Search results

1 – 10 of 36
Per page
102050
Citations:
Loading...
Access Restricted. View access options
Article
Publication date: 3 March 2020

Sana Rabab, Jack Tomlin, Nick Huband and Birgit Völlm

Patients detained in high-security psychiatric hospitals are particularly vulnerable to excessive restrictions and exploitation. In the UK, the care quality commission (CQC…

231

Abstract

Purpose

Patients detained in high-security psychiatric hospitals are particularly vulnerable to excessive restrictions and exploitation. In the UK, the care quality commission (CQC) monitors and regulates forensic healthcare provision. The purpose of this study is to identify key concerns highlighted in CQC inspection reports of the three high-secure hospitals in England between 2010 and 2018.

Design/methodology/approach

In this qualitative study, 49 CQC inspection reports from three high-secure hospitals were subjected to thematic analysis.

Findings

Five central themes emerged: staffing and management; restrictive practice; physical environment and ward atmosphere; patients’ needs and involvement in their care; and legal and statutory matters. There was some variation in the overall quality of care between the hospitals. Positive staff–patient interactions and good practice in assessing and delivering care were consistently observed. However, enduring staff shortages within each hospital were experienced negatively and sometimes co-occurred with concerns over restrictive practices, poor care-plan procedure and inadequate legal documentation. Over time, Rampton and Broadmoor Hospitals appeared to worsen with regard to staffing levels, staff morale and management involvement. While services progressed over time in providing patients with access to advocacy and information concerning their rights, in some recent inspections it remained unclear whether patients were adequately involved in the care-plan process.

Practical implications

These findings provide preliminary indicators for areas requiring further attention from policymakers, clinicians and advocates.

Originality/value

This study appears to be the first systematic analysis of key concerns expressed in CQC reports of English high-security hospitals.

Details

The Journal of Forensic Practice, vol. 22 no. 2
Type: Research Article
ISSN: 2050-8794

Keywords

Access Restricted. View access options
Article
Publication date: 13 October 2023

Clare Crole-Rees, Jack Tomlin, Natasha Kalebic, Morwenna Collings, Neil P. Roberts and Andrew Forrester

People in prisons have a high prevalence of poly-traumatisation throughout their life span. The behavioural and emotional sequalae of trauma are likely to be managed across the…

232

Abstract

Purpose

People in prisons have a high prevalence of poly-traumatisation throughout their life span. The behavioural and emotional sequalae of trauma are likely to be managed across the whole organisation. However, there is still a lack of clarity about the key components of a trauma-informed approach within the custodial context. This study aimed to gather in-depth knowledge of staff views on the components of an optimal trauma pathway in a prison and the organisational factors that influence its implementation.

Design/methodology/Approach

The authors’ research design is qualitative, involving in-depth, semi-structured interviews with eight members of staff from different professional backgrounds at a single prison in the UK that houses sentenced and remand prisoners. Data was analysed using reflexive thematic analysis.

Findings

Three super-ordinate themes were identified within the data. Firstly, components of a trauma-informed pathway included sub-themes of asking about what has happened and knowing how to respond; providing specialist approaches; enabling residents to cope; screening and detection; and a compassionate relational approach. Secondly, organisational factors were associated with sub-themes of culture and leadership, resources and systems and processes. Thirdly, staff factors were associated with sub-themes of skills development and training, staff well-being and support and staff attitudes.

Practical implications

Post-traumatic stress disorder (PTSD) and complex PTSD in prisons are under-detected, and there are complex psychosocial factors within prisons that mediate the effectiveness of psychological therapies.

Originality/value

To the best of the authors’ knowledge, this study represents the first exploration of staff perspectives on the components of a trauma-informed pathway within custodial settings. Future directions should involve the piloting and evaluation of the components of the trauma-informed pathway, with a focus on longer-term outcomes and exploration of the organisational factors that impact on effectiveness.

