Search results

The purpose of this paper is to review current programmes and major issues surrounding preventive interventions for body image and obesity in schools.

A literature review was carried out by analysing papers cited in major literature databases from the last 50 years. This review describes and summarises activities from body image programmes and eating disorder prevention programmes in schools and outlines self esteem and media literacy approaches that have produced positive results in some large, randomised and controlled interventions.

A total of 21 programmes met the inclusion criteria. Of these, four included males and 17 reported at least one improvement in knowledge, beliefs, attitudes or behaviours. The most effective programmes were interactive, involved parents, built self esteem and provided media literacy.

Body image concerns, eating problems and obesity among children and adolescents are becoming increasingly targeted for preventive health education and health promotion programmes. The role of health educators is complicated because of legitimate concerns that we must “do no harm” in our efforts to ameliorate both issues in schools. Health educators need to be careful to ensure that the implementation of programmes for the prevention of child obesity do not inadvertently create food concerns, body image issues, weight stigma, prejudice or eating disorders. Similarly, eating disorder prevention programmes must take care both not to condone obesity nor to glamorise or normalise dieting or disordered eating.

This paper provides health educators with an overview of important issues and suitable strategies to consider when implementing programmes for body image improvement and the prevention of eating problems and childhood obesity.

Workplace silence impedes productivity, job satisfaction and retention, key issues for the hospital workforce worldwide. It can have a negative effect on patient outcomes and safety and human resources in healthcare organisations. This study aims to examine factors that influence workplace silence among hospital doctors in Ireland.

A national, cross-sectional, online survey of hospital doctors in Ireland was conducted in October–November 2019; 1,070 hospital doctors responded. This paper focuses on responses to the question “If you had concerns about your working conditions, would you raise them?”. In total, 227 hospital doctor respondents (25%) stated that they would not raise concerns about their working conditions. Qualitative thematic analysis was carried out on free-text responses to explore why these doctors choose to opt for silence regarding their working conditions.

Reputational risk, lack of energy and time, a perceived inability to effect change and cultural norms all discourage doctors from raising concerns about working conditions. Apathy arose as change to working conditions was perceived as highly unlikely. In turn, this had scope to lead to neglect and exit. Voice was seen as risky for some respondents, who feared that complaining could damage their career prospects and workplace relationships.

This study highlights the systemic, cultural and practical issues that pressure hospital doctors in Ireland to opt for silence around working conditions. It adds to the literature on workplace silence and voice within the medical profession and provides a framework for comparative analysis of doctors' silence and voice in other settings.

The purpose of this research is to test a comprehensive nutrition program developed specifically to target low‐income parents of young school‐aged children and determine whether the programme‐resulted in changes in parents' knowledge, attitude, self‐confidence, and behaviours related to both their and their child's nutrition in relation to fruit and vegetable intake.

This study used a quasi‐experimental pre‐test/post‐test design in which parent centers were selected to participate as either intervention or control sites. The primary method of data collection was self‐administered questionnaires.

The results show significant positive changes in parent knowledge, food behaviors, and home environment. No changes were observed in parents' attitudes; however, parent attitudes were high at baseline.

This work reinforces the importance of developing well designed interventions that specifically target the intended audience and intended outcomes.

This is one of the few studies that have examined the potential and value of nutrition‐focused intervention targeting low‐income and predominantly Hispanic populations with the potential goal of impacting children.

There is no argument among serious researchers that a mongoloid stock first colonized the New World from Asia. Nor is there controversy about the fact that these continental pioneers used the Bering Land Bridge that then connected the Asian Far East with Alaska.– Gerald F. Shields, et al.American Journal of Genetics (1992)

Adoption of Clinical Decision Support Systems (CDSS) is a crucial step towards the digital transition of the healthcare sector. This review aims to determine and synthesise the influential factors in CDSS adoption in inpatient healthcare settings in order to grasp an understanding of the phenomenon and identify future research gaps.

A systematic literature search of five databases (Medline, EMBASE, PsycINFO, Web of Science and Scopus) was conducted between January 2010 and June 2023. The search strategy was a combination of the following keywords and their synonyms: clinical decision support, hospital or secondary care and influential factors. The quality of studies was evaluated against a 40-point rating scale.

Thirteen papers were systematically reviewed and synthesised and deductively classified into three main constructs of the Technology–Organisation–Environment theory. Scarcity of papers investigating CDSS adoption and its challenges, especially in developing countries, was evident.

This study offers a summative account of challenges in the CDSS procurement process. Strategies to help adopters proactively address the challenges are: (1) Hospital leaders need a clear digital strategy aligned with stakeholders' consensus; (2) Developing modular IT solutions and conducting situational analysis to achieve IT goals; and (3) Government policies, accreditation standards and procurement guidelines play a crucial role in navigating the complex CDSS market.

To the best of the authors’ knowledge, this is the first review to address the adoption and procurement of CDSS. Previous literature only addressed challenges and facilitators within the implementation and post-implementation stages. This study focuses on the firm-level adoption phase of CDSS technology with a theory refining lens.