiveness of particular programmes in terms of the costs or of changing the attitudes or addressing the needs and problems of offenders. However, no single measurement can reveal the full picture of the effectiveness of a particular correctional programme. This paper criticizes current evaluation-driven practice -- only do things that can be measured and divert resources from delivery to fairly unimaginative evaluation. It concludes that commitment to pluralistic evaluation in principle is often compromised in practice. [ABSTRACT FROM AUTHOR]

Eve Sedgwick suggests that it is possible to “speak” your fatness, to “come out” as fat and renegotiate the “representational contract between one's body and one's world.”(1994: 230). Sedgwick's words have resonated particularly loudly with the Fat Acceptance movement, which has been embraced with feverish glee by fat women in the United States and the United Kingdom. I was immediately attracted to the politics of this new fat pride movement, who seemed to take up this idea of intervening in the ‘contract’ one's fatness had with the world, insisting on being seen in new ways. So, I go out into the world armed with the Fat Manifesto (Waun: 1998), wearing a sleeveless top, my dimpled arms on display. I feel strong, powerful, swollen with my fat identity, snarling at others who cast withering glances at my bulky frame. And then, I pass a shop window. I shudder as I catch a reflection of myself, my body appearing to me as grotesque and foreign, a bulging, jiggling vehicle of disgust and shame I want nothing to do with. I experience myself/my body in ways that shift and vary and contradict each other. NIkki Sullivan points out the problems with the act of ‘coming out’ as part of a project to overturn public ‘knowingness’ about homosexuality.“The call to come out presupposes that such an action is in itself transformative and that the identity that one publicly declares is unambiguous.” (Sulilvan: 31) In this paper, I take up Sullivan's point about the problematic act of ‘coming out’ as a fat woman. I critique the problematic model of subjectivity the Fat Acceptance Movement is founded on, given the ways in which I live my fat body are always multiple, contradictory and eminently ambiguous. This paper looks at the rise of the Fat Pride movement in the United States, and the model of subjectivity it proposes as a means of overcoming oppression of the fat woman. I critique the humanist principles on which this model of subjectivity is founded, and, moreover, the difficulties with liberationist politics. [ABSTRACT FROM AUTHOR]

This paper reviews the shifting fate of legumes in UK agriculture. Legumes were once a common part of crop rotations, providing food and feed, while enhancing soil fertility and enabling pest control. During the 20th century, UK arable management became predicated on minimally diverse crop rotations, dependent on artificial fertilisers and pesticides. Legumes were locked out of food and farming. Existing research has identified the drivers of this lock-in. Whilst this intensive model increased crop yields, there are growing concerns around its greenhouse gas emissions and impacts on soil health and biodiversity. In response, there is a resurgence of interest in legumes as a solution to these problems, as part of a wider shift towards agroecological management. This analysis draws on interviews with different actors in the UK agricultural sector to present a Multi-Level Perspective analysis of the drivers and characteristics of this transition - what we term agroecological break-out. It describes how macro-level economic changes (a growing market for plant-based proteins) and political transitions (a focus on public goods subsidisation) are combining with shifting agricultural attitudes (such as concerns around soil health, and the prioritisation of multi-annual profitability over annual yields) to increase the attractiveness of crop diversification and legume cropping. These changes open space for micro-level innovations by private, public, and civil society actors to disrupt the meso-level status quo of minimally diverse crop rotations. The conclusion maps the different forms and trajectories of this break-out and reflects on their implications for the future of food and farming in the UK. • Lock in of intensive agricultural management beginning to loosen. • Multi-level analysis is used to show signs of emergent 'agroecological breakout'. • Public goods policies and consumer preferences creating conditions for transition. • Growing industry interest in soil health and regenerative practices. • Great potential for use of legumes to diversify crop rotations in UK. [ABSTRACT FROM AUTHOR]

Accessible Summary What is known on the subject? UK health policy is clear that researchers should involve the public throughout the research process., The public, including patients, carers and/or local citizens can bring a different and valuable perspective to the research process and improve the quality of research undertaken., Conducting health research is demanding with tight deadlines and scarce resources. This can make involving the public in research very challenging., What this paper adds to existing knowledge? This is the first time the attitudes of researchers working in mental health and learning disability services towards PPI have been investigated., The principles of service user involvement in mental health and learning disability services may support PPI in research as a tool of collaboration and empowerment., This article extends our understanding of the cultural and attitudinal barriers to implementing PPI guidelines in mental health and learning disability services., What are the implications for practice? Researchers in mental health and learning disability services need to champion, share and publish effective involvement work., Structural barriers to PPI work should be addressed locally and successful strategies shared nationally and internationally., Where PPI guidelines are being developed, attention needs to be paid to cultural factors in the research community to win 'hearts and minds' and support the effective integration of PPI across the whole research process., Abstract Introduction Patient and public involvement ( PPI) is integral to UK health research guidance; however, implementation is inconsistent. There is little research into the attitudes of NHS health researchers towards PPI. Aim This study explored the attitude of researchers working in mental health and learning disability services in the UK towards PPI in health research. Method Using a qualitative methodology, semi-structured interviews were conducted with a purposive sample of eight researchers. A framework approach was used in the analysis to generate themes and core concepts. Results Participants valued the perspective PPI could bring to research, but frustration with tokenistic approaches to involvement work was also evident. Some cultural and attitudinal barriers to integrating PPI across the whole research process were identified. Discussion Despite clear guidelines and established service user involvement, challenges still exist in the integration of PPI in mental health and learning disability research in the UK. Implications for practice Guidelines on PPI may not be enough to prompt changes in research practice. Leaders and researchers need to support attitudinal and cultural changes where required, to ensure the full potential of PPI in mental health and learning disability services research is realized. Relevance statement Findings suggest that despite clear guidelines and a history of service user involvement, there are still challenges to the integration of PPI in mental health and learning disability research in the UK. For countries where PPI guidelines are being developed, attention needs to be paid to cultural factors in the research community to win 'hearts and minds' and support the effective integration of PPI across the whole research process. [ABSTRACT FROM AUTHOR]