Details

The Journal of Forensic Practice, vol. 25 no. 4
Type: Research Article
ISSN: 2050-8794

Keywords

Access Restricted. View access options
Article
Publication date: 1 May 1972

Muriel Hutton

ONE MUST BEGIN with Dickens. A chapter by Christopher Hibbert in Charles Dickens, 1812–1870: centenary volume, edited by E. W. F. Tomlin, and The London of Charles Dickens

88

Abstract

ONE MUST BEGIN with Dickens. A chapter by Christopher Hibbert in Charles Dickens, 1812–1870: centenary volume, edited by E. W. F. Tomlin, and The London of Charles Dickens, published by London Transport with aid from the Dickens Fellowship, make a similar study here superfluous; both are illustrated, the latter giving instructions for reaching surviving Dickensian buildings. Neither warns the reader of Dickens's conscious and unconscious imaginative distortion, considered in Humphrey House's The Dickens World. Dickens himself imagined Captain Cuttle hiding in Switzerland and Paul Dombey's wild waves saying ‘Paris’; ‘the association between the writing and the place of writing is so curiously strong in my mind.’ Author and character may be in two places at once. ‘I could not listen at my fireside, for five minutes to the outer noises, but it was borne into my ears that I was dead.’ (Our Mutual Friend)

Details

Library Review, vol. 23 no. 5
Type: Research Article
ISSN: 0024-2535

Access Restricted. View access options
Article
Publication date: 13 August 2018

Kangkang Yu, Jack Cadeaux, Nanfeng Luo, Cheng Qian and Zhenghao Chen

The purpose of this paper is to understand how the consistency between objective and perceived environmental uncertainty might affect supply chain flexibilities that cope with…

1265

Abstract

Purpose

The purpose of this paper is to understand how the consistency between objective and perceived environmental uncertainty might affect supply chain flexibilities that cope with supply chain risk.

Design/methodology/approach

This study adopted a case study of comparative four companies in order to obtain an in-depth knowledge of the environmental conditions under which the companies implement different types of supply chain risk management (SCRM) strategies: logistics flexibility and relationship flexibility.

Findings

The case analysis not only distinguished the different effects of objective and perceived environmental uncertainty on supply chain flexibility, but also established the propositions about the effects of the consistency between objective and perceived environmental uncertainty on logistics flexibility and relationship flexibility in SCRM.

Originality/value

In principle, supply chain flexibility aims to cope with complex and turbulent environments. Yet, empirical findings about the effects of environmental uncertainty on supply chain flexibility are inconclusive. This study addressed this question by differentiating between objective and perceived environmental uncertainty as well as between logistics and relationship supply chain flexibilities.

Access Restricted. View access options
Book part
Publication date: 4 September 2020

Lee B. Wilson

Historians have long understood that transforming people into property was the defining characteristic of Atlantic World slavery. This chapter examines litigation in British

Abstract

Historians have long understood that transforming people into property was the defining characteristic of Atlantic World slavery. This chapter examines litigation in British colonial Vice Admiralty Courts in order to show how English legal categories and procedures facilitated this process of dehumanization. In colonies where people were classified as chattel property, litigants transformed local Vice Admiralty Courts into slave courts by analogizing human beings to ships and cargo. Doing so made sound economic sense from their perspective; it gave colonists instant access to an early modern English legal system that was centered on procedures and categories. But for people of African descent, it had decidedly negative consequences. Indeed, when colonists treated slaves as property, they helped to create a world in which Africans were not just like things, they were things. Through the very act of categorization, they rendered factual what had been a mere supposition: that Africans were less than human.

Details

Studies in Law, Politics, and Society
Type: Book
ISBN: 978-1-83982-297-1

Keywords

Access Restricted. View access options
Article
Publication date: 3 April 2023

Kangkang Yu, Jack Cadeaux, Ben Nanfeng Luo and Cheng Qian

This study aims to extend ambidexterity theory from the perspective of organisational learning and examine how process ambidexterity, which comprises operational flexibility and…

750

Abstract

Purpose

This study aims to extend ambidexterity theory from the perspective of organisational learning and examine how process ambidexterity, which comprises operational flexibility and operational routine, responds to environmental uncertainty and ultimately reduces organisational risks.

