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Attachment Theory can be regarded as central to the concept of relational security. There is a paucity of research examining the coherence of this construct for ward-based staff. The paper aims to discuss these issues.

Five female nurses from the acute admission and assessment ward of a UK medium secure unit acted as participants. Semi-structured interviews were conducted, and inductive thematic analysis was applied.

Six themes; “staff-service user relationships”, “staff diversities”, “service user backgrounds”, “variability in service users’ presentations”, “service users with personality disorder are problematic” and “nurses do not use attachment” emerged from the data. The nurses used heuristic models of attachment-related behaviour and they lacked knowledge of constructs associated with Attachment Theory.

Acute admissions may not be representative of all treatment contexts. Traditional models of attachment style may have only limited relevance in forensic services.

Limited knowledge and confidence in the nurses regarding how Attachment Theory might apply to service users is interesting because it may limit the extent to which care, treatment and risk management might be informed by an understanding of service user representations of therapeutic relationships. Training and educational interventions for nurses that enhance understanding of personality development and attachment styles are warranted.

The importance of nurses for achieving relational security is emphasised and the adequacy of their training is questioned.

The purpose of this paper is to explore the effectiveness of the Saudi employment programme “Nitaqat” in addressing institutional barriers to women’s employment in the Saudi private sector. The paper has a particular focus on the perspectives of unemployed women as the intended recipients of increased employment opportunities.

This paper adopts a qualitative approach, drawing on findings from face-to-face interviews conducted with two groups of stakeholders, government officials and unemployed Saudi women.

Four key findings are identified. First, the considerable cultural and regulatory barriers of a conservative society are resilient impediments to the success of Saudi employment policy. Second, discrimination against women is endemic in the Saudi society; however, it is largely unrecognised within the Saudi culture and often accepted by women themselves. Third, due to government regulations, cultural constraints and the gendered educational system, the private sector contributes to sustaining labour market segmentation through discriminatory practices. Finally, while a positive change is taking place in Saudi Arabia regarding women’s employment, it is incremental and uneven.

This paper provides new insights into the institutional barriers related to the labour force participation of Saudi women from the perspective of Saudi women themselves.

Sullivan suggests that the alternative audit approaches adopted by accounting firms be expressed in terms of “structure” and “judgement”, with a division provided by the degree to which auditor judgement is replaced by structured quantitative algorithms. Cushing and Loebbecke attempt to operationalise this division by examining the guidance provided to practising auditors by their firms. Kinne extends this study by classifying accounting firms as “structured”, “intermediate” or “unstructured” in terms of their audit methodologies. Provides a test of Kinney’s classification by examining the tolerance of accounting firms to accounting policy choices which have an income effect in their clients’ financial statements. Argues that those firms with a structured audit approach will manage audit risk through a greater reliance on mechanistic procedures, resulting in a greater tolerance of income manipulation. The results are confirmatory for the period under study, but evidence is provided to suggest that audit firms have subsequently become less diversified in their approach.

The independent living (IL) movement is a social movement but also an analytic paradigm which can be used to inform and shape rehabilitation research and practice. The purpose of this paper is to describe how the principles of DeJong’s IL paradigm have been used to develop a guiding framework for the Burwood Academy, a rehabilitation and disability research organisation in New Zealand. The Burwood Academy drew on the consumer empowerment principles inherent in DeJong’s IL paradigm, whereby the person learns to take control of the rehabilitation process, on which to promote consumer empowerment in all of the Academy’s endeavours.

This paper reports on three investigative phases of work: a stakeholder dialogue, a narrative review and a benchmarking exercise that collectively enabled the development of a working framework based on DeJong’s IL paradigm.

This paper highlights pragmatic strategies that are used to better promote consumer inclusion in the research process, build researcher capacity among consumers and clinicians, and promote knowledge translation through a range of tertiary and clinical education forums.

The results of this study identified numerous ways to promote consumer empowerment in research. Future research is needed to explore the effectiveness of the proposed framework further.

This paper suggests potential avenues to address the complexities of promoting the role of the “expert consumer” imbedded in clinical environments where this is not usually a priority in training and practice of health professionals.

