Capturing ergonomics requirements in the global automotive industry

This thesis examines the issues surrounding the collection and dissemination of customer ergonomics requirements in the automotive industry. The aim of the research is to develop a Toolset of methods, known as the Lifestyle Scenario Toolset, for gathering customer requirements in overseas markets, and for presenting the information collected to design teams, taking a user-centred design approach. The Toolset was developed and evaluated with the co-operation of employees from a major UK automotive company. Four studies were conducted, the first comprised a series of interviews to establish the needs of both the data gatherers and data users for a Toolset of methods to collect and communicate overseas customer information. The data gatherers were drawn from the company's Market Researchers, Ergonomists and people responsible for the company's overseas operations. The data users were the design team responsible for the development of the company's next generation 4X4 vehicle. Results showed that the data collection tools which formed part I of the Toolset should be quick to use, require no ergonomics expertise to implement and be cost effective to use. The interviews with data users identified the need for tools which could communicate customer ergonomics requirements to them in a way which fitted in with their current working practices. In addition the tools needed to communicate information in language which was familiar to the design team, and be visually based where possible. The second study explored the development of suitable data collection tools for inclusion in the Lifestyle Scenario Toolset. Building on the needs identified in the first study together with information from the current literature a number of data collection tools were developed for inclusion in part I of the Lifestyle Scenario Toolset. These tools were a questionnaire, driving diary and photographs, focus group, ergonomics audit and background information tool. The tools were designed to collect a range of different data types, e.g. qualitative, quantitative, pictorial and customer verbatims, to provide a rich picture of users and their activities. The tools were used in a field trial to collect data from overseas customers about their ergonomics requirements and the tasks they carried out using their vehicle, in the context of their lifestyle. The third study focused on the development of a set of tools to communicate the data collected in part 1 of the Toolset, to the design team who would use it in their work. The data communication tools were developed to provide information to design teams at a number of levels, enabling them to use the data at an appropriate level for their needs. High level summaries of each of the tools were developed and scenarios presented on storyboards were used to integrate information from all of the data collection tools to provide detailed information about customers' ergonomics requirements and lifestyle. The data communication tools also used a variety of data types and presentation mediums, such as pictures, graphs and customer quotes to increase the richness of the data presented. The fourth study involved the evaluation of the suitability of the Toolset for collecting and communicating overseas customer ergonomics requirements. The data gatherers, and data users (design team) carried out a field trial using the Toolset to establish its usefulness to them in their work. The results of the evaluation showed that the data gatherers found the Toolset easy to implement and were able to use it to pick up overseas customers ergonomics requirements. The communication tools were able to provide the design team with new and useful customer ergonomics information, in a range of formats which they felt comfortable using in their work. The implementation of a user-centred design approach to the development of methods for collecting and communicating overseas customer ergonomics requirements enabled the creation of a Toolset which met the needs of the people who will use it. This increased its acceptance by people in the company and thus the likelihood of the Lifestyle Scenario Toolset's continued use within the company

The value of embedded secondary-care-based psychology services in rheumatology: an exemplar for long-term conditions

Rheumatoid arthritis is an exemplar long term condition, complicated by pain, disability, co-morbidities and long term medication use. It has significant effects on mobility, work performance, social role, sexual function and relationships. It is commonly associated with fatigue and mood disturbance as a result of complex interactions of physical (disease related) and psychosocial factors. NICE guidance recommends the availability of psychological support for these patients. We have implemented a psychology service for our patients with chronic rheumatological conditions. This study was set up to capture the value of this service

A narrative review of literature on the use of health and social care by older trans adults: what can United Kingdom services learn?

This article has been accepted for publication and will appear in a revised form, subsequent to peer review and/or editorial input by Cambridge University Press, in Ageing & Society published by Cambridge University Press. Copyright The Author(s), 2021.We carried out a narrative review and thematic analysis of literature on the physical healthcare, mental healthcare and social care of trans older adults to ascertain what is known about older trans adults’ contacts with and use of health and social care. Thirty papers were found: a majority originated in the United States. Five themes were identified: experience of discrimination/ prejudice and disrespect; health inequalities; socioeconomic inequalities; positive practice; and staff training and education. The first three themes present challenges for providers and service users. Experiences of discrimination/ prejudice and disrespect over the course of their lives powerfully influence how older trans adults engage with care services and practitioners. Health and socio-economic inequalities suggest that older trans adults are likely to have greater need of services and care. The remaining two themes offer opportunities for service improvement. We conclude that more research is needed, that there is a strong argument for taking a life course perspective in a spirit of cultural humility, and that contextual societal factors influence service users and providers. We identify positive trans-inclusive practices which we commend to services. More needs to be done now to make older adult services appropriate and welcoming for trans service users

