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Research investigating the experience and management of pain in people with intellectual disabilities has mainly been carried out in community services. The purpose of this baseline audit aims to examine this area in a forensic intellectual disability setting.

A baseline audit of pain management was carried out. Audit standards were derived from recent research, and the performance on each measured. Patients and nurses were interviewed. The audit included 82 patients, of which 64 were interviewed. Twelve nurses were interviewed. Health Action Plans and medication files were accessed for information.

There were interesting differences and similarities in the experience and management of pain between community and forensic intellectual disability patients. Within this sample, most patients were able to communicate their pain, and access appropriate treatment. However, a minority required further support. Nurse decision making about providing pain treatment was affected by fears of manipulation, contributing to addition and disbelieving the patient. Additionally, a number of patients appeared to have insufficient knowledge about how to best manage pain.

Results suggested that a standardised approach to pain management, incorporating policy, staff training, and health promotion and psycho-education for patients, would have benefits for both patients and staff within secure intellectual disability services.

At present, there is little research focusing on pain experience and management in forensic intellectual disability settings.

Scandinavian societies do not figure prominently as study objects in the international social science literature. To the extent they do, their analysis tends to revolve around one seemingly unavoidable concept, that of equality. There is much agreement among Scandinavia experts that if there is one cultural trait that recurs again and again in this part of the world it is what some have described as “the passion for equality” (Graubard, 1986). Many writers have suggested that the Nordic passion for equality springs from a peculiarly strong preoccupation with equity (rettferd). But this is not the only reason why: according to Hans Frederik Dahl (1984, p. 95) “[t]he Nordic equity ethos…appears to apply both to the political action of leveling out – making the rich pay, taxing the top – and, in a jealous comparison, of making sure that nobody overtakes and passes you in position or possessions.” Like Dahl, other Norwegians consider envy to be a central element in this quest for equality, a sort of Nordic “crab antics” (Wilson, 1973).¹ Envy provides a plausible explanatory frame for the drive at leveling out – “making the rich pay, taxing the top” – a meaning the Norwegian term likhet does indeed encompass. But in addition to equality likhet also means similarity or sameness, a parity that does not necessarily have to do with equity and cannot always be described in terms of getting rid of (unfair) privileges. Earlier debates on the Norwegian notion of equality were often inconclusive because they failed to address this critical duality of meaning which lies at the core of the concept of likhet. To assume that likhet is only a matter of equality, and that it all boils down to envy is too simplistic. In this case, the question that needs to be addressed is: can envy account for the drive at cultural assimilation? Can it explain demands made by the masses to individuals who are neither richer nor more powerful? I am thinking for example of the kind of relations that have been observed between Norwegians and Saami in the Helgeland region (Henriksen, 1991). Here, Saamis’ claims to a different identity and a different experience are frequently met with the non-Saami majority’s counter-claim that there are no differences, cultural or otherwise, between the Saami and themselves. “When the Saami person insists that his or her identity is rooted in a Saami culture, s/he may be requested to specify what such differences consist of,” writes Henriksen (p. 410). This emphatic denial of difference is not perceived by Saami as an inclusionary device to integrate them within the warm embrace of a universal Norwegian Gemeinschaft. Rather, says Henriksen, they view it as “a lack of recognition by the encompassing Norwegian society of their cultural and social identities and their expression, and of what they perceive to be their legitimate rights” (p. 414); in other words, they view it as an attempt by the Norwegian majority to deny Saami their right to experience life in general and ethnic encounters in particular in a way that differs from the majority’s experience. When played out in relation to individuals and groups that are marginal, dominated, or simply in minority, the quest for likhet cannot be motivated by envy. Rather than “passion for equality,” therefore, it would be more accurate to describe this cultural trait as “antipathy for difference.” Such antipathy, I suggest, is grounded in a normative expectation of conformity in behavior, experience, and awareness, to an unquestioned cultural pattern embedded in, and structured by, daily practice, and with ramifications in all areas of social life. In this sense, equality (sometimes translated into Norwegian as likeverd, literally “equal worth,” but more commonly as likhet) rests on the fundamental requirement of cultural similarity (also known, as we have seen, as likhet): to be equal is first and foremost to be alike (see Gullestad, 1984, 1992). The opposite of likhet, ulikhet, can mean either difference or inequality. Most of the time it is conceptualized as both.² Of course, the conceptual and sociological boundaries between equality and similarity are blurred everywhere, not only in Norwegian culture. Nor am I suggesting that Norwegian society is empirically devoid of inequality or that instances of anti-egalitarian behavior do not obtain in real life. Nonetheless, these empirical observations do not make the Norwegian normative discourse on equality-as-similarity any less real or any less compelling.

