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The COVID-19 pandemic resulted in immense pressure on healthcare workers (HCWs) and healthcare systems worldwide. The current multi-centre evaluation sought to explore the association between coping behaviours and levels of psychological distress among HCWs working during the initial onset of COVID-19.

Between April and July 2020 HCWs at three urban hospitals in England were invited to complete an online survey measuring personal and professional characteristics, psychological distress and coping. A principal component analysis (PCA) identified components of coping and structural equation modelling (SEM) was used to test the relationship between components of coping and psychological distress.

A total of 2,254 HCWs participated (77% female, 67% white, 66% in clinical roles). Three components for coping were retained in the PCA analysis: external strategies, internal strategies and self-criticalness/substance use. SEM indicated that internally based coping was associated with lower levels of psychological distress, whereas externally based coping and self-criticalness were associated with greater psychological distress. The final model accounted for 35% of the variance in psychological distress.

This multi-centre evaluation provides unique insight into the level of psychological distress among HCWs during the initial onset of the COVID-19 pandemic (2020) and associated coping strategies. Addressing self-criticalness and supporting cognitive-based internal coping strategies among HCWs may protect against prolonged exposure to psychological distress. Findings highlight the importance of developing a culture of professional resilience among this vital workforce as a whole rather than placing pressure on an individual's personal resilience.

This paper addresses our desire to learn more about effective practices with film and our aspiration to promote a more inclusive curriculum. Specifically, we consider how the film Iron Jawed Angels impacted students’ understanding of the American women’s movement, particularly the fight for suffrage by the National Women’s Party, and examines the questions: (a) How can feature films be used to incorporate a close examination of the women’s movement into the curriculum? (b) How do students make sense of the women’s movement when it appears in a feature film during classroom activities? For most students, the film appeared to call important attention to women’s history. The results suggest that feature films with females as main characters or with a narrative based primarily on female perspectives can be used to promote engagement with women’s issues and to promote the inclusion of female perspectives in the secondary curriculum. However, we also found important differences between how female and male students responded to the film.

This introductory chapter provides an overview of the ways that refugee and forced im/migrant (RFI) youth move across time and context in their educational experiences. In particular, the contextual characteristics of determinism, duration, and mobility are explained, and the factors most often associated with RFI youth educational experiences (i.e., trauma, identity, and language) are discussed in reference to the ways that educational infrastructure, capacity, and sustainability are typically established and maintained in educational situations worldwide. This chapter also provides a brief overview of the volume’s chapters and the ways that each chapter addresses one or more of these themes or topics.

This chapter summarizes and discusses the volume's contributions toward developing a theory of ritual economy. To move ahead, an appropriate analytical vocabulary must be developed and tested. Useful concepts explored in this volume's chapters include “materialization,” “provisioning,” “consumption,” and “transaction,” as well as more specialized terms, such as “ritual mode of production,” “meta-power,” and “liturgical economic allocations.” Future work should consider breaking down analyses into those that deal with ritual economy as it reinforces existing socio-political structures versus those that deal with the transformative qualities of ritual economy. Additionally, future work should examine the “ritualization of materiality,” by drawing sharper distinctions between political economy and ritual economy, and by linking the ritual economy approach to material engagement theories.

This bibliography explores reference sources related to Celtic literature and mythology.

This article provides an overview of and commentary on the available resources in the subjects of Celtic literature and mythology, focusing on those that are most valuable.

Students, historians and genealogy researchers have all demonstrated a strong interest in the field of Celtic studies, especially the areas pertaining to Celtic literature and Celtic mythology. Surveying and providing access to resources on these topics is necessary to effective research in these subjects.

Resources on Celtic studies are particularly useful for researchers – the sheer number of descendants of Celtic people currently in America ensures that this topic will continue to be relevant for those studying history and genealogy.

The purpose of this paper is to improve knowledge of the water impact phenomenon from both the experimental and numerical points of view.

A drop test campaign on water was carried out on semi‐cylindrical steel structures. Therefore, an experimental database for validation purpose was generated. Subsequently, a finite element model was developed in LS‐DYNA in order to reproduce the tests. The behaviour of water was modeled by using the smoothed particle hydrodynamics (SPH) methods. Numerical simulations were compared to experimental data and the influence of some numerical parameters on the simulations was investigated.

The FE model was found to be able to reproduce the tests, at least in terms of acceleration peak and distribution of plastic deformation. Acceptable prediction was also found for the pressure peak in soft areas.

In case of low velocity impact, the water model was found to be too rigid and the acceleration peaks were over‐predicted by the simulations. Further investigations are needed to adjust the water model in order to obtain better results also in the case of low velocity impact.

The experimental database could be very useful to the crashworthiness community to validate their numerical models. Moreover, the present paper provides guidelines to modelling the water impact correctly.

