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Article
Publication date: 19 September 2018

Shannon L. Sibbald and Robert Sibbald

The South West Health Ethics Network (SWHEN) was created to bring together health care providers from a variety of health care settings across a geographical region. SWHEN’s…

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Abstract

Purpose

The South West Health Ethics Network (SWHEN) was created to bring together health care providers from a variety of health care settings across a geographical region. SWHEN’s mission was to connect health professionals who have an interest in ethical issues. SWHEN’s target participants are people with an interest in this field regardless of the individual’s capacity within an ethics profession. While other ethics networks exist, few of these expand beyond a narrow scope of ethics professionals (clinical ethicists). The preliminary vision in bringing together this group was to create a regional collaborative to educate, share lessons and begin to create a common approach to ethics issues in our region. Ethics networks increase collaboration and the exchange of resources, information and ideas among clinical ethicists. As a result, they address many of the ethical dilemmas faced in integrated care and facilitate the success of these systems in providing coordinated patient care. The paper aims to discuss these issues.

Design/methodology/approach

A Delphi consensus building approach was conducted to determine goals and priorities of the network.

Findings

Several priorities and counter priorities were discussed. In the end, the network was stifled by three major challenges: resource sharing, balance of network priorities and individual needs, and leadership.

Originality/value

While the journey to creating a sustainable network is long and complex, it is still worth the struggles. Network members remained connected through e-platforms, and the meetings have increased our region’s cohesiveness around ethics. We remain cautiously optimistic of SWHENs future and acknowledge that our initial plan may have shifted but our achievements are still meaningful and worthwhile.

Details

Journal of Integrated Care, vol. 27 no. 1
Type: Research Article
ISSN: 1476-9018

Keywords

Available. Open Access. Open Access
Article
Publication date: 27 July 2022

Maria Mathews, Dana Ryan, Lindsay Hedden, Julia Lukewich, Emily Gard Marshall, Judith Belle Brown, Paul S. Gill, Madeleine McKay, Eric Wong, Stephen J. Wetmore, Richard Buote, Leslie Meredith, Lauren Moritz, Sarah Spencer, Maria Alexiadis, Thomas R. Freeman, Aimee Letto, Bridget L. Ryan, Shannon L. Sibbald and Amanda Lee Terry

Strong leadership in primary care is necessary to coordinate an effective pandemic response; however, descriptions of leadership roles for family physicians are absent from…

1561

Abstract

Purpose

Strong leadership in primary care is necessary to coordinate an effective pandemic response; however, descriptions of leadership roles for family physicians are absent from previous pandemic plans. This study aims to describe the leadership roles and functions family physicians played during the COVID-19 pandemic in Canada and identify supports and barriers to formalizing these roles in future pandemic plans.

Design/methodology/approach

This study conducted semi-structured qualitative interviews with family physicians across four regions in Canada as part of a multiple case study. During the interviews, participants were asked about their roles during each pandemic stage and the facilitators and barriers they experienced. Interviews were transcribed and a thematic analysis approach was used to identify recurring themes.

Findings

Sixty-eight family physicians completed interviews. Three key functions of family physician leadership during the pandemic were identified: conveying knowledge, developing and adapting protocols for primary care practices and advocacy. Each function involved curating and synthesizing information, tailoring communications based on individual needs and building upon established relationships.

Practical implications

Findings demonstrate the need for future pandemic plans to incorporate formal family physician leadership appointments, as well as supports such as training, communication aides and compensation to allow family physicians to enact these key roles.

Originality/value

The COVID-19 pandemic presents a unique opportunity to examine the leadership roles of family physicians, which have been largely overlooked in past pandemic plans. This study’s findings highlight the importance of these roles toward delivering an effective and coordinated pandemic response with uninterrupted and safe access to primary care.

Details

Leadership in Health Services, vol. 35 no. 4
Type: Research Article
ISSN: 1751-1879

Keywords

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Article
Publication date: 12 February 2018

Håkan Uvhagen, Mia von Knorring, Henna Hasson, John Øvretveit and Johan Hansson

The purpose of this paper is to explore factors influencing early implementation and intermediate outcomes of a healthcare-academia partnership in a primary healthcare setting.

213

Abstract

Purpose

The purpose of this paper is to explore factors influencing early implementation and intermediate outcomes of a healthcare-academia partnership in a primary healthcare setting.

