73 research outputs found
Educating Britain? Political Literacy and the Construction of National History
Despite the reflexive nature of historical enquiry and the degree of national interconnectness now theorized by historians in the United Kingdom, education debates over history teaching in Britain often yield a comforting defence of Britain's 'island story'. The singular 'island story' is an economical narrative device favoured by politicians and further mediated through newspapers which profit from such national cryogenics. Maintenance of a currency, or crisis, of Britishness can also be contrasted with the relative absence of longitudinal or comparative enquiry into identity and school curricula. In addition, the teaching of states, connections and post-sovereign communities is largely under-theorized, potentially contributing to the sterility of future debates about citizenship, agency and Britain’s wider political reach. It is argued here that the public framing of history as nationhood and the underdevelopment of children’s political literacy are mutually reinforcing conditions by which the state has constructed a stabilizing, yet shifting presence of the ‘national’
Self-management toolkit and delivery strategy for end-of-life pain: the mixed-methods feasibility study
Background: Pain affects most people approaching the end of life and can be severe for some. Opioid analgesia is effective, but evidence is needed about how best to support patients in managing these medicines.
Objectives: To develop a self-management support toolkit (SMST) and delivery strategy and to test the feasibility of evaluating this intervention in a future definitive trial. Design: Phase I – evidence synthesis and qualitative interviews with patients and carers. Phase II – qualitative semistructured focus groups and interviews with patients, carers and specialist palliative care health professionals. Phase III – multicentre mixed-methods single-arm pre–post observational feasibility study.
Participants: Phase I – six patients and carers. Phase II – 15 patients, four carers and 19 professionals. Phase III – 19 patients recruited to intervention that experienced pain, living at home and were treated with strong opioid analgesia. Process evaluation interviews with 13 patients, seven carers and 11 study nurses. Intervention: Self-Management of Analgesia and Related Treatments at the end of life (SMART) intervention comprising a SMST and a four-step educational delivery approach by clinical nurse specialists in palliative care over 6 weeks. Main outcome measures: Recruitment rate, treatment fidelity, treatment acceptability, patient-reported outcomes (such as scores on the Brief Pain Inventory, Self-Efficacy for Managing Chronic Disease Scale, Edmonton Symptom Assessment Scale, EuroQol-5 Dimensions, Satisfaction with Information about Medicines Scale, and feasibility of collecting data on health-care resource use for economic evaluation). Results: Phase I – key themes on supported self-management were identified from evidence synthesis and qualitative interviews. Phase II – the SMST was developed and refined. The delivery approach was nested within a nurse–patient consultation. Phase III – intervention was delivered to 17 (89%) patients, follow-up data at 6 weeks were available on 15 patients. Overall, the intervention was viewed as acceptable and valued. Descriptive analysis of patient-reported outcomes suggested that interference from pain and self-efficacy were likely to be candidates for primary outcomes in a future trial. No adverse events related to the intervention were reported. The health economic analysis suggested that SMART could be cost-effective. We identified key limitations and considerations for a future trial: improve recruitment through widening eligibility criteria, refine the SMST resources content, enhance fidelity of intervention delivery, secure research nurse support at recruiting sites, refine trial procedures (including withdrawal process and data collection frequency), and consider a cluster randomised design with nurse as cluster unit. Limitations: (1) The recruitment rate was lower than anticipated. (2) The content of the intervention was focused on strong opioids only. (3) The fidelity of intervention delivery was limited by the need for ongoing training and support. (4) Recruitment sites where clinical research nurse support was not secured had lower recruitment rates. (5) The process for recording withdrawal was not sufficiently detailed. (6) The number of follow-up visits was considered burdensome for some participants. (7) The feasibility trial did not have a control arm or assess randomisation processes. Conclusions: A future randomised controlled trial is feasible and acceptable
Gendering the careers of young professionals: some early findings from a longitudinal study. in Organizing/theorizing: developments in organization theory and practice
Wonders whether companies actually have employees best interests at heart across physical, mental and spiritual spheres. Posits that most organizations ignore their workforce – not even, in many cases, describing workers as assets! Describes many studies to back up this claim in theis work based on the 2002 Employment Research Unit Annual Conference, in Cardiff, Wales
A ‘home-international’ comparative analysis of widening participation in UK higher education
Since devolution of education policy to the four ‘home’ nations of the UK, distinct approaches to addressing social inequalities in higher education participation have developed across the four jurisdictions (England, Wales, Scotland and Northern Ireland). From a critical examination of 12 policy documents, this paper presents a comparative policy analysis of the qualitatively distinct ways that inequalities in higher education are conceptualised across the ‘home’ nations. Basil Bernstein’s theoretical ideas are drawn on to help unearth distinctions in their beliefs about the underlying nature of educational inequalities. These can be understood in relation to their degree of closeness to either neoliberal or social democratic ideological positions, and we show that the ‘home’ nations of the UK place differing emphases on what form of higher education they aim to widen access to, and how they intend to achieve thi
Human resources strategy development
SIGLEAvailable from British Library Document Supply Centre- DSC:4307. 3797(03/12) / BLDSC - British Library Document Supply CentreGBUnited Kingdo
Science Research Investment Fund (SRIF) Second round - invitation to submit proposals
Available from British Library Document Supply Centre- DSC:4307. 3797(03/07) / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo
Structural Change Fund 2001/02 Outcomes
SIGLEAvailable from British Library Document Supply Centre- DSC:4307. 3797(02/72) / BLDSC - British Library Document Supply CentreGBUnited Kingdo
Statistics for 2002/03 funding
Available from British Library Document Supply Centre- DSC:4307. 3797(02/70) / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo
Learning disability services in North Wales Strategy for children and adults with learning disabilities : draft
Title from cover. Also available via the InternetSIGLEAvailable from British Library Document Supply Centre- DSC:02/40855 / BLDSC - British Library Document Supply CentreGBUnited Kingdo
Introducing the Credit and Qualification Framework for Wales
Added t.p. in Welsh: Cyflwyno Fframwaith Credydau a Chymwysterau Cymru. Parallel text in English and Welsh, printed tete-becheAvailable from British Library Document Supply Centre- DSC:m03/14541 / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo
- …
