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Article
Publication date: 1 June 1993

Penelope J. Short and Phillip C. Wright

In Britain, Canada and the USA, a chronic shortage of registerednurses has existed since World War II. This situation is predicted tobecome worse. Reviews both the general…

Abstract

In Britain, Canada and the USA, a chronic shortage of registered nurses has existed since World War II. This situation is predicted to become worse. Reviews both the general and nursing literature in human resource planning, and recommends a system which can be built up step by step and individualized for each nursing department. The core planning activities are a planning database, demand forecasting, supply forecasting, variance analysis and forecasting, and recruitment policies.

Details

Health Manpower Management, vol. 19 no. 2
Type: Research Article
ISSN: 0955-2065

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Book part
Publication date: 20 October 2014

Lauren Nicholas

Twin to Twin Transfusion Syndrome (TTTS) is a well understood, yet under-recognized, placental disease affecting any given pregnancy at a rate of 1 in 1,000. There is no…

Abstract

Purpose

Twin to Twin Transfusion Syndrome (TTTS) is a well understood, yet under-recognized, placental disease affecting any given pregnancy at a rate of 1 in 1,000. There is no clustering of TTTS; instead the threat remains pathologically distinctive due to its pervasiveness. However, while incidence rates are random, survival rates are not. Despite compliant acceptance of “routine prenatal care,” sadly, there are many women who for currently unknown reasons are not receiving the advanced prenatal care needed to appropriately screen for, diagnosis and treat TTTS. And these women are paying the ultimate price for such obstetrical oversight.

Methodology

This study hypothesizes that differential care being given by primary obstetricians of TTTS patients is resulting in experienced inequalities. Utilizing social reproduction theory, and through ethnographic and quantitative analyses of primary data, this study seeks to divulge the complex social processes taking place (or failing to take place) within the world of American obstetrics, and begin to understand how they are affecting TTTS mortality and morbidity rates.

Findings

Findings illuminate a profound imbalance of power and influence amongst the following entities: American Congress of Obstetricians and Gynecologists and Society of Maternal Fetal Medicine; obstetrical training and practice; and levels of patient awareness and advocacy.

Value

This study argues that the current social relations being reproduced by these entities are perpetuating a climate that allows for disregard of proper TTTS management. Specifically, this study theoretically explores what social relations and subsequent (in)actions are being reproduced prior to TTTS diagnoses, and applies the effects of those observations.

Details

Family and Health: Evolving Needs, Responsibilities, and Experiences
Type: Book
ISBN: 978-1-78441-126-8

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Article
Publication date: 1 April 1993

Penelope M. Mullen

Waiting lists have been a cause of concern since the inception ofthe NHS. Many theories have been put forward to explain their existenceand there have been many proposals…

Abstract

Waiting lists have been a cause of concern since the inception of the NHS. Many theories have been put forward to explain their existence and there have been many proposals to reduce their length. With the current changes in the NHS and the introduction of the Patient′s Charter has come a renewed emphasis on reducing waiting lists and waiting times. However, analysis of incentives within the new system suggests that waiting lists may be reduced by limiting access rather than by increasing treatment rate. Further, not only GP Fundholding, but also the contractual relationships between District Health Authorities and hospitals may lead to two‐tier systems, with admission priorities based on source of funding rather than clinical urgency. Overall, it is concluded that the NHS Review may result in fewer people obtaining treatment, but with shorter waits for those who do receive treatment.

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Journal of Management in Medicine, vol. 7 no. 4
Type: Research Article
ISSN: 0268-9235

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Article
Publication date: 26 July 2021

James Brackley, Penelope Tuck and Mark Exworthy

This paper examines the contested value of healthy life and wellbeing in a context of severe austerity, exploring how the value of “Public Health” is constructed through…

Abstract

Purpose

This paper examines the contested value of healthy life and wellbeing in a context of severe austerity, exploring how the value of “Public Health” is constructed through and with material-discursive practices and accounting representations. It seeks to explore the political and ethical implications of constructing the valuable through a shared consensus over the “facts” when addressing complex, multi-agency problems with long time horizons and outcomes that are not always easily quantifiable.

