scholarly journals Clinical research nursing and factors influencing success: a qualitative study describing the interplay between individual and organisational leadership influences and their impact on the delivery of clinical research in healthcare

2020 ◽  
Vol 25 (4) ◽  
pp. 361-377
Author(s):  
Linda Tinkler ◽  
Lisa Robinson
Keyword(s):  
Clinical Research ◽  
Personal Attributes ◽  
Clinical Environment ◽  
Leadership Culture ◽  
National Health Service Foundation ◽  
North East ◽  
Potential Success ◽  
Research Nurses ◽  
The Individual ◽  
Individual Self

Background Clinical research delivery is a term increasingly used to describe the work undertaken to implement studies which explore and test prevention, diagnosis and treatment in healthcare. Such studies range from multi-site clinical trials to single site observational projects. Whilst widely acknowledged as fundamental to effective healthcare, clinical research is complex to deliver and is met with challenges in the busy clinical environment. The perceptions and experiences of Clinical Research Nurses, whose work is central to this agenda, have emerged as important, yet frequently overlooked insights in relation to the potential success of research delivery. Increased understanding of these insights is essential to address the barriers and maximise facilitators to success in clinical research. Aim To better understand how the perceptions and experiences of Clinical Research Nurses relate to potential for success in research delivery. Methods Seven focus groups and two one-to-one interviews (27 participants) were conducted in a large tertiary North East England National Health Service Foundation Trust between March and June 2017. Results Clinical Research Nurses’ described perceptions and experiences of working to co-ordinate and deliver a range of research as individuals, within their teams, throughout the wider organisation, and beyond. Two key elements situated within an overarching theme of leadership emerged as likely to impact on how successfully they were able to practise: • the individual (self-leadership). • the organisation (leadership culture). Conclusions The framework emerging from this study illustrates a complex interplay between personal attributes and organisational culture, mediated by national strategies and targets associated with the clinical research agenda. When situated within the concept of leadership, it broadens the potential for understanding the underlying issues and increases the range of possible support mechanisms to improve experiences for Clinical Research Nurses. Framing the challenges in this way contributes new knowledge to the dialogue surrounding clinical research delivery.

scholarly journals The triple aim of clinical research

2021 ◽  
pp. 174077452110015
Author(s):  
E Ray Dorsey ◽  
Karl Kieburtz
Keyword(s):  
Health Care ◽  
Clinical Research ◽  
Population Health ◽  
Patient Experience ◽  
Triple Aim ◽  
Per Capita ◽  
The Individual

The proposed triple aim of health care—enhanced patient experience, improved population health, and reduced per capita costs—can be applied to clinical research. A triple aim for clinical research would (1) improve the individual research participant’s experience; (2) promote the health of populations; and (3) reduce per capita costs of clinical research. Such an approach is possible by designing trials around the needs of participants rather than sites, embracing digital measures of health, and advancing decentralized studies. Recent studies, including those evaluating therapies for COVID-19, have demonstrated the value of such an approach. Accelerating the adoption of these methods can help fulfill this new triple aim of clinical research.

scholarly journals Foreign Experience in Using Educational Logotherapy in Professional Activities of Primary School Teachers

2017 ◽  
Vol 7 (3) ◽  
pp. 55-61
Author(s):  
Yuliia Stepura
Keyword(s):  
Primary School ◽  
Social Activity ◽  
Therapeutic Concept ◽  
Professional Activities ◽  
Therapeutic Interaction ◽  
The Social ◽  
Primary Schoolchildren ◽  
The Individual ◽  
Individual Self

Abstract The article examines the nature and importance of using aesthetic and therapeutic concept and educational logotherapy, in particular, for creating a special emotionally comfortable socioeducational environment for primary education The author has represented inteipretation of foreign scholars' views (J. Bugental, V. Frankl, A. Maslow, R. May, J. Moreno, C. Rogers et al) on such terms as “communication ”, “aesthetotherapy ”, “educational logotherapy” etc. An attempt has been made to analyze the social coTitent of pedagogical activity in the context of using logotherapy in primary school based on an agogical paradigm. In the scope of the article, the specific of using the therapeutic metaphor in the educational environment of primary' school has been represented as well as the basic stages of its implementation have been determined. These stages are the following: description of the storyline, persuasion and binding. The author has defined the role of the “living metaphors” in organization of the therapeutic interaction between the teacher and primary' schoolchildren. Particular attention has been paid to formation of the humanistic competency among primary schoolchildren; this competency is to be based on their understanding of the following philosophical and pedagogical categories: a norm (as a means and a results of pupils' social activity), freedom (as a mean and a result of individual self-expression among primary schoolchildren) and happiness (as an individual self-expression among primaryr schoolchildren). The author has assessed the role of deflection method and paradoxical intention for the social development of the pupil and further formation of the individual. Additional attention has been paid to determination of the socioeducational and psychological and pedagogical potential of such leading method in logotherapy as “The Socratic dialogue” (or “The Socratic circle”): as well have been highlighted the main stages of its implementation: consent (search for what pupil may agree), doubt (an expression of doubts towards weak arguments of interlocutor) and arguments (the teacher must convey' one’s opinion, without any resistance from the child): have been represented different various algorithms of its realization: the method of “aquarium”, “panel method” and “questioning technique”.

