Nicola Davies and Teresa Burdett
Integrated healthcare is a central tenant of the NHS Long Term Plan (NHS, 2019). NICE in 2019 published guidelines; advising the integration of multidisciplinary professionals…
Abstract
Purpose
Integrated healthcare is a central tenant of the NHS Long Term Plan (NHS, 2019). NICE in 2019 published guidelines; advising the integration of multidisciplinary professionals which may lead to an improvement in conservative treatment methods of pelvic organ prolapse. Therefore, current literature on the conservative treatments for pelvic organ prolapse needs to be reviewed to ascertain if an integrated approach would improve the symptoms and quality of life for women.
Design/methodology/approach
A systematic review of the literature between 2013 and 2018 was implemented. Papers included were written in English, peer-reviewed and consisted of treatments of pelvic organ prolapse in women. Papers containing surgical interventions, postpartum participants, reviews, evaluations, guidelines, follow-up studies, focusing on cost effectiveness, sexual function were excluded.
Findings
Seven studies in total were included, and two overarching themes were identified: quality of life after treatment and the effect of conservative treatment on pelvic organ prolapse symptoms. The literature suggested that integrating care had a more positive outcome on pelvic organ symptoms and quality of life.
Research limitations/implications
To develop a robust enhanced model of care for conservative treatment of pelvic organ prolapse through more mixed method or qualitative research, that incorporates integrative treatment methods with collaboration from multidisciplinary professionals.
Practical implications
The practical implications of integrating the conservative management of pelvic organ prolapse is the communication between the multidisciplinary team must be exceptional to ensure everyone understands and agrees the treatment that is being provided to patient. Also, effective teamwork is important to ensure the patient receives the best care with input from the correct disciplines. The multi-professional team will need to have regular meetings to discuss and implement care plans for patients that might prove difficult to schedule due to differing commitments and priorities. This must be overcome to insure a successful and effective integrated approach to pelvic organ prolapse is delivered.
Social implications
The social implications of integrating the professional approach to women's care of pelvic organ prolapse involves reducing the severity of the symptoms therefore, increasing the quality of life. This may result in the reduction of surgical intervention due to the patient being satisfied with the conservative management. Through integrating the management of the prolapse the patient will receive an accessible individualised care plan pathway that focuses on treating or reducing the impact of the symptoms that are bothersome to the patient whilst managing patient expectations. Patients will also, be reassured by the number of multi-disciplinary professionals involved in their care.
Originality/value
Global integration of conservative treatments and multidisciplinary-professionals specialising in pelvic organ prolapse and pelvic floor dysfunction is needed.
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Robert Thomas and Nicola J. Davies
The paper's purpose is to examine evidence for the benefits of exercise in relation to cancer development, progression and prevention.
Abstract
Purpose
The paper's purpose is to examine evidence for the benefits of exercise in relation to cancer development, progression and prevention.
Design/methodology/approach
The reviewed literature was divided into categories according to the role exercise plays in cancer prevention and progression, during treatment, and in relapse prevention.
Findings
There is now persuasive evidence that exercise improves the physical and psychological function of patients with cancer, reduces the risk of recurrence and possibly improves survival.
Originality/value
Previous research highlights the importance of exercise in cancer prevention and throughout the cancer experience. However, current knowledge of the mechanisms by which physical activity may positively influence the activity of cancers is poorly understood; these mechanisms are explored in this paper.
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Avanish Bhai Patel and Anindya Jayanta Mishra
Crime against elderly people is a matter of grave concern in contemporary India. Today, they are being attacked with grievous harm, murder, and abusive behaviour by known and…
Abstract
Purpose
Crime against elderly people is a matter of grave concern in contemporary India. Today, they are being attacked with grievous harm, murder, and abusive behaviour by known and unknown persons. These cases have certainly had a negative impact on their way of life and sense of well-being. Consequently, fear of crime is being recognised as an emerging social problem among the elderly population in India. The purpose of this paper is to examine different types of crime that are being committed against the elderly, leading to a fear of crime. And, to identify the victim offender relationship.
Design/methodology/approach
A mixed method approach has been applied in this paper. This study has been designed as an exploratory lead-in to a planned wider study. It examines the factors shaping the victimisation experience of the elderly. The study has been conducted from October 2012 to January 2013 on a sample of 220 elderly people living in both rural and urban areas of Lucknow in the state of Uttar Pradesh, India.
Findings
The findings suggest that emotional crime is a major problem among the elderly and more prevalent than crime against the body and property. The study has also found that elderly people have a fear of crime in their own houses due to victimisation.
Originality/value
This is an original paper, which is based on the experiences of elderly people living in Indian society and discussed the impact of prior victimisation.
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Paul Rogers, Michelle Davies and Lisa Cottam
This study investigates the impact that perpetrator coercion type, victim resistance type and respondent gender have on attributions of blame in a hypothetical child sexual abuse…
Abstract
This study investigates the impact that perpetrator coercion type, victim resistance type and respondent gender have on attributions of blame in a hypothetical child sexual abuse case. A total of 366 respondents read a hypothetical scenario describing the sexual assault of a 14‐year‐old girl by a 39‐year‐old man, before completing 21 attribution items relating to victim blame, perpetrator blame, the blaming of the victim's (non‐offending) parents, and assault severity. Overall, men judged the assault more serious when the perpetrator used physical force as opposed to verbal threat or misrepresented play as a coercive act. Men also deemed the victim's non‐offending parents more culpable when the victim offered no resistance, rather than physical or verbal resistance. Women judged the assault equally severe regardless of coercion type, although they did rate the victim's family more culpable when the victim offered verbal rather than physical resistance. Implications and ideas for future work are discussed.
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The purpose of this paper is to analyse the 2016 elections for Police and Crime Commissioners (PCCs) and to compare them with those that took place in 2012. It seeks to evaluate…
Abstract
Purpose
The purpose of this paper is to analyse the 2016 elections for Police and Crime Commissioners (PCCs) and to compare them with those that took place in 2012. It seeks to evaluate the background of the candidates who stood for office in 2016, the policies that they put forward, the results of the contests and the implications of the 2016 experience for future PCC elections.
Design/methodology/approach
This paper is based around several key themes – the profile of candidates who stood for election, preparations conducted prior to the contests taking place, the election campaign and issues raised during the contests, the results and the profile of elected candidates. The paper is based upon documentary research, making particular use of primary source material.
Findings
The research establishes that affiliation to a political party became the main route for successful candidates in 2016 and that local issues related to low-level criminality will dominate the future policing agenda. It establishes that although turnout was higher than in 2012, it remains low and that further consideration needs to be devoted to initiatives to address this for future PCC election contests.
Research limitations/implications
The research focusses on the 2016 elections and identifies a number of key issues that emerged during the campaign affecting the conduct of the contests which have a bearing on future PCC elections. It treats these elections as a bespoke topic and does not seek to place them within the broader context of the development of the office of PCC.
Practical implications
The research suggests that in order to boost voter participation in future PCC election contests, PCCs need to consider further means to advertise the importance of the role they perform and that the government should play a larger financial role in funding publicity for these elections and consider changing the method of election.
Social implications
The rationale for introducing PCCs was to empower the public in each police force area. However, issues that include the enhanced importance of political affiliation as a criteria for election in 2016 and the social unrepresentative nature of those who stood for election and those who secured election to this office in these contests coupled with shortcomings related to public awareness of both the role of PCCs and the timing of election contests threaten to undermine this objective.
Originality/value
The extensive use of primary source material ensures that the subject matter is original and its interpretation is informed by an academic perspective.