This paper reformulates classical questions regarding the plans and strategies of Polish migrants in the UK-such as decisions to leave or remain in the host country, or be 'deliberately indeterminate' about future plans-from a sociologically situated 'rights-based' perspective. This approach considers migrant's attitudes towards specific 'civic integration' measures in a medium-term time frame, as well as in the new context created by the UK's vote to leave the EU. Based on the quantitative analysis of original survey data, we investigate the factors behind Polish migrant's migration strategies and we argue that basic socio-economic and demographic factors are inadequate, on their own terms, to explain future migration and civic integration plans. Instead, we find that aspects such as interest in and awareness of one's rights, as well as anxieties about the ability to maintain one's rights in the future are stronger determinants. [ABSTRACT FROM AUTHOR]

In recent years, concerns over effective consumer representation of public transport users have increased considerably, as public transport has undergone substantial regulatory reforms. The ultimate goal of deregulation is to protect and benefit the public at large. Hence, this paper explores how this goal is being pursued by examining the roles of statutory, independent passenger watchdogs and their relationships with authorities and operators in regulated and deregulated bus regimes. Drawing on a case study of London TravelWatch and Transport Focus in Great Britain, our findings show that statutory passenger watchdogs are effective in representing passenger interests due to four factors in particular: the organizational setting, research-based evidence, accommodating relationships, and public outreach. The paper also documents the differences in how these passenger watchdogs build their relationships with key stakeholders and work with them within the strategic-tactical-operational framework. [ABSTRACT FROM AUTHOR]

Background: Adverse Drug Reactions (ADRs) are a major public health problem. Prompt reporting of suspected ADRs is fundamental in the post-marketing surveillance of medicines and helps in ensuring medicine safety. However, fewer ADRs are reported in general and in particular by community pharmacists. There is limited knowledge about the factors which are preventing community pharmacists in the UK from reporting an ADR. Objectives: To identify the barriers to ADR reporting among community pharmacists practicing in the UK. Methods: A cross sectional study using a 25-items questionnaire (both online and paper based) including 10 barriers to ADR reporting was conducted from 1st April 2012 to September 2012. Community pharmacists practicing in the West Midlands, UK, were approached for the participation in this study. Chi-Square and regression were applied to identify covariates for the barriers to ADR reporting. A significant value of 0.05 was assigned for analysis. Results: Of the 230 invited community pharmacists, 138 pharmacists responded (response rate 60%). The median age of respondents was 31 years. All pharmacists reported that they would report both serious and mild ADRs from drugs with black triangle among children as well as adults. About 95% (n=131) of the pharmacists were familiar with the paper based ADR reporting system. Storebased pharmacists were more likely to be more confident about which ADRs to report [0.680, 95% Confidence Interval 0.43-3.59]. Lack of time 46.4% (n=64), and pharmacists perception that ADR is not serious enough to report (65.2%; n=90) were identified as barriers to ADR reporting. Majority 63.0% (n=87) of the pharmacists identified training and information about what to report and access to Information Technology (IT) (For example access to internet connection) 61.6% (n=85) as facilitators to ADR reporting process. Conclusion: Lack of time and ADRs considered not serious enough by pharmacists to report were barriers to ADR reporting. Further training and education about the types of ADRs to be reported can help to improve the reporting of ADRs. [ABSTRACT FROM AUTHOR]

In the UK, a threshold divides between two categories of children, child protection (CP) and child in need. Each category tends to be treated as a homogeneous entity, despite containing heterogeneous levels and forms of risk and need. CP practice, accompanied by regulation, protocols and procedures, aspires to achieve a coordinated multi-agency response to identified concerns with available resources targeted towards this category. However, it is well known that those children assessed as falling just below the CP threshold can still have high levels of need and risk, requiring a level of social work involvement beyond the low-resource and low-oversight model that generally accompanies a child in need categorisation. This paper probes an approach to practice, which divides levels of risk within the child in need category enabling adequate, coordinated support and oversight to be provided for children and families with complex needs. Evidence from our study evaluating this approach suggests that a simple protocol provided a clear process within, which social workers and agency partners felt confident and safe to practice outside of the formal CP framework. The protocol prevented drift and helped to create a space within, which relational social work practice flourished. [ABSTRACT FROM AUTHOR]