Attitudes of Female Warders towards inmate who self-harm: A pilot Exploratory Study from an Inner-city Prison in South India

Self-harm is a global public health challenge. The management and treatment of those who self-harm is emotionally challenging, and can sometimes manifest in negative attitudes amongst staff who provide care. Health professional’s attitudes towards deliberate self-harm have been studied globally, however, evidence regarding prison staff attitudes is sparse, and particularly lacking in India. The primary aim of this study was to explore the attitudes of female prison warders towards prison inmates who self-harm in an Indian setting. A cross-sectional survey using a questionnaire to measure knowledge and attitudes was administered to prison warders from one city prison in South India. Out of the 210 approached to participate, 170 female warders completed the survey questionnaire. In general, sociodemographic factors of the prison warders were unrelated to their attitudes towards self-harm, and a negligible few had received any training specific to self-harm. A series of educational and skills recommendations have been developed from the study, which can be used to inform intervention initiatives and further, provide a basis for cross-cultural professional comparison studies. Current resources, cultures, practice and context must be considered in any future interventions aimed at progressing the evidence base further. In addition, training and education for staff should include information on knowledge and attitudes about causes, reasons, motivations, forms and purpose of self-harm. Records of staff responses to those who self-harm, irrespective of setting, should include assessment, management, interventions undertaken and incorporated daily practice. Importantly, this work may influence prisoner treatment outcomes and is worthy of further study

Exergames for falls prevention in sheltered homes:A feasibility study

Introduction:Falls prevention is a global priority given its substantial impact on older adults and cost to healthcare systems. Advances in telerehabilitation technology such as `exergaming’ show potential for delivering accessible, engaging exercise programs for older adults. This study aimed to establish the feasibility, acceptability and usability of exergaming in sheltered housing.Methods: A mixed-methods study with participants randomised in 2 sheltered housing facilities to intervention (n = 1 home, 12 participants) and control (n = 1 home 2, 12 participants) provided usual care for all, (physiotherapy prescribed strength and balance exercises and falls prevention advice) and a 6-week supervised exergaming programme (MIRA) offered 3 times per week to the intervention group only. At 6 weeks, feasibility, usability and acceptability outcomes were collected and analysed using descriptive statistics; qualitative focus groups with participants and interviews with staff were also completed and thematically analysed to elicit barriers and facilitators to usability and acceptability.Results: Mean exercise per week increased from 10.6 to 14.1 minutes in the control group and 9.6 to 36.8 minutes in the intervention group. All study processes and measures appeared feasible; 72% of those invited consented to taking part and 92% completed 6-week follow-up. Individual domains for the System Usability Scores (SUS) showed participants felt veryconfident’usingthesystemwith⊃port(70%),wod−’sinℎℎ⊃or(70%),̲like to use exergames frequently’ (50%) and found the system easy→use’(90%).However,theyalsofe&lt;they→’(90%).,ℎ&lt;ℎneeded to learn a lot at the beginning’ (40%) and would `need technical support’ (70%) for independent use of the exergames. Mean overall SUS was 63 reflecting moderate usability for independent use. Qualitative data indicated exergames were well received and highlighted motivational and social aspects; costs and set up. Staff also felt exergaming complemented traditional care.Discussion: Our study contributes to the evidence guiding the use of exergames to deliver suitable falls prevention interventions for older adults within sheltered housing in community settings.<br/

Hydromechanical characterisation of a highly expansive clay

The hydromechanical properties of a South African expansive clay are reported. In this study,swell potential and swell pressure were assessed by two oedometric approaches, namely, the loading after wetting test and the wetting after loading test. The data indicate that predictions of swell pressure from the two approaches remain similar, whereas greater predictions of heave are obtained for the loading after wetting approach. It is also observed that the magnitude of predicted heave from the loading after wetting test is dependent on the soaking stress considered, with greater swell being obtained for lower soaking stresses. Measurements of primary drying and wetting curves illustrate appreciable hysteresis in the intermediate suction range (≈17 MPa). The discrepancy of this finding with that of a previous study is attributed to differences in fabric. Additionally, when examining the volumetric response of a sample subjected to a drying and wetting path, negligible hysteresis is observed when void ratio is plotted as a function of gravimetric water content. Conversely, when the shrinkage/swell curves are plotted in terms of suction, irreversibly volumetric changes are apparent

