Workplace support for first-year early career professionals: a comparative analysis of newly-qualified doctors and secondary school teachers

CONTEXT: Both newly qualified doctors and teachers operate within ‘hot action’ environments, responding to constantly changing demands, and balancing routine responses against deliberate reflection. First-year transitions are particularly crucial, as these new professionals face steep learning curves and increased stress levels which can lead to poor mental health, burnout and attrition. This represents a loss of societal investment and negatively impacts upon student and patient outcomes. We know that the workplace is an important site of learning, where informal support from colleagues can aid transitions and professional development. Cross-professional comparisons are an under-used tool, which can shed light on parallels and divergences between different professional contexts, and help identify the features of workplaces which make them more supportive. METHODS: A comparative research design was conducted in three integrated stages, to explore narrative data from early-career professionals in both medicine and education. First, a systematic secondary analysis of interviews and audio diaries, from 52 UK doctor participants in their first year of foundation training (F1s), to explore who provided informal workplace support, the types of support provided and factors influencing this. Secondly, collection and analysis of new narrative interviews with 11 newly qualified teachers (NQTs) working in English secondary schools, also exploring the support they received from others. Lastly, a comparative analysis of these findings to explore similarities and differences in support for these two professions, and identify over-arching factors which influence support seeking and provision for new professionals in ‘hot action’ workplaces. The main theoretical influence underpinning this analysis was that of structure and agency, which shaped the development of models of workplace support for newly qualified professionals so as to include a consideration of how the various features of workplace environments might enable or constrain individual agency. RESULTS: The medical data analysis uncovered many additional support sources for F1s, including nurses, pharmacists, microbiologists, peers and near-peers, and a range of allied healthcare staff. These allowed F1s to draw upon different pools of expertise and experience, given difficulties accessing senior support. NQTs often drew support from allocated mentors and seniors within subject departments, but some also obtained support from allied staff such as TAs, behavioural and learning support staff, or through wider teaching networks including those facilitated by social media. Support from colleagues for F1s and NQTs included: information and advice on practice, orientation to local settings, collaborative development activities, observation and feedback, and socioemotional support. Some common barriers to support were the variability of departmental cultures, limited opportunities for informal contact, and negative inter-group perceptions. However, a number of stories described how novices overcame barriers through agentic action, such as seeking support from alternative sources. A model of workplace support was devised which summarises the features of workplace environments which might influence the seeking and provision workplace support, at the level of the individual, social, organisational and material. This model might be tested within similar ‘hot-action’ workplace environments, used as a tool for future research, or to evaluate the extent to which specific workplace environments facilitate support for new professionals. CONCLUSIONS: In both professional contexts, supportive working relationships could be enhanced through broad strategies which aim to break down barriers, build relationships, create environments of trust and cultivate professional agency. Such measures might include: greater utilisation of existing knowledge sources such as near-peers and allied staff; improved role understanding and better communication with specialised staff; creating opportunities for informal contact via shared social spaces, events and training; and communicating via professional education the successful strategies used by previous early-career professionals to meet their support needs. Future research might further explore the features which underlie positive local cultures of supportivity, as well as developing ecological or whole-systems approaches to understanding workplace support.ESR

'I can still swing a spade': a qualitative exploratory study of gardening groups for people with dementia

This exploratory qualitative study aimed to evidence how community-based gardening groups can be used to support the psychological, physical and social health of those living with dementia. The views of people living with dementia in the community, care partners and group leaders were sought to better understand the benefits gained from gardening groups, as well as the features of gardening groups that are cited as enabling positive outcomes. Going beyond the existing single-group studies in this area, this research aimed to identify common themes across multiple gardening groups. Semi-structured interviews were conducted with six group leaders, three people living with dementia and ten care partners from seven gardening groups, either in person or remotely. Thematic analysis of the interview transcripts highlighted broad enablers - 'the garden setting', 'features of activities' and 'organisational components' - that were cited as facilitating a range of positive wellbeing outcomes, creating an environment that provides 'physical and cognitive benefits', 'affirmation of identity', 'social connection' and 'benefits for care partners and others'. The wide-ranging benefits and enablers cited by participants within this research support the use of gardening groups as community-based interventions to reinforce positive psychological, physical and social outcomes for people with dementia. Themes also provide a clear framework for the design, implementation and evaluation of future gardening groups

Workplace support for newly qualified doctors and secondary school teachers: A comparative analysis