Community involvement in archaeological digs aims to reconnect people with the history and heritage of where they live. This paper applies social psychological theories to understand how community archaeological projects create opportunities for place-based social identity and positive intergroup relations. Focus groups were conducted across five areas of Greater Manchester (UK) with 24 participants who volunteered for Dig Greater Manchester, a community archaeology initiative. The focus groups aimed to understand how experiences of participating in digs and exploring local heritage modified, strengthened or initiated identification with place and community, thus moving from individual levels to social levels of identity. The findings offer insight as to the ways in which people make sense of their own-and others'-place-based social identities as a result of participating in community archaeological digs . Copyright © 2017 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

A questionnaire survey of drivers (n= 903) was conducted covering musculoskeletal symptoms, the vehicle seat, access to specific vehicle features, ingress/egress, driving performance and driving behaviours. Significantly, more discomfort was reported by older drivers (aged 65+) in the hips/thighs/buttocks and knees. Older drivers reported more difficulty parallel parking (p≤ 0.01), driving on a foggy day (p≤ 0.01), and turning their head and body to reverse (p≤ 0.001). They also reported that their reactions were slower than they used to be (p≤ 0.01). Dissatisfaction was found by all drivers with adjusting the headrest (height and distance), seat belt height and opening/closing the boot. There is a growing population of older people globally, and the number of older drivers is showing a parallel increase. Clearly, efforts are needed to ensure car design of the future is more inclusive of older drivers. Practitioner Summary:This paper describes a questionnaire survey of drivers on their driving experience – the vehicle seat, access to specific vehicle features, ingress/egress, driving performance and driving behaviours. Comparisons are made by age and gender. Issues with driving and vehicle design particularly for older drivers in the UK are identified. [ABSTRACT FROM AUTHOR]

Although the law in England and Wales requires a child's wishes and feelings to be heard in LAC (Looked After Children) reviews, there remains limited research into how far this is achieved. This study interviewed 25 children and 16 foster carers to explore how well children understand and take part in reviews, and what factors impede this. The study found that levels of participation, as experienced by children and foster carers, were very low and the methods used were relatively ineffective. Children experienced significant barriers in engaging with the review process. The paper concludes that, as a vehicle of children's participation, LAC reviews are still not working well and calls for more attention to the views of children and young people and to the effectiveness of LAC reviews. [ABSTRACT FROM AUTHOR]

Care leavers constitute a small but important minority of social work students. Their dual role as previous ‘consumers’ of care and students is of inherent interest to both those involved in social work education and providers of social work services. This paper discusses a small research project that explored the experiences of such students through semi‐structured interviews. One theme that reoccurred in the analyses of the interview transcripts was how the students managed their identities, through the time that they were in care, in the period having left care and having been accepted on a social work course. What the interviewees had to say about their care and subsequent life experiences is worthy of consideration in terms of its implications for the delivery of social work education generally and how care leavers on social work courses should be treated by academics and on placement particularly. [ABSTRACT FROM AUTHOR]

Poor outcomes for young people in and leaving care have been well documented and research has indicated that the expectations of professionals working with children and young people looked after is a significant influence, particularly in relation to education. An evaluation of an independent children's residential school in Scotland provided a rare opportunity to analyse and compare the views of different kinds of staff about desirable outcomes and how successful outcomes could be achieved. Care workers, teachers and specialist support staff shared some views, but also held contrasting expectations, which appeared to be linked to differing emphases in their models for working with young people. This paper offers tentative explanations for such differences and concludes with suggestions on how to help align service staffs' expectations of young people leaving their care. [ABSTRACT FROM AUTHOR]

The meaning of sexual well-being for physically disabled people is a little-researched area of social work practice. The traditionally hidden nature of sexuality and sexual well-being in disability research means that practitioners have little evidence-based guidance to help offer inclusive person-centred care. Because sexual well-being is a sensitive topic, and one which professionals can feel uncomfortable discussing, the absence of guidance reinforces the barriers to its inclusion in practice. So, although sexual well-being is potentially one of the most meaningful aspects of human life, it has rarely been addressed in health and social care practice (Taylor, 2011). As a result, disabled people can experience discrimination regarding their sexual well-being, with the notion of asexuality or deviance remaining prevalent in their personal accounts. Sexuality and sexual relationships are often the source of disabled people's deepest oppression and therefore should be the focus for disability action (Shakespeare, 2000). This paper will explore the importance of sexual well-being to personal identity, self-esteem, and mental and physical well-being. This is particularly relevant to the context of social work with adults in England, which is underpinned by the 2014 Care Act with its focus on promoting well-being. Issues for practitioners and future research will be identified. [ABSTRACT FROM AUTHOR]