Design/methodology/approach

The Academic Primary Healthcare Network (APHN) initiative was launched in 2011 in Stockholm County, Sweden and included 201 primary healthcare centres. Semi-structured interviews were conducted in 2013-2014 with all coordinating managers (n=8) and coordinators (n=4). A strategic change model framework was used to collect and analyse data.

Findings

Several factors were identified to aid early implementation: assignment and guidelines that allowed flexibility; supportive management; dedicated staff; facilities that enabled APHN actions to be integrated into healthcare practice; and positive experiences from research and educational activities. Implementation was hindered by: discrepancies between objectives and resources; underspecified guidelines that trigger passivity; limited research and educational activities; a conflicting non-supportive reimbursement system; limited planning; and organisational fragmentation. Intermediate outcomes revealed that various actions, informed by the APHN assignment, were launched in all APHNs.

Practical implications

The findings can be rendered applicable by preparing stakeholders in healthcare services to optimise early implementation of healthcare-academia partnerships.

Originality/value

This study increases understanding of interactions between factors that influence early stage partnerships between healthcare services and academia in primary healthcare settings.

Details

International Journal of Health Care Quality Assurance, vol. 31 no. 1
Type: Research Article
ISSN: 0952-6862

Keywords

Available. Open Access. Open Access
Book part
Publication date: 25 July 2022

Anastasia Zabaniotou, Aigli Tsirogianni, Monica Cardarilli and Massimo Guarascio

Gender competence as part of engineering education can better prepare men and women to work on sustainable solutions that benefit entire societies. This chapter describes the…

Abstract

Gender competence as part of engineering education can better prepare men and women to work on sustainable solutions that benefit entire societies. This chapter describes the framework and lessons learned of a community of practice (CoP) for gender equality facilitated by the Mediterranean Engineering Schools Network. Faculty and students from Mediterranean European, North African and Middle Eastern countries came together in this CoP, which was supported by the TARGET project, to develop a practical plan using a reflexive approach. The transfer of knowledge between generations is achieved by using participatory learning processes, facilitating mindful awareness, widening experiences, deepening understandings and building a gender-sensitive mindset. Students embarked on the journey to become change agents. The process led to the consolidation of gender equality knowledge, competence building and the development of change agents for gender equality. This CoP can inspire other institutions to undertake a participatory path towards gender equality – at local, regional, or global level.

Details

Overcoming the Challenge of Structural Change in Research Organisations – A Reflexive Approach to Gender Equality
Type: Book
ISBN: 978-1-80262-122-8

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Article
Publication date: 1 August 2008

Jim White

Recent guidelines suggest that cognitive behavioural therapy (CBT) has a pivotal role to play in the treatment of common mental health problems (CMHPs). There is a danger that we…

422

Abstract

Recent guidelines suggest that cognitive behavioural therapy (CBT) has a pivotal role to play in the treatment of common mental health problems (CMHPs). There is a danger that we simply ask for ‘more of the same’ instead of looking at all the current limitations preventing individuals from accessing appropriate help. Doing this leads us to aim for a more radical and innovative approach to the CMHPs. This paper suggests that progress in primary care mental health has been much more limited than mental health workers and, in particular, researchers often acknowledge. It looks at the major obstacles barring the way to the development of services that could meet the needs of the very large number of people in our communities with CMHPs.

Details

Journal of Public Mental Health, vol. 7 no. 1
Type: Research Article
ISSN: 1746-5729

Keywords

Available. Open Access. Open Access
Article
Publication date: 6 November 2017

Emma Foreman, Sara McMillan and Amanda Wheeler

The community-managed mental health sector needs to meet growing workforce demands. Yet, limited research has explored professional development opportunities and effective…

3971

Abstract

Purpose

The community-managed mental health sector needs to meet growing workforce demands. Yet, limited research has explored professional development opportunities and effective recruitment and retention strategies to support sector growth. One strategy is the use of a scholarship program to increase skills and training, via a University qualification. The purpose of this paper is to explore the progress of 19 mental health scholarship students and the impact of the scholarship on career intentions.

Design/methodology/approach

A mixed-methods approach comprising scholarship applications, questionnaires and semi-structured interviews was used to explore the students’ university experiences between February 2013 and January 2015. Course convenors of the Mental Health Program were interviewed. Data were collected across three time-points over 24 months, with each collection informing the next research phase. Data analysis involved thematic analysis and descriptive statistics.

