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1 – 10 of 51Christine T. Domegan, Tina Flaherty, John McNamara, David Murphy, Jonathan Derham, Mark McCorry, Suzanne Nally, Maurice Eakin, Dmitry Brychkov, Rebecca Doyle, Arthur Devine, Eva Greene, Joseph McKenna, Finola OMahony and Tadgh O'Mahony
To combat climate change, protect biodiversity, maintain water quality, facilitate a just transition for workers and engage citizens and communities, a diversity of stakeholders…
Abstract
Purpose
To combat climate change, protect biodiversity, maintain water quality, facilitate a just transition for workers and engage citizens and communities, a diversity of stakeholders across multiple levels work together and collaborate to co-create mutually beneficial solutions. This paper aims to illustrate how a 7.5-year collaboration between local communities, researchers, academics, companies, state agencies and policymakers is contributing to the reframing of industrial harvested peatlands to regenerative ecosystems and carbon sinks with impacts on ecological, economic, social and cultural systems.
Design/methodology/approach
The European Union LIFE Integrated Project, Peatlands and People, responding to Ireland’s Climate Action Plan, represents Europe’s largest rehabilitation of industrially harvested peatlands. It makes extensive use of marketing research for reframing strategies and actions by partners, collaborators and communities in the evolving context of a just transition to a carbon-neutral future.
Findings
The results highlight the ecological, economic, social and cultural reframing of peatlands from fossil fuel and waste lands to regenerative ecosystems bursting with biodiversity and climate solution opportunities. Reframing impacts requires muddling through the ebbs and flows of planned, possible and unanticipated change that can deliver benefits for peatlands and people over time.
Research limitations/implications
At 3 of 7.5 years into a project, the authors are muddling through how ecological reframing impacts economic and social/cultural reframing. Further impacts, planned and unplanned, can be expected.
Practical implications
This paper shows how an impact planning canvas tool and impact taxonomy can be applied for social and systems change. The tools can be used throughout a project to understand, respond to and manage for unplanned events. There is constant learning, constantly going back to the impact planning canvas and checking where we are, what is needed. There is action and reaction to each other and to the diversity of stakeholders affected and being affected by the reframing work.
Originality/value
This paper considers how systemic change through ecological, economic, social and cultural reframing is a perfectly imperfect process of muddling through which holds the promise of environmental, economic, technological, political, social and educational impacts to benefit nature, individuals, communities, organisations and society.
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Jan de Vries, Carmel Downes, Danika Sharek, Louise Doyle, Rebecca Murphy, Thelma Begley, Edward McCann, Fintan Sheerin, Siobhan Smyth and Agnes Higgins
People who identify as transgender face stigma, isolation and harassment while often struggling to come to terms with their gender identity. They also disproportionately…
Abstract
Purpose
People who identify as transgender face stigma, isolation and harassment while often struggling to come to terms with their gender identity. They also disproportionately experience mental health difficulties. The purpose of this paper is to present the voices of transgender people in the Republic of Ireland (RoI) in regard to the issues they are facing, improvements they would like to see made to schools, workplaces, services and society in general and whether mental health supports fulfil their needs.
Design/methodology/approach
Ten open questions were embedded within a quantitative online survey (LGBTIreland study) on factors impacting social inclusion, mental health and care. These open questions were re-analysed with exclusive focus on the transgender participants (n = 279) using content/thematic analysis.
Findings
The participants in this study reported significant signs of mental distress. The following themes emerged: impact of stigma, deficiencies in mental health services, need for education on transgender identity, importance of peer support, achieving self-acceptance and societal inclusion questioned.
Research limitations/implications
Efforts to recruit young participants have led to a possible over-representation in this study.
Practical implications
The findings suggest the need for improvement in mental health support services, including further education in how to meet the needs of transgender individuals.
Social implications
Transgender people in Ireland experience social exclusion. The need for more inclusivity was emphasised most in secondary schools. Education on transgender identities in all contexts of society is recommended by the participants.
Originality/value
This study reports on the largest group of transgender participants to date in RoI. Their voices will affect perceptions on social inclusion and mental health care.
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Sharon Howden, Jayde Midgley and Rebecca Hargate
The purpose of this paper is to conduct a preliminary evaluation of a Violent Offender Treatment Program (VOTP) adapted for use in a medium secure unit (MSU). The patient…
Abstract
Purpose
The purpose of this paper is to conduct a preliminary evaluation of a Violent Offender Treatment Program (VOTP) adapted for use in a medium secure unit (MSU). The patient population is adult male mentally disordered offenders.
Design/methodology/approach
Patient outcomes are explored using the Reliable Change Index and Clinical Significance Criterion. Outcomes are assessed using VOTP facilitators violence risk assessment (VRS), multi-disciplinary team violence risk assessment (HCR-20 and GAS-V), and patient self-report using two measures (FAVT and STAXI-2).