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Vaccination is an important public health intervention, but its effectiveness depends upon the uptake of vaccination reaching sufficient levels to yield 'herd' immunity. While the majority of the UK hold positive attitudes about vaccination, some people, including health professionals, decline vaccinations. This article reviews the evidence relating to vaccine hesitancy, its underlying factors and the sociodemographic variations. A second article will review the evidence relating to strategies to address vaccine hesitancy and promote vaccination acceptance. [ABSTRACT FROM AUTHOR]

This paper examines socialist ideology in Britain in terms of the beliefs and attitudes of two samples, a sample of Labor Members of Parliament and a sample of Parliamentary labor candidates. Ideology' is defined as a structured set of attitudes having a wide range and reasonable internal coherence. The paper shows that the attitudes of respondents with respect to a set of controversial issues in the Labor party, are structured coherently enough to constitute an ideology, and the structure is very similar for both samples. When measuring ideology along a left-right continuum it appears candidates arc more left wing than Members of Parliament, and several hypotheses which might account for this are tested with a multiple regression model. It appears that background characteristics are very poor predictors of ideology, and an explanation of ideological differences is provided in terms of contemporary political events in British society, and the early political experiences of respondents. [ABSTRACT FROM AUTHOR]

This paper deals with the management of complex environmental turbulence and organizational change in English local government. Research has been conducted to assess the perceptions of the strategic élites, chief executives and chief officer s, to these change processes. However, no work had been undertaken to assess the extent of support and ownership amongst non-élite actors, the middle managers and street-level operatives, in English local authorities towards these élite cha nge strategies. This paper identifies that different management styles do impact upon the roles of these non-élites in a number of distinct ways. It provides evidence that one of the management styles is more appropriate than the others identified in the paper in terms of effecting successful change management. [ABSTRACT FROM AUTHOR]

Women with Tourette's syndrome (TS) continue to be under-researched, despite female sex being associated with increased tic-related impairment in adulthood. Existing literature indicates that individuals with TS are more likely than the general population to report self-stigma, but little is known about the subjective identities of women with TS and how this relates to psychological wellbeing. Semi-structured interviews were conducted via Zoom with a purposive sample of 11 females. All were diagnosed with TS and aged 18–28. Data was transcribed verbatim and thematic analysis applied. Five themes were established: "I'm not normal", "I just want to be me", I'm a "people pleaser", seeing oneself as an "outsider", and "it's just part of me...it's not going anywhere". Difficulties with self-acceptance and the autonomy to be one's true self were noted and appeared to be intensified by stereotypical gender roles and attempts to conceal tics. Findings also suggested that personal growth and feelings of mastery can be achieved through embracing TS as part of one's identity, or recognising it as just one aspect of the self. Psychological support focused on accepting and living with tics rather than reducing them may benefit this population and is currently difficult to access. Consideration should also be given to improving the availability of support groups where women with TS can meet others like themselves. [ABSTRACT FROM AUTHOR]

Secondary trauma arises through indirect exposure to trauma through engaging with first-hand accounts and narratives of traumatic events. While a significant amount of research has explored secondary trauma experienced by professionals who work with survivors of trauma, such as clinicians and front-line service providers, there is little research exploring the experiences of secondary trauma among violence researchers who routinely engage with traumatic first-hand accounts through their work. This study qualitatively explored violence researcher's professional experiences of secondary trauma and their perceptions of what enables and constrains their own coping and resilience. Participants were recruited using purposive sampling methods. Semi-structured interviews were conducted online with seven female violence researchers from the United Kingdom. Questions explored participant's experiences of secondary trauma symptoms related to their research, perceptions of their own coping and resilience, and experiences of organizational support that have enabled or constrained their resilience. Data were analyzed thematically using a coding framework applied reflexively across interview transcripts. All participants reported experiencing symptoms of secondary trauma from their work including cognitive disturbances; altered beliefs of themselves, others or the world; and challenges connecting with others. Participants' assessment of their own expertise in violence research did not generally impact their perception of their own resilience. Organizational support for violence researchers was rarely provided and participants felt generally unsupported—left to manage any resultant distress alone. Research organizations and universities should implement trauma-informed policies which positively transform workplace culture, provide peer support spaces, and conduct effective training in order to mitigate psychological harm and promote resilience among violence researchers. Support should be tailored to the requirements of violence researchers, and institutions should develop policies that are specifically attentive to the needs of researchers who also have lived experience of violence and abuse. [ABSTRACT FROM AUTHOR]

The authors discusses the use of attitudes and antimicrobial in Great Britain. The authors cite a paper that deals with veterinary attitudes to the use of antimicrobials around surgery. Moreover, they mentions that the paper describes the use of antimicrobials by a population of British veterinary surgeons, including when they used them, what they used them for, and why they used them in some cases and not in others.

