Search results

This paper aims to explore why a course with similar content feels different when delivered in a Recovery College as compared to an NHS therapy.

It is offered as a case study based on reflections from several perspectives.

This novel approach emphasises predictable factors such as the educational and recovery focussed environment. It also contributes further to thinking around how relationships are differently navigated and developed in Recovery Colleges compared to NHS settings.

The reflections are offered to act as a stimulus to promote wider conversations about how Recovery Colleges effect change, with an emphasis on comparing how relationships and power are influenced for those involved. This paper considers this in relation to the Mechanisms of Action identified in Toney et al., 2018 paper.

This paper argues for the following sensitizing proposition. At its core, much of consumer behavior that involves brand meanings is an attempt to influence, or symbolically mark, interpersonal relationships.

This paper presents a conceptual argument based on a literature review.

First, I argue that our pervasive concern with other people is a basic genetic component of human beings, and discuss some possible evolutionary pressures that may have led to this result. Then I discuss how this pervasive concern influences consumer behavior related to brand meanings. This discussion is structured around two aspects of social relationships: interpersonal closeness and social status. Relationship closeness is discussed with regard to brand communities, gifts, special possessions and brand love, and the often hidden ways that social relationships permeate everyday consumer behavior. Social status is discussed with reference to materialism. Materialism is sometimes misunderstood as an obsession with physical object, or as occurring when people care more about products than they do about people. In contrast, I argue that materialism is better understood as a style of relating to people.

This paper integrates a range of disparate findings in support of a broadly applicable generalization that nothing matters more to people than other people. This generalization can function as a sensitizing proposition that managers and researchers can bear in mind as they seek to interpret and understand how brand meaning influences consumer behavior.

It is unclear how consumer participation (CP) can be optimised to transform drug and alcohol treatment services and improve health outcomes. The purpose of this paper is to present the findings of a systematic review examining the types and benefits of activities, and the factors that facilitate CP in drug treatment services.

A structured search of four databases was undertaken to identify peer reviewed primary research literature in English. Screened articles were appraised. A content analysis was applied to examine the types and outcomes of CP and the associated factors affecting the process. In total, 16 articles were included for review.

A range of CP activities were identified, and benefits included increased consumer satisfaction, and improved health service delivery. Factors that facilitated the process of CP included positive attitudes of both consumers and providers and employment of people with a lived experience of drug use. However, the lack of consumer and organisational capacity, negative attitudes of providers and power imbalances between consumers and providers constrained CP efforts.

To maximise the benefits of CP in drug and alcohol treatment services, negative attitudes about CP and power dynamics between consumers and health providers need to be addressed. This can be achieved by the strategic use of strengths-based interventions and consumer led education to enhance social capital.

This is the first known review to examine the benefits and facilitators of CP in drug treatment services.

The purpose of this paper is to describe a quality improvement (QI) intervention in primary health facilities providing childbirth care in rural Southern Tanzania.

A QI collaborative model involving district managers and health facility staff was piloted for 6 months in 4 health facilities in Mtwara Rural district and implemented for 18 months in 23 primary health facilities in Ruangwa district. The model brings together healthcare providers from different health facilities in interactive workshops by: applying QI methods to generate and test change ideas in their own facilities; using local data to monitor improvement and decision making; and health facility supervision visits by project and district mentors. The topics for improving childbirth were deliveries and partographs.

Median monthly deliveries increased in 4 months from 38 (IQR 37-40) to 65 (IQR 53-71) in Mtwara Rural district, and in 17 months in Ruangwa district from 110 (IQR 103-125) to 161 (IQR 148-174). In Ruangwa health facilities, the women for whom partographs were used to monitor labour progress increased from 10 to 57 per cent in 17 months.

The time for QI innovation, testing and implementation phases was limited, and the study only looked at trends. The outcomes were limited to process rather than health outcome measures.

Healthcare providers became confident in the QI method through engagement, generating and testing their own change ideas, and observing improvements. The findings suggest that implementing a QI initiative is feasible in rural, low-income settings.

The current policy landscape advocates for the involvement of people with lived experience in the co-production and co-delivery of mental health services. However, evidence on how to do this safely and effectively for people with eating disorders (EDs) is lacking. The purpose of this study was to explore and synthesis the implementation of ED interventions which involved lived-experience and to evaluate the associated benefits and risks to participants.

This study will conduct a systematic review of ED interventions which involve people with lived experience of an ED. A total of seven databases and four subject-specific journals were searched using Boolean search terms.

The search yielded ten eligible studies. Involvement procedures were extracted which highlighted variation with some roles being continuous and active and others being isolated and passive. Qualitative results were extracted and thematically analysed which demonstrated many benefits from involving people with lived experience, such as normalisation of experiences, inspiration to recover and the sharing of insight, as well as some risks such as disingenuity and exposure to triggering content.