Design/methodology/approach

This study tests the hypotheses by analysing 464 annual reports of 115 listed companies in the Chinese agricultural and food industry using content and secondary data analyses. Four case studies are also provided.

Findings

The results show that (1) environmental uncertainty has a positive effect on either operational flexibility or operational routine; (2) both operational flexibility and operational routine have negative effects on organisational risks, supporting the view that process ambidexterity mediates the relationship between environmental uncertainty and organisational risks; and (3) organisational slack plays the role of “double-edged sword” by negatively moderating the effect of environmental uncertainty on operational flexibility and positively moderating the effect of environmental uncertainty on operational routine.

Originality/value

In an uncertain environment, companies are exposed to greater risk. This study contributes to risk management in three ways: first, it extends ambidexterity theory to process management and proposes how process ambidexterity balances operational flexibility and routines. Second, it distinguishes between the different conditions under which flexibility or routines are superior. Third, it explains the mechanisms related to how organisations can resolve environmental uncertainty into risk through process ambidexterity.

Details

International Journal of Operations & Production Management, vol. 43 no. 12
Type: Research Article
ISSN: 0144-3577

Keywords

Access Restricted. View access options
Article
Publication date: 1 October 1941

Generally speaking a “new” loaf is demanded and the baker who cannot deliver “new” loaves loses trade. But what is a “new” loaf? From the point of view of the chemist this…

