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Article
Publication date: 29 August 2019

David Lindsay, Daryl Brennan, Daniel Lindsay, Colin Holmes and Wendy Smyth

The purpose of this paper is to describe the patterns of self-disclosure of long-term conditions at work by health professionals in a large regional health service. Recent…

432

Abstract

Purpose

The purpose of this paper is to describe the patterns of self-disclosure of long-term conditions at work by health professionals in a large regional health service. Recent research by the authors has reported on the self-reported long-term conditions of nursing, medical and allied health staff within a large regional hospital and health service in North Queensland, Australia. Data regarding self-disclosure of health information were gathered during those two previous studies, but has yet to be reported. This current study thus offers the opportunity to explore and describe patterns of self-disclosure by a multi-disciplinary cohort of health professionals within that regional health service.

Design/methodology/approach

This current study was a component of two larger studies, reported elsewhere, which explored long-term conditions among health professional staff at a large regional health service in North Queensland, Australia. A cross-sectional survey design was used.

Findings

Decision-making associated with self-disclosure of long-term conditions by health professional staff in the workplace is multifactorial, and affected by considerations of age, gender, workplace circumstances and nature of the health condition. It also differs according to professional grouping. The medical profession were less likely than nurses and allied health workers to disclose to their work colleagues. Respondents with a mental health condition were more cautious and selective in their disclosures, and alone in being more likely to disclose to their supervisor than to colleagues; they were also most likely to value the sympathy and understanding of their colleagues and managers.

Research limitations/implications

This study was conducted across only one large regional health service; a fuller picture of patterns of self-disclosure of long-term conditions by health professional staff would be gained by expanding the number of sites to include metropolitan hospitals, smaller rural or remote health services and non-hospital settings.

Practical implications

Healthcare organizations need to develop support strategies and communication processes so that staff with one or more long-term condition, particularly those that have associated stigma, are empowered to disclose information to line managers and colleagues without fear of discrimination, ostracism, incivility or bullying.

Originality/value

There is a paucity of evidence about self-disclosure of long-term conditions by health professionals and this study therefore makes an important contribution to the extant literature. The findings raise important questions about the culture and dynamics of health care organizations in respect to the patterns of self-disclosure of health professional staff.

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International Journal of Workplace Health Management, vol. 12 no. 5
Type: Research Article
ISSN: 1753-8351

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Publication date: 1 May 1993

Colin A. Holmes

Examines the political and ideological significance of measures of quality of life, specifically Quality Adjusted Life Years (QALYs). Briefly reviews recent developments in the…

70

Abstract

Examines the political and ideological significance of measures of quality of life, specifically Quality Adjusted Life Years (QALYs). Briefly reviews recent developments in the debate surrounding the economic and political functions of quality of life measures. The dialectic between conceptions of the quality of life and the implicit realpolitik of socio‐economic pressures, ecological conditions, political ethos and cultural norms and expectations, is conceived as a powerful means for the critique of our aspirations concerning health. Argues that existing approaches to assessing quality of life, in denying this dialectic, have jeopardized their potential contribution to the planning, implementation and evaluation of health care policy. Resource allocation challenges us to develop openly ideological strategies and measures.

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International Journal of Health Care Quality Assurance, vol. 6 no. 5
Type: Research Article
ISSN: 0952-6862

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Article
Publication date: 1 July 2001

Alyson Kettles, Cindy Peternelj‐Taylor, Phil Woods, Anita Hufft, Tom Van Erven, Hans Martin, Uwe Donisch‐Siedel, Alison Kuppen, Colin Holmes, Roger Almvik, Trond Hatling and David Robinson

Over the last decade there has been considerable growth in the role that psychiatric nurses play in providing care for the mentally disordered offender (MDO). Yet there has been…

143

Abstract

Over the last decade there has been considerable growth in the role that psychiatric nurses play in providing care for the mentally disordered offender (MDO). Yet there has been little written about this specialty from a global perspective. Examination of the literature illustrates a large body of research and development programmes reporting the development of services to the MDO, for example, self‐harm and clinical risk assessment. Such service development is growing at a rapid pace, yet training and education to meet the needs of this patient group is something that is added onto post registration courses. Furthermore, the lack of vision and career pathways into forensic care is stifling a growing profession, which is subject to continual permanent change and investigation. Leaders and professional associations have contributed little to this unique nursing group which plays a major role in the multidisciplinary care of a very demanding set of patient needs.

