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Workplace silence impedes productivity, job satisfaction and retention, key issues for the hospital workforce worldwide. It can have a negative effect on patient outcomes and safety and human resources in healthcare organisations. This study aims to examine factors that influence workplace silence among hospital doctors in Ireland.

A national, cross-sectional, online survey of hospital doctors in Ireland was conducted in October–November 2019; 1,070 hospital doctors responded. This paper focuses on responses to the question “If you had concerns about your working conditions, would you raise them?”. In total, 227 hospital doctor respondents (25%) stated that they would not raise concerns about their working conditions. Qualitative thematic analysis was carried out on free-text responses to explore why these doctors choose to opt for silence regarding their working conditions.

Reputational risk, lack of energy and time, a perceived inability to effect change and cultural norms all discourage doctors from raising concerns about working conditions. Apathy arose as change to working conditions was perceived as highly unlikely. In turn, this had scope to lead to neglect and exit. Voice was seen as risky for some respondents, who feared that complaining could damage their career prospects and workplace relationships.

This study highlights the systemic, cultural and practical issues that pressure hospital doctors in Ireland to opt for silence around working conditions. It adds to the literature on workplace silence and voice within the medical profession and provides a framework for comparative analysis of doctors' silence and voice in other settings.

Persons with mental illness (PWMI) need to be housed and cared for properly. Providing this support can be physically, financially and psychologically exhausting for the caregiver. The purpose of this study was to explore the lived experiences of a caregiver managing a mental home in Ghana and to get a deeper understanding of what it really takes to host and care for PWMI.

A narrative research design was used. The narrative approach was used to gather the stories of the caregiver. Data was collected through in-depth face-to-face interview, informal conversations and field notes. Thematic analysis was performed focusing on both the personal and social experiences of the participant.

Three main themes emerged from the participant’s experience as follows: stigma and rejection, burden of hosting and support from others. The study also found that what it takes to host and care for PWMI is psychological resilience as follows: determination and love. An appeal is made to individuals to also support PWMI instead of the government alone.

The outcomes of this study indicate that the life of a caregiver managing a mental home is a journey characterized by stigma, rejection and financial burden. It highlights the importance of support from others for the caregiver to keep providing optimal care. This paper contributes to the literature on carer resilience by providing evidence that once there is determination and love, PWMI can be housed and cared for in Ghana.

This monograph contains abstracts from the 2005 Employment Research Unit Annual Conference Cardiff Business School, Cardiff University, 6‐7th September 2005

Aim of the present monograph is the economic analysis of the role of MNEs regarding globalisation and digital economy and in parallel there is a reference and examination of some legal aspects concerning MNEs, cyberspace and e‐commerce as the means of expression of the digital economy. The whole effort of the author is focused on the examination of various aspects of MNEs and their impact upon globalisation and vice versa and how and if we are moving towards a global digital economy.

A WIDE RANGE of further and higher education colleges offer courses to a varied section of the public of mixed ages and abilities. Originally established to provide the vocational and technical training necessary for a new diversity of trades, they offered subjects not within the scope of the established school system. Today, this function is maintained, with considerable expansion in their general educational work, and most offer comprehensive GCE O and A level studies, in a choice of more subjects than available in local schools.

Two perspectives provide alternative insights into household composition in contemporary Eastern Europe. The first stresses that individuals have relatively fixed preferences about living arrangements and diverge from them only when they cannot attain their ideal. The second major approach, the adaptive strategies perspective, predicts that individuals have few preferences. Instead, they use household composition to cope with economic hardship, deploy labor, or care for children or the elderly. This article evaluates these approaches in five post‐socialist East‐European countries, Bulgaria, Hungary, Poland, Romania, and Russia, using descriptive statistics and logistic regression. The results suggest that household extension is common in these countries and provide the most evidence for the adaptive strategies perspective. In particular, the results show that variables operationalizing the adaptive strategies perspective, including measures of single motherhood, retirement status, agricultural cultivation, and poverty, increase the odds of household extension.

Under the Patient's Charter, The National Health Service has an obligation to become more responsive to the needs of patients. These needs have been shown by research to include the provision of good quality information, both oral and written, about patients' drugs. The provision of such information has been shown to increase compliance, patient satisfaction and confidence of patients in coping with their illness, drugs and any side‐effects. The information in this article was gathered as a preliminary to further research. It combines a review of the literature with information from a series of informal interviews with members of the local healthcare team. The article looks at where patients get drug information from, then moves on to examine the value of providing such information. Issues arising in the provision of drug information are considered and recommendations are provided which indicate long term concerns and approaches for further work.