Findings
There was evidence of improved outcomes for some participants in some areas related to risk of violence.
Research limitations/implications
Consideration is given to using varied risk assessments to evaluate outcomes of an adapted VOTP for a MSU.
Originality/value
There is limited development and evaluation of psychological treatment programmes that aim to reduce risk of violence for male offenders within MSUs. Outcomes of this evaluation could influence treatment delivery and evaluation in other services.
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Janet S. Gaffney and Rebecca Jesson
Purpose – The purpose of this chapter is to understand how children expand independence within instructional interactions with their teachers. To do so, the authors re-examine how…
Abstract
Purpose – The purpose of this chapter is to understand how children expand independence within instructional interactions with their teachers. To do so, the authors re-examine how scaffolding is understood and applied.
Approach – First, the authors consult websites and literature used by teachers and academics to examine how the notion of scaffolding is employed and explained. The authors analyze the roles, the intentions, the means, and the timing of scaffolding as used in popular literature to explain and support instruction. The authors then entertain a conceptual shift: What would the scaffolding process look like if learning were conceived as agentive? With this in mind, the authors interrogate descriptions of the tenets and functions of scaffolding to consider the process in relief.
Findings – The authors track the consequences of the inversion of scaffolding onto the understandings of the gradual release of responsibility (GRR) model. Scaffolding is understood as sitting within a GRR model, wherein the learner gradually releases responsibility to a teacher at the point of need. Intersubjectivity remains a basis for the model. A Window for Examining Teaching–Learning Interactions is offered as a frame with which to analyze the theories of both the child and the teacher apparent within scaffolding interactions. An accurate teacher’s theory of the child’s current and changing theories is required for teaching to be honed to invite children to efficiently access personal and contextual resources and to seek assistance when needed within engaging tasks with scope.
Practical Implications – When children are positioned as initiators of their learning, they are able to use their vast repertoire of knowledge of the world, language/s and literacies, and familial, cultural, and community ways of knowing to create, interpret, and engage in tasks. In this agentive view, children are positioned as holding full responsibility at the onset of any task and gradually releasing their responsibility to access support, when needed. Within tasks that are sufficiently wide for engagement at varied entry points, learners are the catalyst of the functions that were formerly initiated by teachers. Teachers invite children to access personal and contextual resources and to seek assistance, as needed, through additional external, contextual resources. This inverted model of scaffolding, that is child-directed rather than teacher-initiated, requires teachers to go beyond theories of teaching and learning and develop a theory of an individual child.
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Considers how non‐Thais can negotiate successfully withe business and government executives in Thailand. Gives an overview of Thailand’s geography, climate, population, religion…
Abstract
Considers how non‐Thais can negotiate successfully withe business and government executives in Thailand. Gives an overview of Thailand’s geography, climate, population, religion and business practice. Discusses important aspects of the social‐cultural environment that have a significant effect on the way Thai’s negotiate. Includes further tips regarding body language, entertainment protocol, how to dress, and favourite negotiating tactics by buyers and sellers. Provides conclusions and directions for further research.
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Market-based approaches to environmental management are increasingly common. In 1983 when Joeres and David published their pioneering collection, Buying a Better Environment, the…
Abstract
Market-based approaches to environmental management are increasingly common. In 1983 when Joeres and David published their pioneering collection, Buying a Better Environment, the concept was seen as at best novel, and at worst far-fetched. Yet today, conservation and water quality credits are for sale in many developed countries, and the idea of payment for ecosystem services is ubiquitous in environmental policy circles. This paper traces that shift from command-and-control to market-based environmental management through analysis of the evolving practice of stream mitigation banking (SMB) in the US. In the most common form of SMB today, a for-profit company buys land with a damaged stream on it and restores it to produce mitigation credits which can then be purchased by developers to fulfill their permit conditions under the Clean Water Act. Though decidedly noncommercial in origin, SMB was converted into for-profit tradable regulatory mechanism in 2000 and has since spread rapidly across the US with the strong support of the US Environmental Protection Agency. Using Bourdieu’s field concept as a framework, I argue that the neoliberal transformation of mitigation banking is a product of both relations within the regulatory field, of that field’s relations with the fields of science, and of power.
Rebecca Jester, Karen Titchener, Janet Doyle-Blunden and Christine Caldwell
The purpose of this paper is to share good practice with interested professionals, commissioners and health service managers regarding the development of an evidence-based…
Abstract
Purpose
The purpose of this paper is to share good practice with interested professionals, commissioners and health service managers regarding the development of an evidence-based approach to evaluation of an integrated care service providing acute level care for patients in their own homes in South London called the Guys and St Thomas’ @home service.