Reading Identity, Reading Essence: A Strategic Essentialist Approach to Mulk Raj Anand’s Untouchable

2021 ◽  
Vol 2 (4) ◽  
pp. 91-101
Author(s):  
Saleha Ilhaam
Keyword(s):  
Present Article ◽  
Human Existence ◽  
The Other ◽  
Political Strategy ◽  
Other Hand ◽  
Strategic Essentialism ◽  
Reading Identity ◽  
The Difference ◽  
The Individual ◽  
Individual Self

The term strategic essentialism, coined by Spivak, is generally understood as “a political strategy whereby differences (within Group) are temporarily downplayed, and unity assumed for the sake of achieving political goals.” On the other hand, essentialism focuses that everything in this world has an intrinsic and immutable essence of its own. The adaption of a particular “nature” of one group of people by way of sexism, culturalization, and ethnification is strongly linked to the idea of essentialism. Mulk Raj Anand’s Bakha is dictated as an outcast by the institutionalized hierarchy of caste practice. He is essentialized as an untouchable by attributing to him the characteristic of dirt and filth. However, unlike other untouchables, Bakha can apprehend the difference between the cultured and uncultured, dirt and cleanliness. Via an analysis of Anand’s “Untouchable,” the present article aims to bring to the forefront the horrid destruction of the individual self that stems from misrepresentations of personality. Through strategic essentialism, it unravels Bakha’s contrasting nature as opposed to his pariah class, defied by his remarkable inner character and etiquette. The term condemns the essentialist categories of human existence. It has been applied to decontextualize and deconstruct the inaccurately essentialized identity of Bakha, which has made him a part of the group he does not actually belong to.

The role and potential contribution of clinical research nurses to clinical trials

2007 ◽  
Vol 0 (0) ◽  
pp. 070621074500021-??? ◽  
Author(s):  
Karen Spilsbury ◽  
Emily Petherick ◽  
Nicky Cullum ◽  
Andrea Nelson ◽  
Jane Nixon ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Clinical Research ◽  
Potential Contribution ◽  
Research Nurses

scholarly journals The leadership and followership challenges of doctors in training during the COVID-19 pandemic

2021 ◽  
pp. 1-9
Author(s):  
Nathan Boardman ◽  
Jack Munro-Berry ◽  
Judy McKimm
Keyword(s):  
Early Career ◽  
Formal Training ◽  
Clinical Environment ◽  
Training Experience ◽  
Healthcare Leadership ◽  
Leadership Culture ◽  
Team Working ◽  
Medical Education And Training ◽  
And Training

Research carried out in 2016 by the authors investigated the challenges that doctors in training experience around leadership and followership in the NHS. The study explored contemporary healthcare leadership culture and the role of followership from the perspective of early career doctors. It found that the leadership and followership challenges for these doctors in training were associated with issues of social and professional identity, communication, the medical hierarchy, and relationships with senior colleagues (support and trust). These challenges were exacerbated by the busy and turbulent clinical environment in which they worked. To cope with various clinical situations and forms of leadership, doctors in training engage in a range of different followership behaviours and strategies. The study raised implications for medical education and training and suggested that followership should be included as part of formal training in communication and team working skills. The importance of both leadership and followership in the delivery of safe and effective patient care has been brought sharply into focus by the COVID-19 pandemic. This article revisits these challenges in light of the pandemic and its impact on the experiences of doctors in training.

scholarly journals Indirectness in the Age of Globalization: A Social Network Analysis

2019 ◽  
Vol 23 (4) ◽  
pp. 930-949
Author(s):  
Marina Terkourafi
Keyword(s):  
African American ◽  
American English ◽  
Historical Context ◽  
Theory Building ◽  
Network Ties ◽  
British English ◽  
Theoretical Predictions ◽  
The Individual ◽  
Individual Self

Indirectness has traditionally been viewed as commensurate with politeness and attributed to the speaker’s wish to avoid imposition and/or otherwise strategically manipulate the addressee. Despite these theoretical predictions, a number of studies have documented the solidarity-building and identity-constituting functions of indirectness. Bringing these studies together, Terkourafi 2014 proposed an expanded view of the functions of indirect speech, which crucially emphasizes the role of the addressee and the importance of network ties. This article focuses on what happens when such network ties become loosened, as a result of processes of urbanization and globalization. Drawing on examples from African American English and Chinese, it is argued that these processes produce a need for increased explicitness, which drives speakers (and listeners) away from indirectness. This claim is further supported diachronically, by changes in British English politeness that coincide with the rise of the individual Self. These empirical findings have implications for im/politeness theorizing and theory-building more generally, calling attention to how the socio-historical context of our research necessarily influences the theories we end up building.

scholarly journals Retro quality and historical consciousness in contemporary European television

