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National and local policy supports the involvement of patients at all levels in the design, delivery and improvement of health services. Whilst existing approaches to support involvement have been described and disseminated, including the 4Pi National Involvement Standards, their application in quality improvement is rarely reported. The paper aims to discuss this issue.

A quality improvement initiative within a mental health trust was developed with a multi-disciplinary team, including those with professional experience of delivering or improving care and those with lived experience. The aim of the initiative was to improve the physical health of inpatients within an acute mental health unit. This case study aims to describe how the integration of concepts from the 4Pi National Involvement Standards (Principles, Purpose, Presence, Process and Impact) provided a framework for engaging and involving service users. The case study also aims to describe how co-design was included within the 4Pi approach and supported the development of a tool to aid improving physical healthcare.

The 4Pi National Involvement Standards provided a guiding framework for the involvement of service users within a quality improvement initiative. Value of the approach was realised through the co-design of a tool developed by service users, along with healthcare professionals, to facilitate discussion and support shared-decision making about inpatients’ physical health.

Identifying “ways that work” for service user involvement is crucial to move beyond the policy rhetoric or tokenistic involvement. Involvement in quality improvement initiatives can bring benefits both to services and the service users themselves.

Whilst the 4PI approach is recognised as a useful framework for involvement, few examples exist of its practical applications within a quality improvement setting.

This paper aims to present the views ofMatthew Brearley UK HR Director at Vodaphone.

This paper provides an interview with Matthew Brearley who has a wealth of commercial experience in driving business performance through coherent and innovative people strategies.

The paper finds new insights into the methods of people management at Vodaphone.

The paper provides an insightful interview with Matthew Brearley.

The purpose of this paper is to explore primary school children’s beliefs towards eating fruit and vegetables in a deprived area in England.

Semi-structured interviews were conducted with 11 children aged 9-11 from an after school club at a primary school in a deprived area in the West Midlands. Interviews were analysed using inductive thematic analysis.

Six master themes emerged from the data: “effect on the senses”, “feelings about food”, “healthy vs unhealthy foods”, “effects on health”, “convenience” and “family and friends”. Analysis showed that children seemed to have a very good awareness of the health benefits of eating fruit and vegetables. However, negative beliefs were associated with sensory perceptions (such as taste, texture, appearance and aroma), availability, and the competing desirability of other, unhealthy foods. Also, although parents were key influences, siblings and friends were often perceived as negative influences and would tease children about eating fruit and vegetables.

Suggestions for interventions include increasing the appeal and availability of pre-prepared fruits and vegetables in both home and school environments. Additionally, an approach to eating more fruit and vegetables which focusses on siblings and friends is advocated as these groups appear to play a key role in terms of promoting the consumption of these foods.

This study is novel as it uses individual interviews to explore primary school children’s attitudes towards fruit and vegetable consumption in a deprived area in England. By focussing on the specific behaviours of fruit and vegetable consumption, the findings aid the development of interventions that are designed to improve children’s healthy eating behaviour.

This chapter draws on 10 years of ethnographic fieldwork collected in gay bars from three American cities to explore the strategies LGBTQ subcultures deploy to recreate meaningful places within the vestiges of local queer nightlife. As gentrification and social acceptance accelerate the closures of LGBTQ-specific bars and nightclubs worldwide, venues that once served a specific LGBTQ subculture (i.e., leather bars) expand their offerings to incorporate displaced LGBTQ subcultures. Attending to how LGBTQ subcultures might appropriate designated spaces within a gay venue to support community (nightlife complexes), how management and LGBT subcultures temporally circumscribe subcultural practices and traditions to create fleeting, but recurring places (episodic places), and how patrons might disrupt an existing production of place by imposing practices associated with a discrepant LGBTQ subculture(place ruptures), this chapter challenges the notion of “the gay bar” as a singular place catering to a specific subculture. Instead, gay bars increasingly constitute a collection of places within the same space, which may shift depending on its use by patrons occupying the space at any given moment. Beyond the investigation of gay bars, this chapter contributes to the growing sociological literature exploring the multifaceted, unstable, and ephemeral nature of place and place-making in the postmodern city.

This chapter explores the media coverage of the 2016 Presidential campaign and reveals the corruption fantasy themes that emerged. Media coverage of corruption can uniquely affect voter attitudes and public policy formulation and implementation, as revealed in previous scholarship on media coverage of corruption. By tracing the competing narratives offered in media coverage utilizing the constant comparative method, the dramatic characters, Crooked Hillary and Corrupt Businessman Trump, are identified and their storylines are explicated. Analysis reveals these dramatic fantasy themes chained through social media, evincing and promoting the narratives that drove media coverage of our political leaders and public policy results. The chapter illustrates that the narratives involving corruption were prominent and negative, further indicating that the media’s obsession with scandal contributed to and supported the narratives that portrayed both candidates as corrupt, adding pollution to the 2016 U.S. political environment.

