scholarly journals Spirituality and Sexuality: Not Necessarily a Binary Choice for LGBTQ+ People

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 678-678
Author(s):  
Michael Thomas
Keyword(s):  
Qualitative Study ◽  
Later Life ◽  
Binary Choice ◽  
Same Sex ◽  
Disenfranchised Grief ◽  
Civil Partnership ◽  
Social Esteem ◽  
And Bisexual ◽  
The Uk ◽  
The Impact

Abstract This paper reports on a qualitative study on the impact of marriage and civil partnerships for lesbian, gay and bisexual (LGB) couples. Drawing on data from 50 dyad interviews in the UK, US and Canada, the paper investigates the ways in which couples make sense of spirituality in the context of a stigmatised sexuality. For some, the task of arranging a wedding or civil partnership ceremony provided a powerful reminder of their exclusion from mainstream religious denominations. This sense of stigma (Goffman, 1963) was also present in later life, when the lack of social esteem granted to same-sex relationships gave rise to a sense of disenfranchised grief (Doka, 1989). Whereas some participants tended to frame sexuality and spirituality as a kind of binary choice, others resisted this marginalisation from religious and spiritual activities, even if this meant finding a personal sense of spirituality beyond the confines of organised religion.

scholarly journals Impact of COVID-19 pandemic social restriction measures on people with rheumatic and musculoskeletal diseases in the UK: a mixed-methods study

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e048772
Author(s):  
Toby O Smith ◽  
Pippa Belderson ◽  
Jack R Dainty ◽  
Linda Birt ◽  
Karen Durrant ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Qualitative Study ◽  
Online Survey ◽  
Musculoskeletal Diseases ◽  
Community Dwelling ◽  
Secondary Outcome ◽  
Healthcare Provision ◽  
Social Restriction ◽  
The Uk ◽  
The Impact

ObjectivesTo determine the impact of COVID-19 pandemic social restriction measures on people with rheumatic and musculoskeletal diseases (RMDs) and to explore how people adapted to these measures over time.DesignMixed-methods investigation comprising a national online longitudinal survey and embedded qualitative study.SettingUK online survey and interviews with community-dwelling individuals in the East of England.ParticipantsPeople in the UK with RMDs were invited to participate in an online survey. A subsection of respondents were invited to participate in the embedded qualitative study.Primary and secondary outcome measuresThe online survey, completed fortnightly over 10 weeks from April 2020 to August 2020, investigated changes in symptoms, social isolation and loneliness, resilience and optimism. Qualitative interviews were undertaken assessing participant’s perspectives on changes in symptoms, exercising, managing instrumental tasks such a shopping, medication and treatment regimens and how they experienced changes in their social networks.Results703 people with RMDs completed the online survey. These people frequently reported a deterioration in symptoms as a result of COVID-19 pandemic social restrictions (52% reported increase vs 6% reported a decrease). This was significantly worse for those aged 18–60 years compared with older participants (p=0.017). The qualitative findings from 26 individuals with RMDs suggest that the greatest change in daily life was experienced by those in employment. Although some retired people reported reduced opportunity for exercise outside their homes, they did not face the many competing demands experienced by employed people and people with children at home.ConclusionsPeople with RMDs reported a deterioration in symptoms when COVID-19 pandemic social restriction measures were enforced. This was worse for working-aged people. Consideration of this at-risk group, specifically for the promotion of physical activity, changing home-working practices and awareness of healthcare provision is important, as social restrictions continue in the UK.

Socio-economic disadvantage and poverty

2020 ◽  
pp. 105-114
Author(s):  
Alisoun Milne
Keyword(s):  
Older People ◽  
Later Life ◽  
Poverty Line ◽  
Developed Countries ◽  
Economic Disadvantage ◽  
Fundamental Building Block ◽  
Age Related ◽  
The Uk ◽  
State Pension ◽  
The Impact

Chapter 5 is the first of three chapters exploring the impact of age related risks affecting particular sub populations of older people. Socioeconomic disadvantage in later life tends to reflect a lifecourse status. It amplifies what is already present. In 2016/17 one million older people were living in poverty; an additional 1.2 million were living just above the poverty line. These numbers are rising. Those aged 85 years or over, frail older people, older women and single older people are particularly at risk. Poor older people are also more likely to live in poor housing and be exposed to fuel poverty. Being poor - and its concomitants - compromises mental health in a number of profound ways. It undermines an older person’s capacity to make choices, retain independence, save for a crisis, maintain social contacts and be digitally included. It is linked with worry, loss of control over life and shame. Poor older people are at heightened risk of isolation and loneliness, stress, anxiety and depression. The UK has a weak policy record, compared with other developed countries, of sustainably and coherently addressing poverty in later life. One of the cornerstones of doing so is a continued commitment to the basic state pension as a fundamental building block of a secure old age. Addressing poor housing is also pivotal.

