619 research outputs found
How do secondary school counsellors work with other professionals?
Counselling services based in secondary schools across the UK are becoming common place. Indeed, several of the home nations have national strategies and targets to introduce universal counselling into schools to address the mental health needs of young people more effectively. This study explores how secondary school counsellors work with other professionals within and outside schools in the delivery of services.
Sixteen school counsellors from across the UK were interviewed, in four different focus groups - 2 in England (n=8) and 2 in Scotland (n=8). The findings indicate that the professional relationships counsellors have with other colleagues have a direct influence upon the quality of the service they feel able to offer. Time spent with colleagues when setting up services was viewed as highly beneficial, as was time spent building relationships and connections with colleagues within the school and from external agencies and organisations, as well as having a senior member of staff to liaise with.
It is apparent that attending to relationships outside of the counselling room may influence the positive outcomes for the counselling service and its clients generally. Implications of these findings may influence the time counsellors are employed by commissioners, and how counsellors use their time allocation in schools to ensure that effective services are both achieved and maintained. The research also points to the need for future research into the processes and practices in the delivery of school counselling across the UK.
Karen Cromarty and Kaye Richards
British Association for Counselling and Psychotherap
Investigating staff knowledge of safeguarding and pressure ulcers in care homes
Objective: To investigate whether nursing/care home staff regard pressure ulceration as a safeguarding issue; and to explore reporting mechanisms for pressure ulcers in nursing/care homes.
Methods: Sixty five staff members from 50 homes within one clinical commissioning group completed a questionnaire assessing their experiences of avoidable and unavoidable pressure ulcers, grading systems, and systems in place for referral to safeguarding teams. Understanding of safeguarding was assessed in depth by interviews with 11 staff members.
Results: Staff observed an average of 2.72 pressure ulcers in their workplaces over the last 12 months; judging 45.6% to be avoidable. Only a minority of respondents reported knowledge of a grading system (mostly the EPUAP/NPUAP system). Most respondents would refer pressure ulcers to the safeguarding team: the existence of a grading system, or guidance, appeared to increase that likelihood. Safeguarding was considered a priority in most homes; interviewees were familiar with the term safeguarding, but some confusion over its meaning was apparent. Quality of written documentation and verbal communication received prior to residents returning from hospital was highlighted. However, respondents expressed concern over lack of information regarding skin integrity. Most staff had received education regarding ulcer prevention or wound management during training, but none reported post-registration training or formal education programmes; with reliance placed on advice of district nurses or tissue viability specialists.
Conclusion: Staff within nursing/care homes understand the fundamentals of managing skin integrity and the importance of reporting skin damage; however, national education programmes are needed to develop knowledge and skills to promote patient health-related quality of life, and to reduce the healthcare costs of pressure damage. Further research to investigate understanding, knowledge and skills of nursing/care home staff concerning pressure ulcer development and safeguarding will become increasingly necessary, as levels of the older population who may require assisted living continue to rise
Pressure ulcers: are they are a safeguarding issue in care and nursing homes?
The impact of the Care Act (Department of Health [DH], 2014) and adult legislation such as the Mental Capacity Act (Deprivation of Liberty Safeguards, 2009) has resulted in closer scrutiny of care provision and outcomes for those living in residential and nursing homes
NASA scientific and technical information program multimedia initiative
This paper relates the experiences of the NASA Scientific and Technical Information Program in introducing multimedia within the STI Program framework. A discussion of multimedia technology is included to provide context for the STI Program effort. The STI Program's Multimedia Initiative is discussed in detail. Parallels and differences between multimedia and traditional information systems project development are highlighted. Challenges faced by the program in initiating its multimedia project are summarized along with lessons learned. The paper concludes with a synopsis of the benefits the program hopes to provide its users through the introduction of multimedia illustrated by examples of successful multimedia projects
Dynamic consent: a possible solution to improve patient confidence and trust in how electronic patient records are used in medical research
With one million people treated every 36 hours, routinely collected UK National Health Service (NHS) health data has huge potential for medical research. Advances in data acquisition from electronic patient records (EPRs) means such data are increasingly digital and can be anonymised for research purposes. NHS Englandâs care.data initiative recently sought to increase the amount and availability of such data. However, controversy and uncertainty following the care.data public awareness campaign led to a delay in rollout, indicating that the success of EPR data for medical research may be threatened by a loss of patient and public trust. The sharing of sensitive health care data can only be done through maintaining such trust in a constantly evolving ethicolegal and political landscape. We propose that a dynamic consent model, whereby patients can electronically control consent through time and receive information about the uses of their data, provides a transparent, flexible, and user-friendly means to maintain public trust. This could leverage the huge potential of the EPR for medical research and, ultimately, patient and societal benefit
Dynamic consent: a possible solution to improve patient confidence and trust in how electronic patient records are used in medical research
With one million people treated every 36 hours, routinely collected UK National Health Service (NHS) health data has huge potential for medical research. Advances in data acquisition from electronic patient records (EPRs) means such data are increasingly digital and can be anonymised for research purposes. NHS Englandâs care.data initiative recently sought to increase the amount and availability of such data. However, controversy and uncertainty following the care.data public awareness campaign led to a delay in rollout, indicating that the success of EPR data for medical research may be threatened by a loss of patient and public trust. The sharing of sensitive health care data can only be done through maintaining such trust in a constantly evolving ethicolegal and political landscape. We propose that a dynamic consent model, whereby patients can electronically control consent through time and receive information about the uses of their data, provides a transparent, flexible, and user-friendly means to maintain public trust. This could leverage the huge potential of the EPR for medical research and, ultimately, patient and societal benefit
Show me the data!: Partnering with instructors to teach data literacy
The shift to quantitative research methods in social science disciplines is not news in todayâs academy, however the relative ease of acquiring data sets via the Internet and the availability of online analysis and visualization tools have brought data into the mainstream of instruction in many academic departments. Teaching faculty are increasingly using numeric and spatial data sets in their courses. In turn, faculty and students need specialized instruction in finding, formatting and analyzing data. Academic libraries have supported data users for decades, but only recently has âdata servicesâ appeared widely in library job titles and advertised services. As demonstrated by the recent library literature, a new profession in the library has emerged, "Data Services Librarian." It is progressively clear that academic libraries are positioning data services offerings in order to support teaching and learning.