This paper fulfils an identified need to study more pragmatic ways to promote consumer empowerment in both clinical and research settings.

Gender-based abuses (GBAs; more frequently referred to as ‘violence against women’) have been a concern of current day feminists and their predecessors, dating back centuries, but only came under broader scrutiny in the latter half of the twentieth century. The goal of this chapter is to provide a historical overview of the emergence of feminist concerns and activism that led to a largely global identification and recognition of the prevalence and ramifications of GBA. The chapter includes a range of GBAs, such as sexual harassment, stalking, sex trafficking, and forced marriage, but focusses primarily on intimate partner abuse and rape. It is beyond the scope of one chapter, or even one book, to adequately address the efforts to respond to GBA across the world. Instead, the authors hope to describe the work by feminist activists and scholars to identify GBA as a serious and prevalent social problem, the various and often overlapping types of GBA, and the work to design and implement a range of responses to deter GBA, advocate for GBA survivors, hold gender-based abusers accountable, and provide safer communities. In addition to the early attempts to assess and respond to GBA, this chapter covers some of the most original and innovative documentations and responses to GBA from across the globe.

The National Health Service (NHS) is facing unprecedented financial strain. These significant economic pressures have coincided with concerns regarding the quality and safety of the NHS provider sector. To make the necessary improvements to performance, policy interest has turned to encouraging greater collaboration and partnership working across providers.

Using a purposive search of academic and grey literature, this narrative review aimed (1) to establish a working typology of partnering arrangements for improvement across NHS providers and (2) inform the development of a plausible initial rough theory (IRF) of partnering to inform an ongoing realist synthesis.

Different types of partnership were characterised by degree of integration and/or organisational change. A review of existing theories of partnering also identified a suitable framework which incorporated key elements to partnerships, such as governance, workforce, leadership and culture. This informed the creation of an IRF of partnerships, which proposes that partnership “interventions” are proposed to primarily cause changes in governance, leadership, IT systems and care model design, which will then go on to affect culture, user engagement and workforce.

Further realist evaluation, informed by this review, will aim to uncover configurations of mechanisms, contexts and outcomes in various partnering arrangements and limitations. As this is the starting point for building a programme theory, it draws on limited evidence.

This paper presents a novel theory of partnering and collaborating in healthcare with practical implications for policy makers and practitioners.

This chapter is based on 68 interviews in 12 mobile home parks that were part of a larger ethnographic study, conducted in 2005–2010 in West-Central Florida. Data analysis revealed diverse patterns of perception, sentiment, and interaction among neighbours, here understood as ‘neighbour culture’, both across and within communities. American mobile home communities are characterised by a high propinquity of residents and exposure to cultural housing stigma; however, these conditions alone did not determine local neighbour culture. In the analysis, I illustrate prominent patterns of neighbouring, ranging from perceptions and treatments of neighbours as (imagined) ‘family’ in senior communities to, partially, ‘trailer trash’ in suburban family communities. Going beyond description, I argue that the identified supportive, minimalist, and antagonistic forms of neighbour culture are linked to broader spatial and social structural contexts, as well as personal identities. This chapter’s findings have the potential to strengthen the theoretical framing and research of neighbouring in local and global perspectives in the future.

This paper aims to document the nature of social enterprise models in Australia, their evolution and institutional drivers.

The paper draws on secondary analysis of source materials and the existing literature on social enterprise in Australia. Analysis was verified through consultation with key actors in the social enterprise ecosystem.

With its historical roots in an enterprising non-profit sector and the presence of cooperative and mutual businesses, the practice of social enterprise in Australia is relatively mature. Yet, the language of social enterprise and social entrepreneurship remains marginal and contested. The nature of social enterprise activity in Australia reflects the role of an internally diverse civil society within an economically privileged society and in response to an increasingly residualised welfare state. Australia’s geography and demography have also played determining roles in the function and presence of social enterprise, particularly in rural and remote communities.

The paper contributes to comparative understandings of social enterprise and provides the first detailed account of social enterprise development in Australia.