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Relational autonomy proposes that persons are socially embedded, with decisions being made within social relationships. Through this theoretical lens, this article explores how the healthcare professional–patient relationship can affect pregnant women’s decisions to accept pertussis and influenza vaccines.

Hackney was chosen as the study site as it has very low vaccine uptake rates. In-depth interviews were conducted with 40 pregnant and recently pregnant women, as well as 10 healthcare professionals. Interviews explored experiences of the UK's National Health Service (NHS) health care and views towards vaccination in pregnancy. An observation of a consultation between a pregnant patient and her General Practitioners (GPs) was also conducted in order to understand how the vaccination discussion takes place.

The findings of this study indicate that advice from friends and family can greatly influence a pregnant woman’s vaccination decisions. The patient’s social context, including influences on her decisions, must be understood by healthcare professionals, so that discussions about concerns can take place. If close relationships with patients are formed, healthcare professional advice is more likely to be trusted. With support from healthcare professionals, patients feel competent, empowered to make the right decision for them, and are more likely to vaccinate.

This research will help to inform contextualised policies aimed at increasing vaccination acceptance and reducing inequality in access to vaccination during pregnancy in Hackney.

To the author’s knowledge, this chapter is the first to apply the theory of relational autonomy to views towards maternal vaccination and decision making. It provides valuable insights into how healthcare professionals’ interactions with their pregnant patients can influence vaccination acceptance. The chapter contains advice on how both healthcare professionals and policy-makers can include mothers in vaccine decision-making processes in more personalised ways, by adopting a dialogue that appreciates and understands the social processes around vaccination concerns.

Tax professionals in public accounting firms must meet professional standards in working with their clients, but may also face pressure from both their clients and firms when making ethical decisions. The purpose of this study is to examine the influence of client factors on tax professionals’ ethical decision-making. Furthermore, we also investigate how client service climate and different ethical climate types affect these ethical decisions. Based on an experimental design with 149 practicing tax professionals, results indicate that tax professionals are not swayed by client importance or social interaction with the client when making ethical decisions. However, tax professionals are more likely to engage in ethical behavior when their own accounting firm monitors and tracks the quality of client service, whereas unethical behavior is more common when public accounting firms emphasize using personal ethical beliefs in decision-making. The results of the study suggest the importance of strong policies and procedures to promote ethical decision-making in firms.

Much of the research on intimate partner violence focuses on adults, and little of it emanates from the Global-South. The study reported upon in this chapter is aimed at addressing these gaps. Adopting a Southern Feminist Framework, it discusses findings from interviews with Brasilian and Australian advocates working on prevention of youth IPV. Participants from both countries noted disturbing instances of digital coercive control among the youth with whom they work, as well as underlying factors such as gender-based discrimination that simultaneously contribute to the prevalence of such behaviors, as well as their normalization among young people. However, they also emphasized the positive role that technology can play in distributing educational programming that reaches young people where they are and circumvents conservative agendas that in some cases keep education about gender discrimination and healthy relationships out of schools.

In this chapter, we explicate two related techniques that help quantify the sensitivity of a given causal inference to potential omitted variables and/or other sources of unexplained heterogeneity. In particular, we describe the Impact Threshold of a Confounding Variable (ITCV) and the Robustness of Inference to Replacement (RIR). The ITCV describes the minimum correlation necessary between an omitted variable and the focal parameters of a study to have created a spurious or invalid statistical inference. The RIR is a technique that quantifies the percentage of observations with nonzero effects in a sample that would need to be replaced with zero effects in order to overturn a given causal inference at any desired threshold. The RIR also measures the percentage of a given parameter estimate that would need to be biased in order to overturn an inference. Each of these procedures is critical to help establish causal inference, perhaps especially for research urgently studying the COVID-19 pandemic when scholars are not afforded the luxury of extended time periods to determine precise magnitudes of relationships between variables. Over the course of this chapter, we define each technique, illustrate how they are applied in the context of seminal strategic management research, offer guidelines for interpreting corresponding results, and delineate further considerations.

This study examines how budgetary support (BS), teamwork, and organizational commitment to employees (OCE) affect firm performance across two countries, Malaysia and the United States. By surveying senior managers of 165 small and medium enterprises, this study finds that teamwork and BS each has a direct effect on OCE and firm performance. Further, results indicate that OCE mediates the relationship between BS, teamwork, and firm performance. In Malaysia, but not in the United States, we find that teamwork affects performance directly. In the United States, but not in Malaysia, we find that BS affects performance, and there is an interaction effect between BS and management influence. We attribute the effects to the different national cultures and social-exchange relations and highlight the contributions to the budgeting research, organizational commitment literature, and to practice.

This chapter offers an insight into library provision and user engagement at a Secure College in Northern Ireland. It draws on findings from doctoral research carried out by Finlay (2020) which examined the role of the library in the learning experiences of people in prison. The case study described in this chapter took a multi-method qualitative approach to exploring engagement with the space, resources and informal learning programmes offered by the library. Acknowledging the many roles and functions of a prison library, this chapter focuses particularly on its relationship to formal and informal prisoner education. The strong educational ethos of Hydebank Wood College made it an ideal setting to explore the transformative educational possibilities of a well-managed and well-funded library. Following a description of the library and its services, the chapter will consider first steps into learning, informal and self-directed learning opportunities, library services in a divided society, and the importance of interpersonal relationships.

Since the completion of this doctoral research, a newly renovated Learning and Skills Centre has opened at Hydebank Wood College. This chapter includes findings from recent interviews with staff members which reveal the impetus for these changes and how the redesign of the library space has impacted upon the learning experiences of both the women and young men held at Hydebank. Taken alongside the doctoral findings, this discussion helps to show how the library space is valued within the institution and the significant role played by the library and library staff in the lives of incarcerated individuals.

Purpose – Using the example of the Dene Games competition, this chapter examines the connections between contemporary sports and the games of the Dene (Athapaskan), a group of indigenous cultures inhabiting the subarctic regions of the Canadian Northwest Territories.

Design/methodology/approach – The chapter is based on participant-observation and individual interviews conducted during attendance at the Dene Games gatherings over the course of several years.

Findings – I argue that the indigenous Dene Games gathering, where traditional games are organised as a contemporary sports competition, opens a space for the reconstitution of indigenous physical activity practices. The tensions that occur when participation in indigenous games articulates to the practical logic of competitive sports, identify the Dene Games as a space of active cultural contestation.

Originality/value – The chapter examines the articulation of historically disparate social practises. It views the hysteretic effects of a pre-existing indigenous physical activity practice as a point of reference for resistance to the normative constraints emanating from the organisational modality of contemporary sports, without offering up an explanation that relies on voluntaristic assumptions of agency. It adopts this perspective in order to avoid grasping the indigenous practice as the operationalised object of its own intervention, a ‘museum piece’.