In this paper, we examine why risk-based policy instruments have failed to improve the proportionality, effectiveness, and legitimacy of healthcare quality regulation in the National Health Service (NHS) in England. Rather than trying to prevent all possible harms, risk-based approaches promise to rationalise and manage the inevitable limits of what regulation can hope to achieve by focusing regulatory standard-setting and enforcement activity on the highest priority risks, as determined through formal assessments of their probability and consequences. As such, risk-based approaches have been enthusiastically adopted by healthcare quality regulators over the last decade. However, by drawing on historical policy analysis and in-depth interviews with 15 high-level UK informants in 2013–2015, we identify a series of practical problems in using risk-based policy instruments for defining, assessing, and ensuring compliance with healthcare quality standards. Based on our analysis, we go on to consider why, despite a succession of failures, healthcare regulators remain committed to developing and using risk-based approaches. We conclude by identifying several preconditions for successful risk-based regulation: goals must be clear and trade-offs between them amenable to agreement; regulators must be able to reliably assess the probability and consequences of adverse outcomes; regulators must have a range of enforcement tools that can be deployed in proportion to risk; and there must be political tolerance for adverse outcomes. [ABSTRACT FROM PUBLISHER]

Purpose – The purpose of this paper is to investigate the effectiveness of a day treatment programme (DTP) in reducing psychosocial impairment, changing attitudes, restoring body-weight and decreasing binge/vomit symptoms among 52 individuals (aged 16+) with eating disorders. It was hypothesized that day treatment would result in improvements across all variables measured. Design/methodology/approach – In a within-participants design, demographic, physiological and psychological measures were taken on admission to and at discharge from a DTP in the UK. Quantitative outcomes were analysed. Findings – In total, 40 participants were considered to have received an adequate dose of the DTP, having completed at least four weeks on the programme. Analyses supported all hypotheses, with all improvements being statistically significant. Large effect sizes were evident for all outcomes across the whole sample other than shape concern attitudes and weight concern attitudes, which reduced with moderate and moderate-to-large effect sizes, respectively. Originality/value – This study provides new evidence of the effectiveness of day treatment in reducing psychosocial impairment resulting from eating disorder psychopathology. It remains for future research to determine whether these outcomes can be sustained over the longer term. [ABSTRACT FROM AUTHOR]

Purpose – The purpose of this paper is to investigate the predictors of punitive attitudes towards young offenders among police officers. This included an examination of variables such as officers’ coping styles, mental health, rank and age. It was predicted that indirect coping styles, mental health difficulties, higher age and higher rank would negatively impact on punitive attitudes towards young offenders. Officers reporting direct coping strategies, low levels of mental health difficulties, lower rank and lower age were expected to have less punitive and more rehabilitative attitudes towards young offenders. Design/methodology/approach – A sample of 83 police officers and community support officers from the UK completed standardised self-report measures. Findings – Indirect coping strategies, high levels of mental health difficulties and high rank were all associated with more punitive attitudes, whilst age had no impact. Research limitations/implications – Results are discussed with regard to their research and real world implications. These include an impact of these findings on the job performance, community safety, approaches to policing, and the well-being of police officers. The importance of mental well-being, direct coping and positive attitudes towards young offenders is indicated in order for police officers to employ more proactive, consistent and fair behaviour with this group, leading to less punitive outcomes for young offenders, as well as improved police-youth relations. Originality/value – The research findings link mental health, coping styles and rank to officers’ attitudes towards young offenders, which had not been fully examined in the literature previously. Results suggest that mental well-being and direct coping styles may serve as a protective factor against the development of punitive attitudes. This highlights the importance of providing support for mental well-being, as well as training in the areas of effective coping styles and issues surrounding young offenders. [ABSTRACT FROM AUTHOR]

This paper reports on findings from a 2013 study of UK social work students’ attitudes towards feminism and the perceived relevance of feminist theory to social work practice. Building on an earlier, single-university exploration of students’ views, the study made use of social media (Twitter) to access opinions of students from seven universities across the UK using an online survey tool. Whilst it is not possible to make generalising claims based on ‘opt in’ research of this nature, the findings are nevertheless suggestive of some important issues for those working with social work students today. Principally, they showed that understandings of feminism in the student cohort were diverse and may be very different to the feminism that an older generation of academic and fieldwork educators may have grown up with. The article argues that it is important, in the light of this, to interrogate what we mean by feminism in our work with students. This will then allow us to open up wider conversations about power, agency and structure, thus bringing greater criticality and reflexivity to our teaching and learning. [ABSTRACT FROM PUBLISHER]

Background: Patient safety in primary care is an emerging field of research with a growing evidence base in western countries but little has been explored in the Gulf Cooperation Council Countries (GCC) including the Sultanate of Oman. This study aimed to review the literature on the safety culture and patient safety measures used globally to inform the development of safety culture among health care workers in primary care with a particular focus on the Middle East. Methods: A systematic review of the literature. Searches were undertaken using Medline, EMBASE, CINAHL and Scopus from the year 2000 to 2014. Terms defining safety culture were combined with terms identifying patient safety and primary care. Results: The database searches identified 3072 papers that were screened for inclusion in the review. After the screening and verification, data were extracted from 28 papers that described safety culture in primary care. The global distribution of the articles is as follows: the Netherlands (7), the United States (5), Germany (4), the United Kingdom (1), Australia, Canada and Brazil (two for each country), and with one each from Turkey, Iran, Saudi Arabia and Kuwait. The characteristics of the included studies were grouped under the following themes: safety culture in primary care, incident reporting, safety climate and adverse events. The most common theme from 2011 onwards was the assessment of safety culture in primary care (13 studies, 46%). The most commonly used safety culture assessment tool is the Hospital survey on patient safety culture (HSOPSC) which has been used in developing countries in the Middle East. Conclusions: This systematic review reveals that the most important first step is the assessment of safety culture in primary care which will provide a basic understanding to safety-related perceptions of health care providers. The HSOPSC has been commonly used in Kuwait, Turkey, and Iran. [ABSTRACT FROM AUTHOR]

