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Article
Publication date: 1 June 2005

Denis Loveridge and Penny Street

Most public foresight programmes in the 1990s limited participation to technological experts in the identified fields. However, almost all the programmes had an implied social

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Abstract

Purpose

Most public foresight programmes in the 1990s limited participation to technological experts in the identified fields. However, almost all the programmes had an implied social dimension and several concluded that more inclusive participation was needed in future programmes. The paper aims to discuss how inclusiveness might be achieved.

Design/methodology/approach

At first sight extending participation seems eminently possible. Inclusiveness is a matter of definition and process that has been encountered in other foresight style activities where the opinions of the polity need to be taken into account. Definitions and processes form the core of our approach, using ideas from human behaviour, sustainability and corporate governance.

Findings

Learning how to extend participation has started through the German FUTUR programme and the creation of some online discussion forums. Some other programmes in The Netherlands (1996) and the UK (from 1998 onwards) have attempted to become more inclusive, with varying degrees of success.

Research limitations/implications

The discussion is restricted to exploring some general principles related to making foresight programmes more inclusive. Some of the detail has been worked out but is not complete enough to be discussed.

Practical implications

Inclusiveness introduces specific management and process needs, if foresight programmes are to be extended into the social sphere without their becoming chaotic. The principles discussed imply a need for a change in mind‐set for foresight sponsors and practitioners.

Originality/value

None of these ideas have been used in practice and to that extent are original.

Details

Foresight, vol. 7 no. 3
Type: Research Article
ISSN: 1463-6689

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Article
Publication date: 1 March 1985

Life is made up of debits and credits, as Kipling wrote, long accounts have to be paid — mistakes, misconduct, misdeeds, all the mischief and harm they cause, exact payment which…

177

Abstract

Life is made up of debits and credits, as Kipling wrote, long accounts have to be paid — mistakes, misconduct, misdeeds, all the mischief and harm they cause, exact payment which has to be met by someone, not necessarily those that cause the trouble; all too often by innocent victims. The recent industrial strife, destruction and violence, despite the plausible excuses for it, will have disastrous results, a colossal debit in the nation's accounts; and the mass of the people, the vulnerable groups including several millions of elderly pensioners, the handicapped and sick, are under no illusions who will have to pay. The posturing defiance — “heads held high”, bands playing martial music — the complete lack of concern or regret for others will make no difference to the overtaking retribution.

Details

British Food Journal, vol. 87 no. 3
Type: Research Article
ISSN: 0007-070X

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Article
Publication date: 26 August 2014

Farrukh Alam and Peter Barker

The purpose of this paper is to identify risk factors for interruptions in opioid dependence treatment and barriers to (re) entering effective treatment through real-world insight…

553

Abstract

Purpose

The purpose of this paper is to identify risk factors for interruptions in opioid dependence treatment and barriers to (re) entering effective treatment through real-world insight on current opioid dependence treatment in the UK.

Design/methodology/approach

Project Access UK, a national survey deployed across multiple regions in England, Wales and Scotland, collected data on the perspectives of patients receiving medication-assisted treatment (MAT) for opioid dependence (n=248), out-of-treatment opioid users (n=196), and physicians (n=100).

Findings

Both patients and users reported multiple prior episodes of MAT and detoxification. Among patients, 57 per cent reported continuing illicit drugs use in addition to their treatment, 25 per cent had misused (injected or snorted) and 30 per cent had diverted (sold or given away) prescribed opioid medications. Diverted medications were currently being used by 26 per cent of out-of-treatment users; of these, 21 per cent used methadone. Supervised dosing was rated as the condition of treatment with the biggest impact on daily life. Daily supervision was a requirement for 44, 34 and 23 per cent of patients receiving methadone, mono-buprenorphine and buprenorphine-naloxone, respectively.

Practical implications

Interruptions to opioid dependence treatment in various forms can hamper the recovery of opioid-dependent patients. The benefits of MAT may not be fully realised if treatment is interrupted due to compliance failure, or inflexible treatment programmes leading to premature treatment exit. These findings serve to highlight areas in which treatment disruption can potentially be addressed.

Originality/value

Consideration of these findings may aid in the optimisation of treatment delivery practices to better meet the UK policy of recovery, and ultimately improve patient outcomes.

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Article
Publication date: 25 January 2011

Tom Ratcliffe, Sam Dabin and Peter Barker

This paper aims to design and implement an audit of physical health monitoring for patients with schizophrenia or bipolar disorder in primary care.