Since there is not a single model for data services in academic libraries, each library faces its own challenges and opportunities in understanding how relevant data service offerings could be constructed to meet the disciplinary needs of an institution. At a large Midwestern university, the library partnered with an established data consulting service on campus to offer fifteen hours per week of consultation office hours. As the number of consultations increased, the assigned library committee was able to consider ways to expand the service. A survey of faculty, staff, and graduate students across academic departments was conducted to examine the use of data sets in research and/or teaching. This survey informed ongoing efforts including what type of data sets in which to invest monies, demand for specific software and the hardware necessary to support it, prioritizing training for librarians and staff, and working with the institutional repository for archiving data sets.
The contributed paper will look closely at survey results in relation to teaching with data, discuss implications for instructors who are using data and consider how the library can expand data services to support teaching. The paper will focus on addressing the following questions:
1. What kind of assistance do instructors want from the library to support their teaching and for their students working with data sets?
2. How can the library develop partnerships and programs to meet these needs creatively, given existing financial constraints and skill levels?
3. What types of assessment data will need to be gathered in order to demonstrate that programs and training are successful?
Our survey findings will be used as a starting point in consideration of the issues librarians face to support courses that work with data sets. The presentation will complement research findings as enumerated in the contributed paper by discussing the overall impact of data needs on library services. Final paper conclusions will argue that training needs to extend beyond simply helping users to access data sets by graduating to a deeper understanding for how faculty and students use data. In other words, the area of data services requires librarians to take a leadership role in advocating for true research partnerships.
Learning outcomes:
1. Attendees will be introduced to how a sample of teaching faculty are using data sets in instruction in order to promote conversation regarding data services at their institution.
2. Attendees will learn about ways in which librarians can support courses that work with data sets by partnering with instructors in order to generate ideas for possible service offerings at their institutions.
3. Attendees will identify other librarians with similar issues in offering data services in order to develop a peer network for brainstorming and sharing of best practices.unpublishedis peer reviewe
Safetxt: a pilot randomised controlled trial of an intervention delivered by mobile phone to increase safer sex behaviours in young people.
OBJECTIVE: To test the procedures proposed for a main trial of a safer sex intervention for young people delivered by mobile phone text message ('safetxt'). DESIGN AND SETTING: Pilot randomised controlled trial. Participants were recruited through sexual health services in the UK. An independent online randomisation system allocated participants to receive the safetxt intervention or to receive the control text messages (monthly messages about participation in the study). Texting software delivered the messages in accordance with a predetermined schedule. PARTICIPANTS: Residents of England aged 16-24 who had received either a positive chlamydia test result or reported unsafe sex in the last year (defined as more than 1 partner and at least 1 occasion of sex without a condom). INTERVENTION: The safetxt intervention is designed to reduce sexually transmitted infection in young people by supporting them in using condoms, telling a partner about an infection and testing before unprotected sex with a new partner. Safetxt was developed drawing on: behavioural science; face-to-face interventions; the factors known to influence safer sex behaviours and the views of young people. OUTCOMES: The coprimary outcomes of the pilot trial were the recruitment rate and completeness of follow-up. RESULTS: We recruited 200 participants within our target of 3â
months and we achieved 81% (162/200) follow-up response for the proposed primary outcome of the main trial, cumulative incidence of chlamydia at 12â
months. CONCLUSIONS: Recruitment, randomisation, intervention delivery and follow-up were successful and a randomised controlled trial of the safetxt intervention is feasible. TRIAL REGISTRATION NUMBER: ISRCTN02304709; Results
Factors shaping the timing of later entry into parenthood: narratives of choice and constraint
Objective: This study explores the choices and constraints affecting timing of parenthood among those who became parents in their mid-thirties and early forties and how their fertility decisions were both affected by and negotiated within the interplay of different temporal frameworks. Background: Recent decades have seen a trend towards postponement of parenthood in many countries. Explanations for this delay include structural factors, changing social norms and the influence of the social meanings of age. The study assesses the influence of these factors on perceptions of the ârightâ time to become parents. Method: The study draws on qualitative interviews with 23 women and men who participated in the third British National Survey of Sexual Attitudes and Lifestyles (Natsal-3) survey and had a first child when they were aged between 33 and 46. Results: Prerequisites for parenthood were seen as financial security, a suitable home and a steady relationship. Educational attainment and the achievement of personal and lifestyle goals affected the age at which parenthood was considered as were individual circumstances. Age was less influential than life stage as a criterion for readiness although, for women, chronological age was a decisive factor. Conclusions: Choice in shaping personal biographies was greater among participants than it would have been for previous generations but its consequences acted to constrain options regarding the timing of parenthood. Time taken to fulfil personal and professional ambitions, changing social norms regarding the appropriate age for parenthood as well as individual and structural factors resulted in less predictable life trajectories.</p
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