Presents Cheviot and Wansbeck NHS Trust’s strategy for qualityimprovement with a patient‐focused approach. Describes the developmentand implementation of multidisciplinary…
Abstract
Presents Cheviot and Wansbeck NHS Trust’s strategy for quality improvement with a patient‐focused approach. Describes the development and implementation of multidisciplinary pathways of care. Discusses the benefits of using the pathways. Proposes that multidisciplinary pathways of care are the ideal method of reviewing and co‐ordinating the care process.
Details
Keywords
Chan L. Thai, Anna Gaysynsky, Angela Falisi, Wen-Ying Sylvia Chou, Kelly Blake and Bradford W. Hesse
Purpose: Previous research has found that people’s trust in a source of information affects whether they will expose themselves to information from that source, pay attention to…
Abstract
Purpose: Previous research has found that people’s trust in a source of information affects whether they will expose themselves to information from that source, pay attention to that source, and the likelihood that they will act on the information obtained from that source. This study tracked trends in levels of trust in different health information sources over time and investigated sociodemographic predictors of trust in these sources.
Methodology/Approach: Data were drawn from the Health Information National Trends Survey (HINTS), a nationally representative, cross-sectional survey of adults in the USA. Weighted percentages, means, and standard errors for trust in health information sources were computed using data from four iterations of the survey (2005, 2009, 2012, and 2013). Weighted multivariable logistic regression models were employed to investigate associations between sociodemographic variables and level of trust in health information sources using HINTS 2013 data.
Findings: Trend analyses revealed declining trust in “traditional” mass media channels, such as television and radio, for health information and consistently high trust in interpersonal sources, like physicians, over the past decade. Regression analyses showed that those with more education (ORs 2.93–4.59, p < 0.05) and higher incomes (ORs 1.65–2.09, p < 0.05) were more likely to trust the Internet for health information than those with less education and lower incomes. Non-Hispanic Blacks and Hispanics were more likely to trust mass media channels in comparison to Non-Hispanic Whites (ORs 1.73–2.20, p < 0.05).
Implications: These findings can be used to inform the strategic selection of channels for disseminating health information to certain demographic groups.
Details
Keywords
Teresa Nelson, Sylvia Maxfield and Deborah Kolb
The purpose of this paper is to conceptually and empirically explore issues that explain why women entrepreneurs access only a small percentage of venture capital (VC) investment…
Abstract
Purpose
The purpose of this paper is to conceptually and empirically explore issues that explain why women entrepreneurs access only a small percentage of venture capital (VC) investment in the USA.
Design/methodology/approach
The focus is on the situations women entrepreneurs face, and the strategies they adopt, to successfully fund their high‐growth businesses with venture funding. Rather than looking for answers at the individual level (men v women), the authors focus on the construct of gender and the way that the socially constructed business practices and processes of access to capital may appear neutral and natural but, in fact, may deliver differential consequences to women and men. When entrepreneurs and capital providers are interacting around the terms and particulars of a business venture, they are also participating in a less obvious conversation – an interaction that is call the Shadow Negotiation. Through interviews with women who have been successful or are in the process of accessing VC for their businesses, patterns of women's awareness and strategic responses that illustrate this phenomenon are identified and their implications discussed.
Findings
Women are actors with agency, taking control over situations that may be stacked against them. The analysis suggests that women entrepreneurs vary in the degree to which they identify the gendered landscape they are navigating, and the level of attention and care that management of this landscape demands.
Originality/value
This study complements existing research, both theoretically and prescriptively.
Details
Keywords
Mary Isabelle Young, Lucy Joe, Jennifer Lamoureux, Laura Marshall, Sister Dorothy Moore, Jerri-Lynn Orr, Brenda Mary Parisian, Khea Paul, Florence Paynter and Janice Huber
As shown in their earlier stories, while at differing times and places Janice and Mary searched for a research methodology that felt congruent with who they were each becoming and…
Abstract
As shown in their earlier stories, while at differing times and places Janice and Mary searched for a research methodology that felt congruent with who they were each becoming and the inquiries they imagined, they both became drawn toward the relational aspects of narrative inquiry. As Clandinin and Connelly wrote: “Relationship is key to what it is that narrative inquirers do” (2000, p. 189). Key in negotiating relationships as narrative inquirers is our collective sharing of stories of experience. This relational storytelling shapes both shared vulnerability among storytellers as each person awakens to the complexity of lives being composed and recomposed and, too, a growing sense of working from, and with, stories as a way to shape personal, social, and institutional change (Clandinin & Connelly, 1998, 2000; Connelly & Clandinin, 2006). Clandinin and Connelly (1998) describe this kind of narrative change as taking shape in the following ways:For us, the promise of storytelling emerges when we move beyond regarding a story as a fixed entity and engage in conversations with our stories. The mere telling of a story leaves it as a fixed entity. It is in the inquiry, in our conversations with each other, with texts, with situations, and with other stories that we can come to retelling our stories and to reliving them. (p. 251)Furthermore, Maenette Benham (2007) writes thatthe power of narrative is that, because it deeply explores the tensions of power by illuminating its collisions (e.g., differences of knowledge and practices), it reveals interesting questions that mobilize processes and resources that benefit native people and their communities. Indeed, the political impact of narrative cannot be dismissed. (pp. 513–514)
This article is an exploration of how power has been exercised over the future of part of a rural town in Lancashire, North West England. The article reviews a decade of debates…
Abstract
This article is an exploration of how power has been exercised over the future of part of a rural town in Lancashire, North West England. The article reviews a decade of debates about what should be done with the area, and draws loose comparisons between practices at various stages of the story and three conceptual frameworks from planning theory. The stages are likened to the theories of rational-comprehensive planning, agonism and communicative planning. This story is characterised by the attempts of spatially or deliberatively remote actors to define the area's future, and to justify this by recourse to one or more master narratives. The article appraises how successful each of the three planning theories have been at regulating these attempts to impose the area's future. It builds on existing critiques of rational planning and communicative planning and shows how, in this instance; well resourced agonistic debate was more effective at promoting the importance of disparate values and non-expert knowledge.
Details
Keywords
FEBRUARY OF THIS YEAR sees the forty‐fifth anniversary of the founding of the Bermondsey Bookshop, that quixotic venture whose extraordinary blend of the sophisticated and the…
Abstract
FEBRUARY OF THIS YEAR sees the forty‐fifth anniversary of the founding of the Bermondsey Bookshop, that quixotic venture whose extraordinary blend of the sophisticated and the naive, the complacent and the committed, epitomized in its nine‐year history a good many of the prevailing literary and social attitudes of the Twenties.