This chapter reconsiders commonly held views on the ownership and management of private property, contrasting capitalist and simple property, particularly in relation to how a firm shareholder governance model has shaped society. This consideration is motivated by the scale and scope of the modern global crisis, which has combined financial, economic, social and cultural dimensions to produce world disenchantment.

By contrasting an exchange value standpoint with a use value perspective, this chapter explicates current conditions in which neither the state nor the market prevail in organising economic activity (i.e. cooperative forms of governance and community-created brand value).

This chapter offers recommendations related to formalised conditions for collective action and definitions of common guiding principles that can facilitate new expressions of the principles of coordination. Such behaviours can support the development of common resources, which then should lead to a re-appropriation of the world.

It is necessary to think of enterprises outside a company or firm context when reflecting on the end purpose and means of collective, citizen action. From a methodological standpoint, current approaches or studies that view an enterprise as an organisation, without differentiating it from a company, create a deadlock in relation to entrepreneurial collective action. The absence of a legal definition of enterprise reduces understanding and evaluations of its performance to simply the performance by a company. The implicit shift thus facilitates the assimilation of one with the other, in a funnel effect that reduces collective projects to the sole projects of capital providers.

Because forsaking society as it stands is a radical response, this historical moment makes it necessary to revisit the ideals on which modern societies build, including the philosophy of freedom for all. This utopian concept has produced an ideology that is limited by capitalist notions of private property.

For any improvement tool to be successfully integrated into an organizations’ quality improvement or risk management programme, it needs to be relatively easy-to-use and proven to provide benefits to the customer and organization. Many healthcare organizations are facing fiscal constraints and increasing complexity of tests, putting strains on resources, particularly for those on “the shop floor” who are “hands on” in the design, delivery and improvement of products or services. Within a laboratory setting, there is often limited time for formal extensive process reviews; with the pressure to meet “turn-around times” for often “clinically urgent” results. Preventative and corrective actions are often identified through audits or root-cause analysis in some cases after an event has occurred. The paper aims to discuss these issues.

Failure modes effect analysis (FMEA) is a risk management tool, used to identify prospective failures within processes or products, before they occur. Within laboratory healthcare, risk management for prevention of failure (particularly an inaccurate result) is imperative, and underpins the design of all steps of sample handling. FMEA was used to review a laboratory process for a “gene mutation test” initially considered to have few opportunities for improvement. Despite this perception, a previous review of the process, and the time restrictions for review, new improvements were identified with implications to patient management.

This study shows that FMEA can yield benefits, for prospective risk management and general process improvement, within a laboratory setting where time and team input is restricted, and within a process that was considered to have few “problems”.

The study was undertaken in a large metropolitan public health system laboratory – one of the largest in the country. This laboratory is a significant contributor to the health outcomes of patients in the local region, and through its contribution to national laboratory testing and reporting. This was the first use of FMEA in this laboratory setting.

The assessment for and diagnosis of personality disorder (PD) continue to be contentious, with many prominent practitioner psychologists arguing against this specific label and providing a credible alternative framework to psychiatric diagnosis more generally. This paper aims to summarise the literature and support practitioners identifying PD in people with intellectual disabilities (ID).

Relevant National Institute for Health and Care Excellence (NICE) guidance and literature were reviewed to provide a service position on the assessment and diagnosis of PD in people with ID.

For people with intellectual disabilities, the PD label can be even less robustly applied and may be even more pejorative and obstructive. That said, there are people for whom a PD diagnosis has clear clinical utility and opens access to suitable specialist services.

Evidence suggests that a diagnosis of PD can be both facilitative and obstructive, and the assessment and diagnosis process should, therefore, be undertaken with caution.

This paper presents an account of NICE guidance and evidence on the assessment and diagnosis of PD in people with intellectual disabilities.

Artificial intelligence (AI) has received much attention due to its promethean-like powers to transform the management and delivery of public sector services. Due to the proliferation of research articles in this context, research to date is fragmented into research streams based on different types of AI technologies or a specific government function of the public sector (e.g. health, education). The purpose of this study is to synthesize this literature, identify challenges and opportunities, and offer a research agenda that guides future inquiry.

This paper aggregates this fragmented body of knowledge by conducting a systematic literature review of AI research in public sector organisations in the Chartered Association of Business Schools (CABS)-ranked journals between 2012 and 2023.

The search strategy resulted in the retrieval of 2,870 papers, of which 61 were identified as primary papers relevant to this research. These primary papers are mapped to the ten classifications of the functions of government as classified by the Organisation for Economic Co-operation and Development (OECD), and the reported challenges and benefits aggregated.

This study advances knowledge by providing a state-of-the-art of AI research based the OECD classifications of government functions, reporting of claimed benefits and challenges and providing a research agenda for future research.