2017 ◽  
pp. 78-96
Author(s):  
Louis Bayman
Keyword(s):  
Social History ◽  
Historical Consciousness ◽  
National History ◽  
The Past ◽  
Superior Knowledge ◽  
The Individual ◽  
Individual Self

This article investigates the trend represented by the recent TV series This Is England 86 (2010), Deutschland 83 (2015) and 1992 (2015). It analyses retro in the series as enabling an exhilarating experience of the music, fashions and lifestyles of the past while claiming to offer a serious social history. The article thus takes issue with theories of retro that view it as ahistorical (for example Guffey), to demonstrate how retro in these series enables a particular dramatic conception of the dynamics of national history, whether in post-imperial decline (This Is England), a westalgie for the grip of geopolitical conflict (Deutschland 83) or the cyclical progression of trasformismo (1992). The article discusses the series’ common visions of the past as characterised by a pleasing youthful naivety, opposed to an implied present of cynical superior knowledge. I argue that these series embody retro’s distinct ability to combine irony and fetishism in its recreation of the past, as befits an age in which historical consciousness is increasingly referred to the intimate sphere of the individual self and its uncertain relation to posterity.

scholarly journals Ideological Diversity and Birth Control Differentials in Pakistan: A Study of Islamabad

2019 ◽  
Vol 5 (2) ◽  
pp. 413-420
Author(s):  
Sajid Mahmood Awan
Keyword(s):  
Family Planning ◽  
Age Factors ◽  
Capital City ◽  
Personal Attributes ◽  
Final Decision ◽  
Religious Texts ◽  
The People ◽  
Grave Problem ◽  
The Individual ◽  
Determining Factor

Population explosion was not a grave problem in the early days of Islam or in the period of Islamic legislation. Thus, no explicit negation or affirmation of it is available either in the religious texts or in the religious jurisprudence or law. That is why presently the ulema from both the ends  the opponents as well as the proponents of family planning, extract some selective Quranic verses, Ahadith and inferences of jurisprudence in favour of their respective viewpoints. Such diverging views have made the future of family planning programmes doubtful in Pakistan. With this background, the present study shows that in the contemporary situation, it is solely the individual who makes the final decision about approving or disapproving family planning. This decision-making process is influenced by the personal attributes of the practitioners. In order to evaluate these attributes, the researcher has attempted to analyze and highlight the perception of family planning by Muslim residents of Islamabad i.e. the Capital city of Pakistan. The people surveyed are predominantly from different social, geographical and economic backgrounds and from different religious callings, along the sectarian continuum. The researcher’s task has thus been to observe the responses and to point out whether the objective variables i.e. geographical, income and class, occupation and age factors etc. are more significantly associated with knowledge, attitude and practice of family planning or the subjective variables like religion and sect appear to be more important determining factor of family planning practice in a traditional society like that of Pakistan.

scholarly journals Women’s perceptions and self-reports of excessive bleeding during and after delivery: findings from a mixed-methods study in Northern Nigeria

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e047711
Author(s):  
Judith Yargawa ◽  
Edward Fottrell ◽  
Zelee Hill
Keyword(s):  
Blood Flow ◽  
Blood Loss ◽  
Rural Women ◽  
Household Survey ◽  
Cluster Sampling ◽  
Excessive Bleeding ◽  
North East ◽  
Self Reports ◽  
Women’S Perceptions ◽  
The Individual

ObjectivesTo explore lay perceptions of bleeding during and after delivery, and measure the frequency of self-reported indicators of bleeding.SettingYola, North-East Nigeria.ParticipantsWomen aged 15–49 years who delivered in the preceding 2 years of data collection period (2015–2016), and their family members who played key roles.MethodsData on perceptions of bleeding were collected through 7 focus group discussions, 21 in-depth interviews and 10 family interviews. Sampling was purposive and data were analysed thematically. A household survey was then conducted with 640 women using cluster sampling on postpartum bleeding indicators developed from the qualitative data; data were analysed descriptively.ResultsPerceptions of excessive bleeding fell under four themes: quantity of blood lost; rate/duration of blood flow; symptoms related to blood loss and receiving birth interventions/hearing comments from birth attendants. Young and less educated rural women had difficulty quantifying blood loss objectively, including when shown quantities using bottles. Respondents felt that acceptable blood loss levels depended on the individual woman and whether the blood is ‘good’ or ‘diseased/bad.’ Respondents believed that ‘diseased’ blood was a normal result of delivery and universally took steps to help it ‘come out.’ In the quantitative survey, indicators representing less blood loss were reported more frequently than those representing greater loss, for example, more women reported staining their clothes (33.6%) than the bed (18.1%) and the floor (6.2%). Overall, indicators related to quantity and rate of blood flow had higher frequencies compared with symptom and intervention-related/comment-related indicators.ConclusionWomen quantify bleeding during and after delivery in varied ways and some women do not see bleeding as problematic. This suggests the need for standard messaging to address subjectivity. The range of indicators and varied frequencies highlight the challenges of measuring excessive bleeding from self-reports. More work is needed in improving and testing validity of questions.

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