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1 – 10 of 285Barrie Green and Lynne Robinson
Records of violent incidents were retrospectively analysed to identify trends associated with violent incidents within an NHS medium secure psychiatric unit. Over a…
Abstract
Records of violent incidents were retrospectively analysed to identify trends associated with violent incidents within an NHS medium secure psychiatric unit. Over a 12‐month period, 116 incident forms related to 112 incidents. These incidents were compared with a study from the previous 12 months within the same unit. Both studies were based upon work from within a high‐security setting (Caldwell and Naismith, 1989). There was a significant reduction in the overall number of violent incidents.The majority of incidents continued to occur within the intensive care admission unit. There continued to be a higher incidence of assaultive behaviour throughout the afternoon and evening. Seasonal variations demonstrates a reduction of incidents throughout the autumn and winter months compared with the previous year, and a significant change in the number of incidents that occurred during the summer.There remain opportunities for comparison with other secure units and further refinement of the methodology.
In contemporary forensic mental health and learning disability services effective care and risk management, which is safe for individuals and the public, can only be…
Abstract
In contemporary forensic mental health and learning disability services effective care and risk management, which is safe for individuals and the public, can only be delivered by drawing upon differing perspectives and interventions. In practice uni‐disciplinary training abounds, but the authors found a lack of formal training inherently constructed to be multidisciplinary. Therefore, a course was developed, in conjunction with a university partner, to meet this need. This modular course is flexible in nature, but is normally delivered over one semester leading to certification. In addition, there is the option of either essay or portfolio submission providing access to credits toward other academic awards. This programme of study, ‘Professional Practice in Secure Environments’ was recently cited as an example of good practice in From Values to Action, the CNO review of mental health nursing (NIMHE, 2006). Modules begin from a foundation of theory and relate it intimately to practice; students develop an understanding of multidisciplinary working by both training together and training in each others' conceptual frameworks. Participants to date include those from health, criminal justice, and social care arenas, and those with no previous higher study have submitted essays. Evaluations are positive and are used to refine delivery and content. The authors conclude that the course demystifies practice and academia, and provides access to both. This is an integral part of the training strategy, which is directed to meeting current and future service needs.Current and future developments and expansion of forensic mental health provision into new types of service will be less effective without a move away from traditional educational approaches. Services to meet the specific needs of groups such as secure long‐stay and personality disorders cannot be sustained effectively without a parallel development of new types of training.The strategic thinking behind this course, practical obstacles encountered, and solutions developed are described in this paper.
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Nina C. Cooper, Deepa Balachandran Nair, Sile Egan, Andrew Barrie and Bhathika Perera
Intellectual disability (ID) is prevalent in 1 per cent of the population. Premenstrual syndrome (PMS) affects up to 5 per cent of the general population of adult women…
Abstract
Purpose
Intellectual disability (ID) is prevalent in 1 per cent of the population. Premenstrual syndrome (PMS) affects up to 5 per cent of the general population of adult women. Identification of PMS is challenging in women with ID due to differences in communication. Management of PMS in the ID population requires careful consideration of baseline function, co-existing mental and physical health problems, drug interactions as well as complex ethical considerations. The paper aims to discuss this issue.
Design/methodology/approach
Prospero-registered systematic review (CRD42019119398) of papers exploring the diagnosis and management of patients with PMS and ID (n=414). In total, 35 relevant titles were identified and 27 full text papers were assessed for eligibility, resulting in 10 studies for final qualitative analysis.
Findings
Ten original research papers were included. There are no standardised symptom criteria for diagnosis of PMS in women with ID. Studies relied on observer-reported data. All papers demonstrated higher rates of PMS in women with ID compared with the general adult population. Management was not standardised and varied between centres. Mainstays of treatment included non-steroidal anti-inflammatories, combined oral contraceptive pills and intramuscular progesterone. Newer evidence suggests levonorgestrel intrauterine systems may be appropriate. There was no quantitative method of establishing success of management.
Practical implications
A modified symptom diary should be used for diagnosis in this population. Differentiation between cyclical behavioural change due to pain vs mood disturbance remains challenging. Conservative, psychological and medical management should be the mainstay of treatment, with surgery considered in exceptional cases.
Originality/value
This paper demonstrates the current limited evidence for the management of PMS in women with a diagnosis of ID and offers an overview of the current options for managing these patients’ symptoms.
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This paper aims to propose that the socio-technical perspective is under-represented when appraising the adoption potential of renewable energy technologies (RETs) in…
Abstract
Purpose
This paper aims to propose that the socio-technical perspective is under-represented when appraising the adoption potential of renewable energy technologies (RETs) in late-industrialising countries and that this results in under-adoption. It also aims to identify a methodological approach that allows the socio-technical perspective to be integrated into management decision-making, alongside the more typical economic appraisal methodology.
Design/methodology/approach
A case study and novel mixed-methodology approach is used, which applies the diffusion of innovations framework, innovation system (IS) framework and system dynamics modelling (SDM) alongside traditional economic modelling and appraisal techniques. This approach is used to assess the adoption potential of solar photovoltaic (PV) and diesel water pumping systems in the wildlife conservation sector and surrounding rural communities in Kenya. The case study approach tests the merits of the mixed-methodology approach.
