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Available. Open Access. Open Access
Article
Publication date: 28 November 2023

Georgia Watson, Cassie Moore, Fiona Aspinal, Andrew Hutchings, Rosalind Raine and Jessica Sheringham

Many countries have a renewed focus on health inequalities since COVID-19. In England, integrated care systems (ICSs), formed in 2022 to promote integration, are required to…

690

Abstract

Purpose

Many countries have a renewed focus on health inequalities since COVID-19. In England, integrated care systems (ICSs), formed in 2022 to promote integration, are required to reduce health inequalities. Integration is supported by population health management (PHM) which links data across health and care organisations to inform service delivery. It is not well-understood how PHM can help ICSs reduce health inequalities. This paper describes development of a programme theory to advance this understanding.

Design/methodology/approach

This study was conducted as a mixed-methods process evaluation in a local ICS using PHM. The study used Framework to analyse interviews with health and care professionals about a PHM tool, the COVID-19 vaccination uptake Dashboard. Quantitative data on staff Dashboard usage were analysed descriptively. To develop a wider programme theory, local findings were discussed with national PHM stakeholders.

Findings

ICS staff used PHM in heterogeneous ways to influence programme delivery and reduce inequalities in vaccine uptake. PHM data was most influential where it highlighted action was needed for “targetable” populations. PHM is more likely to influence decisions on reducing inequalities where data are trusted and valued, data platforms are underpinned by positive inter-organisational relationships and where the health inequality is a shared priority.

Originality/value

The COVID-19 pandemic accelerated a shift toward use of digital health platforms and integrated working across ICSs. This paper used an evaluation of integrated data to reduce inequalities in COVID-19 vaccine delivery to propose a novel programme theory for how integrated data can support ICS staff to tackle health inequalities.

Details

Journal of Integrated Care, vol. 31 no. 4
Type: Research Article
ISSN: 1476-9018

Keywords

Available. Content available
Article
Publication date: 6 December 2023

Axel Kaehne

169

Abstract

Details

Journal of Integrated Care, vol. 31 no. 4
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 1 June 2020

Marie-Claire Van Hout, Cassie Lungu-Byrne and Jennifer Germain

Many migrants are detained in Europe not because they have committed a crime but because of lack of certainty over their immigration status. Although generally in good physical…

476

Abstract

Purpose

Many migrants are detained in Europe not because they have committed a crime but because of lack of certainty over their immigration status. Although generally in good physical health on entry to Europe, migrant detainees have complex health needs, often related to mental health. Very little is known about the current health situation and health care needs of migrants when detained in European immigration detention settings. The review aims to synthesize the qualitative literature available on this issue from the perspectives of staff and migrants.

Design/methodology/approach

The authors undertook a synthesis of extant qualitative literature on migrant health experience and health situation when detained in European immigration detention settings; retrieved as part of a large-scale scoping review. Included records (n = 4) from Sweden and the UK representing both detainee and staff experiences were charted, synthesised and thematically analysed.

Findings

Three themes emerged from the analysis, namely, conditions in immigration detention settings, uncertainties and communication barriers and considerations of migrant detainee health. Conditions were described as inhumane, resembling prison and underpinned by communication difficulties, lack of adequate nutrition and responsive health care.

Practical implications

It is crucial that the experiences underpinning migration are understood to respond to the health needs of migrants, uphold their health rights and to ensure equitable access to health care in immigration detention settings.

Originality/value

There is a dearth of qualitative research in this area because of the difficulty of access to immigration detention settings for migrants. The authors highlight the critical need for further investigation of migrant health needs, so as to inform appropriate staff support and health service responses.

Details

International Journal of Prisoner Health, vol. 16 no. 3
Type: Research Article
ISSN: 1744-9200

Keywords

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Article
Publication date: 2 May 2018

Lauren Gatti, Jessica Masterson, Robert Brooke, Rachael W. Shah and Sarah Thomas

The purpose of this paper is to illustrate the ways in which attention to programmatic vision and coherence – rather than foci on individual courses – might advance the work of…

211

Abstract

Purpose

The purpose of this paper is to illustrate the ways in which attention to programmatic vision and coherence – rather than foci on individual courses – might advance the work of justice-oriented, critical English education in important ways. The authors propose that consciously attending to the work of English education on the programmatic level can better enable English educators to cultivate democracy-sustaining dispositions in preservice teachers. Using Grossman et al.’s (2008) definition of “programmatic coherence”, the authors illustrate how one interdepartmental partnership is working to create a shared programmatic vision for English education.

