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Reflecting on the new ACRL Framework, a deficiency was observed in literature on the assessment of information literacy instruction in chat reference. An evaluation of recent chat transactions was undertaken and the purpose of the study was twofold. The purpose of this study is to discover if and how librarians were teaching information literacy skills in chat reference transactions and identify best practices to develop training and resources.

To start, a literature review was performed to identify current industry standards. A rubric, influenced by the ACRL Framework, was developed to evaluate chat transactions from one semester. Results from the assessment were compiled and interpreted to determine current practices.

This study identified the necessity of balancing customer service and instruction to manage student expectations and encourage successful chats. Best practices and strategies that librarians can use to provide a well-rounded service were culled for the development of training and resources.

Reference assumes a large portion of the services that academic librarians provide to students. As technology advances, librarians are relying on virtual platforms, including chat reference, as convenient and useful tools to provide reference services to the academic community. While face-to-face reference encourages information literacy instruction, it is challenging to perform the same instruction in a virtual setting where expectations are based on retail models. With the growing use of virtual services, evaluating the success of chat reference based on industry standards is imperative.

The purpose of this paper is to describe the development of Real Lives: a community interest company that provides peer support for people who face significant mental health challenges using personal budgets.

The paper offers a descriptive summary of the vision behind Real Lives and the successful realisation of this vision in practice based on interviews by the first author with the directors, Operational Manager, Cafe Manager and “Peers and Allies for in Living” who provide support to clients.

The successful development of Real Lives shows that it is possible to utilise peer support and personal budgets to a create small, values based, financially viable organisation outside the statutory sector that is part of its community and can provide outside the statutory sector. A service for people facing significant mental health challenges that is personalised, recovery-focused and puts the client in control and is focused on helping them to do the things they want to do and pursue their aspirations.

Real Lives is an innovative recovery-focused service that is part of its community and offers a model for utilising Self-Directed Support and personal budgets and that might be replicated by others.

This article arises from the authors’ experience of undertaking research on behalf of the Scottish Executive, following the deliberations of a national working group focusing on employment (Scottish Executive, 2003) set up to progress the recommendations of the Same as You? review (Scottish Executive, 2000), Scotland's equivalent of Valuing People (DoH, 2001). The detailed findings of the research study and its methodology can be found elsewhere(Ridley et al, 2005); only a brief summary is given here. The main purpose of this article is to contribute to a debate about the achievements and under‐achievements of supported employment in the contemporary Scottish context. The research findings are used to discuss where we are now, some of the main problems, and how policy and practice need to move forward and develop. We suggest that the time is ripe to initiate strategic change in policy and professional practice. Supported employment must be firmly embedded in the wider employment landscape and the practice agenda of professionals, in order to ensure that real, paid jobs in integrated settings become a routine option for people with learning disabilities who express these aspirations.

Telehealth consultations are likely to continue while living with COVID-19 and the risk of other pandemics. Greater understanding of patient perceptions is important in order to inform future integrated care models involving telehealth.

An interpretative qualitative study. Fifteen, in-depth qualitative interviews were conducted with diverse range of community dwelling patients who attended outpatient clinics at The John Hunter Hospital, Newcastle. Data were analysed using an inductive thematic approach.

Key themes were identified: (1) telehealth is valuable in a pandemic; (2) telehealth accessibility can be challenging; (3) there are variations in care experiences, especially when visual feedback is lacking; (4) telehealth for acute and complex care needs may lead to gaps and (5) considerations towards the future of telehealth, beyond a pandemic.

There is a shortfall in evidence of the patient experience of integrated care within a telehealth framework. The results provided practical insights into how telehealth services can play a greater role in integrated care.

Apart from the need for affordable access to high-speed data for basic Internet access, the author posit the need for patient and clinician training towards promoting communication that is underpinned by choice, trust and shared decision-making.

Telehealth is important towards keeping patients safe during COVID-19. Key findings extend knowledge of the practical implications need to promote integrated telehealth systems. While there is a benefit in extending telehealth to more preventative activities, there is also a need for greater service coordination and sharing of information between treating clinicians. Overall the results highlight telehealth consultations to be an effective means of treating well-known conditions and for follow-up rather than for acute conditions.

