Evaluation of the DWP Growth Fund

The objective of the DWP Growth Fund was to raise levels of access to affordable credit by building the capacity of third sector lenders to serve financially excluded households. In doing so, the Growth Fund aimed to disrupt the role of high cost credit in the lives of borrowers. Using both qualitative and quantitative research methods, our evaluation of the Growth Fund examined both impact and process in order to establish the wider implications of the initiative on: Financially excluded individuals. Third sector lending institutions (Credit Unions / Community Development Finance Institutions). Other organisations delivering services to the financially excluded

Rising to the Challenge: Nursing Leadership via Nurse-Led Service Provision for Chronic Disease Management and Prevention

All nations are currently challenged by the increasing prevalence of non-communicable and chronic disease [1]. In Australia, by 2051, over 50% of the population over 50 will have a chronic disease [2]. In addition to increased levels of chronic disease, services will be stretched through workforce shortages, and government policies to provide greater access to services. Within the United States of America demand for primary care services will further increased by the passage and progressive implementation of the Affordable Care Act (ACA), which expands Medicaid coverage to millions of low-income Americans [3]. Given the increasing levels of disease burden, all staff, not just doctors, need to be viewed as part of the solution and encouraged to innovate and search for better and more affordable ways of delivering effective and appropriate care [4]. Globally, nurses are the largest and most accessible cohort within the health workforce. It is not surprising; therefore, that increasing reference to nurse-led services is present within the literature. This paper reports the findings of a focused literature review aimed at identifying the range of leadership skills and attributes required of nurses involved in the leading roles in the provision of nurse-led services and the management of nurse-led clinics. The implications for nursing education are highlighted and discussed

Understanding the needs of vulnerable prisoners: the role of social and emotional wellbeing

Purpose: Social and emotional wellbeing (SEWB) is a term used to refer to the state of an individual's overall wellbeing. This review aims to consider the importance of understanding and assessing SEWB in prisoner populations, and identify potentially important differences between groups of prisoners, including those who identify as from minority cultural backgrounds (Aboriginal and Torres Strait Islander in Australia), protective custody prisoners, remand prisoners, prisoners identified with an intellectual disability, and prisoners with an acquired brain injury. Design/methodology/approach: The paper is a general review of the published literature, with a specific focus on work conducted with Aboriginal and Torres Strait Islander communities in Australia. Findings: Eight domains of SEWB are identified across which Aboriginal and Torres Strait Islander prisoners, along with those in protection units, remandees, and prisoners with intellectual disabilities or acquired brain injuries are likely to experience particularly low levels of functioning. Few programs have been developed to address these needs, although attending to low levels of SEWB has the potential to make a positive contribution to prisoner health, prison management, and offender rehabilitation. Originality/value: Relatively little literature has considered this topic previously and, as a result, the paper is necessarily descriptive. Nonetheless, issues of SEWB appear to warrant further consideration, particularly in relation to those prisoners who identify with minority cultural groups

Equality Delayed is Equality Denied for Indigenous Women

Ce texte se veut une courte histoire du sexisme présent dans la législation canadienne qui touche le peuple autochtone dans la Loi des Indiens. Depuis son élection en 1876, en dépit des nombreux amendements qui ont suivi, les femmes autochtones n’ont jamais été reconnues comme telles. Elles furent traitées comme citoyennes de seconde classe, moins que des parents, encore moins comme Indiennes. Les auteures sont d’avis que cette loi discriminatoire a grandement contribué au sérieux problème des femmes autochtones perdues et assassinées au Canada. Cet article demande au Gouvernement de cesser ses sursis et de finalement agir vers un changement

Extension Connection: Workforce Development and Cooperative Extension Working Hand-in-Hand

The Extension Connection enhances life skills to support workforce development of low-income families by providing education promoting self-sufficiency. This program helps develop life skills that provide structure within the family and community. Project STRIDE supports workforce development in a high-crime, at-risk area with education. Project STRIDE increases stability within the family, helps families be productive in their community, and helps them overcome barriers to entering the work force, achieve job stability and advance in life for themselves and their families. Families also learn nutrition for healthy living and money management

