Nicola Gregson and Claire Delaney
The purpose of this paper is to present a case study using a systemic team formulation approach, in the context of supporting a women with intellectual disabilities with a history…
Abstract
Purpose
The purpose of this paper is to present a case study using a systemic team formulation approach, in the context of supporting a women with intellectual disabilities with a history of trauma.
Design/methodology/approach
A reflective stance is used to describe the process of assessment, hypothesising, formulation and intervention in a single case study design.
Findings
Feedback from care staff suggests that they found a team formulation approach helpful to improve their understanding of the service user they support.
Practical implications
The paper discusses how systemic team formulation can draw on trauma-informed care principles in the context of supporting an individual with an intellectual disability. Future research should aim to replicate the approach for findings to be applied more broadly. COVID-19 has meant clinical working has had to be adapted, clinicians should carefully consider how collaborative and meaningful work can continue to be facilitated within the current parameters.
Originality/value
This case study contributes to the literature in the use of systemic team formulation interventions within an intellectual disability context, drawing on trauma-informed care principles and reflecting on adapted working within the COVID-19 pandemic.
Details
Keywords
Peter Robert Diamond and Claire Delaney
There is a growing evidence base for cognitive behavioural therapy (CBT) as a treatment for psychogenic non-epileptic seizures (PNES) in the general population. Despite the…
Abstract
Purpose
There is a growing evidence base for cognitive behavioural therapy (CBT) as a treatment for psychogenic non-epileptic seizures (PNES) in the general population. Despite the relatively high proportion of individuals with PNES who have an intellectual disability (ID) there is a paucity of literature on the use of CBT for PNES in this population. The purpose of this paper is to describe the use of an adapted CBT approach to treat PNES in a woman with mild ID.
Design/methodology/approach
The intervention used a CBT approach that included both the client and her mother, her primary care giver, throughout the therapy sessions. It involved 13 1-hour sessions over 20 weeks.
Findings
Over the course of the intervention the client experienced a reduction in seizure activity. Both the client and her mother reported increases in her perceived ability to cope with the seizures.
Originality/value
This report describes an adapted CBT-based intervention for individuals with PNES in the context of ID. It is the first report to include the involvement of a care-giver in adapting this approach for individuals with ID.
Details
Keywords
Paula Lentz, Kristy Lauver and Jennifer Johs‐Artisensi
The purpose of this paper is to investigate how one hospital safety coordinator socially constructs a complete environment of care. Specifically, it applies Shotter's “practical…
Abstract
Purpose
The purpose of this paper is to investigate how one hospital safety coordinator socially constructs a complete environment of care. Specifically, it applies Shotter's “practical author” framework to examine the author‐response interaction between the safety coordinator and other mid‐level supervisors.
Design/methodology/approach
Qualitative methodology is employed to examine this authorship. Data include printed materials employees receive upon hire, an observation of an environment of care orientation presentation, and semi‐structured interviews with the safety coordinator and mid‐level supervisors.
Findings
The paper reveals how the safety coordinator uses a variety of rhetorical strategies to balance the tensions between mandating compliance with environment of care requirements and facilitating buy‐in to the idea of compliance as a moral and ethical imperative. This creates an ethos among the employees where they feel authorized to go beyond the requirements and act on their own to construct a safer culture.
Research limitations/implications
The paper has multiple practical and theoretical implications that may be useful to health care and other organizations when examining the broader need for a complete, supportive environment where employees not only comply with but actually live and believe in the values of their organizations' cultures. A limitation is that employee perspective and behavior are primarily inferred based on supervisor reports.
Originality/value
The paper extends theory on communication and developing organizational environments and provides practical application possibilities for organizations.
Details
Keywords
Duana Quigley, Claire Poole, Sinead Whiting, Erna O'Connor, Claire Gleeson and Lucy Alpine
Work-based placements are central to the university education of allied health and social work (AHSW) students. As a result of COVID-19, the clinical learning environment of…
Abstract
Purpose
Work-based placements are central to the university education of allied health and social work (AHSW) students. As a result of COVID-19, the clinical learning environment of students' work-based placements was dramatically altered resulting in numerous documented challenges. This inter-disciplinary study aimed to evaluate AHSW students' perceptions and experiences of completing a diverse range of work-based placements during COVID-19.
Design/methodology/approach
This study was a mixed-method inter-disciplinary study using an anonymous online survey consisting of multiple choice, Likert scale and free text questions. Mixed-methods design supported amalgamation of insights from positivism and interpretivism perspectives and enabled research questions to be answered with both breadth and depth. 436 students were invited to participate who were enrolled in five AHSW educational university programmes: speech and language therapy, occupational therapy, physiotherapy, radiation therapy and social work. Data collected was analysed using both quantitative (descriptive and analytical statistics) and qualitative (thematic analysis) methods.
