Bed bathing patients in hospital

There are a number of circumstances that may affect an individual's ability to maintain personal hygiene. Hospitalised patients, and in particular those who are bedridden, may become dependent on nursing staff to carry out their hygiene needs. Assisting patients to maintain personal hygiene is a fundamental aspect of nursing care. However, it is a task often delegated to junior or newly qualified staff. This article focuses on the principles of bed bathing patients in hospital, correct procedure and the importance of maintaining patient dignity and respect in clinical practice

Exploring researcher vulnerability : contexts, complications and conceptualisation

Research involving vulnerable consumer populations is on the increase and understanding the social consequences of consumption within different marketing contexts has become a common theme across Consumer Culture Theory, Transformative Consumer Research and Critical Marketing. Yet the diverse difficulties faced by researchers who investigate consumer vulnerability have not been sufficiently addressed. In line with the need for greater reflexivity in research, this paper reflects on our own research experiences and highlights the complexities associated with conducting research on sensitive topics in challenging contexts. With reference to such experiences, we illustrate the phenomenon of researcher vulnerability and discuss its implications for knowledge generation within the marketing domain

The Practice of Transformative Consumer Research - Some Issues and Suggestions

Transformative consumer research (TCR) is a new academic initiative among researchers committed to studying the role consumption plays in the major social problems of our day. These problems may involve the over consumption of products among the obese, the addicted, and the materialistic, or the under consumption of products among the hungry, the homeless, and the poor. The goal of transformative research is to do practical research that can be used by consumers, activists, policy makers, and businesses to improve consumer well-being. In this article, we propose rethinking the way that research is traditionally conducted in consumer research to make it more conducive to achieving TCR objectives. We start with the conventional approaches to consumer research and then offer alternative approaches to increase the likelihood that research will deliver useful and useable results

‘Super disabilities’ vs ‘Disabilities’?:Theorizing the role of ableism in (mis)representational mythology of disability in the marketplace

People with disabilities (PWD) constitute one of the largest minority groups with one in five people worldwide having a disability. While recognition and inclusion of this group in the marketplace has seen improvement, the effects of (mis)representation of PWD in shaping the discourse on fostering marketplace inclusion of socially marginalized consumers remain little understood. Although effects of misrepresentation (e.g., idealized, exoticized or selective representation) on inclusion/exclusion perceptions and cognitions has received attention in the context of ethnic/racial groups, the world of disability has been largely neglected. By extending the theory of ableism into the context of PWD representation and applying it to the analysis of the We’re the Superhumans advertisement developed for the Rio 2016 Paralympic Games, this paper examines the relationship between the (mis)representation and the inclusion/exclusion discourse. By uncovering that PWD misrepresentations can partially mask and/or redress the root causes of exclusion experienced by PWD in their lived realities, it contributes to the research agenda on the transformative role of consumption cultures perpetuating harmful, exclusionary social perceptions of marginalized groups versus contributing to advancement of their inclusion

The Prevention of Delirium and Complications Associated with Surgical Treatments (PODCAST) study: protocol for an international multicentre randomised controlled trial

Introduction: Postoperative delirium is one of the most common complications of major surgery, affecting 10–70% of surgical patients 60 years and older. Delirium is an acute change in cognition that manifests as poor attention and illogical thinking and is associated with longer intensive care unit (ICU) and hospital stay, long-lasting cognitive deterioration and increased mortality. Ketamine has been used as an anaesthetic drug for over 50 years and has an established safety record. Recent research suggests that, in addition to preventing acute postoperative pain, a subanaesthetic dose of intraoperative ketamine could decrease the incidence of postoperative delirium as well as other neurological and psychiatric outcomes. However, these proposed benefits of ketamine have not been tested in a large clinical trial. Methods: The Prevention of Delirium and Complications Associated with Surgical Treatments (PODCAST) study is an international, multicentre, randomised controlled trial. 600 cardiac and major non-cardiac surgery patients will be randomised to receive ketamine (0.5 or 1 mg/kg) or placebo following anaesthetic induction and prior to surgical incision. For the primary outcome, blinded observers will assess delirium on the day of surgery (postoperative day 0) and twice daily from postoperative days 1–3 using the Confusion Assessment Method or the Confusion Assessment Method for the ICU. For the secondary outcomes, blinded observers will estimate pain using the Behavioral Pain Scale or the Behavioral Pain Scale for Non-Intubated Patients and patient self-report. Ethics and dissemination The PODCAST trial has been approved by the ethics boards of five participating institutions; approval is ongoing at other sites. Recruitment began in February 2014 and will continue until the end of 2016. Dissemination plans include presentations at scientific conferences, scientific publications, stakeholder engagement and popular media. Registration details The study is registered at clinicaltrials.gov, NCT01690988 (last updated March 2014). The PODCAST trial is being conducted under the auspices of the Neurological Outcomes Network for Surgery (NEURONS). Trial registration number NCT01690988 (last updated December 2013)

Benthic biodiversity in the South Orkney Islands Southern Shelf Marine Protected Area

The South Orkney Islands Southern Shelf (SOISS) Marine Protected Area (MPA) was the first MPA to be designated entirely within the high seas and is managed under the Commission for the Conservation of Antarctic Marine Living Resources (CCAMLR). To assist with research and monitoring of the MPA, an international expedition (‘SO-AntEco’) was undertaken in the austral summer of 2016 to contribute towards a better understanding of selected benthic habitats within the region. The benthic assemblages of the SOISS MPA region were found to be strongly correlated with the texture of the seafloor, where hard substrates hosted a greater number of individuals, taxa and biomass with a dominance of filter feeding vulnerable marine ecosystem (VME) taxa, and soft sediments were dominated mostly by deposit feeders. Substantial differences in the abundance of VME taxa were found between sampling gears (shallow underwater camera system and Agassiz trawl). We conclude that camera systems may be more suitable for VME assessments, but additional trawling is advisable for collecting all faunal types and for higher taxonomic resolution. The designation of VME locations based purely on large scale geomorphic classification is not advisable, due to small scale variation in substrate and other local physical influences

Assessing the Societal Impact of Research: The Relational Engagement Approach

Marketing and policy researchers aiming to increase the societal impact of their scholarship should engage directly with relevant stakeholders. For maximum societal effect, this engagement needs to occur both within the research process and throughout the complex process of knowledge transfer. The authors propose that a relational engagement approach to research impact complements and builds on traditional approaches. Traditional approaches to impact employ bibliometric measures and focus on the creation and use of journal articles by scholarly audiences, an important but incomplete part of the academic process. The authors recommend expanding the strategies and measures of impact to include process assessments for specific stakeholders across the entire course of impact, from the creation, awareness, and use of knowledge to societal impact. This relational engagement approach involves the cocreation of research with audiences beyond academia. The authors hope to begin a dialogue on the strategies researchers can use to increase the potential societal benefits of their research