Muslims constitute the largest, fastest growing religious minority in the UK. Globally, nurses are legally, morally and ethically obliged to provide non-discriminatory, person-centred, culturally sensitive care. This obligation includes supporting people with their religious needs where appropriate, but there is evidence this is not always happening, particularly for Muslims in mental health care. This paper reviewed primary research to address the question: Can mental healthcare for Muslims be person-centred without consideration of religious identity? Narrative synthesis and concurrent analysis. Searches were conducted post 2000 in MEDLINE, CINAHL, SAGE, PsychINFO and ASA with terms: 'Muslim', 'Islam* ', 'mental health', 'nurs* ', 'person-cent* ', 'religio* '. Narrative data were analysed for commonalities and themes. Seven studies of sufficient quality were analysed. Unconscious religious bias was the overarching theme linking the findings that healthcare staff felt ill-prepared and lacked necessary knowledge and experience to work with diverse patient groups. Unconscious racial bias contributed to limited cultural/ religious competence in treatment and care. Religious identity is core for Muslim patients, so this group may not be receiving the person-centred care they deserve. Nurses need cultural and religious competence to deliver person-centred, holistic care to diverse patient populations, yet the importance of religious practice can be overlooked by staff, with harmful consequences for patient's mental and spiritual welfare. This paper introduces a welcome pack that could help staff support the religious observance of those Muslim patients/service-users wishing to practice their faith during their stay in health services. [ABSTRACT FROM AUTHOR]

This paper explores the views of a group of students who took an oral performance assessment in a first-year mathematics module. Such assessments are unusual for most subjects in the UK, but particularly within the generally homogenous assessment diet of undergraduate mathematics. The evidence presented here resonates with some, but not all, of the existing literature on oral assessment and suggests that, despite concerns about anxiety and fairness, students see oral assessments as encouraging a focus on understanding, being relatively authentic and reactive to their needs. We argue that, suitably implemented, oral assessment may be a viable assessment method for straddling the ‘assessment for’ and ‘assessment of’ learning divide in higher education. [ABSTRACT FROM PUBLISHER]

Twenty academic psychologists and neuroscientists, with an interest in autism and based within the United Kingdom, were interviewed between 2012 and 2013 on a variety of topics related to the condition. Within these qualitative interviews researchers often argued that there had been a ‘turn to infancy’ since the beginning of the 21st century with focus moving away from the high functioning adolescent and towards the pre-diagnostic infant deemed to be ‘at risk’ of autism. The archetypal research of this type is the ‘infant sibs’ study whereby infants with an elder sibling already diagnosed with autism are subjected to a range of tests, the results of which are examined only once it becomes apparent whether that infant has autism. It is claimed in this paper that the turn to infancy has been facilitated by two phenomena; the autism epidemic of the 1990s and the emergence of various methodological techniques, largely although not exclusively based within neuroscience, which seek to examine social disorder in the absence of comprehension or engagement on the part of the participant: these are experiments done to participants rather than with them. Interviewees claimed that these novel methods allowed researchers to see a ‘real’ autism that lay ‘behind’ methodology. That claim is disputed here and instead it is argued that these emerging methodologies other various phenomena, reorienting the social abnormality believed typical of autism away from language and meaning and towards the body. The paper concludes by suggesting that an attempt to draw comparisons between the symptoms of autism in infant populations and adults with the condition inevitably leads to a somaticisation of autism. [ABSTRACT FROM AUTHOR]

This paper explores the accounts of science teachers working within the UK's only 'museum school' and what they perceive as the benefits and shortcomings of 'museum pedagogy' as a process of object-based teaching (and learning). Museum pedagogy is in this context considered for its potential in harmonising informal and formal approaches to science education. Discussion focuses on teachers' use of cultural artefacts as a pedagogical strategy intended both to ignite the imagination and enthusiasm of learners in science and harmonise their social and scientific worlds. Museum pedagogy is concurrently considered for the extent to which it ameliorates teachers' relational proximity and instructional fluency with their students and enhances their performance as role models and stewards in science. [ABSTRACT FROM AUTHOR]