100

Abstract

Generally speaking a “new” loaf is demanded and the baker who cannot deliver “new” loaves loses trade. But what is a “new” loaf? From the point of view of the chemist this question has formed the subject of innumerable investigations. A definition of a “new” loaf demands an understanding of “staleness” and the staling of bakery products is a subject of great complexity. The old idea was that it was entirely a question of the “drying out” of the bread, but cereal chemistry has proved that such a solution, namely the prevention of “drying out,” is only of partial efficacy; in fact “staleness” is caused by a change in the starch of the flour which is inherent in it and cannot be prevented by precautions which maintain the moisture content at a certain figure. The investigation of this type of staling has occupied the attention of many famous chemists, but the full explanation has not yet been obtained. Mass production has demanded many studies in that aspect of science known as “physical chemistry.” An example can be found in the preparation of certain sauces. Those of you who have made mayonnaise sauce know that to beat the olive oil into the mixture is fraught with difficulties. By means of the fork, used as a beater, the oil is distributed in very small particles through the mass of liquid, so that every globule of oil is separated from every other one. If the action docs not proceed properly the system breaks down and the mayonnaise “turns” and is spoiled. The manufacturer has to prevent this “turning,” not in a few pints but in hundreds of gallons. It is the chemist who has enabled him to do this and to manufacture with success those scores of salad‐dressings which are so delectable and the purchase of which relieves the housewife of so many hours of work and so much arm‐ache. An example of some interest is concerned with smoked salmon, which normally is a very variable product, whether it be the highly salted variety of the northern climes or the much less salted kind which has found favour in this country. The production of a lightly salted product is far more difficult than the more salted variety because much smaller changes in salt content become more noticeable. These small differences are so obvious to the confirmed smoked salmon eater that he detects not only the differences between one grade and another, but also the differences of salt content that occur in different parts of the same side of fish. It has fallen to the chemist so to change the methods of production of the lightly flavoured variety that the distribution of salt through the fish is even and the flavour therefore constant. This study of smoked salmon is only an example of the very big problem of standardisation, standardisation demanded by the consumer—and it follows that the big manufacturer must produce goods of standard flavour and appearance. Science steps in and gives the manufacturer those controls which enable him to produce, day in and day out, that standard range of article, whether it be ice‐cream or toad‐in‐the‐hole, Worcester sauce or cheese cakes, roast beef or jelly crystals. Modern science has introduced a new factor into our conception of what food should be. In the past it was only necessary to ensure that food should be “pure and wholesome,” by which was meant—in general terms—digestible and without any harmful constituents, be they natural or adventitious, bacterial or otherwise. So long as food complied with this broad definition everyone was satisfied. But biochemists and physiologists have demonstrated the importance of other factors, salts and vitamins, and it is necessary to consider the new situation thus created because it may be that the treatment of food to retain those substances may make it necessary to change preconceived notions. It may be that “palatability” may be affected, palatability which includes taste and appearance and odour. The whole subject is so complicated and, notwithstanding the enormous amount of work carried out, so little understood that no one as yet can be dogmatic, no one can state what are the optimum amounts of vitamins required by ordinary persons to keep them in good health. Having, however, decided the amount required, are we to try to preserve such quantities as occur naturally, or are we to fortify the food which we cat by added synthetic or even by purified natural vitamins? A further important consideration is whether the degree of maturity of, say, fruit in relation to maximum vitamin content coincides with optimum palatabilty. Certain it is that information gradually being accumulated on the importance—in many cases vital importance—of the minor constituents of foodstuffs leads to the conclusion that, to ensure the presence of all valuable minor constituents—be they known or unknown—the foodstuffs must, as articles of diet, be ingested almost in their entirety. This is probably an extreme view, for, in many cases, the result would be a product of reduced palatability or appearance, or, what is probably more important, “different,” and people do not like their food to be abnormal, i.e., to differ from their preconceived notion of what it should be. Nevertheless an “improvement” in the method of production, put into practice by the food manufacturer with the best intentions, may possibly result in a lowering of the dietetic value of the food, as, for example, by mechanical removal of an important part (the classical example being polished rice), by heat treatment, by oxidation or by materials added during cooking. The minor metallic constituents of food are gradually being revealed in their true importance. Copper, zinc, and iron are now known to be of importance. It is probable that every baby is born poor in calcium but rich in iron; milk, the natural food of the infant, is rich in calcium. It is only in the last few years that it has been shown that green vegetables as usually cooked are of very little real value. Cooking green vegetables in water containing sodium carbonate results in the almost complete destruction of the Vitamin C, and the discarding of the water removes the extracted salts. A green product certainly results but of greatly reduced nutritional value. On the other hand, it would appear that little destruction of vitamin activity takes place when the canning of vegetables or fruits is properly controlled. Sherman has said that attention to mineral salts and vitamins will lead to “buoyant” as distinguished from merely “passable” health. It is obvious that education of the public is essential if an intelligent use is to be made of the knowledge being gained by chemists and allied scientists. It is a most important fact that methods are being developed to assay foods for vitamins by chemical means. Biological feeding tests are obviously unsuitable for control purposes but, as the chemical identity of the vitamins becomes more clarified, chemical tests will become available for their determination. It is obviously the duty of the medical services of the country to guide the public as far as is possible on questions of nutrition. When such guidance becomes effective, the food producer will not be slow to see that his goods are up to the standard necessary, adding one more burden to the already loaded back of the chemist concerned with food production.

Details

British Food Journal, vol. 43 no. 10
Type: Research Article
ISSN: 0007-070X

Access Restricted. View access options
Article
Publication date: 26 June 2007

Mark Stevenson and Martin Spring

A growing body of literature has begun to recognise that in the era of supply chain management it is important to look beyond the flexible factory to the flexible supply chain…

28969

Abstract

Purpose

A growing body of literature has begun to recognise that in the era of supply chain management it is important to look beyond the flexible factory to the flexible supply chain. This paper seeks to further our understanding of supply chain flexibility and provide a comprehensive review of the available literature.

Design/methodology/approach

Published literature on supply chain flexibility has been considered. Where appropriate, additional insights have been obtained from related streams such as manufacturing flexibility, agility and supply chain responsiveness.

Findings

Much of the existing research has a limited definition of supply chain flexibility and describes flexibility simply as a reactive means to cope with uncertainty. Supply chain flexibility has emerged from the manufacturing flexibility literature and hence to date is largely confined to a manufacturing context (neglecting the role of services). Empirical research often takes the form of a cross‐sectional postal questionnaire conducted at the firm‐level that fails to explore the inter‐organisational components of supply chain flexibility.