Exergames for falls prevention in sheltered homes:A feasibility study

Introduction:Falls prevention is a global priority given its substantial impact on older adults and cost to healthcare systems. Advances in telerehabilitation technology such as `exergaming’ show potential for delivering accessible, engaging exercise programs for older adults. This study aimed to establish the feasibility, acceptability and usability of exergaming in sheltered housing.Methods: A mixed-methods study with participants randomised in 2 sheltered housing facilities to intervention (n = 1 home, 12 participants) and control (n = 1 home 2, 12 participants) provided usual care for all, (physiotherapy prescribed strength and balance exercises and falls prevention advice) and a 6-week supervised exergaming programme (MIRA) offered 3 times per week to the intervention group only. At 6 weeks, feasibility, usability and acceptability outcomes were collected and analysed using descriptive statistics; qualitative focus groups with participants and interviews with staff were also completed and thematically analysed to elicit barriers and facilitators to usability and acceptability.Results: Mean exercise per week increased from 10.6 to 14.1 minutes in the control group and 9.6 to 36.8 minutes in the intervention group. All study processes and measures appeared feasible; 72% of those invited consented to taking part and 92% completed 6-week follow-up. Individual domains for the System Usability Scores (SUS) showed participants felt veryconfident’usingthesystemwith⊃port(70%),wod−’sinℎℎ⊃or(70%),̲like to use exergames frequently’ (50%) and found the system easy→use’(90%).However,theyalsofe&lt;they→’(90%).,ℎ&lt;ℎneeded to learn a lot at the beginning’ (40%) and would `need technical support’ (70%) for independent use of the exergames. Mean overall SUS was 63 reflecting moderate usability for independent use. Qualitative data indicated exergames were well received and highlighted motivational and social aspects; costs and set up. Staff also felt exergaming complemented traditional care.Discussion: Our study contributes to the evidence guiding the use of exergames to deliver suitable falls prevention interventions for older adults within sheltered housing in community settings.<br/

Student Nurses Undertaking Acute Hospital Paid Placements during COVID-19: Rationale for Opting-In? A Qualitative Inquiry

From MDPI via Jisc Publications RouterHistory: accepted 2021-07-27, pub-electronic 2021-08-05Publication status: PublishedFunder: University of Chester; Grant(s): QR FundsThe research aim was to evaluate the rationale of undergraduate final-year student nurses to undertake paid clinical placements during COVID-19 (Wave 1). The nursing profession reacted innovatively to meet demands placed on the National Health Service during COVID-19. Temporary changes to professional regulation enabled final-year United Kingdom nursing students to voluntarily undertake paid placements in the National Health Service. Neither full-time employees nor full-time students, volunteers undertook a unique hybrid role bolstering the front-line health workforce. Using reflective qualitative inquiry, 17 volunteers evaluated reasoning for entering practice in acute hospitals. Online surveys based around the UK Nursing and Midwifery Council Competency Framework (NMC 2012) were completed weekly for 6 weeks. Data were thematically analysed. Six themes were identified, including sense of duty, and opting-in or out. These highlighted the importance of collaboration and the tripartite relationship between University, host and student during placement, and the influence of these on the learning experience. Several significant insights emerged for nurse education and curricula during pandemics related to patient safety, safety climate and governance. The insights were used to develop a “Student Nurses Placement Framework” with recommendations for Pre-During-Post placement, offering a guide for future nursing workforce recruitment and retention

Ageing Simulation in Health and Social Care Education: A mixed methods systematic review

Abstract Aim: To identify, evaluate and summarise evidence from qualitative, quantitative and mixed method studies conducted utilising age-suits or other age simulation equipment, with health and social care students. Design: Convergent segregated mixed method review design as outlined by the Johanna Briggs Institute Data Sources: CINAHL (+ with Full Text), MEDLINE, PsycINFO, PubMed, SocINDEX, Web of Science, Cochrane Library, Emerald Insight, Proquest nursing, Science Direct, Wiley Online and BioMed Central (January 2000 – January 2020) Review methods: Convergent segregated synthesis was used to synthesise evidence from the studies, and the MERSQI checklist used to appraise quality. Results: A total of 23 studies were reviewed: one randomised control, two post-test only randomised control, three quasi-experimental, 15 one-group pre / post studies and two qualitative studies. Of the seventeen studies carrying out inferential statistics on attitude scores post intervention, 11 reported an improvement, three indicated no significant change and three reported worsening scores. Key themes included use of appropriate scales, type of equipment utilised, location and length of interactions, debriefing, and contextualisation of interventions in broader teaching. Conclusion: The impact of ageing simulation interventions on health and social care student’s attitudes to older people was predominantly positive. However, further high-quality research is warranted to understand the optimal use of such interventions within the context of healthcare for a growing ageing population. Impact: It is important health and social care staff have appropriate knowledge and training to enable them to provide high quality care to older people, and challenge potential ageism in the system. This review adds to the body of work around the use of simulation and experiential learning to educate health and social care students regarding ageing and ageism. It also offers recommendations for using ageing simulations effectively to inform attitudes of prospective professionals who will influence future health and social care. Keywords: Simulation, Ageing, Age-suit, Nursing, Health and social care, Education, Attitudes, Empathy, Experiential learning, Systematic revie