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Article
Publication date: 10 October 2024

Anna Lloyd, Joseph Lloyd Davies, Rebecca Semmens-Wheeler, Ali Isa Alfaraj, Domingo Gonzalez Naranjo and Kieran Breen

This study aims to explore the ethical challenges of managing the weight of psychiatric patients in the least restrictive manner in secure mental health settings and whether these…

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Abstract

Purpose

This study aims to explore the ethical challenges of managing the weight of psychiatric patients in the least restrictive manner in secure mental health settings and whether these could be considered as a source of moral distress for health practitioners, which may be linked to staff burnout and ultimately lead to suboptimal patient care.

Design/methodology/approach

A qualitative semi-structured interview study design was used to explore the understanding, views and experiences of six staff members working on two medium-secure wards in a UK mental health hospital using an opportunity sampling technique and Interpretative Phenomenological Analysis.

Findings

Analysis of semi-structured interviews revealed a multitude of moral events that evoked feelings of frustration, powerlessness and anxiety related to the management of obesity in the least restrictive way, which is indicative of moral distress.

Research limitations/implications

Due to the small sample size and the qualitative nature of the research, the findings of this study are of explorative in nature. Further quantitative research would be required to establish a causative link between the ethical challenges associated with obesity management and staff’s moral distress.

Practical implications

Addressing the health-care professionals’ knowledge deficit on how to achieve the right balance in their duty of care through inclusion of bioethics into professional discussions and training could improve staff’s well-being and the organisation’s ethical climate.

Originality/value

To the best of the authors’ knowledge, this is the first qualitative work exploring the role of least restrictive practice in the challenges associated with health promotion within secure psychiatric settings, and the effect these challenges have on mental health staff.

Details

The Journal of Mental Health Training, Education and Practice, vol. 19 no. 6
Type: Research Article
ISSN: 1755-6228

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Article
Publication date: 8 August 2022

Joseph Lloyd Davies, Ruth Bagshaw, Andrew Watt, Paul Hewlett and Heidi Seage

This study aims to understand the perceived causes and consequences of weight gain within a secure psychiatric inpatient service in South Wales.

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Abstract

Purpose

This study aims to understand the perceived causes and consequences of weight gain within a secure psychiatric inpatient service in South Wales.

Design/methodology/approach

A purposive sample of 12 staff members were interviewed. These interviews were transcribed verbatim and analysed using thematic analysis.

Findings

Three themes were identified, these were increasing demand for integrated physical health care, unhealthy lifestyles and weight gain viewed as a symptom of poor mental health.

Originality/value

It is a unique insight into the factors that contribute to obesity in a Welsh secure unit and adds to current understanding of the challenges of improving weight management services within this sector.

Details

The Journal of Mental Health Training, Education and Practice, vol. 18 no. 1
Type: Research Article
ISSN: 1755-6228

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Article
Publication date: 16 August 2022

Joseph Davies and Daniel Read

League expansion involves a significant investment of time, money and resources. Therefore, ensuring the success of new franchises is imperative to the commercial health of a…

202

Abstract

Purpose

League expansion involves a significant investment of time, money and resources. Therefore, ensuring the success of new franchises is imperative to the commercial health of a competition; however, there is an absence of studies examining the establishment process of franchises. In 2020, Super Rugby announced that it would expand in 2022 with the inclusion of two new franchises, Fijian Drua and Moana Pasifika. The article explores what implementation challenges Drua and Pasifika faced during franchise establishment.

Design/methodology/approach

Following a qualitative case study methodology, data were collected via newspaper, website and document repository ‘Nexis’, and triangulated against interviews with five expert individuals involved in franchise establishment. Applying mixed-coding, thematic analysis using Redmond's franchise expansion factors framework, six deductive and two inductive themes were generated.

Findings

In accordance with Redmond's franchise expansion factors framework, financial sustainability, competitive balance and labour market challenges were identified as internal challenges, whilst media relationships, market competition and community engagement were highlighted as external challenges. Additionally, two new factors, infrastructure and business operations and youth development, were inductively identified as issues during franchise establishment extending Redmond's model.

Originality/value

The study offers strategic guidance to practitioners on franchise establishment and provides insight into cross-border expansion processes. Theoretically, the research supports and extends the applicability of Redmond's expansion factors framework for future research.