Design/methodology/approach

Drawing on Cornel West’s call for the development of a three-piece democratic armor – Socratic questioning, prophetic witness and tragicomic hope – the authors describe their programmatic vision for cultivating democracy-sustaining dispositions in preservice teachers. They show how this shared vision constitutes the foundation for the organization, purpose and sequence of the four-semester cohort program. Finally, the authors describe how this vision helps facilitate meaningful and purposeful symbiosis between field experiences and university coursework.

Findings

In an effort to promote replicability regarding programmatic coherence, the authors share structural aspects of their program as well as pose generative questions for colleagues who are interested in approaching the work of critical, democratic English education from the programmatic level.

Originality/value

Addressing the challenges of teacher preparation – especially in this polarized and pitched historical moment – requires shifting the focus from individual courses to a more expansive view that might enable English educators to consider how courses within a program might collectively advance a particular vision of critical and democratic English education.

Details

English Teaching: Practice & Critique, vol. 17 no. 2
Type: Research Article
ISSN: 1175-8708

Keywords

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Article
Publication date: 4 September 2017

Cassie J. Brownell

This qualitative study aims to use the conceptual lens of figured worlds to explore how a 10-year-old child positions her identity and participates in systems of power through her…

354

Abstract

Purpose

This qualitative study aims to use the conceptual lens of figured worlds to explore how a 10-year-old child positions her identity and participates in systems of power through her engagement in writing.

Design/methodology/approach

Data was generated across an 18-week ethnographic case study in one fourth-grade classroom located in the Midwestern USA.

Findings

Findings highlight how children’s writing reflected both an adherence to and a rejection of the mandated curriculum as well as other aspects of the figured world of schooling. In turn, this study offers suggestions about how, by reading children’s writing with a figured world lens, their identities and positionings may become more apparent.

Originality/value

This study challenges teachers and researchers to read beyond “the basics” emphasized in the mandated curriculum to better attend to the ways children navigate standardized curricula, negotiate identities and positioning and use writing to (re)inscribe identities and positionings.

Details

English Teaching: Practice & Critique, vol. 16 no. 2
Type: Research Article
ISSN: 1175-8708

Keywords

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Book part
Publication date: 2 August 2023

Stevie Simkin

The figure of the female revenger has haunted the western imagination as far back as some of the earliest extant texts, most starkly in Euripides' tragedies Hecuba and Medea (c…

Abstract

The figure of the female revenger has haunted the western imagination as far back as some of the earliest extant texts, most starkly in Euripides' tragedies Hecuba and Medea (c. 430–420 bc). She has tended to take on one of three forms: the scorned woman, the vengeful mother or the victim of physical violence, almost always sexual violence.

This chapter presents an interdisciplinary and transhistorical understanding of the troubling figure of the violent female revenger in her shifting incarnations. The investigation traces conceptual strands through a variety of cultural texts, focusing on specific instances that are both situated historically and simultaneously analysed for the ways in which they reflect recurring priorities and cultural anxieties through the centuries.

After considering key ideas such as revenge and justice and gender and revenge, the chapter looks more closely at the so-called rape-revenge genre, moving from the earliest examples such as I Spit on Your Grave (1978) to more recent films which are considered for the ways they intersect with the global feminist protest movement #MeToo, and other key cultural moments such as the Harvey Weinstein case and the very public trial of the USA Gymnastics national team doctor Larry Nassar: Revenge (2017), The Nightingale (2018) and Promising Young Woman (2020). The chapter draws direct lines of connection between imaginative works, cultural types and stereotypes, and lived reality in order to come to a fuller understanding of the female revenger.

Details

The Emerald International Handbook of Feminist Perspectives on Women’s Acts of Violence
Type: Book
ISBN: 978-1-80382-255-6

Keywords

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Book part
Publication date: 27 November 2018

Anabel Quan-Haase, Andrew D. Nevin and Veronika Lukacs

Social media are central to the creation and maintenance of social relations, including romantic relations. While much of the scholarship has examined how social media play a role…