Design/methodology/approach
A literature review related to Hospital at Home (HH) schemes was carried out with an aim of scoping approaches used during previous evaluations of HH type interventions to inform the development of an evaluation strategy for @home. The results of the review were then applied to the Donabedian conceptual model: Structure; Process; and Outcome and contextualised to the population being served by the scheme to ensure a robust, practical and comprehensive approach to evaluation.
Findings
Due to the heterogeneity of the studies it was not possible to conduct a systematic review or meta-analysis. In total, 28 studies were identified that met the inclusion criteria and included both HH to facilitate early discharge and admission prevention across a wide range of conditions. The key finding was there is a dearth of literature evaluating staff preparation to work on HH, models of delivery, specifically integrated care and trans-disciplinary working and few studies included the experiences of family carers.
Originality/value
This paper will be of value to those involved in the commissioning and delivery of HH and other models of integrated care services type services and will help to inform evaluation strategies that are practical, evidence based and include all stakeholder perspectives.
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Kieran Mervyn, Nii Amoo and Rebecca Malby
Public sectors have responded to grand societal challenges by establishing collaboratives – new inter-organizational partnerships to secure better quality health services. In the…
Abstract
Purpose
Public sectors have responded to grand societal challenges by establishing collaboratives – new inter-organizational partnerships to secure better quality health services. In the UK, a proliferation of collaboration-based healthcare networks exists that could help to enhance the value of investments in quality improvement programs. The nature and organizational form of such improvements is still a subject of debate within the public-sector literature. Place-based collaboration has been proposed as a possible solution. In response, the purpose of this study is to present the results and findings of a place-based collaborative network, highlighting challenges and insights.
Design/methodology/approach
This study adopted a social constructionist epistemological approach, using a qualitative methodology. A single case study was used and data collected in three different stages over a two-year period.
Findings
The study finds that leadership, data-enabled learning through system-wide training and development, and the provision of an enabling environment that is facilitated by an academic partner, can go a long way in the managing of healthcare networks for improving quality.
Research limitations/implications
Regardless of the tensions and challenges with place-based networks, they could still be a solution in maximizing the public value required by government investments in the healthcare sector, as they offer a more innovative structure that can help to address complex issues beyond the remit of hierarchical structures. This study is limited by the use of a single case study.
Practical implications
Across countries health systems are moving away from markets to collaborative models for healthcare delivery and from individual services to population-based approaches. This study provides insights to inform leaders of collaborative health models in the design and delivery of these new collaborations.
Social implications
As demand rises (as a result of increasing complexity and demographics) in the western world, health systems are seeking to redefine the boundaries between health service provision and community self-reliance and resilience. This study provides insights into the new partnership between health institutions and communities, providing opportunities for more social- and solidarity-based healthcare models which place patients and the public at the heart of change.
Originality/value
The city place-based network is the first of such organizational form in healthcare collaboration in the UK.
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Rebecca Stenberg and Maria Wolmesjö
The purpose of this paper is to give an account for preparative collaboration between the police and municipal eldercare in Sweden concerning missing persons with dementia.
Abstract
Purpose
The purpose of this paper is to give an account for preparative collaboration between the police and municipal eldercare in Sweden concerning missing persons with dementia.
Design/methodology/approach
Design/methodology/approach used was a qualitative case study design, consisting of one focus group with representatives for the participating organisations, followed by directed content analysis.
Findings
The findings showed a lack of current collaboration and reluctance to new collaborative initiatives. However, when focussing on preparative collaboration of coordinated responses to missing incidents, possibilities for improvement could be identified. The improvements concerned updated personnel response checklists, along with suggestions for an elaborate life story document in eldercare, with police access. Finally, better coordination of the return of the found person and a follow up were proposed.
Research limitations/implications
It is suggested that collaboration must be given different meanings and use different approaches adapted to the different phases in a rescue operation. In the preparation and the response phase, the focus should be on coordination of the resources available. In the pre-planning and prevention phases, as well as in evaluation and learning, horizontal collaboration is more suitable. The amount of data in this study is a research limitation which calls for further research.
Practical implications
It is suggested that collaboration must be given different meanings and use different approaches adapted to the different phases in a rescue operation. In the preparation and the response phase, the focus should be on coordination of the resources available. In the pre-planning and prevention phases, as well as in evaluation and learning, horizontal co-operation is more suitable.
Originality/value
The originality/value of this paper can be found in the novelty of missing person research in Sweden, and in practical suggestions for preparative collaboration concerning persons with dementia who go missing. Finally, it can be found in the suggested need for a more dynamic and process-sensitive view of collaboration in SAR or rescue operations.
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