Search results

Surveys in the UK and USA show that error in health care is unacceptably high. It is also known, however, that considerable under‐reporting of error takes place and we need therefore to begin to understand why people fail to report so that we can introduce systems and develop cultures and systems which make this easier. Although this has been considered hypothetically, what happens in real situations and what the outcomes are for those individuals actually reporting has not been studied. This study is built on an earlier pilot of 228 doctors that considered the experiences and attitudes of a range of nurses and doctors to reporting their concerns. It includes those who went ahead and those who did not, as well as the attitudes of other staff with no experiences of wanting to report, and the types of event that were more likely to lead to reporting.

This article has been withdrawn as it was published elsewhere and accidentally duplicated. The original article can be seen here: 10.1108/14664109910315569. When citing the article, please cite: Jenny Firth-Cozens, (1999), “Clinical governance development needs in health service staff”, British Journal of Clinical Governance, Vol. 4 Iss: 4, pp. 128 - 13.

Many of the features of the work environment reported to be associated with stress can be subsumed under the general heading of “ambiguity” which is experienced by the individual as “uncertainty”. As Folkman et al. have suggested, it is not the ambiguity of the situation so much as the person's perception of it that creates the feeling of uncertainty; whether this is experienced as stressful depends on the meaning that uncertainty has for the individual.

More GPs are needed, but there are concerns about retaining the existing workforce quite apart from recruiting new doctors. This survey of GP principals in the Northern deanery aged over 45, identified factors potentially encouraging them to take early retirement (before 60) or to work on beyond 60. Over a third of those with retirement plans intended to retire early. Perceived undesirable changes in the NHS and workload were the main factors influencing intentions to retire. Reducing hours and administrative duties, and improving managerial support were factors that may encourage later retirement. Financial incentives in the form of increased pensions were most attractive to those already planning later retirement. A total of 35 per cent scored above threshold for significant psychological distress, and the higher psychological distress the earlier GPs wanted to retire. Interventions encouraging later retirement should be targeted at reducing workload and administration. Interventions to reduce stress could also encourage later retirement.

This paper reports on a study to ascertain the development needs in terms of clinical governance of 220 health service staff across all the key professions from primary and secondary care, including chief executives and clinical governance leads. Interviews suggested that the development of clinical governance was progressing through the structures created by the leads, and that there was considerable goodwill shown towards it in most of the interviews conducted. Of the participants 69 per cent had heard of clinical governance, though detailed knowledge was rare. The author suggests that development overall needs to be carried out using a multi‐disciplinary and multi‐agency approach where possible, perhaps using pathways of care. It needs also to take account of the expressed fears from medical staff of discussing their care in a multi‐disciplinary setting, and of the two potential conflicting themes that are apparent to chief executives of change towards no‐blame cultures, while encouraging accountability and the recognition of risk.

Since the first Volume of this Bibliography there has been an explosion of literature in all the main areas of business. The researcher and librarian have to be able to uncover specific articles devoted to certain topics. This Bibliography is designed to help. Volume III, in addition to the annotated list of articles as the two previous volumes, contains further features to help the reader. Each entry within has been indexed according to the Fifth Edition of the SCIMP/SCAMP Thesaurus and thus provides a full subject index to facilitate rapid information retrieval. Each article has its own unique number and this is used in both the subject and author index. The first Volume of the Bibliography covered seven journals published by MCB University Press. This Volume now indexes 25 journals, indicating the greater depth, coverage and expansion of the subject areas concerned.

This study examines the accuracy and bias of profit forecasts disclosed in prospectuses by New Zealand companies for initial public offerings during the period 1987 to 1994. The results show that profit forecasts in this period are, on average, more accurate titan those disclosed prior to 1987, which were examined in prior studies. However, the results reject the null hypothesis that profit forecasts are accurate. In examining forecast bias, the evidence shows that the forecasts are, on average, somewhat pessimistic, but not sufficiently to reject the hypothesis that profit forecasts are unbiased. Tests of the determinants of error show that larger companies make more accurate forecasts, and forecasts made in the year 1987 are less accurate than in other years. Tests of the determinants of bias show that forecasts made in 1987 are also more optimistic, and that companies with longer trading histories and pessimistic forecasts make less biased forecasts. Forecast period and industry type are not significantly related to error or bias.

Using the example of a “school paper” titled The Children's Hour, developed in South Australia in the late nineteenth century, the purpose of this paper is to show the way that the colonial margins could act as sites of innovation in curriculum and pedagogy and not just as importers of ideas from the imperial centre.

The analysis on which the examination of The Children's Hour is based is a combination of Foucaultian discourse analysis and a genealogical approach to curriculum history which tracks different formations of techniques and programmes for shaping the human subject.

The Children's Hour (1889-1963), featured the innovative use of literature and other genres, and provided new ways to shape the identities of school students and teachers. School papers were strongly implicated in the discursive construction of both a global/imperial and local/Australian identities and represent an informative case of the ways in which teaching and learning practices have been highly mobile in the field of reading.

This research shows that the humble school reading text is an overlooked site for examining processes of the constitution of national identity and the citizen subject. It is also a reminder of the significance of communications technologies in the formation of, and struggles over, national/imperial imaginaries and that the school is an important site for studying these processes.

Technical solutions can be important when key communicators take on the task of making sense of social media flows during crises. However, to provide situation awareness during high-stress assignments, usability problems must be identified and corrected. In usability studies, where researchers investigate the user-friendliness of a product, several types of data gathering methods can be combined. Methods may include subjective (surveys and observations) and psychophysiological (e.g. skin conductance and eye tracking) data collection. This chapter mainly focuses on how the latter type can provide detailed clues about user-friendliness. Results from two studies are summarised. The tool tested is intended to help communicators and journalists with monitoring and handling social media content during times of crises.

Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental condition with community prevalence globally of 2%–7% (M = 5%; Sayal et al., 2018). Clinicians are routinely encouraged to explain to children and young people the benefits of a healthy lifestyle, including exercise (NICE NG87, 2018). Exercise has been proposed as a safe and low-cost adjunctive approach for ADHD and is reported to be accompanied by positive effects on several aspects of executive functioning (EF). The purpose of this narrative review was to synthesise the contemporary randomised control trial (RCT) studies that examine the effect of sport, physical activity and movement on EF in children and adolescents with ADHD.

A narrative review approach with a systematic literature search using PRISMA guidelines for screening and selecting relevant systematic reviews was used. The final review included four peer-review systematic reviews (>2019).

The results identified four RCT meta-analyses and findings showed that children and adolescents with lower baseline cognitive performance demonstrated greater improvements in functioning after physical activity interventions, particularly for tasks with higher executive function demands, where baseline performance reaches an optimal level. Findings suggest that 10–20 min of acute moderate-high-intensity exercise interventions (cycling/running) appeared to have positive effects on indices of inhibitory control. Preliminary evidence suggests that as little as 5 min of jumping exercises improved inhibitory control. Sixty to eighty minutes of moderately intense, repeated (chronic) exercise appeared to demonstrate the greatest beneficial impact on selective attention.

To the best of the authors’ knowledge, this review is the first to present the extant literature on the effect of physical activity and sport on symptoms of young people with ADHD. It presents evidence to suggest that exercise with progressively increasing cognitive demands may have positive effects for children with ADHD, specifically in terms of improving cognitive flexibility. Further large-scale clinical trials are needed to confirm the positive effects of physical exercise on cognitive functioning in children with ADHD.