Findings

Deeper knowledge, recognition of experience, new career pathways and improved work practice were benefits. Managing time and study, and work-life balance were the greatest challenges. Completing students displayed a range of internal attributes and accessed external supports. At the time of the study, the scholarships maintained student motivation and intention to work in the sector.

Originality/value

This research provides a deeper understanding of the demographics of the sector’s workforce. Insight into the attributes of completing students was obtained. The benefits realized and the challenges faced by the scholarship recipients will inform ongoing workforce development programs for the community-managed mental health sector.

Details

The Journal of Mental Health Training, Education and Practice, vol. 12 no. 6
Type: Research Article
ISSN: 1755-6228

Keywords

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Article
Publication date: 5 August 2019

Brendan Riggin, Karen Danylchuk, Dawn Gill and Robert Petrella

The purpose of this paper is to examine the social impact of an initiative (Hockey FIT) aimed at improving the health and well-being of sport fans and their community.

441

Abstract

Purpose

The purpose of this paper is to examine the social impact of an initiative (Hockey FIT) aimed at improving the health and well-being of sport fans and their community.

Design/methodology/approach

Fans (n=80) participated in 12 weekly health promotion sessions hosted in local hockey club facilities. Objective health measurements, diet and physical activity levels of fans were measured at baseline, 12 weeks and 12 months, to determine the intermediate, long-term, individual and community impact. Furthermore, one-on-one interviews with 28 program participants were conducted to further understand the program’s social impact.

Findings

The intermediate impact was noticed as improvements in weight loss, body mass index, waist circumference, systolic blood pressure (BP), steps per day, healthful eating, self-reported overall health and fatty food scores at 12 weeks. The long-term individual impact of Hockey FIT was realized as participants maintained or continued to improve their weight loss, waist circumference, healthful eating, systolic BP and diastolic BP 12 months after the program had been offered. The program was also reported to increase family bonding time and improved the diet, daily physical activity, and general awareness of health promotion programs and components for friends, family members and coworkers.

Originality/value

The positive health-related results from this study contradict prior research that has suggested there is minimal evidence of any substantial contributions from social programs in sport. Through a collective approach to corporate social responsibility, this research demonstrates the ability for sport organizations to contribute to meaningful social change and the positive role that they play within the community.

Details

Sport, Business and Management: An International Journal, vol. 9 no. 4
Type: Research Article
ISSN: 2042-678X

Keywords

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Article
Publication date: 25 October 2024

Trudie Walters and Freya Higgins-Desbiolles

Attending academic conferences is important for career progression. However, conferences can be experienced as exclusionary by historically marginalised groups. Non-attendance…

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Abstract

Purpose

Attending academic conferences is important for career progression. However, conferences can be experienced as exclusionary by historically marginalised groups. Non-attendance through exclusionary event design thus has far-reaching consequences, which is a social and structural justice issue. This research therefore aims to shine a light on event design in academic conferences, and its relationship to diversity, equity and inclusion (DEI).

Design/methodology/approach

Through empirical study, we address the question “Are academic conferences communicating a commitment to DEI for delegates from historically marginalised groups, and if so, how?”. Using a content protocol (Loh et al., 2022) and signalling theory (Bradley et al., 2023), we analyse the publicly available conference materials of 70 tourism, leisure, events and hospitality academic conferences planned or convened between 2023 and 2025 to assess DEI discourses and practices for evidence of conference design that fosters inclusivity, belongingness and therefore addresses justice.

Findings

References to one or more elements of DEI were found in the discourses of around one quarter of the conferences. However, for BIPOC [1], precarious academics, those from the LGBTQIA+ or disability communities, those with caring responsibilities, those on low or no incomes or with visa requirements, and to a large degree still for women, there were few signs within conference design practices that could be construed as conveying a welcoming culture. We therefore argue that academic conferences within the fields of tourism, leisure, events and hospitality are perpetuating inequity, exclusion and injustice through failing to give full consideration to whom their event design practices are inviting to participate. This is an opportunity lost, and we provide a checklist for conference organisers to help them communicate that historically marginalised academics are welcome and belong at their event.

Originality/value

We believe this is the first study to take a DEI lens to an examination of academic conferences, and apply a content protocol and signalling theory as analytic tools in the process.

Details

International Journal of Event and Festival Management, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1758-2954

Keywords

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