Medication errors are a significant cause of injury in Norwegian hospitals. The purpose of this study is to explore how Lean Six Sigma (LSS) has been used in the Norwegian public health-care context to reduce medication errors.

A mixed method approach was used to gather data from participants working in the four regions served by the Norway health authorities. A survey questionnaire was distributed to 38 health-care practitioners and semi-structured interviews were conducted with 12 health-care practitioners.

The study finds that the implementation of LSS in the Norwegian public health-care context is still in its infancy. This is amidst several challenges faced by Norwegian hospitals such as the lack of top-management support, lack of LSS training and coaching and a lack of awareness around the benefits of LSS in health care.

Because of the large geographical area, it was difficult to reach participants from all health regions in Norway. However, the study managed to assess the current status of LSS implementation through the participants’ perspectives. This is a fruitful area for future research whereby an action research methodology could be used.

To the best of the authors’ knowledge, this is the first empirical study into the use of LSS methodology in reducing medication errors. In addition, this study is valuable for health-care practitioners and professionals as a guideline to achieve the optimal benefit of LSS implementation to reduce medication errors.

This paper aims to explore the possible connections between self‐directed support and adult support and protection, both of which are important policy developments in Scotland.

The authors draw on findings from the national evaluation of the test sites or pilots of self‐directed support in Scotland and interviews at two time points with adult protection leads in the test sites. These interview data are set in the context of Scottish developments in adult support and protection.

Self‐directed support and adult protection had not been joined up initially. In the three Scottish test sites those responsible for adult safeguarding had not been engaged with the changes. They were unclear about the new systems and were concerned about the implications of reduced monitoring of risks. Shared training between those implementing self‐directed support and those carrying out adult protection work was viewed as a way of bridging these different areas of practice through enhancing mutual understanding and communication.

Policy and legislation have used the word support to provide reassurance of social protection for adults in need of care services. This paper provides new opportunities to consider the ways in which early enthusiasm for self‐directed support in Scotland may have neglected the support inherent to support and protection and the ways in which some adult support and protection stakeholders seemed to be acting as “bystanders” rather than influencing new systems of self‐directed support.

There has been a surge of interest in leader character and a push to bring character into mainstream management theory and practice. Research has shown that CEOs and board members have many questions about the construct of leader character. For example, they like to see hard data indicating to what extent character contributes to organizational performance. Human resource management professionals are often confronted with the need to discuss and demonstrate the value of training and development initiatives. The question as to whether such interventions have a dollars-and-cents return on the investment is an important one to consider for any organizational decision-maker, especially given the demand for increased accountability, the push for transparency and tightening budgets in organizations. The authors investigated the potential dollar impact associated with the placement of managers based on the assessment of leader character, and they used utility analysis to estimate the dollar value associated with the use of one instrument – the Leader Character Insight Assessment or LCIA – to measure leader character.

The authors used field data collected for purposes of succession planning in a large Canadian manufacturing organization. The focus was on identifying senior management candidates suitable for placement into the most senior levels of leadership in the organization. Peers completed the LCIA to obtain leader character ratings of the candidates. The LCIA is a behaviorally based and validated instrument to assess leader character. Performance assessments of the candidates were obtained through supervisor ratings.

The correlation between the leader character measure provided by peers and performance assessed by the supervisor was 0.30 (p < 0.01). Using the data required to calculate ΔU from the Brogden-Cronbach-Gleser model leads to an estimate of CAD $564,128 for the use of the LCIA over the expected tenure of 15 years, which is equivalent to CAD $37,609 yearly; and CAD $375,285 over an expected tenure of 10 years, which is equivalent to CAD $37,529 yearly. The results of the study also indicate that there is still a positive and sizeable return on investment or ROI associated with the LCIA in employee placement even with highly conservative adjustments to the basic utility analysis formula.

Utility analysis is a quantitative and robust method of evaluating human resource programs. The authors provide an illustration of the potential utility of the LCIA in a selection process for senior managers. They assert that selecting and promoting managers on leader character and developing their character-based leadership will not only leverage their own contributions to the organization but also contribute to a trickle-down effect on employees below them.