Originality/value

The paper presents a timely review of the available literature and provides a more complete definition of flexibility in the context of supply chains. It is argued that future empirical research should approach research design from a network perspective, treating the supply chain as the unit of analysis, in order to develop a more complete understanding of the effects of flexibility across the whole supply chain. The paper also explores combining a flexible supply chain strategy with proactive means of reducing unwanted supply chain uncertainty, focusing on the roles of supply chain design, supply chain collaboration and inter‐organisational information systems.

Details

International Journal of Operations & Production Management, vol. 27 no. 7
Type: Research Article
ISSN: 0144-3577

Keywords

Access Restricted. View access options
Book part
Publication date: 29 June 2016

Mickey Losinski and Robin Parks Ennis

Repetitive and restrictive behaviors are one of the core components of diagnosing a child with an autism spectrum disorder. These behaviors may take the form of repetitive motor…

Abstract

Repetitive and restrictive behaviors are one of the core components of diagnosing a child with an autism spectrum disorder. These behaviors may take the form of repetitive motor movements or vocalizations, often referred to as stereotypical behaviors. These behaviors can impede the child’s educational and social opportunities, and have thus become a target for intervention. A variety of interventions have been used to reduce stereotypical behaviors with varied success. One of the most oft-used interventions is deep pressure therapy (e.g., weighted vests), a practice that enjoys substantial anecdotal but little empirical support. Conversely, interventions based on functional behavior assessment (FBA) have been shown to reduce these behaviors, but may not be used frequently within schools. Therefore, this chapter will provide a brief overview of stereotypical behaviors and compare these two intervention approaches, with a clear preference for FBA-based interventions due to their stronger empirical support.

Details

Instructional Practices with and without Empirical Validity
Type: Book
ISBN: 978-1-78635-125-8

Keywords

Access Restricted. View access options
Article
Publication date: 20 July 2015

Atul Kumar Tiwari, Anunay Tiwari and Cherian Samuel

Changes are inevitable in risky and uncertain business environments of today’s volatile supply chains. The concept of flexibility originates from this need to mitigate the…

3309

Abstract

Purpose

Changes are inevitable in risky and uncertain business environments of today’s volatile supply chains. The concept of flexibility originates from this need to mitigate the ill-effects of risks and uncertainty in supply chains. In this paper, an attempt is made to present an exhaustive review on supply chain flexibility (SCF) and its implementation to gain strategic advantages.

Design/methodology/approach

A citation analysis method is employed in this paper to discuss, analyse and apprehend the conceptual, empirical, analytical and simulation studies done in this field. In this paper, about 110 papers on flexibility from many reputed journals are examined to study and assimilate various aspects of flexibility.

Findings

SCF embraces a unified process-based view including the core processes such as procurement, sourcing, distribution and logistics and mitigates uncertainty or risks involved. The review helps to assimilate the key knowledge about relevant practices in SCF and helps to draw implementing strategies while offering managerial insight on the subject.

Research limitations/implications

Citation and co-citation analysis is done to review the SCF literature. Efforts are made to investigate relevant papers from various journals regarding its ability to mitigate risk or aid in making strategic decision. The study, however, is limited to certain industries in the papers as per chosen approach here. The strategies described in here may further be verified by the researchers and practitioners pertaining to their study or industries focused.

Practical implications

It provides managerial insight for practitioners on how to use flexibility within the firm and across supply chain while considering various trade-offs.

Originality/value

This paper is unique as a review paper, as it encompasses various kinds of studies done on SCF from conceptual models to mathematical models. Further, it briefs with the current practices in industries/SC towards being flexible. It talks of various trade-offs in pursuit of flexibility and concludes while suggesting numerous research gaps and opening new dimensions for SCF research. It offers many managerial and academic implications.

1 – 10 of 36
Per page
102050