scholarly journals Impact of Universal Credit in North East England: a qualitative study of claimants and support staff

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e029611 ◽  
Author(s):  
Mandy Cheetham ◽  
Suzanne Moffatt ◽  
Michelle Addison ◽  
Alice Wiseman
Keyword(s):  
Mental Health ◽  
Local Government ◽  
Qualitative Study ◽  
Low Income ◽  
Welfare Benefits ◽  
North East ◽  
The Uk ◽  
The Impact ◽  
Community Sector ◽  
Roll Out

ObjectivesTo understand the impact of the roll-out of Universal Credit (UC) from the perspectives of claimants and staff supporting them in North East England.DesignQualitative study comprising interviews and focus groups.SettingGateshead and Newcastle, two localities in North East England characterised by high levels of socioeconomic deprivation, where the roll-out of UC started in 2017 as a new way to deliver welfare benefits for the UK working age population.Participants33 UC claimants with complex needs, disabilities and health conditions and 37 staff from local government, housing, voluntary and community sector organisations.ResultsParticipants’ accounts of the UC claims process and the consequences of managing on UC are reported; UC negatively impacts on material wellbeing, physical and mental health, social and family lives. UC claimants described the digital claims process as complicated, disorientating, impersonal, hostile and demeaning. Claimants reported being pushed into debt, rent arrears, housing insecurity, fuel and food poverty through UC. System failures, indifference and delays in receipt of UC entitlements exacerbated the difficulties of managing on a low income. The threat of punitive sanctions for failing to meet the enhanced conditionality requirements under UC added to claimant’s vulnerabilities and distress. Staff reported concerns for claimants and additional pressures on health services, local government and voluntary and community sector organisations as a result of UC.ConclusionsThe findings add considerable detail to emerging evidence of the deleterious effects of UC on vulnerable claimants’ health and wellbeing. Our evidence suggests that UC is undermining vulnerable claimants’ mental health, increasing the risk of poverty, hardship, destitution and suicidality. Major, evidence-informed revisions are required to improve the design and implementation of UC to prevent further adverse effects before large numbers of people move on to UC, as planned by the UK government.

Same-Sex Partner Bereavement

2017 ◽  
Vol 78 (2) ◽  
pp. 178-196 ◽  
Author(s):  
Lefteris Patlamazoglou ◽  
Janette G. Simmonds ◽  
Tristan L. Snell
Keyword(s):  
Psychological Research ◽  
Sex Partners ◽  
Same Sex ◽  
Disenfranchised Grief ◽  
The Impact ◽  
Sex Partner

The experience of same-sex-attracted people who have lost a partner is neglected in the existing literature on bereavement. Previous research on lesbian, gay, bisexual, transgender, intersex, queer and questioning (LGBTIQ) populations tends to focus on the loss of a partner to HIV-related causes, and there is scant research concerning non-HIV-related bereavement. The purpose of this article is to investigate the non-HIV-related bereavement experiences of same-sex partners and to address the potential complications of disenfranchised grief. Coping with the loss of a same-sex partner and the impact of bereavement on subsequent relationships are also discussed. Implications for counseling of bereaved same-sex-attracted individuals are drawn, and recommendations for future psychological research on the experience of bereavement are made.

‘Wish YOU Weren’t Here!’: Interpersonal Conflicts and the Touristic Experiences of Norwegian and British Women Travelling with Friends

2011 ◽  
Vol 11 (3) ◽  
pp. 271-290 ◽  
Author(s):  
Bente Heimtun ◽  
Fiona Jordan
Keyword(s):  
Qualitative Study ◽  
Tourism Industry ◽  
Social Identities ◽  
Interpersonal Conflicts ◽  
The Uk ◽  
The Impact

Tourism is often portrayed by the tourism industry, tourists themselves and tourism scholars as a liminoid site of escape, happiness and freedom from constraint. For many, however, holidays do not live up to this expectation. This paper challenges the dominant tourism discourse of holidays as sites of unproblematic pleasure in examining contestation, conflicts and negotiations between women and their travelling companions. Drawing on conceptualizations of in-group interpersonal conflicts and theorization of the mobile social identities of women travellers, we explore the impact of holiday conflicts on women’s holiday experiences and friendships. The findings of this qualitative study of female tourists from Norway and the UK suggest that women adopt various strategies to deal with open and hidden conflicts that may threaten their friendships and holiday experiences. Such strategies include avoidance of conflict through compromise, negotiation of appropriate holiday behaviours prior to travel, or ultimately choosing to travel solo.

