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Elder abuse results in high rates of morbidity and mortality. It has longstanding physical and psychological effects and is difficult to detect. Due to fear or embarrassment, victims may make attempts to hide it rather than to disclose and professionals are often reluctant to report it as they may worry about worsening a situation. If detected early enough, serious harm can be prevented and lives saved. Screening and screening tools can assist health and social care practitioners to detect abuse. This review of screening tools was undertaken as part of an MSc in clinical research, funded by the National Institute for Health Research; the purpose of this paper is to report on the review and its findings.

This was a systematic review with eligibility inclusion and exclusion criteria decided in advance. Keywords and their synonyms were combined and then used to search health and social care databases. Data items were collected from the included studies. The preferred reporting item for systematic reviews and meta-analysis was followed for the reporting of the results. A narrative synthesis approach was applied to the analysis.

A total of 34 full text studies were downloaded, read and analysed. In all, 11 met the inclusion criteria and were included in the final analysis. Of these, three studies reported sensitivity and specificity, with the remainder reporting validity and reliability testing. In total, 12 tools of varying length and quality were found. The length and characteristics of tools affects the efficacy of their use. The clinical environment will determine choice of screening tool to be used. Screening tools should be used within an overall system of detection and management of abuse.

The synthesis of results was challenging due to the lack of homogeneity between the included studies. The variations in tool characteristics and qualities added to this challenge. A further limitation was the lack of a gold standard tool in elder abuse.

This systematic review highlights a lack of robust evidence in the development and validation of screening tools to detect elder abuse. Though there is an increasing awareness and knowledge about elder abuse, its detection remains problematic and the lack of research in this area is worth emphasising. Specific tools, centred on the clinical setting in which they are used, are recommended.

This article reports on a national project being developed by the Royal National Institute of the Blind. It is aimed at improving health and social care for older people with sight problems, by focusing on some of the standards of the National Service Framework for older people and applying them to older people with sight problems. The project will identify, develop and disseminate good practice by establishing two pilot sites and conducting desk research.

White nationalist groups have recently been at the forefront of American sociopolitical life, as demonstrated by the events in Charlottesville, Virginia in 2017. The purpose of this paper is to explore the historical roots and various waves of the Ku Klux Klan (KKK).

This paper offers high school teachers age-appropriate, evocative texts and disciplinary-specific, engaging tasks organized in a guided inquiry on the KKK, America’s most prominent hate organization.

Students are positioned to utilize newly-constructed understandings to take informed action on the local, state and national level.

Recently-published research has explored late-nineteenth century and early-twentieth century manifestations of the Klan, but not mid-twentieth and twenty-first century outbursts.

The purpose of this paper is to argue for the widening of attention in healthcare improvement efforts, to include an awareness of the humanity of people who work in the sector and an appreciation of the part human connection plays in engagement around good quality work. Theoretical frameworks and research approaches which draw on action-based, interpretive and systemic thinking are proposed, as a complement to current practices.

The paper describes the early stages of an action research (AR) project, which used the appreciative inquiry “4D” framework to conduct participative inquiry in Hamad Medical Corporation’s ambulance service in Qatar, in which staff became co-researchers.

The co-researchers were highly motivated to work with improvement goals as a result of their participation in the AR. They, and their managers, saw each other and the work in new ways and discovered that they had much to offer.

This was a small-scale pilot project, from which findings must be considered tentative. The challenges of establishing good collaboration across language, culture and organisational divides are considerable.

Appreciative and action-oriented inquiry methods can serve not only to find things out, but also to highlight and give value to aspects of humanity in the workplace that are routinely left invisible in formal processes. This, in turn, can help with quality improvement.

This paper is a challenge to the orthodox way of viewing healthcare organisations, and improvement processes within them, as reliant on control rather than empowerment. An alternative is to actively include the agency, sense-making capacity and humanity of those involved.

In recent years, librarians, as a profession, have attempted to identify individual users' needs. Librarians in the past have served their communities with people, rather than the storage of books and materials, as their top priority; however, in library and information science literature, user‐centered theory is new. It offers a psychological/sociological depth that the practical literature, as late as 1990, fails to touch.

An assessment identifying the leadership education needs of three groups of leadership program alumni was developed through focus group interviews. Respondents (386 of 1,063 or 36%) were most interested in training on: engaging others in a common vision, inspiring others, attracting the right people for the task, and influencing others. They preferred to participate in one or two workshops per year. Face-to-face delivery was the format most preferred by respondents with distance-delivery strategies identified as the preferred means by 34% or less, and respondents preferred to pursue regional collaborations in their state. The results will be the basis for advanced leadership development training for alumni of leadership development programs offered through Cooperative Extension. It was recommended that this study be replicated with community leaders that have not participated in formal leadership programs as the basis for developing initial and advanced training needs.

This article explores the adoption of a transcultural education approach, rather than multicultural or intercultural education, and the implications this would have for educational practice. With the multiple issues associated with multicultural and intercultural education, the authors emphasize the need for a definitive definition of the term “transcultural” in the educational literature, as well as a new model of transcultural education. Addressed in the article are: (a) the contribution of transdisciplinary teaming to the definition and practice of transcultural education; (b) the meaning of “trans” in the term, transcultural; (c) a discussion of culture and individuality related to education; and (d) possible conclusions to facilitate dialogue regarding the future of transcultural education. Twelve vignettes are included to provide real world examples of the need for a paradigm of transcultural education.

The Missouri State Library was transferred from the Department of Higher Education to the Secretary of State's office in 1992. The State Library has been involved at some level in all of the technology projects and programs described in this article.