Religion and health : the application of a cognitive-behavioural framework

The empirical examination of the relationship between religion and health has often lacked theoretical direction. The aim of the study was to examine the relationship between dimensions of religiosity and health within the context of James and Wells’ cognitive-behavioural framework of religion. A community sample of 177 UK adults completed measures of religious orientation, religious coping, and prayer activity alongside the SF-36 Health Survey. Consistent with the cognitive-behavioural framework of religion, intrinsic religiosity and meditative prayer scores accounted for unique variance in both physical and mental health scores over a number of religious measures. These findings suggest the potential usefulness and importance of a cognitive-behavioural framework to understand the relationship between religion (as measured by meditative prayer and intrinsic religiosity) and health

The process of change in offender rehabilitation programmes

Whilst the overall effectiveness of offender rehabilitation programmes in reducing recidivism is now well established, there has been less discussion of the reasons why rehabilitation programmes may be unsuccessful for some offenders. In this paper we suggest that models of change developed in counselling and psychotherapy may have utility in explaining how offender rehabilitation programmes bring about change, and argue that the dominance of cognitive-behavioural treatments in the rehabilitation field means that those offenders who have particularly low levels of problem awareness may be at increased risk of treatment failure. Understanding more about the mechanisms by which programmes help offenders to desist from offending is likely to lead to the development of more responsive and, ultimately, more effective programmes. Some suggestions for those involved in the delivery of offender rehabilitation programmes include: being mindful of the sequence of components of programmes, the development of preparation (or readiness) programmes and offering a broad suite of programmes to cater for different stages of problem awareness and assimilation among offenders. <br /

Impact of low blood culture usage on rates of antimicrobial resistance

Abstract Objectives The magnitude of impact caused by low blood culture utilization on estimates of the proportions and incidence rates of antimicrobial-resistant (AMR) bacterial infections is largely unknown. Methods We used routine electronic databases of microbiology, hospital admission and drug prescription at Sunpasitthiprasong Hospital, Ubon Ratchathani, Thailand, from 2011 to 2015, and bootstrap simulations. Results The proportions of Escherichia coli and Klebsiella pneumoniae bacteraemias caused by 3rd generation cephalosporin resistant isolates (3GCREC and 3GCRKP) were estimated to increase by 13 and 24 percentage points (from 44% to 57% and from 51% to 75%), respectively, if blood culture utilization rate was reduced from 82 to 26 blood culture specimens per 1,000 patient-days. Among patients with hospital-origin bloodstream infections, the proportion of 3GCREC and 3GCRKP whose first positive blood culture was taken within ±1 calendar day of the start of a parenteral antibiotic at the study hospital was substantially lower than those whose first positive blood culture was taken later into parenteral antibiotic treatment (30% versus 79%, p<0.001; and 37% versus 86%, p<0.001). Similar effects were observed for methicillin-resistant Staphylococcus aureus, carbapenem-resistant Acinetobacter spp. and carbapenem-resistant Pseudomonas aeruginosa. Conclusion Impacts of low blood culture utilization rate on the estimated proportions and incidence rates of AMR infections could be high. We recommend that AMR surveillance reports should additionally include blood culture utilization rate and stratification by exposure to a parenteral antibiotic at the hospital

Establishing Policy Foundations and Regulatory Systems to Enhance Nursing Practice in the United Arab Emirates

In 2009, the United Arab Emirates (UAE) established a Nursing and Midwifery Council with a mandate to develop standards for the registration and regulation of nursing and midwifery and to strengthen the nursing and midwifery workforce. Priorities included workforce Emiratization and the development of regulatory standards to support advanced and speciality nursing practice and new models of care—particularly for the management of noncommunicable diseases. This article provides background, context for, and best practice inputs to the effort to provide one unified framework of nursing regulation and licensure across the whole of the UAE. This article is intended for nurse leaders, policy makers, and regulators who are reviewing or developing nursing regulatory processes and advancing nursing workforce capacity building activities; and nurse educators and nurses wishing to work in the UAE