In this chapter, we review the literature that analyzes how the peculiar missions, rules, and incentive systems in the scientific community affect the process and outcomes of the commercialization of academic research. We will focus on how the peculiar institutional logics of academia determine the decision of academics to commercialize their research, and how these logics affect the outsourcing of research from firms to academic laboratories, as well as the attempts of firms to reproduce academic incentive systems within their research labs by allowing their researchers to publish and offering them financial rewards based on their standing in the scientific community. Finally, we report on research that has analyzed how the rules of the scientific community might lead to the production, transfer, and commercialization of false knowledge.

This study aims to examine the current state of the research activities of scholars in the hospitality and tourism field by analyzing the first 20 years of the new millennium.

Longitudinal analyses using 14,229 journal articles as data source were realized by adopting BibExcel, Gephi and VOSviewer network analysis software packages.

This study provides a comprehensive overview of the hospitality and tourism research based on authorship and social network analysis, with patterns of prolific authors compared over four distinct periods.

The hospitality and tourism academic society is clearly illustrated by tracing academic publication activities across 20 years in the new millennium. In addition, this study provides a guide for scholars to search for multidisciplinary collaboration opportunities. Government agencies and non-governmental organisations can also benefit from this study by identifying appropriate review panel members when making decisions about hospitality- and tourism-related proposals.

To the best of authors’ knowledge, this study is the first to use bibliometric analysis in assessing research published in leading hospitality and tourism journals across the four breakout periods in the new millennium.

Because of the renewed interest in public purchasing and the strategic use of public funds under the requirements of sustainable development, the question arose once again as to how to curb the fall of institutional quality once criteria other than price are inserted into the decision-making in public purchasing. E-procurement has been repeatedly named as one of the most efficient tools to that effect and the present paper sets out to discover whether the implementation of e-procurement in a particular country per se entails also higher institutional quality, allowing for a wider implementation of green and sustainable procurement at the national, regional and municipal level without the fear of worsening the country’s institutional quality. By analyzing the implementation of e-procurement in Denmark, the Netherlands and in Portugal, this paper aims to verify the hypothesis that the implementation of e-procurement implies better institutions in terms of public purchasing. As such, the conclusions will be used in further research on the prerequisites for a successful implementation of green public procurement across the European Union.

Gathering data on institutional quality of three early e-procurement adopters (Denmark, the Netherlands and Portugal) allows for comparison of institutional quality pre- and post-e-procurement implementation. By using difference-in-differences comparison the paper seeks to answer the question how doesmandatory e-procurement influence institutional quality on the national level.

The paper finds that the reform is generally associated with a relatively stronger control of corruption in the Netherlands and Denmark, while a similar reform in Portugal failed to translate into a stronger control of corruption. Furthermore, while using the quality of regulation as a dependent variable, a positive and robust effect on the quality of regulation in Denmark was shown, while the quality of reputation in the Netherlands and Portugal declined in the post-reform period, with the drop in the quality of regulation in Portugal being considerably greater, a two-fold higher amount than the estimated drop in the Netherlands. The paper suggests that in spite of the same aims, the reform yielded substantially different or even opposing effects compared to Denmark.

By examining three examples of early adopters, further research with broader impact is needed to deduce general implications for e-procurement implementation. Furthermore, implementation of e-procurement at the regional or local level can also yield distinct results.

Understanding the actual impact of e-procurement on institutional quality is indispensable for further study on the matter. The present study argues that e-procurement needs to be accompanied by additional measures or variables to yield a positive impact on institutional quality in public procurement.

As to originality, the present paper uses a law and economics approach, originating or better said drawing motivation from green public procurement concerns, trying to provide an insight in terms of tools that can be used to eliminate concerns regarding institutional quality when implementing green public procurement practices.

Urban resilience is becoming increasingly important due to increasing degree of urbanization and a combination of several factors affecting urban vulnerability. Urban resilience is also understood as a capacity of a system to prepare, respond and recover from multi-hazard threats. The purpose of multi-risk approach (MRA) is to take into consideration interdependencies between multiple risks, which can trigger a chain of natural and manmade events with different spatial and temporal scales. The purpose of this study is to understand correlation between multi-risk approach and urban resilience.

To increase urban resilience, MRA should also include multi-risk governance, which is based on understanding how existing institutional and governance structures, individual judgments and communication of risk assessment results shape decision-making processes.

This paper is based on extensive fieldwork in the test studies of Naples, Italy and Guadeloupe, France, the historical case study analysis and the stakeholders’ interviews, workshops and focus groups discussions.

Multi-risk is a relatively new field in science, only partially developed in social and geosciences. The originality of this research is in establishment of a link between MRA, including both assessment and governance, and urban resilience. In this paper, the authors take a holistic and systemic look at the MRA, including all stages of knowledge generation and decision-making. Both, knowledge generation and decision-making are reinforced by behavioural biases, different perceptions and institutional factors. Further on, the authors develop recommendations on how an MRA can contribute to urban resilience.