The issue of reconciling ethnic diversity with the welfare state is a subject of long-standing theoretical debate. In particular, it remains unclear to what extent a shared national identity is necessary for endorsing claims to welfare at the individual and societal levels. Surveys show that migrants are seen as the least deserving category of welfare recipients. Yet migrants’ own views are rarely considered. Based on a qualitative study, this paper explores how Polish migrants residing in London conceptualised their deservingness to British welfare benefits and social housing. It finds a strong preference for conditionality of welfare predicated on contributions through work, payment of taxes and law abidance. Such conditionality applied to both in-group and out-group members thus transcending identity-based claims. These contributions were seen as both necessary and sufficient for laying claims to the British welfare system. Solely needs-based claims were seen as problematic. [ABSTRACT FROM PUBLISHER]

Accessible summary Some mental health nurses have now been prescribing for their clients for several years. When suitably qualified they can prescribe the same range of medication as medical staff. Concern was expressed that nurse prescribers might become more like doctors and as a result would sacrifice their nursing skills., The views of those who have their medication prescribed by mental health nurses as well as views of nurse prescribers, pharmacist prescribers, nurse managers and doctors were explored by using interviews and focus groups. Most participants saw the inclusion of prescribing in the nursing role as a benefit to clients. Rather than detracting from the nurse patient relationship, results from this study suggest that the nurse patient relationship was improved and more holistic care was provided., Nurse prescribing is well received by those who have experienced it., As nurse prescribing effects a change of power dynamics this could result in the need for less involvement of the medical profession in clients' care. As clients found nurses easier to talk to about their medication than doctors, medication concordance could be increased. Medication reconciliation could also be increased as medications no longer required by clients were more likely to be reduced or stopped by nurse prescribers. Discontinuing medication may indicate a new culture around mental health nurse prescribing. It may be that this trend has an impact on future service provision to clients. Results suggest that clients prefer to have their medication prescribed by nurses., Abstract Mental health nurse prescribing has been established in some areas in the UK for quite some time. Other than speculation that nurse prescribing would have a detrimental effect on the nurse-patient relationship, little has been written about the impact of nurse prescribing to date. Bradley and Nolan found that prescribing allowed nurses to overcome difficulties in the health-care system which would have previously delayed clients' access to medicines. Prescribing was believed to compliment many aspects of nursing and integrated previously diffuse aspects of the nursing role. Latter and Courtenay found that clients were generally satisfied with nurse prescribing. The aim of this study was to explore the impact mental health nurse prescribing has had on those involved. The views of clients, nurse prescribers, pharmacist prescribers, nurse managers and doctors were investigated. Questionnaires were used to gather demographic data and basic qualitative data. Focus groups and interviews were undertaken with 57 participants. The study was undertaken within one National Health Service Foundation Trust in England. Data analysis was guided by a framework approach. The majority of participants believed that the inclusion of prescribing in mental health nurses' roles improved the nurse-patient relationship, and five themes including the relationship, concordance, power, treatment approach and 'unprescribing' emerged. Trust was highly valued, and clients found nurses easier to talk to about their medication than doctors. Rather than detracting from the nurse-patient relationship, results from this study suggest that nurse prescribing enables mental health nurse prescribers to provide more holistic care than previously. [ABSTRACT FROM AUTHOR]

Purpose -- Corporations communicate CSR policies through a variety of methods, and the goal of the study is to explore young adult consumers' communication preferences and the implications for managers to effectively communicate CSR to boost their corporate brand image and reputation. The paper aims to discuss these issues. Design/methodology/approach -- Set within the context of the UK supermarket industry, the study adopts a qualitative research approach and a purposeful sampling method, collecting data from 30 young adult consumers in the south-east of the UK. The data collection method used was online bulletin board focus groups, face-to-face focus groups, face-to-face interviews and an online questionnaire. Research propositions are developed, evaluated and synthesized into a conceptual framework. Findings -- The findings show that interactive CSR communication functions as an effective method of improving consumers' emotional brand value, knowledge and memory of supermarket CSR. The findings have the potential to induce a more positive perception by young adults of supermarket CSR corporate brand image and reputation. Research limitations/implications -- The implications for theory development are in the under-researched area of interactive CSR communication. Practical implications -- The research provides practical strategic recommendations regarding effective communications to help guide managers in their planning and execution of their CSR endeavours. Originality/value -- The research provides new empirical insights into theory and knowledge of interactive CSR communication and how supermarkets can communicate CSR in a manner, which is appealing and engaging for young adult consumers, therefore more likely to strengthen their perception of a supermarket corporate brand image and reputation. [ABSTRACT FROM AUTHOR]

Purpose - The purpose of this paper is to demonstrate how older workers and people who have already retired speak about ageing and change and their experience of retirement. Design/methodology/approach - A qualitative study is described in which focus groups with older workers and semi-structured interviews with retired people were carried out. The recorded data were analysed using a linguistic approach (Discourse Analysis), which investigates in detail how people express their views and opinions and how their discourse might relate to societal attitudes towards ageing and retirement. Findings - Many older people who were still at work were concerned that they would decline and become senile once they retired unless they could remain active in some way. This was confirmed by people who had already retired and who spoke about how keeping busy and active had resulted in successful retirement and ageing. Research limitations/implications - Participants from four focus groups and five interview respondents represent only a small sample of older people who are still working or who are retired. This means that the results of this study cannot be extended to include all older workers and retired people. Social implications - This study will help to raise awareness of the concerns of older workers who may be nearing retirement, and how keeping busy and active after leaving work is considered by retirees to be part of successful retirement and helping to combat decline. Originality/value - A study of this nature which examines how older workers express their views about retirement using Discourse Analysis is original and may be used as a method for future research into other aspects of being older at work. [ABSTRACT FROM AUTHOR]

