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1 – 10 of 22Developing youth-friendly, flexible primary care is important because young people have specific health needs but often feel nervous and uneasy when seeking appropriate help. The…
Abstract
Purpose
Developing youth-friendly, flexible primary care is important because young people have specific health needs but often feel nervous and uneasy when seeking appropriate help. The Well Centre in South London is an innovative adolescent health one-stop-shop, jointly designed and developed by Redthread (a youth work charity) and the Herne Hill Group Practice (general practitioners). The purpose of this paper is to summarise the experiences of implementing the model and provides a description of a sample of clients.
Design/methodology/approach
Drawing on routine data from the Well Centre’s medical and youth work data systems, a service description and audit of patients using the centre during the three years from October 2011 to December 2014 was provided, with a particular focus on the 368 new patients aged 13-20 years attending between January and December 2014.
Findings
Results demonstrated the Well Centre’s success in drawing in patients from deprived backgrounds who were less likely to be engaged with other health services, and who reflected a high level of mental health problems. The Well Centre model tested the benefit of an integrated approach in recognising and meeting the needs of young people. The real strength of the model lay in the good communications with schools and the voluntary sector in the area.
Originality/value
The Well Centre is a unique intervention with potentially wide ramifications for how primary health care is delivered to young people in inner city areas, and this paper represents the first published information about its working methods and clientele.
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Stephanie Anne Shelton and Shelly Melchior
This paper aims to examine how two White teachers, experienced and award-winning veteran educators, navigated issues of race, class and privilege in their instruction, and ways…
Abstract
Purpose
This paper aims to examine how two White teachers, experienced and award-winning veteran educators, navigated issues of race, class and privilege in their instruction, and ways that their efforts and shortcomings shaped both teacher agency and classroom spaces.
Design/methodology/approach
This study’s methodology centers participants’ experiences and understandings over the course of two years of interviews, classroom observations and discussion groups. The study is conceptually informed by Sara Ahmed’s argument that social justice is often approached as something that education “can do,” which is problematic because it assumes that successful enactment is “intrinsic to the term.” Discussing and/or intending social justice replaces real change, and those leading the conversations believe that they have made meaningful differences. Instead, true shifts in thinking and action are “dependent on forms of institutional commitment […and] how it [diversity/social justice] gets taken up” (p. 241).
Findings
Using an in vivo coding approach – i.e. using direct quotations of participants’ words to name the new codes – the authors organized their findings into two discussions: “Damn – Every Time I’m with the Kids, I Just End Up Feeling Frozen”; and “Maybe I’m Just Not Giving These Kids a Fair Shake – Maybe I’m the Problem”.
Originality/value
The participants centered a participatory examination of intersectionality, rather than the previous teacher-mandated one. They “put into action” -xplorations of intersectionality that were predicated on students’ identities and experiences, thus making intersectionality a lived concept, rather than an intellectual one, and transforming students’ and their own engagement.
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Carolyn H. Hughes‐Scholes and Martine B. Powell
The purpose of this paper is to examine the nature of leading questions used by a representative sample of investigative interviewers of children. In particular, it examined…
Abstract
Purpose
The purpose of this paper is to examine the nature of leading questions used by a representative sample of investigative interviewers of children. In particular, it examined whether these interviewers use the type of questions that are known to elicit reports of false activities or events among child samples.
Design/methodology/approach
A total of 82 police officers who were authorized to conduct interviews with alleged child abuse victims conducted individual mock interviews with children aged 5‐7 years. The focus of the interviews was an event that was staged in the children's school a week earlier. Prior to the interview, each officer was provided with accurate and inaccurate information about the event, including details about an activity that did not occur. The officers' task was to elicit as detailed and accurate account of the event as possible using the techniques they would “normally” use in the field.
Findings
Although the officers refrained from using coercive interview techniques, two problematic types of questions were relatively common. These include: questions that presumed that an activity/detail occurred that had not been previously mentioned by the child; and questions that included highly specific details about an activity. Both of these techniques had featured in prior laboratory research on children's false event narratives.
Research limitations/implications
These results support the need for better training techniques for assisting officers to avoid the use of leading questions.
