Children admitted to hospital following unintentional injury: perspectives of health service providers in Aotearoa/New Zealand

<p>Abstract</p> <p>Background</p> <p>Unintentional injuries are the leading cause of death and hospitalisation among New Zealand children, with indigenous Māori and ethnic minority Pacific children significantly over represented in these statistics. International research has shown that many children hospitalised for injury, as well as their families experience high levels of stress, and ethnic disparities in the quality of trauma care are not uncommon. The research on which this paper is based sought to identify key issues and concerns for New Zealand's multi-ethnic community following hospitalisation for childhood injury in order to inform efforts to improve the quality of trauma services. This paper reports on service providers' perspectives complementing previously published research on the experiences of families of injured children.</p> <p>Methods</p> <p>A qualitative research design involving eleven in-depth individual interviews and three focus groups was used to elicit the views of 21 purposefully selected service provider key informants from a range of professional backgrounds involved in the care and support of injured children and their families in Auckland, New Zealand. Interviews were transcribed and data were analysed using thematic analysis.</p> <p>Results</p> <p>Key issues identified by service providers included limited ability to meet the needs of children with mild injuries, particularly their emotional needs; lack of psychological support for families; some issues related to Māori and Pacific family support services; lack of accessible and comprehensive information for children and families; poor staff continuity and coordination; and poor coordination of hospital and community services, including inadequacies in follow-up plans. There was considerable agreement between these issues and those identified by the participant families.</p> <p>Conclusions</p> <p>The identified issues and barriers indicate the need for interventions for service improvement at systemic, provider and patient levels. Of particular relevance are strategies that enable families to have better access to information, including culturally appropriate oral and written sources; improve communication amongst staff and between staff and families; and carefully developed discharge plans that provide care continuity across boundaries between hospital and community settings. Māori and Pacific family support services are important and need better resourcing and support from an organisational culture responsive to the needs of these populations.</p

Setting robust biodiversity goals

The new global biodiversity framework (GBF) being developed under the Convention on Biological Diversity must drive action to reverse the ongoing decline of the Earth’s biodiversity. Explicit, measurable goals that specify the outcomes we want to achieve are needed to set the course for this action. However, the current draft goals and targets fail to set out these clear outcomes. We argue that distinct outcome goals for species, ecosystems, and genetic diversity are essential, and should specify net outcomes required for each. Net outcome goals such as ‘no net loss’ do, however, have a controversial history, and loose specification can lead to perverse outcomes. We outline seven general principles to underpin net outcome goal-setting that minimise risk of such perverse outcomes. Finally, we recommend inclusion of statements of impact in action targets that support biodiversity goals, and we illustrate the importance of this with examples from the draft GBF action targets. These modifications would help reveal the specific contribution each would make to achieving the outcome goals, and provide clarity on whether the successful achievement of action targets would be adequate to achieve the outcome goals and, in turn, the 2050 vision: living in harmony with nature

Spectators’ Negotiations of Risk, Masculinity and Performative Mobilities at the TT Races

This paper explores the particular assemblage of place, event and individual identity performances that occur each year in the Isle of Man in and through the TT (Tourist Trophy) motorcycle races. These road races are associated with a high degree of risk for the racers and the confluence of over 30,000 visitors and 10,000 motorcycles also presents potential risks for spectators and residents alike. Both motorcycling and risk-taking have been associated with particular forms of masculinity, notably hegemonic, working class and youthful masculinities. Using detailed surveys of spectators we argue that the TT races, while undoubtedly dominated by men and predicated on a cultural privileging of speed and skill, are grounded in varying combinations of determinate and reflexive attitudes to risk, reflecting the performance of a variety of gendered, ‘biker’ and wider identity-based positionalities. Findings also highlight a particular inter-relation of mobilities and place identities at the TT races and bring to light the highly significant and under-researched embodied, performative and emotional mobilities of spectators. The conceptual and methodological importance of (a) situated research of both mobilities and gender in specific place-temporalities and (b) wider surveys of motorcyclists to complement ethnographic studies of small cohorts are also stressed

Using technology to improve the management of development impacts on biodiversity