Atrocity stories and triumph stories

2014 ◽  
Vol 24 (2) ◽  
pp. 200-217 ◽  
Author(s):  
Mike Thomas
Keyword(s):  
Public Policy ◽  
Empirical Research ◽  
Policy Impact ◽  
Marriage Equality ◽  
Same Sex ◽  
Gay Couples ◽  
Same Sex Couples ◽  
Lesbian And Gay ◽  
Civil Partnership ◽  
The Uk

This paper investigates conflicting narratives available to lesbian and gay couples as a result of marriage and civil partnership. Whereas marginalisation may have made stories of exclusion particularly resonant for same-sex couples, marriage and civil partnership offer scope for new stories around inclusion and equality. Drawing on empirical research with married and civil partner same-sex couples in the UK, US and Canada, the paper contrasts couples’ atrocity stories with new stories about acceptance and inclusion. The paper argues that these new stories should be seen as triumph stories that point towards a tangible impact arising from marriage equality and civil partnership. However, the presence of atrocity stories alongside these triumph stories provides evidence of a more limited policy impact. In conclusion, the paper highlights the relevance of atrocity stories in an emerging area of public policy, as well as the likelihood of triumph stories being relevant in other contexts.

scholarly journals Motivations, experiences and aspirations of Trainee Nursing Associates in England. A qualitative study

2020 ◽  
Author(s):  
Rachel Louise King ◽  
Emily Wood ◽  
Steve Robertson ◽  
Tony Ryan ◽  
Angela Tod
Keyword(s):  
Qualitative Study ◽  
Focus Groups ◽  
Personal Development ◽  
Group Discussion ◽  
Policy And Practice ◽  
The North ◽  
Previous State ◽  
Academic Workload ◽  
The Uk ◽  
The Impact

Abstract Background: The nursing associate role was developed in England in response to the ‘Shape of Caring’ review. It has been implemented to fulfil two aims; to bridge the gap between registered nurses and healthcare assistants, and to provide an alternative route into registered nursing in light of workforce shortages. Other high income countries deploy second level nurses within their healthcare systems, however the UK has a turbulent history with such roles. The previous state enrolled nurse was phased out in the 1990s, and more recently the assistant practitioner (AP) role has faced wide variation in titles, scope and pay. Little is known about those who have embarked on the new nursing associate training course and their experiences of the role. Methods: An exploratory qualitative study was undertaken using focus groups of trainee nursing associates to generate in-depth discussion about their motivations, experiences of training, and career aspirations.Three focus groups (n=15) took place in December 2018 using a purposive sample of trainee nursing associates registered at a University in the North of England. Two researchers facilitated each group discussion at a time and place convenient for participants. The discussions were audio recorded, transcribed and data was analysed thematically.Results: This study found that trainee nursing associates are motivated by affordable, local, career development. During training they face challenges relating to clinical support, academic workload and uncertainty about future career opportunities. They experience role ambiguity both individually and across the wider organisation. Trainee nursing associates rely on broad support networks to build their occupational identity.Conclusions: The barriers and facilitators of trainee nursing associate personal development have implications for policy and practice relating to recruitment and retention. The results increase our understanding of this emerging role, and have informed the development of a larger longitudinal cohort study. Further research is required to evaluate the impact of this new role.

scholarly journals Impact of COVID-19 restrictions on pre-school children’s eating, activity and sleep behaviours: a qualitative study

2020 ◽  
Author(s):  
JL Clarke ◽  
R Kipping ◽  
S Chambers ◽  
K Willis ◽  
H Taylor ◽  
...  
Keyword(s):  
Child Health ◽  
Qualitative Study ◽  
Screen Time ◽  
Sleep Habits ◽  
Health And Wellbeing ◽  
Health And Development ◽  
The Uk ◽  
Healthy Activity ◽  
The Impact ◽  
Minority Ethnic