Abstract

Social media are central to the creation and maintenance of social relations, including romantic relations. While much of the scholarship has examined how social media play a role in the initiation and maintenance of romantic relations, little is known about their role in romantic dissolution. This chapter fills this gap by examining the kinds of strategies young adults employ to cope with the aftermath of a romantic breakup complicated by Facebook. Based on qualitative analysis of 10 interviews with young adults, the authors propose a typology of Facebook coping strategies for romantic breakups. The typology includes seven types of coping strategies with 12 subtopics and 25 specific actions linked to the subtopics. The authors find that those coping with a breakup engage in erasing and avoiding breakup reminders and digital traces, as they perceive them as hurtful. They regulate their use of Facebook and limit Facebook communication with the ex. An important coping strategy used was to express their emotions via Facebook content, often aimed at the ex-partner. They also use Facebook to seek support and new information about the ex, including about potential new romantic interests. Others preferred to avoid information about the ex and either deleted the ex and their friends or chose to unsubscribe to updates. Coping strategies included preventative measures such as changing passwords, blocking the ex, and adjusting privacy settings. We found our participants engaged in both goal-directed and emotionally based coping strategies. Yet, the findings suggest a tendency to rely more extensively on goal-directed coping strategies by actively addressing the breakup stressor. We also note that coping strategies specific to Facebook are more likely to be used than traditional offline forms of coping. This exploratory study serves as a starting point to better understand the role that Facebook plays in mediating online behaviors following a romantic dissolution, such that these strategies can be subsequently evaluated in terms of usefulness in clinical coping recommendations.

Details

Networks, Hacking, and Media – CITA MS@30: Now and Then and Tomorrow
Type: Book
ISBN: 978-1-78769-666-2

Keywords

Available. Open Access. Open Access
Article
Publication date: 15 April 2018

Brenda L. McKenzie

This grounded theory study aimed to understand the process of leadership identity development experienced by traditional-aged female undergraduate college students. The findings…

334

Abstract

This grounded theory study aimed to understand the process of leadership identity development experienced by traditional-aged female undergraduate college students. The findings led to a model for leadership identity development consisting of four phases. Students’ leadership identity development progressed from views of leadership as external to self to positional leaders to incorporation of self-as-leader whether in a position or not. The final phase reflected a shift to leading for social change. In the early phases of the model, the female students in this study saw gender as irrelevant to them as leaders even though they recognized societal views of female leaders as weaker or less capable. In later phases they understood how being female mattered, and by Phase 4 they recognized a need to take a stand on societal issues related to gender and race.

Details

Journal of Leadership Education, vol. 17 no. 2
Type: Research Article
ISSN: 1552-9045

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Book part
Publication date: 6 August 2018

Gül Seçkin, Susan Hughes, Cassie Hudson, David Laljer and Dale Yeatts

Purpose: The aim of the study is to consider the use of the Internet as a potential facilitator of positive health-related perceptions. Specifically, we propose that online health

Abstract

Purpose: The aim of the study is to consider the use of the Internet as a potential facilitator of positive health-related perceptions. Specifically, we propose that online health information seeking fosters positive perceptions of health. Using path modeling, we theorized several mechanisms through which information seeking could be conducive to positive health perceptions, which we conceptualized into the following four dimensions: (1) sense of empowerment in managing health, (2) self-reported ability to take better care of health, (3) sense of improved health-related quality of life, and (4) self-reported improvement of health.

Methodology: Our sample consisted of respondents who have used the Internet as a resource for health information (n = 710), drawn from the largest national probability-based online research panel. Our comparison subsample consisted of older respondents (age ≥ 60; n = 194). We used Internet-specific measures and employed structural equation models (SEM) to estimate the direct, indirect, and total effects of health-related use of the Internet on subjective health perceptions. Based on our review of the literature, competent health communication with healthcare providers and sense of empowerment in managing personal health were modeled as mediator variables. We assessed whether the proposed mediational relationships, if significant, differed across our indicators of positive health perceptions and whether any differential associations were observed among older adults. We run parallel models for each indicator of positive health perception.

Findings: Provider-patient communication informed by the Internet resources were perceived to impart a greater sense of empowerment to manage health among our respondents, which in turn, was associated with perceived contributions to better self-reported ability to provide self-care, increased health-related quality of life, and improvement in self-reported health. The SEM results revealed a good fit with our full sample and subsample.

Research Implications: Conceptualization of the multidimensional aspects of online health information seeking with separate multi-indicator analyses of the outcome variable is important to further our understanding of how technology may impact the pathways involved in influencing health perceptions and as a result health outcomes.

Details

eHealth: Current Evidence, Promises, Perils and Future Directions
Type: Book
ISBN: 978-1-78754-322-5

Keywords

Available. Content available
Book part
Publication date: 30 October 2018

Robert A. Stebbins

Abstract

Details

Social Worlds and the Leisure Experience
Type: Book
ISBN: 978-1-78769-716-4

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