As the first decade of the 21st century drew to a close, the threats associated with economic crises, social inequalities, and human-induced environmental change focused unprecedented attention on global development trajectories. While questions about how the nature and impact of economic growth should be managed have long featured in environmentalist thought, the stark conditions created a new policy landscape of opportunity for alternative development strategies. National governments around the globe began to disseminate policy statements calling for ‘green growth’ and some, for example the United States, even developed stimulus packages aimed at restructuring economies towards a low carbon future. At the same time international non-governmental organisations such as the United Nations Environment Programme (UNEP) have developed entire initiatives focused on shaping what has come to be termed the ‘green economy’ (UNEP, 2011). Even large multinational corporations, such as Shell and their dialogues mechanism, are engaging with green economy discourses. New partnerships are emerging across governance sectors with Microsoft Corp and UNEP signing an agreement in 2009 to share knowledge collaboratively around green economy issues. In the United States, the BlueGreen Alliance is consolidating activity of labour unions and environmental organisations in order to maximise the number and quality of jobs in the green economy. With such a broad spectrum of actors and interests involved, it is unsurprising that there is no one agreed vision for a green economy. Some argue for development scenarios that promote reduced or no-growth pathways (Scott-Cato, 2009), others see the current crises creating innovation opportunities for new growth in different areas through processes of ‘creative destruction’ (Florida, 2010).

The presence of mature masculinity is slowly reshaping contemporary action cinema in the twenty-first century. It is a phenomenon that rejects the unrealistic view that action heroes are embodiments of Apollo and Ares in human flesh. Instead, action heroes are viewed as flawed characters who cannot escape the realities of their corporeality, mortality and humanity. The following chapter is an examination of a particular type of action hero archetype that combines ageing with virtuous and mature masculinity. Here I use Tom Cruise's development and portrayal of Ethan Hunt in the Mission: Impossible series as a lens through which to highlight the presence of the virtuous and mature hero archetype in action cinema.

Cruise's representation of heroic masculinity is significant because it achieves three separate goals. First, Cruise's mature masculinity repudiates the hardbody model by showing its deficiencies as a male archetype. Second, it introduces a version of an action hero that emphasises the benefits of ageing and mature masculinity. Lastly, Cruise's onscreen presence redoubles the idea that heroic masculinity is motivated by a deep sense of morality, duty and a desire to serve the greater good. As the model of the mature and virtuous hero becomes more prevalent, as I argue, it not only reshapes action cinema but also produces cinematic representations of heroic masculinity that are more positive in terms of showing the importance of maturity, virtue, and public service.

Given the complex nature of integrated care systems (ICSs), the geographical spread and the large number of organisations involved in partnership delivery, the importance of leadership cannot be overstated. This paper aims to present novel findings from a rapid realist review of ICS leadership in England. The overall review question was: how does leadership in ICSs work, for whom and in what circumstances?

Development of initial programme theories and associated context–mechanism–outcome configurations (CMOCs) were supported by the theory-gleaning activities of a review of ICS strategies and guidance documents, a scoping review of the literature and interviews with key informants. A refined programme theory was then developed by testing these CMOCs against empirical data published in academic literature. Following screening and testing, six CMOCs were extracted from 18 documents. The study design, conduct and reporting were informed by the Realist And Metanarrative Evidence Syntheses: Evolving Standards (RAMESES) training materials (Wong et al., 2013).

The review informed four programme theories explaining that leadership in ICSs works when ICS leaders hold themselves and others to account for improving population health, a sense of purpose is fostered through a clear vision, partners across the system are engaged in problem ownership and relationships are built at all levels of the system.

Despite being a rigorous and comprehensive investigation, stakeholder input was limited to one ICS, potentially restricting insights from varied geographical contexts. In addition, the recent establishment of ICSs meant limited literature availability, with few empirical studies conducted. Although this emphasises the importance and originality of the research, this scarcity posed challenges in extracting and applying certain programme theory elements, particularly context.

This review will be of relevance to academics and health-care leaders within ICSs in England, offering critical insights into ICS leadership, integrating diverse evidence to develop new evidence-based recommendations, filling a gap in the current literature and informing leadership practice and health-care systems.

Implementing change in healthcare is difficult to accomplish due to the unpredictability associated with challenging the status quo. Adapting the intervention/practice/program being implemented to better fit the complex context is an important aspect of implementation success. Despite the acknowledged influence of context, the concept continues to receive insufficient attention at the team-level within implementation research. Using two heterogeneous multidisciplinary healthcare teams as implementation case studies, this study evaluates the interplay between context and implementation and highlights the ways in which context influences the introduction of a collective leadership intervention in routine practice.

The multiple case study design adopted, employed a triangulation of qualitative research methods which involved observation (Case A = 16 h, Case B = 15 h) and interview data (Case A = 13 participants, Case B = 12 participants). Using an inductive approach, an in-depth thematic analysis of the data outlined the relationship between team-level contextual factors and implementation success.

Themes are presented under the headings: (1) adapting to the everyday realities, a key determinant for implementation success and (2) implementation stimulating change in context. The findings demonstrate a dynamic relationship between context and implementation. The challenges of engaging busy healthcare professionals emphasised that mapping the contextual complexity of a site and adapting implementation accordingly is essential to enhance the likelihood of successful implementation. However, implementation also altered the surrounding context, stimulating changes within both teams.

By exposing the reciprocal relationship between team-level contextual factors and implementation, this research supports the improved design of implementation strategies through better understanding the interplay and mutual evolution of evidence-based healthcare interventions within different contexts.