Out-of-school lives of physically disabled children and young people in the United Kingdom: A qualitative literature review

Currently there appears to be few opportunities and little evidence of physically disabled children and young people (C&YP) participating in mainstream social activities. A qualitative review was undertaken to examine the factors affecting physically disabled C&YP (8–15 years) in the United Kingdom participating in out-of-school activities. Views and experiences were explored from the perspective of the service users and providers to assess current provision and to determine the need for future research into factors that may affect participation. Searches were conducted across eight databases, the references of the included studies were checked and the websites were searched. Studies that used a qualitative design that examined the views relating to out-of-school activities were included. Nine papers were identified, which included three peer-reviewed papers and six pieces of grey literature and pertinent government documents to include views and experiences of out-of-school activity provision. The main themes emerging from the review were the need for social inclusion, out-of-school activities run by volunteers and accessibility, with threads throughout, which require further research including parental influence, provision, training and attitudes. This review highlights the absence of the service user’s voice and sheds light on the limited provision and barriers affecting participation in out-of-school activities

Descriptive Analysis of Sexual Assault Nurse Examinations in Anchorage: 1996-2004

This project examined the characteristics of 1,383 sexual assault victimizations recorded by sexual assault nurse examiners in Anchorage, Alaska from 1996 to 2004. The report documents the demographic characteristics of patients, pre-assault characteristics, assault characteristics, post-assault characteristics, exam characteristics and findings, suspect characteristics, and legal resolutions.National Institute of Justice, Office of Justice Programs, U.S. Department of Justice. Grant No. 2004-WB-GX-0003Index of Tables and Figures / Acknowledgments \ Executive Summary Descriptive Analysis / Sexual Assaults in Anchorage: 1996-2004 / Sexual Assault Nurse Examinations / Purpose of this Study / Methodology / Sample and Data Limitations / Demographic Characteristics of Patients / Pre-Assault Characteristics / Assault Characteristics / Post-Assault Characteristics / Exam Characteristics and Findings / Suspect Characteristics / Legal Resolutions / Appendix A – Data Collection Instrumen

Key worker services for disabled children: what characteristics of services lead to better outcomes for children and families?

Background: Research has shown that families of disabled children who have a key worker benefit from this service and recent policy initiatives emphasize the importance of such services. However, research is lacking on which characteristics of key worker schemes for disabled children are related to better outcomes for families. Methods: A postal questionnaire was completed by 189 parents with disabled children who were receiving a service in seven key worker schemes in England and Wales. Path analysis was used to investigate associations between characteristics of the services and outcomes for families (satisfaction with the service, impact of key worker on quality of life, parent unmet need, child unmet need). Results: The four path models showed that key workers carrying out more aspects of the key worker role, appropriate amounts of contact with key workers, regular training, supervision and peer support for key workers, and having a dedicated service manager and a clear job description for key workers were associated with better outcomes for families. Characteristics of services had only a small impact on child unmet need, suggesting that other aspects of services were affecting child unmet need. Conclusions: Implications for policy and practice are discussed, including the need for regular training, supervision and peer support for key workers and negotiated time and resources for them to carry out the role. These influence the extent to which key workers carry out all aspects of the key worker's role and their amount of contact with families, which in turn impact on outcomes

Descriptive Analysis of Sexual Assault Nurse Examinations in Fairbanks: 2005-2006

This project examined the characteristics of 144 sexual assault victimizations recorded by sexual assault nurse examiners in Fairbanks, Alaska in 2005 and 2006. The report documents the demographic characteristics of patients, pre-assault characteristics, assault characteristics, post-assault characteristics, exam characteristics and findings, suspect characteristics, and legal resolutions.National Institute of Justice, Office of Justice Programs, U.S. Department of Justice. Grant No. 2004-WB-GX-0003Index of Tables and Figures / Acknowledgments \ Executive Summary Descriptive Analysis / Sexual Assaults in Anchorage: 1996-2004 / Sexual Assault Nurse Examinations / Purpose of this Study / Methodology / Sample and Data Limitations / Demographic Characteristics of Patients / Pre-Assault Characteristics / Assault Characteristics / Post-Assault Characteristics / Exam Characteristics and Findings / Suspect Characteristics / Legal Resolutions / Appendix A – Data Collection Instrumen

Descriptive Analysis of Sexual Assault Nurse Examinations in Bethel: 2005-2006

This project examined the characteristics of 105 sexual assault victimizations recorded by sexual assault nurse examiners in Bethel, Alaska in 2005 and 2006. The report documents the demographic characteristics of patients, pre-assault characteristics, assault characteristics, post-assault characteristics, exam characteristics and findings, suspect characteristics, and legal resolutions.National Institute of Justice, Office of Justice Programs, U.S. Department of Justice. Grant No. 2004-WB-GX-0003Index of Tables and Figures / Acknowledgments \ Executive Summary Descriptive Analysis / Sexual Assaults in Anchorage: 1996-2004 / Sexual Assault Nurse Examinations / Purpose of this Study / Methodology / Sample and Data Limitations / Demographic Characteristics of Patients / Pre-Assault Characteristics / Assault Characteristics / Post-Assault Characteristics / Exam Characteristics and Findings / Suspect Characteristics / Legal Resolutions / Appendix A – Data Collection Instrumen

