Understanding and optimising an identification/brief advice (IBA) service about alcohol in the community pharmacy setting

This is the final report of an evaluation into the identification/brief advice (IBA) service about alcohol in community pharmacy settings in the North West of England. Since 2007, almost 100 pharmacies in the North West have - at some point - been commissioned to provide an identification and brief advice (IBA) service for alcohol. This evaluation sought to understand how the service had been adapted for and implemented in the community pharmacy setting, and how its potential might be maximised. Its aims were: 1. To characterise, consolidate and optimise both the constant and variable elements of the pharmacy alcohol identification/brief advice (IBA) service in NHS Northwest, and 2. To inform planning for current and future pharmacy based services promoting safe consumption of alcohol. The evaluation was split into three main workstreams, supported by a preliminary scoping phase, and combined quantitative and qualitative methods: • Descriptive and comparative statistical analysis of pharmacy alcohol IBA data; • In-pharmacy work, including observation of staff engagement with customers, recording consultations between staff and customers, follow-up telephone interviews with customers, and group feedback interviews with pharmacy staff; • Stakeholder engagement through self-completion surveys, semi-structured interviews and a workshop. This report gives the background to the project, and details the methods, results and implications

Life cycle assessment of lignocellulosic biomass pretreatment methods in biofuel production

Purpose: In converting lignocellulosic biomass into biofuel, a pretreatment stage is required in order to make the biomass more readily available for the transformation. There are numerous pretreatment techniques that can be chosen, which are broken down into four categories: chemical, physical, physicochemical, and biological. The aim of this work is to provide a new assessment for some of the emerging technologies using life cycle assessment (LCA) combined with an analysis of the overall product yield. Methods: Using literature data, an LCA of four different pretreatment methods was carried out. Liquid hot water (LHW), steam explosion (SE), dilute acid (DA), and organosolv (OS) were chosen as the most common techniques with high scalability potential. Models were constructed using GaBi software. A cradle-to-gate analysis was selected with a common model of the corn stover growth and harvesting cycle being combined with the individual models for each pretreatment. Four impact categories were analyzed, and a selection has been discussed based on relevance to the biofuel production process. Results and discussion: In nearly all of the impact categories, DA performs the worst due to the length of the process (12 h) and the amount of electricity required to elevate the temperature to 60 °C for that time period. In many of the other categories, the remaining three pretreatments perform comparably to each other with the exception of LHW which has significantly reduced CO2 emissions. LHW has slightly higher water depletion rates than both SE and OS, which is to be expected given the nature of the process. In terms of product yield, LHW produced twice as much total sugar than any of the other processes. Conclusions: The project concluded that while LHW and SE are viable options for the pretreatment of biomass, LHW is the most suitable technique for the pretreatment of corn stover. This pretreatment was environmentally friendly as it produced the lowest CO2 emissions, aligning with the main objective behind developing biofuels from agricultural residues. The process was also technically the most effective as it resulted in the highest sugar yields. Methods: Using literature data, an LCA of four different pretreatment methods was carried out. Liquid hot water (LHW), steam explosion (SE), dilute acid (DA), and organosolv (OS) were chosen as the most common techniques with high scalability potential. Models were constructed using GaBi software. A cradle-to-gate analysis was selected with a common model of the corn stover growth and harvesting cycle being combined with the individual models for each pretreatment. Four impact categories were analyzed, and a selection has been discussed based on relevance to the biofuel production process. Results and discussion: In nearly all of the impact categories, DA performs the worst due to the length of the process (12 h) and the amount of electricity required to elevate the temperature to 60 °C for that time period. In many of the other categories, the remaining three pretreatments perform comparably to each other with the exception of LHW which has significantly reduced CO2 emissions. LHW has slightly higher water depletion rates than both SE and OS, which is to be expected given the nature of the process. In terms of product yield, LHW produced twice as much total sugar than any of the other processes. Conclusions: The project concluded that while LHWand SE are viable options for the pretreatment of biomass, LHWis the most suitable technique for the pretreatment of corn stover. This pretreatment was environmentally friendly as it produced the lowest CO2 emissions, aligning with the main objective behind developing biofuels from agricultural residues. The process was also technically the most effective as it resulted in the highest sugar yields

Applying a lens of temporality to better understand voice about unethical behaviour

