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This paper describes the development and implementation of care pathways in two orthopaedic units in Scotland. Although originally developed as a tool of project management, care pathways have been promoted internationally as a response to concerns for patient safety, variability in care and increasing costs. Generally, care pathways can be seen as an example of clinician led rather than management led reform. However, it does reflect a wider shift towards process and away from hierarchical approaches to management. Within the UK care pathways have been promoted as a response to the modernisation initiative of the Labour Government. While the initiative was a success in both units it was more difficult to implement care pathways in a trauma rather than an elective unit. In conclusion, it is questionable whether care pathways are a universal response to the requirement for modernisation and service redesign in the NHS.

Different pathways of frailty care to prevent or delay progression of frailty and enable people to live well with frailty are emerging in primary and community care in the UK. The purpose of the study is to understand effective frailty care pathways and their components to inform future service development and pathway evaluation in primary- and community-care services.

A rapid evidence review was conducted: 11 research publications met the inclusion criteria and were analysed using narrative thematic synthesis.

There is strong evidence that resistance-based exercise, self-management support, community geriatric services and hospital at home (HAH) improve patient health and function. In general, evaluation and comparison of frailty care pathways, components and pathway operations is challenging due to weaknesses, inconsistencies and differences in evaluation, but it is essential to include consideration of process, determinant and implementation of pathways in evaluations.

To achieve meaningful evaluations and facilitate comparisons of frailty pathways, a standardised evaluation toolkit that incorporates evaluation of how pathways are operated is required for evaluating the impact of frailty pathways of care.

Taking the model of association as a point of departure the research question asked in the paper is: what is the role of translators and their criteria for choices in the translation of clinical pathways in a psychiatric ward?

The paper is based on an explorative single case‐study. Data were collected through participative observation and document studies. A temporal bracketing approach to process studies were used where the chain of events were broken down into chronologically organized episodes and then submitted to rigorous analysis.

The case‐analysis demonstrates that the role of human translators is to construct meaningful narratives that mobilize and enrol human as well as non‐human actors. Different translation proposals and translation criteria are continuously constructed, negotiated, tested out and weighted or balanced against each other by humans through the use of narratives. The analysis also demonstrates that other actors than humans may act and influence the translation process.

The model of association has until now been less precise and needs development of its theorization of the role of human translators and their criteria for choices in local organizing processes. The paper contributes to this development by means of an explorative case‐study.

This paper aims to review the state of national biosecurity planning. The authors recognised tourist vectoring can increase the risk of invasive alien species (IAS) and disease; representing substantial biosecurity risk for tourism destinations worldwide. This research assesses the provision of biosecurity mitigation measures within national biosecurity plans and guidelines internationally. The author’s position in this issue contends that a lack of sufficient biosecurity risk management and planning in place for tourism could have severe impacts on a destination’s environment, society, and economy.

The authors systematically reviewed national biosecurity planning through a mixed-method research approach. Frist, essential criteria identified from international literature allowed for content analysis to assess specific national biosecurity plans and strategies. Second, qualitative data was then gathered by conducting semi-structured interviews within national governing bodies and organisations.

Planning for tourism biosecurity varies around the world with some destinations demonstrating highly evolved plans such as Hawaii, New Zealand, and Australia. However, this is not the case in Ireland where planning for biosecurity at a national level is severely limited. Biosecurity planning, pathway management, communication, quarantine and plans for tourism risk are inadequate to prevent the introduction and spread of IAS and disease in Ireland. Recommendations offer destinations globally and with “island status” an opportunity for biosecurity to be improved by using surveillance, communication, guidelines and specific capacities at the border stages within a specific national biosecurity plan.

This review on the state of national planning for biosecurity provides new knowledge specifically for tourism destinations worldwide, which can adopt the essential elements identified within this research for a national tourism biosecurity risk framework.

