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This paper aims to explore the possibilities in using such national, statutory data sets for evaluating change and the challenges of understanding service patterns and outcomes in complex cases when only a limited view can be gained using existing data. The discussion also explores how methodologies can adapt to an evaluation in these circumstances.

This paper examines the use of data routinely collected by local authorities (LAs) as part of the evaluation of innovation. Issues entailed are discussed and illustrated through two case studies of evaluations conducted by the research team within the context of children’s social care in England.

The quantitative analysis of LA data can play an important role in evaluating innovation but researchers will need to address challenges related to: selection of a suitable methodology; identifying appropriate comparator data; accessing data and assessing its quality; and sustaining and increasing the value of analytic work beyond the end of the research. Examples are provided of how the two case studies experienced and addressed these challenges.

• Quasi-experimental methods can be beneficial tools for understanding the impact of innovation in children’s services, but researchers should also consider the complexity of children’s social care and the use of mixed and appropriate methods. • Those funding innovative practice should consider the additional burden on those working with data and the related data infrastructure if wishing to document and analyse innovation in a robust way. • Data, which may be assumed to be uniform may in fact not be when considered at a multi-area or national level, and further study of the data recording practice of social care professionals is required.

The paper discusses some common issues experienced in quasi-experimental approaches to the quantitative evaluation of children’s services, which have, until recently, been rarely used in the sector. There are important considerations, which are of relevance to researchers, service leads in children’s social care, data and performance leads and funders of innovation.

This paper aims to investigate the implications and impact from the implementation of European Working Time Directive (EWTD) compliant working patterns (the introduction of shifts) on doctors.

A qualitative, case study based research method was used. Data collection involved: the application of semi‐structured, open‐ended interviewing to elicit information based upon categories defined from the literature survey; follow‐up conversations with many interviewees; participant observation; thematic coding and analysis of the results.

Shifts are here to stay. All doctors interviewed acknowledged that, but there was a general feeling of minimal flexibility in the system. A recurrent theme when asked how things could be improved was to split‐up the week of night shifts into two shorter periods. Some doctors, particularly those working full‐time with small children, already split their weekends in order to spend time with their family.

The methodology applied was appropriate, generating ample data to facilitate discussion and from which to draw specific conclusions. A perceived limitation is the single case approach; however Remenyi argues this can be enough to add to the body of knowledge.

The research generated suggestions for how shifts could be scheduled to make them more palatable for those who work them. Specific recommendations for future research are made.

The research questions of the paper draw out the personal implications for doctors of their employers' adherence to the implementation of EWTD.

This chapter considers the mobilities of families subject to child protection involvement at the threshold of the birth of a new baby. The author presents data arising from an ethnographic study of child protection social work with unborn babies. This study aimed to draw near to social work practice within the Scottish context through mobile research methods and included non-participant observations of a range of child protection meetings with expectant families. Research interviews were sought with expectant mothers and fathers, social workers and the chair persons of Pre-birth Child Protection Case Conferences. Case conferences are formal administrative meetings designed to consider the risks to children, including unborn children. This chapter focusses on the experiences of expectant parents of navigating the child protection involvement with their as yet unborn infant. The strategies that parents adopted to steer a course through the multiple possibilities in relation to the future care of their infant are explored here. Three major strategies: resistance, defeatism and holding on are considered. These emerged as means by which expectant parents responded to social work involvement and which enabled their continued forwards motion towards an uncertain future.

This study has demonstrated how technology may contribute to integrated care solutions by comparing conventional ward telemetry (WT) to a wearable ECG monitor (S-Patch) to detect atrial fibrillation (AF) in patients with stroke.

51 patients admitted for stroke workup were recruited across two major tertiary centres to compare WT monitoring for two days versus S-Patch for four days in the detection of AF. The efficacy to detect AF using both technologies was assessed via data extractions and medical officer review. A matrix was used to measure nursing/patient satisfaction and setup/resource times were assessed.

Patients (84–94%) and nursing staff (75–95%) preferred the S-Patch wearable technology. Non-parametric tests indicated significant time saving for removal of S-Patch versus WT [2.2 min vs 5.1 min (p = 0.00)]. Efficacy of S-Patch to detect AF following medical officer review was greater than WT, with seven patients identified with AF by S-Patch versus one using WT. The S-patch had a false positive rate of 78%.

The S-Patch is sensitive in the detection of AF; however, it showed a high false-positive rate with automated reporting. This study has provided insight into the details of delivery of integrated healthcare using wearable technology.

The technology and partnership were the first-in-kind in Australia. The S-Patch had a higher detection rate of AF compared to WT which allows patients to be anti-coagulated appropriately for the prevention of further stroke. The results of this study will be ideally placed to inform future policy in integrated healthcare using new technologies.

This study investigates the effect of user fees on access and waiting time in Nigeria. For access, the effect of user fees on both preventive and curative care; and the effect of user fees on waiting time at public healthcare facilities were examined. User fees are vital for the fiscal sustainability of healthcare provision for most African economies. Its imposition could debar healthcare access by the poor while its removal can reduce quality of care and induce longer waiting time.

The wave 3 of the Nigerian General Household Survey (2015/16) data was used for users of public health facilities. Access to healthcare was modelled using utilization data in a logistic regression model while waiting time was through the Negative Binomial Regression Model (NBRM).

The analyses showed significant effects of user fees on access to both preventive and curative care and on time spent waiting to make use of healthcare services. Individuals were able to access healthcare services regardless of amounts paid. Also, there was a non-negative effect of user fee imposition on waiting time.