The relationship between time and voice about unethical behaviour has been highlighted as a key area for exploration within the voice and silence field (Morrison Annual Review of Organizational Psychology and Organizational Behavior 10:79–107, 2023). Previous studies have made only modest progress in this area, so we present a temporal lens which can act as a guide for others wishing to better understand the role of time and voice. Applying the concept of theory adaptation (Jaakkola AMS Review 10:18–26, 2020), a method which attempts to build on a given field through the application of a new theoretical lens, we begin by reviewing what is known in relation to voice about unethical behaviour specifically. Then we introduce two temporal frameworks, one suggested by Ancona, Okhuysen, and Perlow (Ancona et al. The Academy of Management Review 26:645–663, 2001a; Ancona et al. The Academy of Management Review 26:512–529, 2001b) as a useful way of analysing time in organisations, and a second one by Bansal, Anna, and Wood, (Bansal et al. Academy of Management Review 43:217–241, 2018) focusing on the way organisations include voice into their temporal rhythm. We then draw conclusions about the role of time in relation to voice about unethical behaviour and identify three insights; a) it takes time for voices to generate evidence for unethical behaviour, b) perceptions of unethical behaviour change over time, and c) it is most difficult to voice about unethical behaviour at the time it is most needed. Our recommendations for future avenues of research based on these insights recommend new research designs better suited to explore the relationship between voice and time and a focus on how the formality of voice mechanisms shapes the timing of voice

Exploring the associations of culture with careers and the mediating role of HR practices:A conceptual model

Purpose: The conceptual framework developed in the present study aims to highlight the importance of human resource (HR) practices as a mediator between national culture and employees' careers. Design/methodology/approach: The approach taken is a literature review and the development of a conceptual model. Findings: The paper contributes to the literature by focusing on how culture via HR practices might influence career success. Drawing on Hofstede's cultural dimensions, five propositions are developed regarding the impact of culture on career‐relevant HR practices, and how these practices are likely to influence employee career success. Research limitations/implications: Culture's effect should not be overstated. Looking at the propositions, it is possible that the influence of HR practices on career success is more pronounced than the direct effects of culture on career success. Future work is needed to measure and compare the relative strength of different associations as well as the possibility that other HR dimensions relevant to the study of career success may exist. Originality/value: At a general level, there is ample evidence of the impact of culture on the effectiveness of a variety of individual outcomes. The paper focused on the mediating role of HR practices as opposed to advancing hypotheses about direct relationships between culture and career success

Pharmacist joint-working with general practices: evaluating the Sheffield Primary Care Pharmacy Programme. A mixed- methods study

yesBackground: The NHS in the UK supports pharmacists’ deployment into general practices. This article reports on the implementation and impact of the Primary Care Pharmacy Programme (PCPP). The programme is a care delivery model that was undertaken at scale across a city in which community pharmacists (CPs) were matched with general practices and performed clinical duties for one half-day per week. Aim: To investigate (a) challenges of integration of CPs in general practices, and (b) the perceived impact on care delivery and community pharmacy practice. Design & setting: This mixed-methods study was conducted with CPs, community pharmacy employers (CPEs), scheme commissioners (SCs), and patients in Sheffield. Method: Semi-structured interviews (n = 22) took place with CPs (n = 12), CPEs (n = 2), SCs (n = 3), and patients (n = 5). A cross-sectional survey of PCPP pharmacists (n = 47, 66%) was also used. A descriptive analysis of patient feedback forms was undertaken and a database of pharmacist activities was created. Results: Eighty-six of 88 practices deployed a pharmacist. Although community pharmacy contracting and backfill arrangements were sometimes complicated, timely deployment was achieved. Development of closer relationships appeared to facilitate extension of initially agreed roles, including transition from ‘backroom’ to patient-facing clinical work. CPs gained understanding of GP processes and patients’ primary care pathway, allowing them to follow up work at the community pharmacy in a more timely way, positively impacting on patients’ and healthcare professionals’ perceived delivery of care. Conclusion: The PCPP scheme was the first of its kind to achieve almost universal uptake by GPs throughout a large city. The study findings reveal the potential for CP–GP joint-working in increasing perceived positive care delivery and reducing fragmented care, and can inform future implementation at scale and at practice level