Originality/value
While it is well established that investigative interviewers do sometimes use leading questions when interviewing children, this is the first study to specify the incidence of various types of leading questions.
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Bidit Lal Dey, Sharifah Alwi, Fred Yamoah, Stephanie Agyepongmaa Agyepong, Hatice Kizgin and Meera Sarma
While it is essential to further research the growing diversity in western metropolitan cities, little is currently known about how the members of various ethnic communities…
Abstract
Purpose
While it is essential to further research the growing diversity in western metropolitan cities, little is currently known about how the members of various ethnic communities acculturate to multicultural societies. The purpose of this paper is to explore immigrants’ cosmopolitanism and acculturation strategies through an analysis of the food consumption behaviour of ethnic consumers in multicultural London.
Design/methodology/approach
The study was set within the socio-cultural context of London. A number of qualitative methods such as in-depth interviews, observation and photographs were used to assess consumers’ acculturation strategies in a multicultural environment and how that is influenced by consumer cosmopolitanism.
Findings
Ethnic consumers’ food consumption behaviour reflects their acculturation strategies, which can be classified into four groups: rebellion, rarefaction, resonance and refrainment. This classification demonstrates ethnic consumers’ multi-directional acculturation strategies, which are also determined by their level of cosmopolitanism.
Research limitations/implications
The taxonomy presented in this paper advances current acculturation scholarship by suggesting a multi-directional model for acculturation strategies as opposed to the existing uni-directional and bi-directional perspectives and explicates the role of consumer cosmopolitanism in consumer acculturation. The paper did not engage host communities and there is hence a need for future research on how and to what extent host communities are acculturated to the multicultural environment.
Practical implications
The findings have direct implications for the choice of standardisation vs adaptation as a marketing strategy within multicultural cities. Whilst the rebellion group are more likely to respond to standardisation, increasing adaptation of goods and service can ideally target members of the resistance and resonance groups and more fusion products should be exclusively earmarked for the resonance group.
Originality/value
The paper makes original contribution by introducing a multi-directional perspective to acculturation by delineating four-group taxonomy (rebellion, rarefaction, resonance and refrainment). This paper also presents a dynamic model that captures how consumer cosmopolitanism impinges upon the process and outcome of multi-directional acculturation strategies.
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Tianyu Cui, Veena Chattaraman and Lushan Sun
This study adopted the functional, expressive and aesthetic (FEA) consumer needs model, aimed to examine the influence of consumers' FEA perceptions of three-dimensional printing…
Abstract
Purpose
This study adopted the functional, expressive and aesthetic (FEA) consumer needs model, aimed to examine the influence of consumers' FEA perceptions of three-dimensional printing (3DP) integrated apparel products on their product satisfaction and purchase intention.
Design/methodology/approach
An online survey was employed with a sample of 332 participants (165 female and 167 male) aged 19 to 76, mean age of 35 years. A gender-neutral, 3DP integrated hooded sweatshirt was developed for this study featuring flexible, white 3D printed insets fabricated with an FDM 3D printer and white TPU filament sewn with traditional gray knit fleece.
Findings
The findings of this study suggest that the FEA model is appropriate in predicting consumers' satisfaction with 3DP integrated apparel products. Specifically, aesthetic (perceived beauty) and expressive (perceived coolness) dimensions are more influential than functional factors, except for the positive influence of perceived fit, in predicting consumers' satisfaction and purchase intentions for 3DP integrated apparel products.
Research limitations/implications
Future studies could consider data collection from participants' physical fit testing or try on evaluation to determine the importance of the functional dimension in consumer response to 3DP integrated apparel product. Future studies could also examine full 3D printed apparel, or other 3DP integrated wearable products to expand the understanding of consumer perception of the application of 3DP technology.
Originality/value
Despite the increasing exploration of 3DP integrated apparel products and industry attempts to make this innovation in apparel more mainstream, research on how mainstream consumers perceive such 3DP integrated apparel products is limited. This study addresses this gap, providing critical implications for future research and design.