Findings
118 students participated (response rate: 27%) representing a range of AHSW disciplines who attended diverse placement settings. While there was extensive disruption in the learning environment leading to increased levels of stress and concern, a triad of individual and systemic supports helped to ensure positive work-based placement experiences and student success for the majority of AHSW students during COVID-19: (1) university preparation and communication; (2) placement site and supervisor support; and (3) students' resilience and capacity to adapt to a changed work-place environment.
Originality/value
This inter-disciplinary study reports the work-based placement experiences from the professional education programmes of healthcare students during the COVID-19 pandemic, giving a unique view of their perspectives and learning during this unprecedented crisis.
Details
Keywords
Áine Carroll, Jane McKenzie and Claire Collins
The aim of this study was to explore and understand the leadership experiences of medical consultants prior to a major hospital move. Health and care is becoming increasingly…
Abstract
Purpose
The aim of this study was to explore and understand the leadership experiences of medical consultants prior to a major hospital move. Health and care is becoming increasingly complex and there is no greater challenge than the move to a new hospital. Effective leadership has been identified as being essential for successful transition. However, there is very little evidence of how medical consultants experience effective leadership.
Design/methodology/approach
A qualitative methodology was utilized with one-to-one semi-structured interviews conducted with ten medical consultants. These were transcribed verbatim and analyzed using inductive thematic analysis. The research complied with the consolidated criteria for reporting qualitative research (COREQ).
Findings
Four themes were found to influence medical consultants’ experience of leadership: collaboration, patient centredness, governance and knowledge mobilization. Various factors were identified that negatively influenced their leadership effectiveness. The findings suggest that there are a number of factors that influence complexity leadership effectiveness. Addressing these areas may enhance leadership effectiveness and the experience of leadership in medical consultants.
Research limitations/implications
This study provides a rich exploration of medical consultants’ experience of collective leadership prior to a transition to a new hospital and provides new understandings of the way collective leadership is experienced in the lead up to a major transition and makes recommendations for future leadership research and practice.
Practical implications
The findings suggest that there are a number of factors that influence complexity leadership effectiveness. Addressing these areas may enhance leadership effectiveness and the experience of leadership in medical consultants.
Social implications
Clinical leadership is associated with better outcomes for patients therefore any interventions that enhance leadership capability will improve outcomes for patients and therefore benefit society.
Originality/value
This is the first research to explore medical consultants’ experience of collective leadership prior to a transition to a new hospital.
Details
Keywords
Rebecca L. Wyland, Nancy J. Hanson-Rasmussen and Daniel P. Gullifor
The purpose of this paper is to present The Build and Bond, an experiential exercise which engages student teams while they apply team dynamics, enhance team skills and foster…
Abstract
Purpose
The purpose of this paper is to present The Build and Bond, an experiential exercise which engages student teams while they apply team dynamics, enhance team skills and foster team member interpersonal bonds.
Design/methodology/approach
During The Build and Bond, teams design and execute their own team-building activity. Specifically, teams set goals, generate ideas, make decisions, create a team-building activity, develop implementation plans and ultimately execute the activity. Finally, during an all-class debrief discussion, teams describe their team-building activities, connect their experiences to the learning objectives and reflect on how these lessons can be applied in future team experiences. Pretest and posttest surveys were used to determine if participants perceived increases in team performance and cohesion following The Build and Bond.
Findings
All teams reported that their activity added value, was preferred over an instructor-assigned team-building activity and improved team states. Findings from t-tests supported an improvement in team performance and cohesion.
Social implications
The Build and Bond is designed to help students feel more equipped to communicate, have fun and work interdependently with current and future team members.
Originality/value
Teams design the team-building activity themselves, so members are often more interested in participating and engaging during the team-building activity.
Details
Keywords
Janandani Nanayakkara, Alison O. Booth, Anthony Worsley and Claire Margerison
This study aims to gain an understanding from parents and teachers about the types of food provision practices and venues, and the food-related policies and rules in primary…
Abstract
Purpose
This study aims to gain an understanding from parents and teachers about the types of food provision practices and venues, and the food-related policies and rules in primary schools in Australia; and investigate any differences in the presence of policies and rules based on the school location and school type.
Design/methodology/approach
Data were collected via two online surveys from August 2019 to March 2020. Descriptive statistics were employed to analyse quantitative responses. Respondents' written responses to food-related policies were categorised into groups.
Findings
The two most common food provision services were canteen and lunch order services (mentioned by 72 and 55% of respondents, respectively). Of the 425 respondents whose schools had a canteen (parents and teachers together), 62% reported their school implements a healthy school canteen policy. Significantly more parents compared to teachers, and more respondents from government schools compared to non-government schools stated that their school had implemented such a policy. Approximately half of the respondents (47%) stated their school had implemented other food-related policies and/or rules. These policies or rules belonged to four categories: avoiding certain foods, avoiding food sharing, avoiding food packages and promoting healthy eating.