The purpose of this paper is to compare learning-disabled (LD) and non-LD offenders in terms of their relating styles and to examine the relationship between relating styles and offence types.

Two groups of male offenders completed the Person’s Relating to Others Questionnaire – Version 3 (PROQ3) and were compared using an independent groups design. An adapted version of the PROQ3 was given to the first group, which consisted of 18 LD offenders detained within a mental health hospital. The second group consisted of 30 offenders detained within a Category B prison in the UK. Offenders were assigned to one of four offence categories (violence, homicide, sexual and robbery) and compared in terms of their PROQ3 scores.

The findings suggest that the sample of LD offenders had increased relating deficits compared to the non-LD offenders. The LD offenders achieved higher scores on four of the eight PROQ3 subscales; Upper Neutral (UN), Upper Close (UC), Neutral Close (NC), Lower Distant, and the total score. Significant differences were found on the UN, NC, Neutral Distant (ND), Upper Distant (UD) subscales and the total score for the robbery offenders compared to the other offence categories. Violent offenders achieved higher scores on the UC and Lower Distant subscales.

The need for research to focus on evaluating the treatment needs of lower functioning offenders in order to aid the development of LD-specific interventions. The need to evaluate the appropriateness of adapting mainstream offence focussed programmes for the LD population, given that there are potentially different treatment needs between these two distinct groups.

The results indicate that cognitive functioning is associated with higher levels of interpersonal deficit, suggesting increased treatment needs for the LD offender population. The study also highlighted that different treatment needs exist between the LD and non-LD offenders.

The purpose of this paper is to analyze the business model of second-hand fashion stores and explore their challenges/opportunities and suggest potential strategies for second-hand fashion retail stores.

A qualitative research method using in-depth interviews of convenience sample of owners/store managers from within the USA was employed.

Contrasting the traditional retail stores, customers are the primary partners and suppliers of second-hand fashion stores. These stores retain minimal profits given a business model that typically involves sharing profits with customers. Cheaper price, thrill of finding great deals, value for brands and variety are the primary reasons mentioned by respondents for shopping at second-hand stores.

Limitations include the use of a convenience sample of store owners/managers as well as the research is limited to women and children’s stores. Respondents of the study were from the same geographical region and the characteristics of the redistribution markets may vary in a different region.

As a means to foster textile waste reduction through second-hand clothing business, these stores could adopt innovative revenue streams, additional partnerships, and improved fashion and store appeal that may be effective in increasing profits and the number of customers.

This study is one of the early attempts to examine the business model of second-hand fashion stores, a form of collaborative consumption in the fashion context. The study contributes in promoting second-hand fashion stores as a sustainable business model in the fashion industry.

This chapter uses narrative inquiry to tell the stories of two female neophyte educators experiencing the oppositional misalignment between their idealized perception of female teachers in American society and their personal realities by providing alternate images of women in education. American teachers, especially women, are perceived as a homogeneous group that lives to serve the children of others and inhabit a monochrome, two-dimensional, existence inside the educational landscape of schools (Clandinin & Connelly, 1996). However, the prevailing notions and outdated imagery of teachers is flawed in its lack of acknowledgment of the richly diverse and textured lived experiences of women both inside and outside of the educational field. Furthermore, female teachers face tremendous pressure to imitate these unrealistic ideals and expectations at the expense of the authentic self, which can lead to a myriad of internal dissonances, such as burnout, serving as an umbrella over PTSD, anxiety, compassion fatigue, decreased confidence, and lower job satisfaction. The researchers in this chapter come from nontraditional backgrounds to capture the negative effects of subtle, persistent, and unrealistic expectations of females that contribute to feelings of burnout at the onset of our teaching careers.

This purpose of this paper is to investigate the possibility of non-linear relationships between supervisor support for stress management and intervention process ratings from a workplace stress management intervention to highlight how context shapes intervention experience.

Data from 37 nurses and nurse aides assigned to the treatment group in an occupational stress management intervention were analyzed using polynomial regression in SPSS.

A quadratic function with a U-shape best explained variance in process variables for the relationship between supervisor support for stress management at baseline and ratings of intervention relation reactions and overall perceptions of session helpfulness in both sessions and for task reactions in session 1. Those with low and high supervisor support for stress management tended to perceive the intervention favorably, which is framed in terms of the intervention compensating for or complimenting their work environment, respectively.

Although exploratory and based on a small sample, this paper lays the groundwork for future theoretically-grounded investigations of relationship between intervention context and process.

Results provide a rationale for training supervisors in stress management support as a supplement to a workplace intervention.

This paper investigates a novel molar supervisor support construct and challenges previous research that assumes that the relationship between context and intervention process or outcomes always conform to a simple linear relationship.