The identity of hybrid dance artist-academics working across academia and the professional arts sector

The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.This article reports on interim findings from an evolving research project that sets out to examine and document the experiences of hybrid dance artist-academics working across academia and the professional arts sector. Three round table events and an online conversation enabled the capturing of voices of those who operate in academia and the professional arts sector in response to the research project’s three main aims: • To understand the experiences of the hybrid dance artist-academic • To shed light upon the contextual factors that shape these experiences • To offer recommendations that may support a productive, creative practice environment for the hybrid dance artist-academic. This article further contextualizes commentaries within wider discourse on artistic practice and/or Practice as Research (PaR), such as those from Practice as Research in Performance (PARIP) and the Centre for Research into Creation in the Performing Arts (ResCen). The relationship between arts-making practices and neo-liberalist frameworks is explored. The emergent issues of hierarchies, dissidence and the epistemology of the hybrid dance artist-academic are presented and conceptions of agency and community are reconsidered

Mental Health and Wellbeing Impacts of Societal Attitudes Towards Forcibly Displaced Young People

Background: In less time than it takes to read this sentence, someone somewhere in the world will be forcibly displaced. With exponential increases in displacement likely to continue, research into the resettlement experiences and mental health of forcibly displaced people is essential. There is an abundance of research pertaining to the mental health and wellbeing of refugee populations and research that investigates societal attitudes towards refugees. However, there is a little research on the direct impacts of societal attitudes on the mental health and wellbeing of those from a refugee-like background, particularly young people. Method: This scoping review seeks to systematically explore the academic and grey literature around both positive and negative societal attitudes in host countries, and the subsequent positive and negative impacts on young people from a refugee-like background. The search strategy consists of synonyms for the four basic constructs (youth, displaced people, mental health, attitudes). Six scholarly databases and grey literature will be searched. To be included in the Review, papers must study the affective component of attitudes in host countries, as well as reporting on the mental health impacts on young people from a refugee-like background. Findings will be thematically analysed using NVivo and presented in the full Scoping Review

Mental Health and Wellbeing Impacts of Societal Attitudes Towards Forcibly Displaced Young People

Background: In less time than it takes to read this sentence, someone somewhere in the world will be forcibly displaced. With exponential increases in displacement likely to continue, research into the resettlement experiences and mental health of forcibly displaced people is essential. There is an abundance of research pertaining to the mental health and wellbeing of refugee populations and research that investigates societal attitudes towards refugees. However, there is a little research on the direct impacts of societal attitudes on the mental health and wellbeing of those from a refugee-like background, particularly young people. Method: This scoping review seeks to systematically explore the academic and grey literature around both positive and negative societal attitudes in host countries, and the subsequent positive and negative impacts on young people from a refugee-like background. The search strategy consists of synonyms for the four basic constructs (youth, displaced people, mental health, attitudes). Six scholarly databases and grey literature will be searched. To be included in the Review, papers must study the affective component of attitudes in host countries, as well as reporting on the mental health impacts on young people from a refugee-like background. Findings will be thematically analysed using NVivo and presented in the full Scoping Review

‘Inner qualities versus inequalities’: A case study of student change learning about Aboriginal health using sequential, explanatory mixed methods

Racism and lack of self-determination in health care perpetuate injury and injustice to Aboriginal people. To instil cultural safety at individual, organisational, community and systems levels, a key site of action has been health professional education that seeks to elicit reflexivity, cultural humility and a working understanding of Aboriginal health concepts. Studies in Aboriginal community settings show Family Well Being (FWB) empowerment education is effective in supporting personal and collective reflexivity and transformation through empowering life skills development. Implementation of FWB within educational settings shows early signs of effectiveness among students. Yet knowledge of the steps and processes of student change is lacking. This mixed methods explanatory case study sought to measure and understand change in postgraduate students of a leading Australian university learning about Aboriginal health and wellbeing through blended delivery, including through face-to-face immersion in FWB in an urban classroom. Three interrelated studies investigated fidelity and acceptability of the program, measured and analysed growth and empowerment in students, and explained processes of change observed, through thematic analysis of asynchronous online discussions using lenses based on transformative learning and empowerment. Researcher reflexivity was promoted by Aboriginal supervision. Over six years, 194 students enrolled in two different Aboriginal public health courses, 85 of them in the FWB course. As well as achieving program fidelity and acceptability, pre/post-course change in students across a range of emotional empowerment, personal growth and life-long learning processes was measured in the FWB group. Thematic analysis revealed students’ fluid and recursive processes of transformative learning in their professional selves and capacities to act in domains important to Aboriginal health. This case study contributes new knowledge critical to strengthening health professional capabilities for ever more complex, uncertain and emotionally demanding sites of practice, and to work in empowering ways—with, not for, Aboriginal people and communities

Treatment of Clostridium difficile infection: a national survey of clinician recommendations and the use of faecal microbiota transplantation

Adherence to Clostridium difficile infection treatment guidelines is associated with lower recurrence rates and mortality as well as cost savings. Our survey of Irish clinicians indicates that patients are managed using a variety of approaches. FMT is potentially underutilised despite its recommendation in national and European guidelines

Occurrence of lactational mastitis and medical management: a prospective cohort study in Glasgow