Originality/value
This study shows the disparities exist in implementing food-related policies among primary schools in Australia. Nutrition promoters and policy planners should consider these results and find the best mechanisms to minimise the gaps in policy implementation.
Details
Keywords
Claire Jin Deschner, Léa Dorion and Lidia Salvatori
This paper is a reflective piece on a PhD workshop on “feminist organising” organised in November 2017 by the three authors of this paper. Calls to resist the neoliberalisation of…
Abstract
Purpose
This paper is a reflective piece on a PhD workshop on “feminist organising” organised in November 2017 by the three authors of this paper. Calls to resist the neoliberalisation of academia through academic activism are gaining momentum. The authors’ take on academic activism builds on feminist thought and practice, a tradition that remains overlooked in contributions on resisting neoliberalisation in academia. Feminism has been long committed to highlighting the epistemic inequalities endured by women and marginalised people in academia. This study aims to draw on radical feminist perspectives and on the notion of prefigurative organising to rethink the topic of academic activism. How can feminist academic activism resist the neoliberal academia?
Design/methodology/approach
This study explores this question through a multi-vocal autoethnographic account of the event-organising process.
Findings
The production of feminist space within academia was shaped through material and epistemic tensions. The study critically reflects on the extent to which the event can be read as prefigurative feminist self-organising and as neoliberal academic career-focused self-organising. The study concludes that by creating a space for sisterhood and learning, the empowering potential of feminist organising is experienced.
Originality/value
The study shows both the difficulties and potentials for feminist organising within the university. The concept of “prefiguration” provides a theoretical framework enabling us to grasp the ongoing efforts on which feminist organising relies. It escapes a dichotomy between success and failure that fosters radical pessimism or optimism potentially hindering political action.
Details
Keywords
Adam Hill, Anna Tickle and Danielle De Boos
Extant literature exploring service user (SU) involvement in clinical psychology training has been limited by its sampling from singular training programmes and its restricted…
Abstract
Purpose
Extant literature exploring service user (SU) involvement in clinical psychology training has been limited by its sampling from singular training programmes and its restricted application of psychological theory. This research seeks to counter limitations by exploring SUs’ experiences across multiple clinical psychology training programmes in the UK and by deductively applying psychological theory relating to power, recovery, identity and group development.
Design/methodology/approach
Semi-structured interviews were conducted with 14 participants. A deductive thematic analysis was used to analyse qualitative data.
Findings
Five main themes were identified: environment determines sense of safety; meeting challenges; sense of purpose, worth and value; the person you see now is not the person I was; and wanting to break the glass ceiling.
Research limitations/implications
Carers are underrepresented and the sample does not contain SUs who were no longer involved in training.
Practical implications
It is important that the environment fosters psychological safety for SUs, via positive and supportive relationships with trainees and staff, with SUs being treated as equals and financially reimbursed as such. SUs and professionals need to explore managing and sharing power to enable SUs to feel valued and to reap benefits from involvement, including developing a positive sense of identity.
Originality/value
The research is part of the early literature exploring SUs’ experiences of involvement in clinical psychology training and is, to the best of the authors’ knowledge, the first to explore the personal effects of involvement across multiple programmes.
Details
Keywords
Gozde Aydin, Claire Margerison, Anthony Worsley and Alison Booth
Schools have long been perceived as an ideal setting to support the healthy eating behaviours of children. The aim of the study was to examine the views of Australian primary…
Abstract
Purpose
Schools have long been perceived as an ideal setting to support the healthy eating behaviours of children. The aim of the study was to examine the views of Australian primary school parents regarding school food and nutrition, including education, practices and policy.
Design/methodology/approach
An online survey was conducted among 787 parents in March 2021, which included closed and open-ended questions.
Findings
The results indicated the inconsistent implementation of policies and/or varying practices among different schools. Parents’ views were slightly associated with some demographic and personal measures including their SES levels, education, age, the main language spoken at home and universalism values. Parents viewed healthy food provision through canteens, policies and informing parents, fruit and vegetable breaks and kitchen and garden programs as the main contributors to the promotion of healthy eating. They believed unhealthy options in canteens, school fairs, events and birthdays are the major contributors to the formation of unhealthy eating habits among children at schools. Results revealed the efforts to establish health promoting school food environments in Australian primary schools; however, inconsistencies and discrepancies among schools should be addressed to ensure equity among all children.
Practical implications
The findings may provide directions for policymakers and school managers and can inform future reforms and initiatives in Australian primary schools and elsewhere.
Originality/value
This is the first study that has examined Australian parents’ views of school food policy, practices and environments using a mixed-methods design.