This is the final version. Available on open access from Wiley via the DOI in this recordData availability statement: We intend that the data collected during this study, from 11 newly qualified teachers, will be uploaded to the UK Data Service archive, in anonymised form. The secondary analysis drew up already existing data.Doctors and teachers in their first year of practice face steep learning curves and increased stress, which can induce poor mental health, burnout and attrition. Informal workplace support from colleagues can help smooth transitions and aid professional development. A three-phase comparative research design was used to explore who provides informal workplace support to early-career professionals, types of support and influencing factors. Phase 1 was a systematic secondary analysis of interviews and audio diaries from 52 UK doctors in their first year of foundation training (F1s). Phase 2 involved new narrative interviews with 11 newly qualified teachers (NQTs) from English secondary schools. Phase 3 was a comparative analysis to produce a model of workplace support. Given barriers to accessing senior doctors, F1 doctors drew upon nurses, pharmacists, microbiologists, peers/near-peers and allied healthcare professionals for support. NQTs gained support from allocated mentors and seniors within subject departments, as well as teaching assistants, allied support staff and wider professional networks. Support types for both professions included information and advice on practice, orientation to local settings, collaborative development activities, observation and feedback, and socioemotional support. Influencing factors included variable departmental cultures, limited opportunities for informal contact, sometimes negative inter-group perceptions and the agentic responses of novices. The resulting workplace model of support could underpin future research and evaluations of support in similar ‘hot-action’ environments. In medicine and teaching, greater utilisation of near-peers and allied staff, improved role understanding and communication, increased informal contact and sharing successful strategies across professions could enhance supportive relationships.Economic and Social Research Council (ESRC

A comparison of conventional and 137 Cs-based estimates of soil erosion rates on arable and grassland across lowland England and Wales

Soils deliver a range of ecosystem services and underpin conventional global food production which must increase to feed the projected growth in human population. Although soil erosion by water and subsequent sediment delivery to rivers are natural processes, anthropogenic pressures, including modern farming practices and management, have accelerated soil erosion rates on both arable and grassland. A range of approaches can be used to assess and document soil erosion rates and, in the case of the UK, these mainly comprise the 137Cs-based approach, conventional surveys using volumetric measurements, integration of information on suspended sediment flux, fine sediment source apportionment and landscape sediment retention and traditional bounded hydrological monitoring at edge-of-field using experimental platforms. We compare the erosion rates for arable and grassland in lowland England assessed by these different techniques. Rates assessed by volumetric measurements are similar to those generated by integrating information on suspended sediment flux, sources and landscape retention, but are much less than those estimated by the 137Cs-based approach; of the order of one magnitude less for arable land. The 137Cs approach assumes an initial distribution of 137Cs uniformly spread across the landscape and relates the sampled distribution to erosion, but other (transport) processes are also involved and their representation in the calibration procedures remains problematic. We suggest that the 137Cs technique needs to be validated more rigorously and conversion models re-calibrated. As things stand, rates of erosion based on the distribution of 137Cs may well overstate the severity of the problem in lowland Britain and, therefore, are not a reliable indicator of water erosion rates

Optical Model Analysis of Elastic Deuteron Scattering at 80 MeV

This research was sponsored by the National Science Foundation Grant NSF PHY 87-1440

Similar effects on cognitive performance during high- and low-carbohydrate obesity treatment

OBJECTIVE: Low-carbohydrate (L-CHO) diets are often used for weight loss but their effects on cognitive function are not well understood. The present study compared the effects of a L-CHO and high-carbohydrate (H-CHO) weight-loss diet on cognitive function adults. DESIGN: Participants were randomized to either a L-CHO (n=22) or H-CHO (n=25) weight-loss diet. Cognitive function was evaluated by four computerized cognitive tasks (Stroop Task, Continuous Performance Task, Word Recall and Wisconsin Card Sorting Task) presented in random order before and at 1, 4, 12 and 24 weeks after the initiation of the L-CHO or H-CHO diet. PARTICIPANTS: Forty-seven adults (25 males) with a mean±s.d. age of 47.4±8.7 years and body mass index of 35.3±3.4 kg m(−2). RESULTS: There were no significant differences in weight loss between groups at any time point. There were significant improvements on color Stroop task accuracy over time in both diet groups (P<0.05), but there were no differences in performance between groups on this or any other cognitive task at any time period. CONCLUSION: These findings suggest that weight loss has neither a positive nor a negative effect on cognitive function and that L-CHO and H-CHO weight-loss diets have similar effects on cognitive performance