Details

Sport, Business and Management: An International Journal, vol. 13 no. 2
Type: Research Article
ISSN: 2042-678X

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Article
Publication date: 1 April 1899

The Food and Drugs Bill introduced by the Government affords an excellent illustration of the fact that repressive legislative enactments in regard to adulteration must always be…

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Abstract

The Food and Drugs Bill introduced by the Government affords an excellent illustration of the fact that repressive legislative enactments in regard to adulteration must always be of such a nature that, while they give a certain degree and a certain kind of protection to the public, they can never be expected to supply a sufficiently real and effective insurance against adulteration and against the palming off of inferior goods, nor an adequate and satisfactory protection to the producer and vendor of superior articles. In this country, at any rate, legislation on the adulteration question has always been, and probably will always be of a somewhat weak and patchy character, with the defects inevitably resulting from more or less futile attempts to conciliate a variety of conflicting interests. The Bill as it stands, for instance, fails to deal in any way satisfactorily with the subject of preservatives, and, if passed in its present form, will give the force of law to the standards of Somerset House—standards which must of necessity be low and the general acceptance of which must tend to reduce the quality of foods and drugs to the same dead‐level of extreme inferiority. The ludicrous laissez faire report of the Beer Materials Committee—whose authors see no reason to interfere with the unrestricted sale of the products of the “ free mash tun,” or, more properly speaking, of the free adulteration tun—affords a further instance of what is to be expected at present and for many years to come as the result of governmental travail and official meditations. Public feeling is developing in reference to these matters. There is a growing demand for some system of effective insurance, official or non‐official, based on common‐sense and common honesty ; and it is on account of the plain necessity that the quibbles and futilities attaching to repressive legislation shall by some means be brushed aside that we have come to believe in the power and the value of the system of Control, and that we advocate its general acceptance. The attitude and the policy of the INTERNATIONAL COMMISSION ON ADULTERATION, of the BRITISH FOOD JOURNAL, and of the BRITISH ANALYTICAL CONTROL, are in all respects identical with regard to adulteration questions; and in answer to the observations and suggestions which have been put forward since the introduction of the Control System in England, it may be well once more to state that nothing will meet with the approbation or support of the Control which is not pure, genuine, and good in the strictest sense of these terms. Those applicants and critics whom it may concern may with advantage take notice of the fact that under no circumstances will approval be given to such articles as substitute beers, separated milks, coppered vegetables, dyed sugars, foods treated with chemical preservatives, or, in fact, to any food or drug which cannot be regarded as in every respect free from any adulterant, and free from any suspicion of sophistication or inferiority. The supply of such articles as those referred to, which is left more or less unfettered by the cumbrous machinery of the law, as well as the sale of those adulterated goods with which the law can more easily deal, can only be adequately held in check by the application of a strong system of Control to justify approbation, providing, as this does, the only effective form of insurance which up to the present has been devised.

Details

British Food Journal, vol. 1 no. 4
Type: Research Article
ISSN: 0007-070X

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Article
Publication date: 1 August 1901

One of the commonest excuses put forward in defence of the practice of treating milk, butter, meat, and other foods with ‘preservative’ drugs no longer possesses even the…

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Abstract

One of the commonest excuses put forward in defence of the practice of treating milk, butter, meat, and other foods with ‘preservative’ drugs no longer possesses even the appearance of validity. Several of the large railway companies are adding refrigerator vans in considerable numbers to their rolling‐stock, and this fact should make it no longer possible for defendants to plead that the necessity of sending food‐products a long distance by rail involves the necessity of mixing preservative chemicals with them. Although the excuse referred to will not bear examination, it is a very specious one, and in those instances where evidence has not been brought forward to refute it, it has produced some effect on the minds of magistrates and others. It cannot be too often pointed out that such substances as boracic acid, salicylic acid, and formaldehyde are dangerous drugs, and that their unacknowledged presence in articles of food constitutes a serious danger to the public. Such substances are not foods, and are not natural constituents of any food. In most instances they are purposely introduced into food‐products to avoid the expense attending the proper production, preparation, and distribution of the food, or to conceal the inferior quality of an article by masking the signs of commencing decomposition or incipient putrefaction, and thus to enable a dishonest producer or vendor to palm off as fresh and wholesome an article which may be not only of bad quality, but absolutely dangerous to the consumer. The use of these substances, in any quantity whatsoever, and the sale of articles containing them, without the fullest and clearest disclosure of their presence, is as gross and as dangerous a form of adulteration as any which has at any time been exposed. In no single instance can it be shown that these drugs are, to quote the words of the Act of 1875, matters or ingredients “required for the preparation or production of a food as an article of commerce,” nor, of course, can it be contended that such substances are “extraneous matters with which the food is unavoidably mixed during the process of collection or preparation.” In reality, even under our inadequate and unsatisfactory adulteration laws, through which the proverbial coach‐and‐four can be so easily driven in so many directions, there ought to be no loophole of escape for the deliberate and dishonest drugger of foods. While the presence of preservative chemicals in any quantity whatever in articles of food constitutes adulteration, wherever the quantity is sufficient to allow the production of the specific “preservative” effect of the substance added, that fact alone is enough to make the food so drugged a food which must be regarded as injurious to the health of the consumer—in view of the inhibitory effect which, by its very nature, the antiseptic must produce on the process of digestion. To our knowledge the food market in this country is flooded with all sorts of inferior food‐products which are rarely dealt with under the Adulteration Acts, and which are loaded with so‐called preservatives. There will be no adequate protection for the public against the consumption of this injurious rubbish until the consumer sees the advantage of insisting upon an authoritative and permanent guarantee of quality with his goods, and until manufacturers of the better class at length find it to be a necessity for their continued prosperity that they should supply, apart entirely from their own statements, an independent and powerful guarantee of this kind.