People with severe mental health problems such as psychosis have access to less social capital, defined as resources within social networks, than members of the general population. However, a lack of theoretically and empirically informed models hampers the development of social interventions which seek to enhance an individual's social networks. This paper reports the findings of a qualitative study, which used ethnographic field methods in six sites in England to investigate how workers helped people recovering from psychosis to enhance their social networks. This study drew upon practice wisdom and lived experience to provide data for intervention modelling. Data were collected from 73 practitioners and 51 people who used their services in two phases. Data were selected and coded using a grounded theory approach to depict the key themes that appeared to underpin the generation of social capital within networks. Findings are presented in four over-arching themes - worker skills, attitudes and roles; connecting people processes; role of the agency; and barriers to network development. The sub-themes which were identified included worker attitudes; person-centred approach; equality of worker-individual relationship; goal setting; creating new networks and relationships; engagement through activities; practical support; existing relationships; the individual taking responsibility; identifying and overcoming barriers; and moving on. Themes were consistent with recovery models used within mental health services and will provide the basis for the development of an intervention model to enhance individuals' access to social capital within networks. [ABSTRACT FROM AUTHOR]

Purpose - From 2012, all high-secure forensic mental health services in England began operating a policy of confining patients to their locked bedrooms overnight to increase service efficiency and reduce costs. The purpose of this paper is to assess the views of staff and patients concerning the policy and examine the specific impact of the policy on patients. Design/methodology/approach - Measures of patients' sleep hygiene, patients' behaviour, ward atmosphere, engagement with therapy and adverse incidents were taken both before and after the night confinement (NC) policy was implemented. Both patients and staff also expressed their views of the impact of the NC policy. Findings - Results provide converging evidence that the impact of the NC policy on patients is negligible. There were no consistent negative effects of confining patients overnight. Rather, patients and staff were broadly positive about the impact that the practice had on patients. Practical implications - Confining patients to locked bedrooms overnight does not exert any consistent influence, positive or negative, on patients' sleep hygiene, behaviour or engagement with therapy, and patients expressed a broadly positive view of the practice of NC. Thus, a NC policy may have a contribution to make to the provision an effective high-secure mental health service. Originality/value - The study provides convincing evidence that secure inpatient mental health services that are considering the adoption of a NC policy may do so without fear of a negative impact on patients. [ABSTRACT FROM AUTHOR]

Purpose - The purpose of this paper was to understand the experience of those living with the Imprisonment for Public Protection (IPP) sentence. Design/methodology/approach - Interpretative Phenomenological Analysis (IPA) was used to analyse seven interviews with Young Offenders aged 18-21 who were serving an IPP sentence. Two participants were past their tariff expiry date, two had less than a year until their tariff date and three had more than a year until their tariff date. Findings - Several themes were found, each with their own subthemes: Injustice of the Justice System, Not Knowing, Coping, Change and Walking on Eggshells. Participants still detailed negative aspects of the sentence but within this was one, important, positive aspect, namely the inspiration the sentence gave for them to change their offending behaviour. However, this has come at a cost with participants feeling as though they have been treated unfairly, finding it difficult to cope, feeling victimised and finding it difficult to see a future. Practical implications - Lapses in motivation do not necessarily reflect the risk of the person but the difficulty of the sentence. Motivation can be fostered and developed through motivational interviewing, praise and peer support IPPs should be given more credit for the way they manage themselves daily and more understanding when they struggle. IPPs could be victimised by determinate prisoners or by staff. Establishments should be aware of this and help IPPs resolve situations without feeling like they are a victim. Consideration should be given to converting IPP sentences to determinate sentences. Originality/value - Previous research focused on the negative aspects of the sentence, the purpose was therefore to approach the situation with an open mind and by using a method that allows those with an IPP sentence to share their experience of the sentence. IPA allowed for exploration of the effects of the sentence on those serving it and therefore gains a further understanding of the impact of the sentence. [ABSTRACT FROM AUTHOR]

Since devolution, the United Kingdom has evolved not only in terms of political representation but also in terms of the relationships between civil servants in each of its regions and nations. In this paper, we present an analysis of the distinct professional and educational backgrounds of elite civil servants in Scotland, Wales, and Northern Ireland. Using a new database of professional biographies of top officials across all four jurisdictions, we assess the extent to which devolved civil servants in these UK regions and nations are organizationally and professionally distinct from one another and from those in the UK-wide departments. We conclude that despite organizational change, the recruitment, demographics, and career structures of top officials in the four jurisdictions are actually quite similar. Comparing our findings to earlier studies by others, it seems that this is because the Cameron government appears to have overseen a resurgence of traditional civil servants. [ABSTRACT FROM AUTHOR]