本文旨在审查国家生物安全计划的状况。作者认识到, 游客媒介可以增加外来入侵物种（IAS）和疾病的风险。代表了全球旅游目的地的重大生物安全风险。这项研究评估了国际上国家生物安全计划和指南中生物安全缓解措施的提供。作者在此问题上的立场认为, 缺乏足够的生物安全风险管理和旅游业规划可能会对目的地的环境, 社会和经济产生严重影响。

作者通过混合方法研究方法系统地审查了国家生物安全计划。第一, 从国际文献中确定的基本标准允许进行内容分析, 以评估特定的国家生物安全计划和策略。其次, 通过在国家理事机构和组织内进行半结构化访谈来收集定性数据。

在全球范围内, 旅游生物安全的计划各不相同, 有些目的地还展示了高度发展的计划, 例如夏威夷, 新西兰和澳大利亚。但是, 在爱尔兰, 情况并非如此, 因为在爱尔兰国家级的生物安全计划受到严重限制。生物安全计划, 途径管理, 沟通, 隔离以及旅游风险计划不足以防止IAS和疾病在爱尔兰的传入和传播。建议为全球目的地以及具有”岛屿地位”的国家提供了通过在特定国家生物安全计划内的边境阶段利用监视, 沟通, 指南和特定能力来改善生物安全的机会。

这项对国家生物安全计划状态的审查为世界各地的旅游目的地专门提供了新知识, 这些知识可以采用本研究中确定的国家旅游生物安全风险框架的基本要素。

Este documento tiene como objetivo revisar el estado de la planificación nacional de bioseguridad. Los autores reconocieron que la vectorización turística puede aumentar el riesgo de especies exóticas invasoras (EEI) y enfermedades; representa un riesgo sustancial de bioseguridad para los destinos turísticos de todo el mundo. Esta investigación evalúa la provisión de medidas de mitigación de bioseguridad dentro de los planes y directrices nacionales de bioseguridad a nivel internacional. La posición del autor en este tema sostiene que la falta de suficiente gestión y planificación del riesgo de bioseguridad para el turismo podría tener graves impactos en el medio ambiente, la sociedad y la economía de un destino.

Los autores revisaron sistemáticamente la planificación nacional de bioseguridad a través de un enfoque de investigación de métodos mixtos. Los primeros criterios esenciales identificados a partir de la literatura internacional permitieron el análisis de contenido para evaluar planes y estrategias nacionales de bioseguridad específicos. En segundo lugar, los datos cualitativos se recopilaron realizando entrevistas semiestructuradas dentro de los organismos y organizaciones nacionales de gobierno.

La planificación de la bioseguridad turística varía en todo el mundo, y algunos destinos demuestran planes muy evolucionados, como Hawai, Nueva Zelanda y Australia. Sin embargo, este no es el caso en Irlanda, donde la planificación de la bioseguridad a nivel nacional está severamente limitada. La planificación de la bioseguridad, la gestión de vías, la comunicación, la cuarentena y los planes de riesgo turístico son inadecuados para evitar la introducción y propagación de EEI y enfermedades en Irlanda. Las recomendaciones ofrecen a los destinos de todo el mundo y con el “estado de la isla” una oportunidad para mejorar la bioseguridad mediante el uso de vigilancia, comunicación, directrices y capacidades específicas en las etapas fronterizas dentro de un plan nacional de bioseguridad específico.

Esta revisión sobre el estado de la planificación nacional para la bioseguridad proporciona nuevos conocimientos específicamente para destinos turísticos en todo el mundo que pueden adoptar los elementos esenciales identificados dentro de esta investigación para un marco nacional de riesgo de bioseguridad turística.

The purpose of this paper is to explore service-users’ hopes and expectations of a psychologically informed planned environment (PIPE) located in the high-security prison estate.

A semi-structured interview was used to explore the hopes and expectations of five male Category A PIPE prisoners. Interviews were transcribed verbatim and thematic analysis was used to analyse the data.

Analysis resulted in two overall themes: “Progression” and “Being Part of a Community”. Relevant sub-themes were considered to portray processes within these two wider themes.

In applying these findings to practice, this study provides evidence that places value on the current referral process which ascertains prisoners’ motivations to attend the PIPE.

