Shaping the future for primary care education and training project. Finding the evidence for education & training to deliver integrated health and social care: the primary care workforce perspective

This report is one of a series of outputs from the Shaping the Future in Primary Care Education and Training project (www.pcet.org.uk) funded by the North West Development Agency (NWDA). It is the result of a collaborative initiative between the NWDA, the North West Universities Association and seven Higher Education Institutions in the North West of England. The report presents an evidence base drawn from the analysis of the experiences and aspirations of integrated health and social care, as reported by members of the current primary health and social care workforce working in or with Primary Care Trusts (PCTs) in the North West region

Nursing Students' Beliefs About Substance Use Disorders

Persons with substance use disorder (SUD) are subject to stigma and judgement. Stigma worsens clinical outcomes, undermines life opportunities, and decreases well-being of persons who use substances (Corrigan, Schomerus, Shuman, Kraus, Perlick et al., 2017). This meta-narrative reports on the beliefs of nine fourth year nursing students, using direct quotations to express salient beliefs about SUD, recovery, and nursing. Participants' beliefs evolved throughout the lifespan, with a significant shift in understanding occurring in response to education. SUD is seen as a biopsychosocial condition which is not a choice, but rather an attempt to cope with, or escape from, challenging life circumstances. Participants were reluctant to address stigma in their personal and professional lives. It is recommended nursing students are prepared to address workplace and societal stigma. Due to the effect of social environments outlined in symbolic interactionism, it is recommended to interview the same participants at graduation and in five years time

a Barrier With Roses Growing Out Of It”: An Interrogation Of The Relationship Between A Service-Based Nonprofit Organization And Its Clients

Service-based nonprofit organizations exist to meet needs otherwise unmet within the for-profit sector. This study investigates women’s decision to visit a specific healthcare site and the relationship they develop with their reproductive healthcare organizations. Focusing on women’s decision to choose a healthcare organization that focuses solely on reproductive healthcare and access to care, regardless of socioeconomic status, emphasizes the unique relationship women, particularly women of marginalized status, have with reproductive care in the United States. Importantly, these experiences provide the means to examine the broader context of women’s reproductive healthcare access among marginalized communities and the role of nonprofit organizations. This study focuses on the client perspective as a means of assessing the effectiveness of the nonprofit organization in meeting their needs. Stakeholder theory and the culture-centered approach were used to theoretically ground the study. Twenty women who use Planned Parenthood of Mid and South Michigan as their primary women’s reproductive healthcare organization were interviewed regarding their relationship with the nonprofit organization and their ability to have their reproductive healthcare needs met. Participants discussed their reasons for initiating contact with the nonprofit organization, how they developed and sustained the relationship, how they experienced and negotiated their own healthcare, and how the relationship with the organization contributed to their understandings of reproductive health/care. Suggestions for service-oriented nonprofit organizations and women’s healthcare access, as well as extensions of stakeholder theory and the culture-centered approach are discussed

Analysing understandings of 'rough sleeping': managing, becoming and being homeless

This research considers the ways in which the lives of rough sleepers are understood. In doing so, it considers the ways in which rough sleepers are positioned by services, the ways in which rough sleepers account for their own lives, and the ways in which rough sleepers negotiate and manage their day-to-day experiences. Analysing previous literature and policy, the research claims that lives might be better understood using a narrative approach alongside other methods. Therefore, it employs methods of life mapping and auto-photography with rough sleepers, alongside participant observation and semi-structured interviews with service providers. These methods aided the understanding of the ways in which each group understands rough sleepers’ lives. The research finds that in contrast to policy and service provider discourses, which often focus on deficits, discourses of poor decision making in ideas of causation, and dichotomies of deservingness, rough sleepers’ own accounts focus on the importance of context to develop an understanding of the importance of key life events. Furthermore, the research suggests that understandings of rough sleepers’ lives presented in policy and service provider discourses which see these lives as ‘chaotic’, ‘off track’ and ‘failed’ are in stark contrast to rough sleepers own accounts, which entail elements of order, success, and aspirations. In considering these alternative approaches to understanding the lives of rough sleepers, the study proposes that narrative approaches to engaging with rough sleepers, which recognise the agency that rough sleepers have, could provide a way to better understand the ways in which rough sleepers understand their own lives

Systematic Review of the Literature on Black and Minority Ethnic Communities in Sport and Physical Recreation

The Carnegie Research Institute was commissioned by Sporting Equals and the Sports Councils to conduct an independent systematic review of the literature on participation in sport and recreation by Black and minority ethnic (BME) communities. The brief was to focus on UK material from the past ten years, to compile an electronic, bibliographic database and use that evidence to assess the policy significance of existing knowledge in the drive to widen and increase participation. Although the field might still be considered under-researched over 300 items were identified. Judgements were made on the quality of the research on the basis of the methodological and theoretical soundness and the credibility of the link between the conclusions and the data. The various items were collated in an electronic, bibliographic database and coded as: substantive research of good quality; related public statistics and policy documents; and other related materials of interest. The research, policy and practice contained in this body of work is set within an expanding national and international framework of policy and legislation concerned with human rights and principles of equality. The Sports Councils and Sporting Equals have played a significant part in this through initiatives like the Equality Standard. They have not been acting in isolation, but have received support from other sports bodies with initiatives both to challenge discrimination and inequality and to promote participation and inclusion. Nonetheless, there still seems to be a measure of disconnection between research, sports policies and equality policies. Indeed, sports policies are sometimes based on limited representations of racism and so are inhibited in the way they address racial equality

Voices from the Hinterland: lesbian women's experience of Irish health care

There is a lack of knowledge about lesbian women's lives and social experiences in Irish society. Lesbian women's invisibility is reinforced and permeated in all ocial institutions in society such as religion, education and the family. This thesis eals with the nature of being-in-the-world of health care: the nature of being esbian women both as service users and nurses working in the health care nvironment. In their day to day living, lesbian women know bow to act, react and behave to exist within society. However, these taken-for-granted ways of understanding of being-in-the-world are brought to the forefront when lesbian women seek health care. For lesbian nurses, being-in-the-world of health care is to know that world both as health care professional and as lesbian women. The method for this study derives from the philosophical tradition of phenomenology utilising Heidegger and Sartre. The findings from this study suggest that some lesbian women go to great efforts to conceal their sexual identity. They curtail their behaviour, set up barriers to communication utilising protective devices to protect the self from exposure to Others. Lesbian nurses recall being set apart with their difference exposed for them to see as well as the tactics they utilise to negatc the effect of being Othered. They remain hidden, fearing the consequences of being discovered, which leads to feelings of isolation, loneliness and sadness

Information Outlook, April 2001

Volume 5, Issue 4https://scholarworks.sjsu.edu/sla_io_2001/1003/thumbnail.jp

Newman v. Google

3rd amended complain

Why Can\u27t We Be Friends?: Does the Quality of Romantic Relationships Influence Facebook Friendships with Former Romantic Partners

This research attempted to identify relational characteristics of unmarried, romantic partners that ultimately distinguish between former partners who remained Facebook friends versus those who did not. Survey results (N=323) revealed no significant differences between former partners who remained Facebook friends versus those who did not remain Facebook friends based on quantity of relational investments, preference for de-escalatory disengagement strategy, and relational satisfaction