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The British Journal of Forensic Practice, vol. 3 no. 2
Type: Research Article
ISSN: 1463-6646

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Article
Publication date: 1 March 2003

W.A.C Adie MA

Roots of global Terrorism are in ‘failed’ states carved out of multiracial empires after World Wars I and II in name of ‘national self‐determination’. Both sides in the Cold War…

196

Abstract

Roots of global Terrorism are in ‘failed’ states carved out of multiracial empires after World Wars I and II in name of ‘national self‐determination’. Both sides in the Cold War competed to exploit the process of disintegration with armed and covert interventions. In effect, they were colluding at the expense of the ‘liberated’ peoples. The ‘Vietnam Trauma’ prevented effective action against the resulting terrorist buildup and blowback until 9/11. As those vultures come home to roost, the war broadens to en vision overdue but coercive reforms to the postwar system of nation states, first in the Middle East. Mirages of Vietnam blur the vision; can the sole Superpower finish the job before fiscal and/or imperial overstretch implode it?

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International Journal of Commerce and Management, vol. 13 no. 3/4
Type: Research Article
ISSN: 1056-9219

Available. Content available
Article
Publication date: 1 April 2001

52

Abstract

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Microelectronics International, vol. 18 no. 1
Type: Research Article
ISSN: 1356-5362

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Publication date: 1 July 1950

COLIN MILNE

The young man in the library folded up his list, turned away with a disgruntled look, and muttered something about there not being a single thing to read. I am not given to…

23

Abstract

The young man in the library folded up his list, turned away with a disgruntled look, and muttered something about there not being a single thing to read. I am not given to speaking to strangers, but his muttered remark was so obviously wrong that I could not let it pass. “Well”, he said, “perhaps it is an exaggeration, but there's nothing available in my line. None of the books I want ever seems to be in”.

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Library Review, vol. 12 no. 7
Type: Research Article
ISSN: 0024-2535

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Publication date: 26 August 2019

David A. Turner

This chapter looks at how various scholars have attempted to structure the “infinite field” by defining the appropriate theory and methods. These efforts have centered on a…

Abstract

This chapter looks at how various scholars have attempted to structure the “infinite field” by defining the appropriate theory and methods. These efforts have centered on a conception of what it would take to make comparative education a “science,” and how one could achieve “objective knowledge.” While these concerns were important for comparative educationists throughout the nineteenth century, who mostly favored a historical approach, the debate became more heated and more urgent in the 1960s when a number of key players published competing positions. This coincided with a time when the claim to a basis in science was being used to introduce a range of new subjects to higher education and establish disciplines like sociology on a firm institutional footing. Subsequently some of the heat went out of the debate about theory and method. A number of possible causes can be identified, including (i) that it became apparent comparative education was not going to achieve disciplinary status on a par with sociology; (ii) de facto comparative educationists handed the palm to Bereday, and carried on doing comparative education as he had described it; and (iii) the appetite for global theorizing waned to be replaced by partial theories, many of them based on general concerns for social justice and drawing on a broadly Marxist definition of “science.” The chapter concludes with reflections on the fact that healthy debate about methodology and theory can drive the development of the field, and that in the absence of explicit debate there is the danger that certain assumptions, especially assumptions that do not recognize the importance of context, can come to dominate the field by stealth.