Toward 'socially constructive' social constructions of leadership

In their introductory editorial essay for this special issue, David Grant and Gail Fairhurst have done us a great service by valiantly producing a "Sailing Guide" to the Social Construction of Leadership (Fairhurst & Grant, 2010). As with rounding the Capes, this is not a task for the faint of heart. A sailing guide is designed to provide vital knowledge about a particular sea or coast, providing us with charts, warnings about potential hazards and an indication where we might find safe havens in a storm. Their sailing guide does this to great effect as it skilfully "boxes the compass" by revealing all of the potential directions that one might set one‟s sail by if one was sufficiently foolhardy to embark on a cruise of the social construction of leadership

Supertwistors as Quarks of SU(2,2|4)

The GS superstring on AdS_5 x S^5 has a nonlinearly realized, spontaneously broken SU(2,2|4) symmetry. Here we introduce a two-dimensional model in which the unbroken SU(2,2|4) symmetry is linearly realized. The basic variables are supertwistors, which transform in the fundamental representation of this supergroup. The quantization of this supertwistor model leads to the complete oscillator construction of the unitary irreducible representations of the centrally extended SU(2,2|4). They include the states of d=4 SYM theory, massless and KK states of AdS_5 supergravity, and the descendants on AdS_5 of the standard massive string states, which form intermediate and long supermultiplets. We present examples of such multiplets and discuss possible states of solitonic and (p,q) strings.Comment: 12 pages, LaTeX, 1 EPS figur

Stakeholder perspectives on new ways of delivering unscheduled health care: the role of ownership and organisational identity

<b>Rationale, aims and objectives</b>: To explore stakeholder perspectives of the implementation of a new, national integrated nurse-led telephone advice and consultation service (NHS 24), comparing the views of stakeholders from different health care organisations. <b>Methods</b>: Semi-structured interviews with 26 stakeholders including partner organisations located in primary and secondary unscheduled care settings (general practitioner (GP) out-of-hours co-operative; accident and emergency department; national ambulance service), members of NHS 24 and national policymakers. Attendance at key meetings, documentary review and email implementation diaries provided a contextual history of events with which interview data could be compared. <b>Results</b>: The contextual history of events highlighted a fast-paced implementation process, with little time for reflection. Key areas of partner concern were increasing workload, the clinical safety of nurse triage and the lack of communication across the organisations. Concerns were most apparent within the GP out-of-hours co-operative, leading to calls for the dissolution of the partnership. Accident and emergency and ambulance service responses were more conciliatory, suggesting that such problems were to be expected within the developmental phase of a new organisation. Further exploration of these responses highlighted the sense of ownership within the GP co-operative, with GPs having both financial and philosophical ownership of the co-operative. This was not apparent within the other two partner organisations, in particular the ambulance service, which operated on a regional model very similar to that of NHS 24. <b>Conclusions</b>: As the delivery of unscheduled primary health care crosses professional boundaries and locations, different organisations and professional groups must develop new ways of partnership working, developing trust and confidence in each other. The results of this study highlight, for the first time, the key importance of understanding the professional ownership and identity of individual organisations, in order to facilitate the most effective mechanisms to enable that partnership working

Ethnic Minorities and their Health Needs: Crisis of Perception and Behaviours

There is considerable evidence to suggest that racial and ethnic disparities exist in the provision of emergency and wider healthcare. The importance of collecting patient ethnic data has received attention in literature across the world and eliminating ethnic and racial health equalities is one of the primary aims of healthcare providers internationally. The poor health status of certain racial and ethnic groups has been well documented. The improvement of racial and ethnic disparities in healthcare is at the forefront of many public health agendas. This article addresses important policy, practice, and cultural issues confronted by the pre-hospital emergency care setup. This aspect of care plays a unique role in the healthcare safety net in providing a service to a very diverse population, including members of ethnic and racial minorities. Competent decision making by the emergency care practitioners requires patient-specific information and the health provider's prior medical knowledge and clinical training. The article reviews the current ethnicity trends in the UK along with international evidence linking ethnicity and health inequalities. The study argues that serious difficulties will arise between the health provider and the patient if they come from different backgrounds and therefore experience difficulties in cross-cultural communication. This adversely impacts on the quality of diagnostic and clinical decision making for minority patients. The article offers few strategies to address health inequalities in emergency care and concludes by arguing that much more needs to be done to ensure that we are hearing the voices of more diverse groups, groups who are often excluded from engagement through barriers such as language or mobility difficulties

What next for Shared Lives? Family-based support as a potential option for older people

With an ageing population and limited resources the challenge for policy makers and practitioners is how best to provide for the care and support needs of older people. This article draws on findings from two studies, a scoping study of the personalisation of care services and another which aimed to generate evidence about the potential use of family-based support schemes (Shared Lives, SL) for certain groups of older people. Forty-three schemes participated in a survey to gather information about services provided and the extent to which this included older people and their carers, and six staffs were interviewed across two schemes about issues for expanding provision for older people in their local areas. It was evident that SL schemes were already supporting a number of older people and there was support for expansion from both schemes and local authorities. Adequate resources, awareness raising, management commitment, and a pool of suitable carers would be needed to support any expansion effort. There is also still a need for SL to be more widely known and understood by care managers if it is to be considered part of mainstream provision for older people