This is the first known study that explores service-users’ hopes and expectations of the pilot PIPE service. The PIPEs are included within the recently introduced Offender Personality Disorder Pathway.

In this chapter, we share our top tips on writing impact for funding bids and reports. These are drawn from our extensive experience working across a UK university as research impact managers and also successfully developing and writing small to multimillion-pound grant applications for UK charity, UK Government and European funding. We have developed and delivered impact training to researchers at all career stages, written impact case studies for the UK's research assessment and published on the genre. ¹ We also lead the Impact Special Interest Group for the UK's Association of Research Managers and Administrators (ARMA) and contribute to conferences and specialist training internationally, which has included the Australasia region, Africa and Europe.

This paper aims to make the case for continued opportunity for high levels of human well-being under descent conditions characterised by declining economic throughput and socio-political complexity.

Relationships between assumptions about human well-being formed within a modern industrial context, the guiding narratives attending these, and the broader cultural influence of ideas from the evolutionary sciences are examined. Alternative ways of making sense of these relationships are explored. The experiences of societies guided by cultural narratives based on different premises to those most influential in industrial societies are reviewed for their implications for human well-being under descent conditions.

Human experiences of well-being are principally a function of the sources of meaning and associated narratives by which members of a culture make sense of their situation, as these determine the nature of the material and energetic conditions required to live well. Under descent conditions, the narrative of progress that has supported viable societies during the 300-year period of industrial expansion is unlikely to continue serving humanity well. Collective participation in the renewal of guiding cultural narratives is a primary target for efforts to provide continued opportunities for high quality of life to all members of humanity.

The findings point towards specific characteristics of cultural sense-making narratives that may support viable human societies under descent conditions.

By moving beyond the default assumption that descent automatically implies decline in human well-being, a barrier may be lowered to more open and mature society-wide engagement in conversations about the present human predicament and effective ways of responding to it.

New connections are identified between perspectives based on biological evolutionary theory and the continued influence of the idea of progress in establishing default assumptions about prospects for human well-being under descent conditions. Experiences of non-industrial societies are taken as the basis for identifying opportunities for human well-being under far more modest material and energetic conditions than those available to the portion of humanity that presently enjoys benefits of industrial development that outweigh the attendant costs.

This research aims to investigate how a generic web‐based ITS can be created which will adapt the training content in real time, to the needs of the individual trainee across any domain.

After examining the various alternatives SCORM was adopted in this project because it provided an infrastructure that makes it possible to deliver personalised learning dynamically using re‐usable learning objects.

The results show that a system which presents a student with content that is supplementary to an authored course should be accompanied by a tool to help the trainee's navigation. For such a tool, key functionality would be: first, to identify learning objects that would take the student towards the ultimate learning goals; second, to suggest a pathway through the authored course structure and additional learning objects to the student; and finally, to present the student with different choices of pathway, such as fastest, most comprehensive and most popular routes.

This investigation has taken another approach of adapting the course by displaying an adapted set of learning objects to the trainee, instead of using a linear course structure.

Occasionally, retail employees “break the rules” in order to help customers. Currently, there is little research on the mechanisms by which a sales assistants’ positive deviance intentions help them attain specific personal and organisational goals. The purpose of this paper is to examine one mechanism, hope, which develops employees’ deviance intentions to provide benefits to the customer, themselves and the organisation.

A survey captured responses from 270 frontline employees from the retail and services sector. AMOS 23 was used to conduct measurement, path and mediation analyses.

This study highlights the role of employee hope in developing employees’ positive deviance intentions, and improving perceptions of organisational performance. Results demonstrate that the direct positive impact of hope on positive deviance intention was significant. Furthermore, positive deviance intention was found to positively impact employee goal attainment and perceived organisational performance. The authors’ employee hope model offers a better understanding of positive outcomes of employee deviance, suggesting that retail managers should invest resources to build strong employee–organisation relationships.

This is the first study to empirically demonstrate that employee hope can explain how customer-oriented positive deviance intentions help employee goal attainment and improve their perceptions of organisational performance.