Nigeria should improve healthcare facilities to address the enormous demand for healthcare services when designing policy for health sector.

This paper shows that even with the imposition of user fees, healthcare facilities could still not cater for the rising healthcare needs of the populace but cautioned that its abolition may not be a preferred option.

In this chapter, I examine stories that foster care youth tell to legislatures, courts, policymakers, and the public to influence policy decisions. The stories told by these children are analogized to victim truth testimony, analyzed as a therapeutic, procedural, and developmental process, and examined as a catalyst for systemic accountability and change. Youth stories take different forms and appear in different media: testimony in legislatures, courts, research surveys or studies; opinion editorials and interviews in newspapers or blog posts; digital stories on YouTube; and artistic expression. Lawyers often serve as conduits for youth storytelling, translating their clients’ stories to the public. Organized advocacy by youth also informs and animates policy development. One recent example fosters youth organizing to promote “normalcy” in child welfare practices in Florida, and in related federal legislation.

The paper problematizes previous research on accountingisation, where the role of accounting in determining the scope of professional work is understood in relation to a professional/economic dichotomy and a model of episodic change. The purpose of this paper is to investigate everyday professional work in established new public management (NPM) settings, and proposes a new conceptual framework to analyze the role of accounting therein. The aim is to enable future investigations into how, when and where a situated “bottom line” emerges, by conceptualizing professional work as a process of calculation.

Qualitative data from case studies of two tertiary level geriatric organizations using observations of 33 employees and four interviews. Data related to patient discharge, and the management of the discharge processes, were analyzed.

Few visible trade-offs between distinctly professional or economic considerations were observed. Rather, the qualification of patients’ status and evaluation of their dischargeability centered on debates over treatment time. Time therefore operated as a situated “bottom line,” to which various other concerns were emergently linked in a process of calculation. Professional practitioners seldom explicitly evoke accounting concepts and technologies, but these were implicated in the ongoing translation of each patient into something temporarily stable, calculable and thus actionable for the professionals involved in their care. The study’s findings have implications for the conceptual understanding of professional work in established NPM settings.

Case study research is context-specific and the role of accounting in professional work will vary due to the professional groups and accounting technologies involved.

The study’s findings have implications for how to influence professional behavior through interventions in the existing landscape of accounting technologies. The possibility to change behavior through the introduction or removal of individual accounting technologies is questioned.

To date, research on the role of accounting in determining the scope of professional work has assumed a professional/economic dichotomy and studied episodic change linked to accounting-oriented reforms. This paper analyses the role of accounting as an on-going process with emergent boundaries between professional and economic considerations.

For achieving the profitable human activity recognition (HAR) method, this paper solves the HAR problem under wireless body area network (WBAN) using a developed ensemble learning approach. The purpose of this study is,to solve the HAR problem under WBAN using a developed ensemble learning approach for achieving the profitable HAR method. There are three data sets used for this HAR in WBAN, namely, human activity recognition using smartphones, wireless sensor data mining and Kaggle. The proposed model undergoes four phases, namely, “pre-processing, feature extraction, feature selection and classification.” Here, the data can be preprocessed by artifacts removal and median filtering techniques. Then, the features are extracted by techniques such as “t-Distributed Stochastic Neighbor Embedding”, “Short-time Fourier transform” and statistical approaches. The weighted optimal feature selection is considered as the next step for selecting the important features based on computing the data variance of each class. This new feature selection is achieved by the hybrid coyote Jaya optimization (HCJO). Finally, the meta-heuristic-based ensemble learning approach is used as a new recognition approach with three classifiers, namely, “support vector machine (SVM), deep neural network (DNN) and fuzzy classifiers.” Experimental analysis is performed.

The proposed HCJO algorithm was developed for optimizing the membership function of fuzzy, iteration limit of SVM and hidden neuron count of DNN for getting superior classified outcomes and to enhance the performance of ensemble classification.

The accuracy for enhanced HAR model was pretty high in comparison to conventional models, i.e. higher than 6.66% to fuzzy, 4.34% to DNN, 4.34% to SVM, 7.86% to ensemble and 6.66% to Improved Sealion optimization algorithm-Attention Pyramid-Convolutional Neural Network-AP-CNN, respectively.

The suggested HAR model with WBAN using HCJO algorithm is accurate and improves the effectiveness of the recognition.

In this chapter, I bring a rhetorical genre theory lens to the study of two sets of information activities: information seeking and informing in a clinical setting, and personal information management in the household.

I begin by characterizing each candidate genre and show how it is constituted, created, repurposed, and used. I then show how that genre is embedded within a local genre set. This analysis maps the institutional, interactional, and intertextual connections, showing how generic forms interact with other oral and textual genres within the setting. Finally, I situate the single genre and genre set within the broader genre system to show how individual genres are both socially and intertextually connected with institutions and organizations beyond the local setting.

A genre analysis shows how “information” is accomplished out of the social and documentary practices of participants in particular settings and elucidates the shifting and complex nature of contexts in which information actors operate. Combining three levels of analysis shows how the actions of individuals are locally negotiated but also situated within broader structural constraints and discourse communities. A genre approach therefore offers a window on the elusive concept of “context” in information needs, seeking, and use research.

While certain contested goods do manage to make their way to market, others have moved less far in this direction and others seem permanently unable to do so. Moral contestation promotes, holds back or blocks the emergence of contested markets. This chapter examines the conditions that make the operation of these markets possible, and those that block their appearance. From a comparison between two cases (organs for transplantation and gambling), the authors focus attention on the one hand on those devices that make transactions possible, and on the other, on the “vulnerable populations” that these devices are intended to protect, either from or by the market.