Details

British Food Journal, vol. 3 no. 8
Type: Research Article
ISSN: 0007-070X

Available. Content available
Article
Publication date: 4 March 2014

334

Abstract

Details

Human Resource Management International Digest, vol. 22 no. 2
Type: Research Article
ISSN: 0967-0734

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Article
Publication date: 1 February 1918

At a meeting of the Council of the Royal Borough of Kensington on February 12th, 1918, Councillor Dr. A. J. Rice‐Oxley, Chairman of the Public Health Committee, brought up a…

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Abstract

At a meeting of the Council of the Royal Borough of Kensington on February 12th, 1918, Councillor Dr. A. J. Rice‐Oxley, Chairman of the Public Health Committee, brought up a Report as follows :—

Details

British Food Journal, vol. 20 no. 2
Type: Research Article
ISSN: 0007-070X

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Article
Publication date: 1 August 2000

Don Brand

In the first of two articles forming this Overview of progress in user participation in strategic affairs, the author considers the issues to be addressed in enabling users to be…

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Abstract

In the first of two articles forming this Overview of progress in user participation in strategic affairs, the author considers the issues to be addressed in enabling users to be fully involved with the work of the General Social Care Council and the Care Standards Commission.

Details

Journal of Integrated Care, vol. 8 no. 4
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 1 December 1918

According to The Times, prompt action is likely to be taken by the Government to deal with the danger to the public health due to the consumption of contaminated, or essentially…

25

Abstract

According to The Times, prompt action is likely to be taken by the Government to deal with the danger to the public health due to the consumption of contaminated, or essentially impure, milk. At present the authorities are faced with a serious difficulty, owing to the absence on active service of so many officials concerned with the administration of the law relating to these matters the release of whom was strongly urged in The Times recently. It was owing to the inroads made on the staffs of the central authority and the local administrations that the Milk and Dairies (Consolidation) Act of 1915 was not put into force. As soon as a sufficient number of officials are released by demobilization, and special steps are being taken to get this done, the administrative Orders under the Act will be put into force. A similar state of things exists in regard to the Tuberculosis Order of the Board of Agriculture which, among other objects, aims at the elimination of tuberculous cows from dairy herds. With both measures in effective administration very great progress in the removal of a national danger should be almost immediately made.

Details

British Food Journal, vol. 20 no. 12
Type: Research Article
ISSN: 0007-070X

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Book part
Publication date: 20 July 2012

Luca Fiorito

Major concern over monopolies and trusts was one of the distinguishing marks of the American Economic Association from its foundation and lasted well into the early 1900s (Coats

Abstract

Major concern over monopolies and trusts was one of the distinguishing marks of the American Economic Association from its foundation and lasted well into the early 1900s (Coats, 1960). The failed merger attempt of the Northern Securities Company and the subsequent panic of 1902–1903, the 1907 financial crisis and its aftermath, as well as the ostensibly illegal financial practices of many conglomerates, all contributed to keep the trusts issue alive on academic circles. But it was only after the 1911 Court decisions that the debate on the trust problem and the necessary measures to amend the existing antitrust legislation acquired new vigor and incisiveness.3

Details

Research in the History of Economic Thought and Methodology: A Research Annual
Type: Book
ISBN: 978-1-78052-824-3

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