Mike Akroyd, Janet Allison, Sarah Booth, Carole Gilligan, David Harrison, Victoria Holden and Rebecca Mace
Seclusion is the supervised containment of a patient, away from others, when immediately necessary to manage safety on a psychiatric inpatient ward. When seclusion is necessary…
Abstract
Purpose
Seclusion is the supervised containment of a patient, away from others, when immediately necessary to manage safety on a psychiatric inpatient ward. When seclusion is necessary, it should be used for the shortest time possible, with a regular multidisciplinary review of the patient’s mental and physical health, medication and risk guiding decisions around continuation or ending of this restrictive measure. However, many medical and nursing staff can be anxious about taking part in such reviews. Simulation has been used in many areas of medicine to help people to develop competence and confidence, in a safe setting where their own needs can be paramount. This paper aims to describe the use of a blended learning approach, including simulation, to build confidence and competence amongst healthcare professionals in the safe review of seclusion.
Design/methodology/approach
A multidisciplinary group, including input from individuals with lived experience of use of seclusion, put together a one-day training course, which included group debate exploring the relationship between seclusion and the Human Rights Act, guided discussion of videos exploring some aspects of practice and a half-day of simulation where multidisciplinary teams could act as the team reviewing a patient who had been secluded.
Findings
This paper found that the course’s blended learning approach helped participants to feel more confident in their understanding of several aspects of seclusion, including what their team discussions should include before and after seeing a patient and in knowing when to end a period of seclusion.
Originality/value
While simulation is slowly becoming a more familiar component of the undergraduate and postgraduate education offer in psychiatry, the authors are unaware of any evaluation of a dedicated simulation-based training course around reviews of seclusion.
Details
Keywords
Victoria Holden and Jessica Jackson
The purpose of this paper will be to ascertain the underpinning reason for restraint use in the acute paediatric setting. In the UK, presentations for mental health-related needs…
Abstract
Purpose
The purpose of this paper will be to ascertain the underpinning reason for restraint use in the acute paediatric setting. In the UK, presentations for mental health-related needs within paediatric settings have increased. These admissions can be associated with patients with significant mental health and trauma histories who present with behaviours that challenge, risking exposure to higher levels of restrictive practice.
Design/methodology/approach
A literature review was conducted across five databases, PsychINFO, EMCARE, EMBASE, MEDLINE and CINAHL. Search terms related to “paediatrics” and “restraint” were used. In all, 116 studies were screened with 78 studies being retrieved for analysis. A total of eight studies were included for review. All studies were quality assessed using the appropriate tool that adhered to each respective design.
Findings
Five themes were extracted from the analysis and presented. These themes were identified as “restraint as part of the role of paediatric nursing”, “culture and attitudes”, “lack of guidance and agreed terminology”, “lack of other alternatives” and “training”. Restraint in paediatrics is unregulated not only in the UK but also globally. Positive behaviour support is highlighted as an approach for restraint reduction in paediatric settings.
Originality/value
This literature review identifies a significant lack of research regarding restraint for young people with mental health presentations in the paediatric setting. This paper sets forth the need for future research both in the UK and globally.
Details
Keywords
Inka Havrila and Christabel Zhang
University students often view economics as one of the most challenging subjects. In this paper, we explore whether the same attitude is shared by students at an offshore campus…
Abstract
University students often view economics as one of the most challenging subjects. In this paper, we explore whether the same attitude is shared by students at an offshore campus. The analysis is based on a survey of onshore and offshore students in an Australian university. The focus of the paper is on identifying similarities/differences in student attitudes towards economics, their degree of motivation, satisfaction with the content and the delivery of lectures and tutorials, major challenges, and student profile characteristics. A non‐parametric test indicates significant differences between the two cohorts, in terms of their age, enrolment status, paid work commitments, prior study of economics, their motivation and approach to studying the subject, and satisfaction with both the content and the delivery of the lectures/tutorials. The findings in this study are helpful in developing strategies for enhancing student learning in culturally diverse cohorts.
Details
Keywords
Natalie Victoria Wilmot and Susanne Tietze
This study aims to investigate the treatment of translation within the international business and management (IBM) literature to highlight colonialist assumptions inscribed in…
Abstract
Purpose
This study aims to investigate the treatment of translation within the international business and management (IBM) literature to highlight colonialist assumptions inscribed in this treatment as a result of the hegemonic status of English.
Design/methodology/approach
This investigation takes the form of a systemic literature review to examine the treatment of translation in the IBM literature through a postcolonial lens.
