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To research involvement of healthcare staff in the UK and identify practical organisational and policy solutions to improve and boost capacity of the existing workforce to conduct research.

A mixed-method study presenting three work packages here: secondary analysis of levels of staff research activity, funding, academic outputs and workforce among healthcare organisations in the United Kingdom; 39 Research and Development lead and funder interviews; an online survey of 11 healthcare organisations across the UK, with 1,016 responses from healthcare staff included for analysis; and 51 interviews of healthcare staff in different roles from six UK healthcare organisations.

Interest in research involvement is strong and widespread but hampered by a lack of systematic organisational support despite national policies and strategies to increase staff engagement in research. While useful, these external strategies have limited universal success due to lack of organisational support. Healthcare organisations should embed research within organisational and human resources policies and increase the visibility of research through strategic organisational goals and governance processes. A systems-based approach is needed.

The research gathered data from a limited number of NHS trusts but these were purposively sampled to provide a range of different acute/community health service organisations in different areas. But data was therefore more detailed and nuanced due to a more in-depth approach.

The findings are relevant for developing policies and practice within healthcare organisations to support research engagement. The findings also set out key policy and strategic recommendations that will support greater research engagement.

Increased research activity and engagement in healthcare providers improves healthcare outcomes for patients.

This is a large scale (UK-wide) study involving a broad range of healthcare staff, with good engagement of nurses, midwives and Allied Healthcare Professionals who have not been previously achieved. This allowed valuable analysis of under-researched groups and comparisons by professional groups. The findings highlight the need for tailored action to embed research reporting, skills, professional development and infrastructure into organisational policies, strategies and systems, along with broader system-wide development.

This paper employs implementation theory and the political literature on performance measurement to understand how frontline health workers know, participate and evaluate the Brazilian National Program for Improving Access and Quality of Primary Care (PMAQ, 2nd round).

This paper develops an implementation theory-driven qualitative analysis. The research is developed in the city of Goiania (Brazil): a challenging organizational context in primary care (PHC). Interviews were carried out with 25 frontliners – managers, doctors, nurses and community health workers. Data were thematically and hierarchically analysed according to theoretical concepts such as policy knowledge, policy adherence, forms of accountability, alternative logics, organizational capacity and policy feedback.

Results show the need to foster organizational capacity, knowledge, participation and policy feedback at the frontline. Successful implementation would require those adaptations to counteract policy challenges/failures or the emergence of alternative logics.

The study was conducted in only one setting, however, our sample includes different types of professionals working in units with different levels of organization capacity, located in distinct HDs, expressing well the implementation of PMAQ/P4P. Qualitative researches need to be developed for further exploring the same/other factors.

Findings can be used to improve discussions/planning and design of P4P programs in the city and State of Goias.

The majority of analysis of PMAQ are of a quantitative or results-based nature. This article focuses on politically significant and unanswered questions regarding the implementation of PMAQ.

The study compares how distinct mechanisms that connect pre-established policy objectives to professionals' practices, and the health policy implementation context influenced different approaches to frontline staff participation. The authors analysed 26 teams in six cities from two Brazilian states, during the last cycle of the National Program for Improving Access and Quality of Primary Care (PMAQ).

About 172 in-depth interviews were conducted with frontliners – community health workers (78), nurses (37), doctors (30) – and managers (27). Interview guides were based on key issues identified in the implementation and pay-for-performance (P4P) literature. Drawing on thematic analysis and synthesis of the literature, three types of participation mechanisms were identified: relational, motivational and incremental learning. They were analysed considering distinct contexts at the local level to understand how they influenced different forms of participation: mere adherence, result-oriented and transformative.

Administrations with stronger institutional organizational structures were able to control work processes and reduce professional discretion. However, sustained participation was more likely where there was greater integration between management and frontline health care teams. Motivation based only on financial incentives could not bring about transformative participation. This depended on the degree of professional's ideational motivation towards primary care. Finally, contexts with unfavourable working conditions tend to demotivate professionals, but incremental learning helps teams cope with these obstacles.