Design/methodology/approach

The theorisation, drawing on science and technology studies (STS) scholars and Karen Barad's (2007) agential realism, opens up the analysis to the performativity of both material and discursive practices in the period following a major re-organisation of activity. The study investigates two case authorities in England and the national regulator through interviews, observations and documentary analysis.

Findings

The paper demonstrates the deeply ethical and political entanglements of accounting representations as objectivity, consensus and collective action are constructed and resisted in practice. It goes on to demonstrate the practical challenges of constructing “alternative accounts” and “intelligent accountabilities” through times of austerity towards a shared sense of public value and suggests austerity measures make such aims both more challenging and all the more essential.

Originality/value

Few studies in the accounting literature have explored the full complexity of valuation practices in non-market settings, particularly in a public sector context; this paper, therefore, extends familiar conceptual vocabulary of STS inspired research to further explore how value(s), ethics and identity all play a crucial role in making things valuable.

Details

Accounting, Auditing & Accountability Journal, vol. 34 no. 7
Type: Research Article
ISSN: 0951-3574

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Article
Publication date: 18 June 2019

Penelope Hasking, Stephen P. Lewis and Mark E. Boyes

The purpose of this paper is to call on researchers and clinicians to carefully consider the terminology used when discussing non-suicidal self-injury (NSSI), and…

Abstract

Purpose

The purpose of this paper is to call on researchers and clinicians to carefully consider the terminology used when discussing non-suicidal self-injury (NSSI), and specifically the use of the term “maladaptive” coping.

Design/methodology/approach

Drawing on literature regarding stigma, language and self-injury to support the argument that the term maladaptive is inappropriate to describe self-injury.

Findings

Use of the term maladaptive conflates short-term effectiveness with long-term outcomes and ignores context in which the behaviour occurs.

Social implications

Use of the term maladaptive to describe self-injury can invalidate the person with a history of NSSI, impacting stigma and potentially help-seeking. An alternate framing focussed on specific coping strategies is offered.

Originality/value

Language is a powerful medium of communication that has significant influence in how society shapes ideas around mental health. In proposing a change in the way the authors’ talk about self-injury there is potential to significantly improve the wellbeing of people with lived experience of self-injury.

Details

Journal of Public Mental Health, vol. 18 no. 2
Type: Research Article
ISSN: 1746-5729

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Article
Publication date: 22 September 2020

Natalie Wall

The author advances a theory of white generosity, a product of whiteness and of hierarchised relationships between races characterised by the giving to the racialised…

Abstract

Purpose

The author advances a theory of white generosity, a product of whiteness and of hierarchised relationships between races characterised by the giving to the racialised person that which has not been asked for and which has no practical immediate purpose, which can be used by anti-racist scholars as a framework for analysing racial oppression.

Design/methodology/approach

Using postcolonial and cultural studies and deconstructionist techniques in tandem with autoethnography, the author uses textual readings to examine instances of “giving” shaped by white generosity, drawing on Jacques Derrida's work on the gift in order to deconstruct the structure and rhetorical moves of white generosity.

Findings

White generosity demands gratitude in excess of the value of the thing given. If for Derrida the gift is given unconditionally, becoming devalued as soon as it demands acknowledgement or draws attention to itself as gift, white generosity is the gift's inverse: a “giving” that manifests itself only as a demand for its supposed recipient's gratitude. Emancipation is no gift at all; simply a deferral of debt. The “gifts” of diversity, decolonisation, widening participation or access are all objects of brokerage in a system that is inherently unequal and violent for black folx.

Originality/value

White generosity is related to theoretical constructs, such as white fragility, that have commanded significant scholarly engagement. However, it has not previously been named or analysed in a systematic way. This article offers a theoretical framework for use by anti-racist activists and scholars to name, interrogate and deconstruct a powerful narrative used in the continued marginalisation of non-white folx.