The implications of this review highlight the need for policy and guidance to minimise variation across procedures and implementation of co-production to ensure positive outcomes and benefits for participants, given the current landscape. More research in the benefits and risks for those involved in the delivery of the interventions is needed to ensure that co-production and peer support is delivered as safely and effectively as possible.

This was the first systematic review since 2016 (Fogarty et al., 2016) to assess peer-mentorship programmes in ED treatments, whilst expanding the remit to include wider definitions of peer-support and peer-mentorships such as co-production and co-design in research.

The purpose of this paper is to report and comment on the High Court of Justice ruling on Shore v. Sedgwick Financial Services Ltd & Others.

The paper outlines the facts surrounding the case and comments on the ruling.

The claim for breach of duty against the defendants was time barred.

An interesting feature of this judgment is that one theme that runs its entire course in terms of judicial finding of fact and of law is the degree to which the defendants did or did not adequately explain the risks associated with income drawdown and the degree to which the claimant either understood or failed to understand or indeed voluntary undertook the extra risk of taking maximum income under income drawdown pension schemes in his desire to for flexibility and retention of control over pension capital.

This paper aims to discuss a service user perspective of factors that influence engagement in therapeutic group‐work within a high secure hospital environment.

An opportunistic sample of 11 male service users were interviewed, using a semi‐structured protocol. This was underpinned by social and psychological factors highlighted within the literature, and concepts drawn from the Health Belief Model (HBM). In accordance with service‐user led initiatives, interview questions were open‐ended, designed to invite and encourage exploration of themes through general discussion. Research findings were analysed through an interpretative phenomenological analysis (IPA) approach to identify emergent themes of apparent influence. Themes were identified, and were categorised into emergent themes and related sub themes. Emergent themes were then considered in relation to the theories and concepts that underpinned and connected them.

It was found that the most substantial theme was culture of the environment, closely linked to the concepts of choice, which stem from and are greatly influenced by culture. Participants highlighted additional influential areas, namely relationships, trust, motivation, group‐work content and expected outcomes.

Given the complexities of need presented by service users within high secure settings, professionals recognise a range of approaches and treatment modalities incorporating individual therapy, occupational and vocational engagement and therapeutic group‐work. It is specifically service users' views of engagement in such group‐work that is considered within this paper.

The purpose of this paper is to evaluate the current evidence regarding the content of clinical supervision for nursing and allied health professionals.

The authors searched CINAHL, Medline, PsychINFO and Cochrane Database. Studies were included if the participants involved were nursing, medical or allied health practitioners, but not students, and if the studies contained discussion regarding the content of clinical supervision. Critical analysis of the articles was carried out by two independent researchers to ensure consistency and thematic analysis was applied.

Twenty included articles were in three main categories: cross‐sectional studies (n=9), including interview, survey and focus group methods of data collection; literature reviews (n=2); and nine published opinion pieces. Themes related to the content of clinical supervision that were identified were reflective practice; task oriented content; diversity of content; and stress management. The results indicated that current research into the content of clinical supervision for nursing and allied health practitioners is limited and of low quality and that further research is needed to determine what content in clinical supervision is associated with better quality and safety, particularly for health professions other than nursing and psychology.

This is the first review of the current evidence for what constitutes the most appropriate content of clinical supervision for health professionals. Clinical supervision is an important component of quality assurance and clinical governance frameworks and it is essential that health care organizations are assured that effective clinical supervision is in place.

Purpose – Whilst everyday consumption, such as of cosmetics, creates meanings for our being-in-the-world, these meanings appear to be easily over-looked and conceal untapped significance from the experiencing individuals. This study addresses this opportunity for exploring selves in daily transformation, studying cosmetics consumption across key developmental phases of everyday life.

Design/methodology/approach – Phenomenological interviews were employed to investigate individuals' feelings, perceptions and experiences of cosmetics consumption. An iterative process of hermeneutical interpretation was adopted to identify the constellation of past-present-future relations that have underscored the individuals' intentions, motives and purposes.

Findings – This chapter highlights the intricacies of how the self changes on a daily basis. We illustrate how consumers use cosmetic consumption, at a transformational level, to create, redefine and defend aspects of the self and, strategically, to manipulate and even attack others.

Research limitations/implications – Beyond cosmetics consumption, we provide ‘food for thought’ on this very complicated subject-how does mundane consumption potentially address issues of sense of self, and vice versa?

Originality/value – The study highlights an individual's challenges in defining the self and how cosmetics function as a coping mechanism, responding to changes occurring at varying stages of life.