The study overcomes gaps in the literature in relation to PMAQ's implementation process. Overall, the study delves into which/how mechanisms alter frontliners participation in performance-oriented health programs.

Examines the evidence on the extent to which young people’s sexual health services contribute to the prevention of teenage pregnancy. Reports the findings of a survey of health, education, youth and social services, and providers of services, which was undertaken for the Department of Health. Summarizes other recent reviews of evaluations of services and young people’s sexual health services. Provides guidance for health, education, youth and social services purchasers and providers on good practice for young people’s services and identifies gaps in our knowledge where further research is needed. Argues for closer working with young people in identifying their sexual health needs and in the development and monitoring of services.

Adolescent health service provision is an area of growing concern in the UK, where a number of studies have indicated that young people in their teenage years find accessing formal health services difficult. The Bodyzone Project in Oxfordshire is an innovative programme aimed at bringing health services into schools to ensure greater accessibility. This paper reports on the first phase of a programme of evaluation of the Bodyzone Project, involving a cross‐sectional study. Methods used were both qualitative and quantitative to explore student knowledge, attitudes and behaviours with regards to health issues, health services and the Bodyzone service. The results of the study indicate that Bodyzone is a valued service for those who use it and by schools where it is based. However, there is also a clear indication of unmet health promotion and service need amongst students of those schools, which the current configuration of Bodyzone is not able to address fully.

The purpose of this paper is to explore the early experiences of those involved with the development of Clinical Commissioning Groups (CCGs), examining how the aspiration towards a “clinically-led” system is being realised. The authors investigate emerging leadership approaches within CCGs in light of the criterion for authorisation that calls for “great leaders”.

Qualitative research was carried out in eight case studies (CCGs) across England over a nine-month period (September 2011 to May 2012) when CCGs were in their early development. The authors conducted a mix of interviews (with GPs and managers), observations (at CCG meetings) and examined associated documentation. Data were thematically analysed.

The authors found evidence of two identified approaches to leadership – positive deviancy and responsible guardianship – being undertaken by GPs and managers in the developing CCGs. Historical experiences and past ways of working appeared to be influencing current developments and a commonly emerging theme was a desire for the CCG to “do things differently” to the previous commissioning bodies. The authors discuss how the current reorganisation threatens the guardianship approach to leadership and question if the new systems being implemented to monitor CCGs’ performance may make it difficult for CCGs to retain creativity and innovation, and thus the ability to foster the positive deviant approach to leadership.

This is a large scale piece of qualitative research carried out as CCGs were beginning to develop. It provides insight into how leadership is developing in CCGs highlighting the complexity involved in these roles.

In recent years, concern has been expressed that emphasis upon scientific and technological progress may have resulted in the relative neglect of the humanities, both in societal culture generally and in preparation for positions of social leadership. At present, the role of the humanities in educational administration preparatory programs is, by and large, negligible. A review of the literature suggests that there are at least three rationales which would support the introduction of humanities content into such programs: (1) to generally “liberalize” the student through broad exposure to humanistic content; (2) to train the administrator in purpose definition and value sensitivity through focused reading of philosophy and literature; and (3) to develop creative capacities in the prospective leader through the study of literature and other arts. It is recommended that attempts should be made to incorporate humanities content into preparatory programs in educational administration, that initial efforts should stress the latter two of the three above rationales, and that the endeavor should be undertaken in a preparatory institution by a three‐man team consisting of a humanities scholar, a professor of educational administration, and a school administrator.

Papers and articles on automatic speech recognition appear in many different journals. Research on the nature of speech is prominent in the Journal of the Acoustical Society of America, and for research on algorithms for speech recognition the IEEE Proceedings on Acoustics, Speech and Signal Processing can be recommended.