AbstractBackgroundIn spring 2020, the COVID-19 lockdown placed unprecedented restrictions on the behaviour and movements of the UK population. Citizens were ordered to ‘stay at home’, only allowed to leave their houses to buy essential supplies, attend medical appointments or exercise once a day. This qualitative study explored how ‘lockdown’ and its subsequent easing changed young children’s everyday activities, eating and sleep habits to gain insight into the impact for health and wellbeing.MethodsIn summer 2020 we interviewed 20 parents of children due to start school in September 2020 (aged 3-5 years) by phone or video call to explore their experiences of lockdown and its easing. We recruited participants through nurseries and local Facebook community groups in the South West and West Midlands of England. Half the sample were from Black, Asian or Minority Ethnic backgrounds and half lived in the most deprived quintile. We analysed interviews using thematic analysis.ResultsChildren’s activity, screen time, eating, and sleep routines had some level of disruption. Parents reported children ate more snacks during lockdown, but also spent more time preparing meals and eating as a family. Most parents reported a reduction in their children’s physical activity and an increase in screen time, which some linked to difficulties in getting their child to sleep. Parents sometimes expressed guilt about changes in activity, screen time and snacking over lockdown. Most felt these changes would be temporary with no lasting impact, though others worried about re-establishing healthy routines.ConclusionsThe spring COVID-19 lockdown negatively impacted on pre-school children’s eating, activity and sleep routines. While some positive changes were reported, there were wide-spread reports of lack of routines, habits and boundaries which, at least in the short-term, were likely to have been detrimental for child health and development. Guidance and support for families during times of COVID-19 restrictions could be valuable to help them maintain healthy activity, eating, screen-time and sleeping routines to protect child health and ensure unhealthy habits are not adopted.

Older gay men in Hong Kong and later life concerns: Identities matter?

Sexualities ◽  
2020 ◽  
pp. 136346072090271
Author(s):  
Yiu Tung Suen
Keyword(s):  
Hong Kong ◽  
Sexual Identity ◽  
Gay Men ◽  
Later Life ◽  
Sexual Identities ◽  
The Us ◽  
The World ◽  
And Bisexual ◽  
Older Gay Men ◽  
The Uk

Research on lesbian, gay and bisexual (LGB) ageing has burgeoned in the past decade in Western settings such as Australia, Canada, the UK and the US. Based on the emerging research about older gay men in Hong Kong, this article adds two important aspects to the ongoing agendas for global research into LGB ageing and later life. First, it further conceptualizes and subdivides Hong Kong's older gay men into three subgroups who hold varying levels of salience of sexual identity in their life and thus have different later life concerns. Second, to contribute to the wider LGB ageing research, I argue that at the same single time point, older LGB people in different parts of the world may hold very different understandings of their sexual identity. In some parts of the world, sexual identities may matter less for older LGB people, and thus, such older LGB people may accordingly have very different later life concerns.

scholarly journals Why are UK junior doctors taking time out of training and what are their experiences? A qualitative study

2019 ◽  
Vol 112 (5) ◽  
pp. 192-199 ◽  
Author(s):  
Chantelle Rizan ◽  
Julia Montgomery ◽  
Charlotte Ramage ◽  
Jan Welch ◽  
Graeme Dewhurst
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Unmet Needs ◽  
Junior Doctors ◽  
Loss Of Control ◽  
Data Set ◽  
Time Out ◽  
The Uk ◽  
The Impact ◽  
Depth Interviews

Objectives The number of doctors directly entering UK specialty training after their foundation year 2 (F2) has steadily declined from 83% in 2010 to 42.6% in 2017. The year following F2, outside the UK training pathway, is informally termed an ‘F3’ year. There is a paucity of qualitative research exploring why increasingly doctors are taking F3s. The aim of this study is to explore the reasons why F2 doctors are choosing to take a year out of training and the impact upon future career choices. Design This is an exploratory qualitative study, using in-depth interviews and content analysis. Setting UK. Participants Fourteen participants were interviewed from one foundation school. Participants included five doctors who commenced their F3 in 2015, five who started in 2016 and finally four recently starting this in 2017. Main outcome measures Content analysis was conducted to distill the themes which exemplified the totality of the experience of the three groups. Results There were four predominant themes arising within the data set which can be framed as ‘unmet needs’ arising within foundation years, sought to be fulfilled by the F3 year. First, doctors describe exhaustion and stress resulting in a need for a ‘break’. Second, doctors required more time to make decisions surrounding specialty applications and prepare competitive portfolios. Third, participants felt a loss of control which was (partially) regained during their F3s. The final theme was the impact of taking time out upon return to training (for those participants who had completed their F3 year). When doctors returned to NHS posts they brought valuable experience. Conclusions This study provides evidence to support the important ongoing initiatives from Health Education England and other postgraduate bodies, exploring approaches to further engage, retain and support the junior doctor workforce.

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