Findings
The life-cycle costs of solar PV water pumping systems are lower in nearly all financing and utilisation scenarios; offer additional social, technical and environmental benefits; and the conditions exist for greater adoption. The use of an integrated diffusion of innovations and IS framework generates significant qualitative data that can support management decision-making. The use of SDM techniques aid conceptualisation of the community economic, water and institutional systems into which water pumps may be diffused and provide a starting point for formal SDM simulation. The results suggest that these techniques capture the socio-technical perspective well and, when used alongside traditional project appraisal approaches, produce more complete information with which to support management decision-making.
Originality/value
This mixed-methodology approach could be used by practitioners to increase the diffusion and adoption of RETs in more complex contexts in late-industrialising countries. The emergent theory built through the case-study approach should be tested further to assess the merits of applying these techniques to support RET management decision-making in other contexts and more broadly.
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Keywords
- Innovation
- Dynamics
- Decision-making
- Environmental management
- Modelling
- Renewable energy
- Diffusion of innovations
- Renewable energy technologies (RETs)
- Solar photovoltaic (PV) water pumps
- System dynamics modelling (SDM)
- Sub-system diagramming (SSD)
- Causal-loop diagramming (CLD)
- Financial modelling
- Project finance
- Climate change mitigation
- Climate change adaptation
It is now ten years since the Industrial Training Act was placed on the statute book. Progress in this decade on the training front has been vast. However, continuous…
Abstract
It is now ten years since the Industrial Training Act was placed on the statute book. Progress in this decade on the training front has been vast. However, continuous assessment and modifications have been made via the 1972 Green Paper the subsequent White Paper and Bill and, more recently, the Employment and Training Act, 1973.
In the last four years, since Volume I of this Bibliography first appeared, there has been an explosion of literature in all the main functional areas of business. This…
Abstract
In the last four years, since Volume I of this Bibliography first appeared, there has been an explosion of literature in all the main functional areas of business. This wealth of material poses problems for the researcher in management studies — and, of course, for the librarian: uncovering what has been written in any one area is not an easy task. This volume aims to help the librarian and the researcher overcome some of the immediate problems of identification of material. It is an annotated bibliography of management, drawing on the wide variety of literature produced by MCB University Press. Over the last four years, MCB University Press has produced an extensive range of books and serial publications covering most of the established and many of the developing areas of management. This volume, in conjunction with Volume I, provides a guide to all the material published so far.
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Jason Konefal, Maki Hatanaka and Douglas H. Constance
Efforts to increase sustainability are increasingly being promulgated using non-state forms of governance. Currently, there are multiple multi-stakeholder initiatives…
Abstract
Efforts to increase sustainability are increasingly being promulgated using non-state forms of governance. Currently, there are multiple multi-stakeholder initiatives (MSIs) working to develop sustainability standards and metrics for US agriculture. These include: LEO-4000, Field to Market, and the Sustainability Consortium. Using Paul Thompson’s (2010) tripartite sustainability framework, the proposed sustainability standards and metrics of the three MSIs are assessed. Our findings indicate that the current political economic stakeholder nexus is producing incremental adjustments to the status quo of industrial agriculture. Put differently, the standards and metrics being produced by these initiatives are largely advancing programs of sustainable intensification in which sustainability is equated with increasing resource efficiencies. Hence, our research problematizes the efficacy of non-state governance approaches for transformative change in food and agriculture. The findings in this chapter are based on fieldwork conducted between 2011 and 2013.
Ian Thomas and Teresa Day
In the context of universities implementing education for sustainability (EfS), the aim of the research presented here is to review the extent to which capabilities…
Abstract
Purpose
In the context of universities implementing education for sustainability (EfS), the aim of the research presented here is to review the extent to which capabilities related to sustainability are represented by the capabilities generally sought by employers, and to determine whether these are incorporated in the graduate capability statements of Australian universities.
Design/methodology/approach
Based on the discussion of graduate capabilities and those associated with sustainability, a web-based survey of university graduate attribute statements was undertaken.
Findings
Generally, Australian universities have established frameworks of graduate capabilities that relate to the broad needs of employers. Of eight capabilities listed as important by employers, six were identified at some two-thirds of universities. Just under half of the universities' statements contained references to sustainability, while all the literature derived sustainability capabilities, except for “systems/holistic thinking”, are represented to some degree. Those most strongly represented included understanding of social justice and equity; skills in communication and cooperation; and having commitment to social justice and equity.
Practical implications
Apparently, in Australian universities, the framework for the development of sustainability capabilities is broadly in place, but not all have sustainability capabilities in place. This framework supports the implementation of EfS, but without development of pedagogy to underlie implementation, the authors have little insight about the extent of implementation, and whether graduates leave with sustainability capabilities.
Originality/value
Uniquely this research identifies the extent to which Australian universities are providing direction in the development of capabilities related to the requirements of employers, and for sustainability.
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Barrie O. Pettman and Richard Dobbins
This issue is a selected bibliography covering the subject of leadership.
Abstract
This issue is a selected bibliography covering the subject of leadership.
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