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Abstract

Purpose

This paper aims to design and implement an audit of physical health monitoring for patients with schizophrenia or bipolar disorder in primary care.

Design/methodology/approach

Evidence‐based criteria for physical health monitoring were developed from current clinical guidelines. Physical health monitoring of 128 patients with a diagnosis of either schizophrenia or bipolar disorder was audited against these criteria in two urban GP practices.

Findings

The number of patients whose smoking history, alcohol consumption history, blood pressure and body mass index had been recorded in the preceding 15 months varied significantly by practice, whilst recording of blood cholesterol and diabetes status did not. Patients with a diagnosis of schizophrenia were significantly more likely to have had a diabetes status recorded in the preceding 15 months compared to patients with bipolar disorder.

Research limitations/implications

Standards for compliance with audit criteria need to be debated and agreed with stakeholders. Further research is needed into how physical healthcare services can effectively engage patients with serious mental illness.

Practical implications

Audit of physical health monitoring in primary care is feasible and could be used to identify shortcomings in physical healthcare for people with serious mental illness. Inviting patients on practices' mental health registers for cardiovascular risk screening should be considered.

Social implications

Regular audit of physical health monitoring in people with schizophrenia or bipolar disorder may help ensure equitable healthcare delivery for patients with serious mental illness.

Originality/value

This paper presents an audit methodology that primary care trusts and general practitioners can use to assess how effectively the physical health of people with serious mental illness is being monitored.

Details

Clinical Governance: An International Journal, vol. 16 no. 1
Type: Research Article
ISSN: 1477-7274

Keywords

Available. Content available
Article
Publication date: 2 November 2012

Mark Shelbourn

342

Abstract

Details

Structural Survey, vol. 30 no. 5
Type: Research Article
ISSN: 0263-080X

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Article
Publication date: 1 September 1937

A VERY interesting winter lies ahead for all students and other librarians; for, we suppose, almost immediately attempts will be made to harmonize the practice of the Library…

38

Abstract

A VERY interesting winter lies ahead for all students and other librarians; for, we suppose, almost immediately attempts will be made to harmonize the practice of the Library Association with the expressed wishes of its last Annual Meeting. We publish some notes in Letters on Our Affairs on the crisis, if it may be so called, but we would add such voice as we have to that of those who plead for moderation. Violent changes are rarely justified, and violent expressions still less rarely, and as there appears to be now a disposition to bury hatchets and to get to work we hope that every advantage will be taken of it.

Details

New Library World, vol. 40 no. 3
Type: Research Article
ISSN: 0307-4803

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Article
Publication date: 9 April 2018

Ian Williams and Gary Winship

The purpose of this paper is to build a new theoretical framework for inscribing the constituents of therapeutic community (TC) practice in prisons and other secure psychiatric…

267

Abstract

Purpose

The purpose of this paper is to build a new theoretical framework for inscribing the constituents of therapeutic community (TC) practice in prisons and other secure psychiatric settings looking at three core element: homeliness, hope and humour.

Design/methodology/approach

The study is based on theory building, review of related literature, including research and policy, and synthesis from related funded research projects (Sociology of Health and Illness, Arts Humanities Research Council).

Findings

Home-as-method, and the concept of transitional home, highlights how a well-designed therapeutic environment looks and feels and can act as a base for effective rehabilitation. The TC aspires to offer a corrective new synthesis of home superseding the resident’s prior experience. A through-going definition of hope-as-method is outlined. It is argued that hope is co-constructed on the TC, and that there is a necessary challenge in gauging fluctuations in hope across time. Humour is a much overlooked idea but arguably an integral ingredient of healthy transactions between prisoners and staff. The particularities of humour present a challenge and an opportunity for harnessing the conditions when humour can flourish and conversely, the chain of events when mal humour damages community atmosphere.

Practical implications

H3 provides a new framework for reflecting on current TC practice, and also a model for developing novel ways of seeing, including the development of research and policy guidance. H3 also provides a philosophical base for developing a curriculum for education and training.

Originality/value

The 3Hs offers a rubric for positively narrating the aspirations of a prison milieu. The idea is purposively simple, and so far the authors have found that staff, prisoners and service directors are receptive to the concept, and there are plans for the 3Hs are set to be a narrative descriptor for developing practice in prisons.