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Legal process by its very nature cannot be swift; step by step, it must be steady and sure and this takes time. There is no room for hasty decisions for these would tend to defeat…
Abstract
Legal process by its very nature cannot be swift; step by step, it must be steady and sure and this takes time. There is no room for hasty decisions for these would tend to defeat its purpose. Time, however, is of the essence and this is set for various aspects of legal action by limitation of actions legislation, which sets periods after which the case is no longer actionable. The periods are adequate and in civil law, generous to avoid injustice being done. The one serious complaint against the process of law, however, is the unwarrantable delays which are possible despite limitation. From the far‐off days of Equity, when Dickens' Jarndyce v Jarndyce, caricatured and exaggerated as it was, described the scene down to the present when delays, often spoken of in Court as outrageous are encountered, to say nothing of the crowded lists in the High Courts and Crown Courts; the result of the state of society and not the fault of the judiciary. Early in 1980, it was reported that 14,500 cases were awaiting trial in the Southeastern Circuit Crown Court alone. Outside the Courts legal work hangs on, to the annoyance of those concerned; from house purchase to probate. Here, the solicitor is very much his own master, unhampered by statutory time limits and the only recourse a client has is to change this solicitor, with no certainty that there will be any improvement, or appeal to the Law Society.
Imelda McDermott, Kath Checkland, Stephen Harrison, Stephanie Snow and Anna Coleman
The language used by National Health Service (NHS) “commissioning” managers when discussing their roles and responsibilities can be seen as a manifestation of “identity work”…
Abstract
Purpose
The language used by National Health Service (NHS) “commissioning” managers when discussing their roles and responsibilities can be seen as a manifestation of “identity work”, defined as a process of identifying. This paper aims to offer a novel approach to analysing “identity work” by triangulation of multiple analytical methods, combining analysis of the content of text with analysis of its form.
Design/methodology/approach
Fairclough's discourse analytic methodology is used as a framework. Following Fairclough, the authors use analytical methods associated with Halliday's systemic functional linguistics.
Findings
While analysis of the content of interviews provides some information about NHS Commissioners' perceptions of their roles and responsibilities, analysis of the form of discourse that they use provides a more detailed and nuanced view. Overall, the authors found that commissioning managers have a higher level of certainty about what commissioning is not rather than what commissioning is; GP managers have a high level of certainty of their identity as a GP rather than as a manager; and both GP managers and non‐GP managers oscillate between multiple identities depending on the different situations they are in.
Originality/value
This paper offers a novel approach to triangulation, based not on the usual comparison of multiple data sources, but rather based on the application of multiple analytical methods to a single source of data. This paper also shows the latent uncertainty about the nature of commissioning enterprise in the English NHS.
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Maintaining an adequate nutritional state, important at all times, is never more so than during the dark days of Winter. The body reserves are then taxed in varying degrees of…
Abstract
Maintaining an adequate nutritional state, important at all times, is never more so than during the dark days of Winter. The body reserves are then taxed in varying degrees of severity by sudden downward plunges of the thermometer, days when there is no sight of the sun, lashing rains and cold winds, ice, frost, snow, gales and blizzards. The body processes must be maintained against these onslaughts of nature — body temperatures, resistance against infections, a state of well‐being with all systems operating and an ability to “take it”. A sufficient and well balanced diet is vital to all this, most would say, the primarily significant factor. The National Food Surveys do not demonstrate any insufficiency in the national diet in terms of energy values, intake of vitamins, minerals and nutrients, but statistics can be fallacious amd misleading. NFS statistics are no indication of quality of food, its sufficiency for physiological purposes and to meet the economic stresses of the times. The intake of staple foods — bread, milk, butter, meat, &c., — have been slowly declining for years, as their prices rise higher and higher. If the Government had foreseen the massive unemployment problem, it is doubtful if they would have crippled the highly commendable School Meals Service. To have continued this — school milk, school dinners — even with the financial help it would have required would be seen as a “Supplementary Benefit” much better than the uncontrolled cash flow of social security. Child nutrition must be suffering. Stand outside a school at lunch‐time and watch the stream of children trailing along to the “Chippie” for a handfull of chip potatoes; even making a “meal” on an ice lollie.