Details

Equality, Diversity and Inclusion: An International Journal, vol. 40 no. 2
Type: Research Article
ISSN: 2040-7149

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Article
Publication date: 1 February 1984

Edward C. Paolella

Within the past few years, responsible educators, librarians, parents, counselors, social workers, therapists, and religious groups of all sexual persuasions and…

Abstract

Within the past few years, responsible educators, librarians, parents, counselors, social workers, therapists, and religious groups of all sexual persuasions and lifestyles have recognized the need for readily available reading material for lesbian and gay youth. Unfortunately, this material is often buried, because it is embedded in larger works. To meet this need, I have compiled and annotated 100 of the best works for young homosexuals, bisexuals, and heterosexuals. I have also included a few of the best works currently available on heterosexuality as a much needed source of knowledge for all young adults whether they are gay or straight, whether they remain childless or eventually become parents.

Details

Reference Services Review, vol. 12 no. 2
Type: Research Article
ISSN: 0090-7324

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Article
Publication date: 1 February 1932

FINANCIAL fears are only less cruel than those of war, and lead men into extravagances which they would repudiate indignantly in their cooler moments. If the doings of the…

Abstract

FINANCIAL fears are only less cruel than those of war, and lead men into extravagances which they would repudiate indignantly in their cooler moments. If the doings of the Economy Committee at Manchester in relation to children's libraries, as described in the article by Mr. Lamb in our last issue, are true, we have in them an example of a kind of retrenchment at the expense of the young which we hope is without parallel and will have no imitators. Some reduc‐tion of estimates we hear of from this or that place, but in few has the stupid policy which urges that if we spend nothing we shall all become rich been carried into full effect. Libraries always have suffered in times of crisis, whatever they are; we accept that, though doubtfully; but we do know that the people need libraries.

Details

New Library World, vol. 34 no. 8
Type: Research Article
ISSN: 0307-4803

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Article
Publication date: 7 February 2019

Heleen Buldeo Rai, Sara Verlinde, Cathy Macharis, Penelope Schoutteet and Lieselot Vanhaverbeke

The purpose of this paper is to identify in what way logistics service providers are involved in the logistics operations of omnichannel retailers. Given the importance of…

Abstract

Purpose

The purpose of this paper is to identify in what way logistics service providers are involved in the logistics operations of omnichannel retailers. Given the importance of logistics in omnichannel retail and the complexities that it brings forth, it is unclear if the current tendency towards logistics outsourcing continues, and how logistics service providers should adapt to remain relevant in the omnichannel retail environment.

Design/methodology/approach

The research draws on both desk and field research. The authors analysed the scientific information available on omnichannel retail logistics and conducted semi-structured expert interviews with food and non-food retailers that adopt an omnichannel model.

Findings

The research demonstrates distinct differences between food and non-food retailers. While food retailers are inclined to organise fulfilment and last mile activities in-house, non-food retailers partner closely with logistics service providers. Nonetheless, the store network of non-food retailers is attracting a growing part of logistics activities, which retailers are building themselves. To sustain their relevance in the omnichannel environment and strengthen their position for the future, the authors created a competency recommendation framework for logistics service providers, in which service differentiation is proposed as a viable direction for growth.

Research limitations/implications

The research is based on insights from retailers based in the Brussels-Capital Region (Belgium) and requires further and wider testing in other contexts and geographical areas.

Practical implications

The findings have strategic importance for retailers that are developing an omnichannel retail model and logistics service providers that (aim to) serve clients and operate activities within the retail sector.

Originality/value

The research provides a holistic view of logistics in omnichannel retail by identifying insourcing and outsourcing mechanisms and developing competency recommendations to fulfilment, internal transport and last mile transport in omnichannel retail.

Details

International Journal of Physical Distribution & Logistics Management, vol. 49 no. 3
Type: Research Article
ISSN: 0960-0035

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Article
Publication date: 1 June 1963

AS J. L. Hobbs shows so clearly in his recent book, the interest in local history is growing enormously at present. The universities, training colleges and schools, as…

Abstract

AS J. L. Hobbs shows so clearly in his recent book, the interest in local history is growing enormously at present. The universities, training colleges and schools, as well as the institutions of further education, are all making more use of local studies—geographical, economic, social and historical—in their regular courses, in their advanced work, and in their publications.

Details

New Library World, vol. 64 no. 12
Type: Research Article
ISSN: 0307-4803

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