Details

Therapeutic Communities: The International Journal of Therapeutic Communities, vol. 39 no. 1
Type: Research Article
ISSN: 0964-1866

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Article
Publication date: 19 May 2020

Graham Gladden

The purpose of this paper is to analyse Cunard’s marketing communications during a period of significant social and economic change. The intention is to show, firstly, how the…

853

Abstract

Purpose

The purpose of this paper is to analyse Cunard’s marketing communications during a period of significant social and economic change. The intention is to show, firstly, how the company sought to meet and influence potential passengers’ understanding of their travel needs and, secondly, how these would be met.

Design/methodology/approach

The companies’ marketing communications are analysed using Maslow’s hierarchy. This is a well known descriptor of human needs.

Findings

Beyond a description and review of Cunard’s advertising, Maslow’s model of needs is shown to provide a rationale to the company’s approach. In particular, it gives an understanding of the continued, though changing, use of images of the ship to meet the needs of different cohorts of passengers. It shows how carefully constructed images in both word and picture assuaged passengers’ concerns over social needs and how the company promised to meet the highest needs, whether that be for the holiday maker or the emigrant.

Research limitations/implications

During much of the period under discussion, much of the advertising design work was done in house. Though none of these files have survived, other sources of information (for example, house magazines and internal correspondence) provide an understanding of Cunard’s attitude to its customers and the business opportunities it saw in a changing market. Where specific dates for documents are not available, a chronology of ship building and use has been applied.

Practical implications

This paper shows how a well-established model can be used in a different way, adding to the understanding of a company adapting to changing social and economic conditions.

Originality/value

To the best of author’s knowledge, this is the first time that Maslow’s hierarchy has been used explicitly as a tool to analyse marketing and advertising material. Though the existing literature includes some discussion of shipping line posters visual content, there is little further discussion of their content or purpose in a changing social context. This paper provides a more structured analytical view.

Details

Journal of Historical Research in Marketing, vol. 12 no. 3
Type: Research Article
ISSN: 1755-750X

Keywords

Available. Open Access. Open Access
Article
Publication date: 1 August 2023

Peter Korp, Mikael Quennerstedt, Dean Barker and Anna Johansson

Over the last couple of decades, health has become a central part of the subject content in physical education (PE) curricula in many countries. As a result, issues of health have…

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Abstract

Purpose

Over the last couple of decades, health has become a central part of the subject content in physical education (PE) curricula in many countries. As a result, issues of health have been foregrounded much more clearly in the teaching of PE. The aim of this study was to explore how Swedish PE teachers make sense of health in relation to their teaching practices. This was done through investigating conceptions and theories about health in the teachers' descriptions of their teaching practices.

Design/methodology/approach

The data analyzed in this paper were collected through focus group and individual interviews with PE teachers in the grades 7–9 within compulsory schools in Sweden. The data were analyzed using thematic analysis.

Findings

Four dominant themes were identified in the data: 1) Health as a healthy attitude, 2) Health as a functional ability, 3) Health as fitness, 4) Health as mental wellbeing. There is a clear impact from healthism and obesity discourses on the teachers' accounts of health, but there is also an impact from holistic views and approaches to health. The authors contend that teachers should be explicit in what they mean by health in relation to what they teach, how they teach and why they teach health in a certain way.

Originality/value

The knowledge produced by this study is crucial since teachers' assumptions regarding health affect the subject content (what), the pedagogies (how), as well as the reasons (why) they teach health and therefore what students learn regarding health.

Details

Health Education, vol. 123 no. 2
Type: Research Article
ISSN: 0965-4283

Keywords

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Article
Publication date: 1 January 1994

Richard A. Barker

The organizational culture and climate of General Dynamics, Electronics Division was examined in relation to several change efforts implemented between the years of 1983 and 1992…

259

Abstract

The organizational culture and climate of General Dynamics, Electronics Division was examined in relation to several change efforts implemented between the years of 1983 and 1992. An attempt was made to identify those elements of the organization's culture that contributed to resistance to planned change. The relative merits of climate analysis and cultural analysis are discussed Two conflicting subcultural structures were identified which represented substantial difficulties for change implementation. The study concluded that using organizational climate analysis may not be sufficient to provide change agents with the means to affect change, and that analysis of cultural assumptions is needed to reveal the most substantial barriers to change.

Details

The International Journal of Organizational Analysis, vol. 2 no. 1
Type: Research Article
ISSN: 1055-3185

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