Findings
The findings demonstrate that despite growing interest in language in international business, matters of translation have received comparatively little attention. However, those articles that do address translation matters tend to do so in five key ways, including epistemological/methodological considerations, exploring translator agency, the investigations of the discursive void/conceptual fuzziness between languages, and approaches that discuss translation as social practice.
Research limitations/implications
Despite the authors’ critique of English-language hegemony, this literature review is restricted to English-language journals, which the authors acknowledge as problematic and discuss within the article.
Practical implications
In exposing the limited treatment of translation within the literature, the authors provide a call to action for IBM scholars to be more explicit in their treatment of translation to ensure representation of cultural and linguistic Others, rather than providing domesticated accounts of multilingual research.
Originality/value
Although there have been other articles that have examined translation in the past, this paper is the first to do so through a postcolonial lens, demonstrating from a linguistic perspective the colonialist assumptions that are still prevalent in IBM knowledge production, as evidenced by the treatment of translation in the field.
Details
Keywords
David Mackay and Malcolm Rosier
Draws on recent research on the impact of electronic data interchange (EDI) on the Australian automotive industry. The often considerable efforts by large corporations towards the…
Abstract
Draws on recent research on the impact of electronic data interchange (EDI) on the Australian automotive industry. The often considerable efforts by large corporations towards the globalization of production and distribution has led such firms (typically multi‐national corporations) to invest in technologies designed to improve the efficiency and effectiveness of their global operations. In this context, one such technology is EDI. Much has been written about EDI and, in particular, the benefits that adopters can expect from using this comparatively simple, facilitating technology. While many authors are quick to extol the virtues of EDI, rarely have they documented the actual benefits and costs to an organization from adoption. Examines the impact of EDI on trading partners in the Australian automotive industry. Research consisted of a longitudinal study (between 1992 and 1994) of all component manufacturers which were supplying components to the large locally‐based multi‐national vehicle assemblers (Ford, General Motors‐Holden (GMH), Mitsubishi and Toyota). It is the component manufacturers who have felt the major impact of their larger customer’s requirements to become EDI capable.The alternative was to cease supplying the automotive industry. Following the establishment of a conceptual model, path analysis was used to analyse support for a number of hypotheses in measuring the extent of benefits to the organization from using EDI. Conclusions so far drawn support the hypothesis that benefits were being achieved depending on the degree of commitment of the organization to issues such as system integration, and level of senior management involvement. A number of suppliers found that despite being forced into EDI adoption, they were obtaining some competitive advantage, and having received new business (e.g. international contracts) partly as a result of being EDI capable.
Details
Keywords
Aarhus Kommunes Biblioteker (Teknisk Bibliotek), Ingerslevs Plads 7, Aarhus, Denmark. Representative: V. NEDERGAARD PEDERSEN (Librarian).
Rick Holden and Victoria Harte
If a key purpose of higher education is the development of students into ”critical lifelong learners” then first destination employment for graduates choosing…
Abstract
If a key purpose of higher education is the development of students into ”critical lifelong learners” then first destination employment for graduates choosing professionally‐oriented careers provides the initial ”testing ground” for its application/practice through ongoing “professional development“. It is principally the workplace that provides the context in which the graduate must now learn and develop. At the heart of the issue is ”professional learning” yet the processes and the complexities of this in respect of new graduates remain unresearched and problematic. The paper reports on the development and design of an exploratory study addressing new graduate engagement with professional development in order to find more adequate ways to conceptualise this process and sharpen the research agenda. It seeks to generate discussion and feedback to assist the further progress of the research project.
Details
Keywords
This chapter explores expert witnessing in anthropology and the raison d’être of cultural expertise as an integrated socio-legal concept that accounts for the contribution of…
Abstract
This chapter explores expert witnessing in anthropology and the raison d’être of cultural expertise as an integrated socio-legal concept that accounts for the contribution of social sciences to the resolution of disputes and the protection of human rights. The first section of this chapter provides a short historical outline of the occurrence and reception of anthropological expertise as expert witnessing. The second section surveys the theoretical reflections on anthropologists’ engagement with law. The third section explores the potential for anthropological expertise as a broader socio-legal notion in the common law and civil law legal systems. The chapter concludes with the opportunity and raison d’être of cultural expertise grounded on a skeptical approach to culture. It suggests that expert witnessing has been viewed mainly from a technical perspective of applied social sciences, which was necessary to set the legal framework of cultural experts’ engagement with law, but had the consequence of entrenching the impossibility of a comprehensive study of anthropological expert witnessing. While this chapter adopts a skeptical approach to culture, it also argues the advantages of an interdisciplinary approach that leads to an integrated definition of cultural expertise.