Mothers behaving badly: chaotic hedonism and the crisis of neoliberal social reproduction

This article focuses on the significance of the plethora of representations of mothers ‘behaving badly’ in contemporary anglophone media texts, including the films Bad Moms, Fun Mom Dinner and Bad Mom’s Christmas, the book and online cartoons Hurrah for Gin and the recent TV comedy dramas Motherland, The Let Down and Catastrophe. All these media texts include representations of, first, mothers in the midst of highly chaotic everyday spaces where any smooth routine of domesticity is conspicuous by its absence; and second, mothers behaving hedonistically, usually through drinking and partying, behaviour that is more conventionally associated with men or women without children. After identifying the social type of the mother behaving badly (MBB), the article locates and analyses it in relation to several different social and cultural contexts. These contexts are: a neoliberal crisis in social reproduction marked by inequality and overwork; the continual if contested role of women as ‘foundation parents’; and the negotiation of longer-term discourses of female hedonism. The title gestures towards a popular British sitcom of the 1990s, Men Behaving Badly, which popularized the idea of the ‘new lad’; and this article suggests that the new lad’s counterpart, the ladette, is mutating into the mother behaving badly, or the ‘lad mom’. Asking what work this figure does now, in a later neoliberal context, it argues that the mother behaving badly is simultaneously indicative of a widening and liberating range of maternal subject positions and symptomatic of a profound contemporary crisis in social reproduction. By focusing on the classed and racialised dynamics of the MBB – by examining who exactly is permitted to be hedonistic, and how – and by considering the MBB’s limited and partial imagining of progressive social change, the article concludes by emphasizing the urgency of creating more connections between such discourses and ‘parents behaving politically’

Theoretical issues of small xx physics

The perturbative QCD predictions concerning deep inelastic scattering at low $x$ are summarized. The theoretical framework based on the leading log $1/x$ resummation and $k_t$ factorization theorem is described and some recent developments concerning the BFKL equation and its generalization are discussed. The QCD expectations concerning the small $x$ behaviour of the spin dependent structure function $g_1(x,Q^2)$ are briefly summarized and the importance of the double logarithmic terms which sum contributions containing the leading powers of $\alpha_s ln^2(1/x)$ is emphasised. The role of studying final states in deep inelastic scattering for revealing the details of the underlying dynamics at low $x$ is pointed out and some dedicated measurements, like deep inelastic scattering accompanied by an energetic jet, the measurement of the transverse energy flow etc., are briefly discussed.Comment: 17 pages, LATEX, 7 uuencoded eps figures include

Laboratory Development

This research was sponsored by the National Science Foundation Grant NSF PHY 87-1440

Mortality and AIDS-defining events among young people following transition from paediatric to adult HIV care in the UK

OBJECTIVES: To investigate risk of AIDS and mortality after transition from paediatric to adult care in a UK cohort of young people with perinatally acquired HIV. METHODS: Records of people aged ≥ 13 years on 31 December 2015 in the UK paediatric HIV cohort (Collaborative HIV Paediatric Study) were linked to those of adults in the UK Collaborative HIV Cohort (CHIC) cohort. We calculated time from transition to a new AIDS event/death, with follow-up censored at the last visit or 31 December 2015, whichever was the earliest. Cumulative incidence of and risk factors for AIDS/mortality were assessed using Kaplan-Meier and Cox regression. RESULTS: At the final paediatric visit, the 474 participants [51% female, 80% black, 60% born outside the UK, median (interquartile range) age at antiretroviral therapy (ART) initiation = 9 (5-13) years] had a median age of 18 (17-19) years and CD4 count of 471 (280-663) cell/μL; 89% were prescribed ART and 60% overall had a viral load ≤ 400 copies/mL. Over median follow-up in adult care of 3 (2-6) years, 35 (8%) experienced a new AIDS event (n = 25) or death (n = 14) (incidence = 1.8/100 person-years). In multivariable analyses, lower CD4 count at the last paediatric visit [adjusted hazard ratio = 0.8 (95% confidence interval: 0.7-1.0)/100 cells/μL increment] and AIDS diagnosis in paediatric care [2.7 (1.4-5.5)] were associated with a new AIDS event/mortality in adult care. CONCLUSIONS: Young people with perinatally acquired HIV transitioning to adult care with markers of disease progression in paediatric care experienced poorer outcomes in adult care. Increased investment in multidisciplinary specialized services is required to support this population at high risk of morbidity and mortality