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Comparative and International Education: Survey of an Infinite Field
Type: Book
ISBN: 978-1-78743-392-2

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Publication date: 30 June 2021

Neil Baxter

Abstract

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Running, Identity and Meaning
Type: Book
ISBN: 978-1-80043-367-0

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Article
Publication date: 1 January 1989

Stuart Hannabuss

The management of children′s literature is a search for value andsuitability. Effective policies in library and educational work arebased firmly on knowledge of materials, and on…

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Abstract

The management of children′s literature is a search for value and suitability. Effective policies in library and educational work are based firmly on knowledge of materials, and on the bibliographical and critical frame within which the materials appear and might best be selected. Boundaries, like those between quality and popular books, and between children′s and adult materials, present important challenges for selection, and implicit in this process are professional acumen and judgement. Yet also there are attitudes and systems of values, which can powerfully influence selection on grounds of morality and good taste. To guard against undue subjectivity, the knowledge frame should acknowledge the relevance of social and experiential context for all reading materials, how readers think as well as how they read, and what explicit and implicit agendas the authors have. The good professional takes all these factors on board.

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Library Management, vol. 10 no. 1
Type: Research Article
ISSN: 0143-5124

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Article
Publication date: 1 July 1960

LOOKING BEFORE AND AFTER : BEFORE Opening, as we do, a new volume of THE LIBRARY WORLD, especially as with it we reach the venerable age of sixty‐one, does suggest retrospective…

35

Abstract

LOOKING BEFORE AND AFTER : BEFORE Opening, as we do, a new volume of THE LIBRARY WORLD, especially as with it we reach the venerable age of sixty‐one, does suggest retrospective and prospective view. The magazine is the oldest amongst independent library journals, though others existed before 1899 in different forms or under other titles than those by which they are known to‐day. When at the end of last century it was felt that utterances were needed about libraries, unfettered by uncritical allegiance to associations or coteries, librarianship was a vessel riding upon an official sea of complacency so far as its main organisation was concerned. It was in the first tide, so far as public libraries were concerned, of Carnegie gifts of buildings, not yet however at the full flood. The captains were men of the beginnings of the library voyage; who were still guided themselves by the methods and modes of the men who believed in libraries, yet feared what the public might do in its use of them. Hence the indicator, meant to show, as its name implies, what books were available, but even more to secure them from theft, and to preserve men and women from the violent mental reactions they would suffer from close contact with large numbers of books. There were rebels of course. Six years earlier James Duff Brown has turned his anvil shaped building in Clerkenwell into a safeguarded open access library in which he actually allowed people, properly vetted, to enter and handle their own property. This act of faith was a great one, because within a mile or so some 5,000 books had been lost from the Bishopgate Institute Library, which has open shelves, too, not “safeguarded”. Brown's “cave of library chaos” as a well‐known Chairman, who by one visit was convinced of its good sense and practicability, called it, focused the attention of scores of librarians—so much so that Brown had to beg them to keep away for about a year, so that the method might be better judged after sufficient trial. It also focused the attention of the inventors of the indicator, who, presumably, had more than a benevolent interest in its sales. So there was war against this threat and for several years this childish contention raged at conferences, in private conversations amongst library workers, and in letters to the press aimed to convict Brown and all his satellites of encouraging dishonesty, mental confusion and other maladies public. Hence Brown, L. Stanley Jast, William Fortune and others initiated this journal to teach librarians and library committees how libraries were to be run. That, in extreme brevity, is our genesis. For sixty years it has encouraged voices, new and old, orthodox or unorthodox, who had something to say, or could give a new face to old things, to use its pages. Brown was its first honorary Editor, and with some assistance in the later stages remained so for the thirteen years he had yet to live. Nearly every librarian of distinction in his day has at some time or other contributed to these pages. So much of our past may be said and we hope will be allowed.

Details

New Library World, vol. 62 no. 1
Type: Research Article
ISSN: 0307-4803

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