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Background Lactational mastitis is a painful, debilitating condition that if inappropriately managed, may lead women to discontinue breastfeeding prematurely. The aim of this paper is to report the incidence of mastitis in the first six months postpartum in a Scottish population, its impact on breastfeeding duration and to describe the type and appropriateness of the support and management received by affected women from health professionals. Methods A longitudinal study of 420 breastfeeding women was undertaken in Glasgow in 2004/05. Participants were recruited and completed a baseline questionnaire before discharge from hospital. Cases of mastitis were reported either directly to the researchers or were detected during regular follow-up telephone interviews at weeks 3, 8, 18 and 26. Women experiencing mastitis provided further information of their symptoms and the management and advice they received from health professionals. Results In total, 74 women (18%) experienced at least one episode of mastitis. More than one half of initial episodes (53%) occurred within the first four weeks postpartum. One in ten women (6/57) were inappropriately advised to either stop breastfeeding from the affected breast or to discontinue breastfeeding altogether. Conclusion Approximately one in six women is likely to experience one or more episodes of mastitis whilst breastfeeding. A small but clinically important proportion of women continue to receive inappropriate management advice from health professionals which, if followed, could lead them to unnecessarily deprive their infants prematurely of the known nutritional and immunological benefits of breast milk

Post‐traumatic growth in prisoners and its association with the quality of staff–prisoner relationships

Background: Being sentenced to prison can be a traumatic experience for many people that leads to negative effects, including reoffending or disorders of mental health. Emerging research, however, has suggested that traumatic events can at times also lead to posttraumatic growth, leading us to question whether it is possible that prisoners could experience posttraumatic growth. Aims: Our aims were to explore the prevalence of posttraumatic growth in prisoners, and the association between posttraumatic growth and prisoners’ perceptions of the quality of their relationships with staff members. Our primary hypothesis was that there would be a positive association between perceptions of the quality of relationships with staff members and posttraumatic growth. We also hypothesised an interaction between staff-prisoner relationships and the extent to which sentencing was experienced as traumatic. Method: The Posttraumatic Growth Inventory (PGI) and the Barrett-Lennard Relationship Inventory were distributed to all 762 prisoners in a high-security adult male prison in England. One-tailed correlations were used to test for associations between variables. A hierarchical regression analysis was conducted to test for an interaction between staff-prisoner relationship ratings, trauma of sentencing and posttraumatic growth. Results: Just over one fifth of the men (n = 160) returned questionnaires. 76 (48%) had scores indicative of moderate-to-high posttraumatic growth. There was a significant positive association between the perceptions of the relationships with staff members and the posttraumatic growth reported. There was no significant interaction between the staff-prisoner relationships and the experienced trauma of imprisonment. Conclusions and implications for clinical practice: The current study extends the prisoner based literature through finding that higher perceived levels of posttraumatic growth were associated with experiencing empathy, positive regard, acceptance and genuineness from prison staff. The findings highlight the need for quality relationships to be adopted in all aspects of the prison setting and culture. Future applied research into these relationship-based factors and their role in promoting positive psychological outcomes in prisoners is needed

The development and optimisation of a primary care-based whole system complex intervention (CARE Plus) for patients with multimorbidity living in areas of high socioeconomic deprivation

<B>OBJECTIVES</B> To develop and optimise a primary care-based complex intervention (CARE Plus) to enhance the quality of life of patients with multimorbidity in the deprived areas. <B>METHODS</B> Six co-design discussion groups involving 32 participants were held separately with multimorbid patients from the deprived areas, voluntary organisations, general practitioners and practice nurses working in the deprived areas. This was followed by piloting in two practices and further optimisation based on interviews with 11 general practitioners, 2 practice nurses and 6 participating multimorbid patients. <B>RESULTS</B> Participants endorsed the need for longer consultations, relational continuity and a holistic approach. All felt that training and support of the health care staff was important. Most participants welcomed the idea of additional self-management support, though some practitioners were dubious about whether patients would use it. The pilot study led to changes including a revised care plan, the inclusion of mindfulness-based stress reduction techniques in the support of practitioners and patients, and the stream-lining of the written self-management support material for patients. <B>DISCUSSION</B> We have co-designed and optimised an augmented primary care intervention involving a whole-system approach to enhance quality of life in multimorbid patients living in the deprived areas. CARE Plus will next be tested in a phase 2 cluster randomised controlled trial

Implementing social prescribing in primary care in areas of high socioeconomic deprivation:process evaluation of the ‘Deep End’ community links worker programme

Background: Social prescribing involving primary care-based ‘link workers’ is a key UK health policy which aims to reduce health inequalities. However, the process of implementation of the link worker approach has received little attention despite this being central to desired impact and outcomes. Aim: Our objective was to explore the implementation process of such an approach in practice. Design and Setting: Qualitative process evaluation of the ‘Deep End’ Links Worker Programme (LWP) over a two-year period, in seven general practices in deprived areas of Glasgow. Methods: We used thematic analysis to identify the extent of LWP integration in each practice and key factors associated with implementation. Analysis was informed by Normalisation Process Theory. Results: Only three of the seven practices fully integrated the LWP into routine practice within two years, based on NPT constructs of coherence, cognitive participation, and collective action. Compared to ‘Partially Integrated Practices’, ‘Fully Integrated Practices’ had better shared understanding of the programme among staff, higher staff engagement with LWP, and were implementing all aspects of LWP at patient, practice and community levels of intervention. Successful implementation was associated with GP buy-in, collaborative leadership, good team dynamics, link worker support, and the absence of competing innovations. Conclusions: Even in a well-resourced government funded programme, the majority of practices involved had not fully integrated the LWP within the first two years. Implementing social prescribing and link workers within primary care at scale is unlikely to be a ‘quick fix’ for mitigating health inequalities in deprived areas