Funder: The research was funded through a long‐term collaboration between Conservational International and Chevron.Abstract: The mitigation hierarchy (MH) is a prominent tool to help businesses achieve no net loss or net gain outcomes for biodiversity. Technological innovations offer benefits for business biodiversity management, yet the range and continued evolution of technologies creates a complex landscape that can be difficult to navigate. Using literature review, online surveys, and semi‐structured interviews, we assess technologies that can improve application of the MH. We identify six categories (mobile survey, fixed survey, remote sensing, blockchain, data analysis, and enabling technologies) with high feasibility and/or relevance to (i) aid direct implementation of mitigation measures and (ii) enhance biodiversity surveys and monitoring, which feed into the design of interventions including avoidance and minimization measures. At the interface between development and biodiversity impacts, opportunities lie in businesses investing in technologies, capitalizing on synergies between technology groups, collaborating with conservation organizations to enhance institutional capacity, and developing practical solutions suited for widespread use

Mineral (Non-Metallic) Dusts, the Manufacture of Pottery, &c

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Evaluating elicited judgments of turtle captures for data‐limited fisheries management

We compare judgments of green turtle (Chelonia mydas) captures elicited from local gillnet skippers and not‐for‐profit conservation organization employees operating in a small‐scale fishery in Peru, to capture rates calculated from a voluntary at‐sea observer program operating out of the same fishery. To reduce cognitive biases and more accurately quantify uncertainty in our experts’ judgments, we followed the IDEA (“Investigate,” “Discuss,” “Estimate,” and “Aggregate”) structured elicitation protocol. The elicited mean monthly estimates of green turtle gillnet captures within summer and winter fishing seasons were higher than the equivalent green turtle capture rates calculated from the fisheries observer data; however, no statistically significant differences were identified when comparing the means of the datasets using bootstrap hypothesis tests (winter observed difference‐in‐means: 83.15, adj mean ± SD = 42.39 ± 32.59; summer observed difference‐in‐means: 68.58, adj mean ± SD = 54.06 ± 41.22). We investigated respondent performance in relation to the observer data capture rates. The not‐for‐profit employees scored high on accuracy and calibration performance metrics. The gillnet skippers’ judgments ranked higher on informativeness yet lower on accuracy and calibration, potentially reflective of overconfident judgments. This research presents a new context for using the IDEA protocol, which may prove helpful for rapid, exploratory evaluations of capture and bycatch impact in data‐limited small‐scale fishery management scenarios

Assessing information-sharing networks within small-scale fisheries and the implications for conservation interventions

The effectiveness of behavioural interventions in conservation often depends on local resource users' underlying social interactions. However, it remains unclear to what extent differences in related topics of information shared between resource users can alter network structure—holding implications for information flows and the spread of behaviours. Here, we explore the differences in nine subtopics of fishing information related to the planned expansion of a community co-management scheme aiming to reduce sea turtle bycatch at a small-scale fishery in Peru. We show that the general network structure detailing information sharing about sea turtle bycatch is dissimilar from other fishing information sharing. Specifically, no significant degree assortativity (degree homophily) was identified, and the variance in node eccentricity was lower than expected under our null models. We also demonstrate that patterns of information sharing between fishers related to sea turtle bycatch are more similar to information sharing about fishing regulations, and vessel technology and maintenance, than to information sharing about weather, fishing activity, finances and crew management. Our findings highlight the importance of assessing information-sharing networks in contexts directly relevant to the desired intervention and demonstrate the identification of social contexts that might be more or less appropriate for information sharing related to planned conservation actions

Setting robust biodiversity goals

The new global biodiversity framework (GBF) being developed under the Convention on Biological Diversity must drive action to reverse the ongoing decline of the Earth's biodiversity. Explicit, measurable goals that specify the outcomes we want to achieve are needed to set the course for this action. However, the current draft goals and targets fail to set out these clear outcomes. We argue that distinct outcome goals for species, ecosystems, and genetic diversity are essential and should specify net outcomes required for each. Net outcome goals such as “no net loss” do, however, have a controversial history, and loose specification can lead to perverse outcomes. We outline seven general principles to underpin net outcome goal setting that minimize risk of such perverse outcomes. Finally, we recommend inclusion of statements of impact in action targets that support biodiversity goals, and we illustrate the importance of this with an example from the draft GBF action targets. These modifications would help reveal the specific contribution each action would make to achieving the outcome goals and provide clarity on whether the successful achievement of action targets would be adequate to achieve the outcome goals and, in turn, the 2050 vision: living in harmony with nature