The development of nurse prescribing in mental health services: Outcomes from five national surveys 2004–2019

The development of nurse prescribing in mental health services: outcomes from five national surveys 2004-19 ABSTRACT Background: Nurse prescribing is increasing worldwide. Reports describing long term developments after implementation are rare. Aim: To explore data from national surveys of nurse prescribing in England’s National Health Service mental health services Methods: Five surveys were distributed to all mental health organisations between 2004 and 2019 Results: Response rates increased from 54% (n = 45/83) in 2004 to 79% (n = 42/53) in 2019. The estimated proportion of mental health nurses who were prescribers increased to 4.3% by 2019. Distribution between clinical practice areas did not change significantly over time, with largest numbers in community mental health teams. The proportion of nurse prescribers actively prescribing increased from 76.4% in 2014 to 87.8% in 2019. Independent prescribing became the predominant approach, with supplementary prescribing rarely used as the sole model within organisations. The scale of implementation varied Conclusions: Although nurse prescribing in mental health services has grown over time, growth has slowed and is variable at local level. Implications for nursing management: Organisations considering the introduction or growth of nurse prescribing should note the evidenced preference for an independent prescribing model to date and consider how to avoid unwarranted variation in nurse prescriber role distribution

Personal Responsibility and Public Integrity

A Review of Political Ethics and Public Office by Dennis Thompso

Streams and rivers: report card 2020

This report card covers the effects of drought and water scarcity on streams and rivers, the ecosystem response, future impact scenarios and possible mitigation actions. One of a series of report cards summarising current and future aspects of water scarcity in the UK's main ecosystems

Comorbidity of Arithmetic and Reading Disorder: Basic Number Processing and Calculation in Children With Learning Impairments

The aim of the present study was to investigate the cognitive profiles of primary school children (age 82-133 months) on a battery of basic number processing and calculation tasks. The sample consisted of four groups matched for age and IQ: arithmetic disorder only (AD;n = 20), reading disorder only (RD;n = 40), a comorbid group (n = 27), and an unimpaired control group (n = 40). Multiple 2 (RD vs. No RD) x 2 (AD vs. No AD) factorial ANCOVAs showed that children with RD had selective impairments in counting and number transcoding efficiency. In contrast, children with AD performed poorly in most tasks, including symbolic and nonsymbolic magnitude comparisons, subitizing, number line estimation, number sets, number transcoding accuracy, and calculation. These findings provide further support that AD is characterized by multiple, heterogeneous underlying deficits. In contrast, RD is associated with specific number processing impairments only if tasks require verbal processing. Taken together, the results fully support the assumption of comorbid additivity of AD and RD

Investigating the flow of information during speaking: the impact of morpho-phonological, associative, and categorical picture distractors on picture naming

In three experiments, participants named target pictures by means of German compound words (e.g., Gartenstuhl–garden chair), each accompanied by two different distractor pictures (e.g., lawn mower and swimming pool). Targets and distractor pictures were semantically related either associatively (garden chair and lawn mower) or by a shared semantic category (garden chair and wardrobe). Within each type of semantic relation, target and distractor pictures either shared morpho-phonological (word-form) information (Gartenstuhl with Gartenzwerg, garden gnome, and Gartenschlauch, garden hose) or not. A condition with two completely unrelated pictures served as baseline. Target naming was facilitated when distractor and target pictures were morpho-phonologically related. This is clear evidence for the activation of word-form information of distractor pictures. Effects were larger for associatively than for categorically related distractors and targets, which constitute evidence for lexical competition. Mere categorical relatedness, in the absence of morpho-phonological overlap, resulted in null effects (Experiments 1 and 2), and only speeded target naming when effects reflect only conceptual, but not lexical processing (Experiment 3). Given that distractor pictures activate their word forms, the data cannot be easily reconciled with discrete serial models. The results fit well with models that allow information to cascade forward from conceptual to word-form levels

Lakes and reservoirs: report card 2020

This report card covers the effects of drought and water scarcity on lakes and reservoirs, the ecosystem response, impact scenarios and possible mitigation actions. One of a series of report cards summarising current and future aspects of water scarcity in the UK's main ecosystems

Literacy shapes thought: the case of event representation in different cultures

There has been a lively debate whether conceptual representations of actions or scenes follow a left-to-right spatial transient when participants depict such events or scenes. It was even suggested that conceptualizing the agent on the left side represents a universal. We review the current literature with an emphasis on event representation and on cross-cultural studies. While there is quite some evidence for spatial bias for representations of events and scenes in diverse cultures, their extent and direction depend on task demands, one‘s native language, and importantly, on reading and writing direction. Whether transients arise only in subject-verb-object languages, due to their linear sentential position of event participants, is still an open issue. We investigated a group of illiterate speakers of Yucatec Maya, a language with a predominant verb-object-subject structure. They were compared to illiterate native speakers of Spanish. Neither group displayed a spatial transient. Given the current literature, we argue that learning to read and write has a strong impact on representations of actions and scenes. Thus, while it is still under debate whether language shapes thought, there is firm evidence that literacy does

How are nature-based solutions contributing to priority societal challenges surrounding human well-being in the United Kingdom: a systematic map

Background: The concept of nature-based solutions (NBS) has evolved as an umbrella concept to describe approaches to learning from and using nature to create sustainable socio-ecological systems. Furthermore, NBS often address multiple societal challenges that humans are facing in the medium to long-term and as such can enhance human well-being (HWB). This study was commissioned to fulfil the need for a targeted systematic evidence map on the linkage between NBS and HWB to support focused research going forward that addresses the key knowledge needs of policy makers in the UK and beyond. Methods: A consultation with policy makers and government agency staff (n = 46), in the four component parts of the UK (England, Wales, Scotland, Northern Ireland) was conducted in spring 2019. This identified four key societal challenges of operational experience lacking a scientific evidence base. Three of these challenges related to management issues: NBS cost-efficacy, governance in planning, environmental justice. The fourth challenge related to the acoustic environment (soundscape). Using systematic methods, this study searched for and identified studies that assessed NBS on HWB with regard to these four selected societal challenges. Review findings: A total of 7287 articles were returned from the systematic search and screened for suitability at the level of title and abstract. A total of 610 articles passed screening criteria to warrant full text screening. Of these, 115 studies met the full text criteria for eligibility in the final systematic map database. Included studies were coded for twelve NBS interventions and ten HWB related outcome categories. Most of the evidence reviewed referred to natural, blue or green infrastructure in the urban environment and focused on economic, material and health aspects of HWB. Less than 2% of studies identified in the searches robustly reported the role of NBS actions or interventions on HWB compared with non-NBS actions or interventions. Conclusion: This systematic map found the evidence base is growing on NBS-HWB linkages, but significant biases persist in the existing literature. There was a bias in favour of the urban environment and restoration studies focused on conservation aspects, with only a few studies investigating the full suite of advantages to HWB that can be delivered from NBS actions and interventions. The soundscape was the least studied of the societal challenges identified as being of key importance by policy makers, with cost-efficiency the most reported. There was a lack of robust long-term studies to clearly test the potential of NBS regarding the HWB outcomes compared with non-NBS alternatives. This lack of robust primary knowledge, covering all four key societal challenges identified, confirms that the knowledge gaps identified by the policy makers persist, and highlights a clear research need for long-term, transdisciplinary studies that focus on comparisons between NBS and non-NBS alternatives