scholarly journals The Difficulty in Engaging the Engaged: Administrative Adaptation to the Early Warning System within the UK Houses of Parliament

2021 ◽  
Vol 17 (3) ◽  
Author(s):  
Nandor Revesz

This article applies a mixed-methods approach through semi-structured interviews and document analysis to provide a comprehensive account of administrative and behavioural adaptation within the UK Houses of Parliament (HoP) to the EU’s subsidiarity monitoring mechanism, the Early Warning System (EWS). The article also tests theoretical assumptions regarding the adaptation and use of the EWS on this basis, confirming that Eurosceptic MPs bolster the use of the EWS and finding that the HoP are an outlier among bicameral legislatures, as the lower chamber was the primary user of the EWS. Overall, results demonstrate that both the House of Commons and the House of Lords treated the EWS as an optional bolt-on when adapting to the mechanism. Furthermore, the EWS did not encourage the HoP to increase engagement with UK devolved legislatures, but the mechanism contributed to the mainstreaming of EU scrutiny in the case of the Welsh and Scottish legislatures.

2009 ◽  
Vol 30 (2) ◽  
pp. 275-297 ◽  
Author(s):  
CLAIRE GASCOIGNE ◽  
KEVIN MORGAN ◽  
HARRIET GROSS ◽  
JAMES GOODWIN

ABSTRACTExcess winter morbidity and mortality among older people remain significant public health issues in those European countries which experience relatively mild winter temperatures, particularly the United Kingdom (UK), Ireland, Portugal and Spain. In the UK, episodes of severe winter weather, when ambient temperatures fall below 5° C, are associated with peaks in general practitioner consultations, hospital admissions, and cardiovascular deaths among those aged over 65. While research indicates that such health risks could be substantially reduced by the adoption of appropriate behavioural strategies, accessible and credible advice on how older people can reduce risk during ‘cold snaps’ is lacking. This paper describes a programme of research that aimed: (a) to translate the relevant scientific literature into practical advice for older people in order to reduce health risk during episodes of severe winter weather; and (b) to integrate this advice with a severe winter weather ‘Early Warning System’ developed by the UK Met Office. An advice booklet was generated through a sequential process of systematic review, consensus development, and focus group discussions with older people. In a subsequent field trial, a combination of the Met Office ‘Early Warning System’ and the advice booklet produced behavioural change among older people consistent with risk reduction. The results also show that long-held convictions about ‘healthy environments’ and anxieties about fuel costs are barriers to risk reduction.


2011 ◽  
Vol 11 (5) ◽  
pp. 424-427 ◽  
Author(s):  
Caroline Patterson ◽  
Fiona Maclean ◽  
Cameron Bell ◽  
Elora Mukherjee ◽  
Leoni Bryan ◽  
...  

2020 ◽  
Vol 6 (2) ◽  
pp. 112
Author(s):  
Veronika Hutabarat ◽  
Enie Novieastari ◽  
Satinah Satinah

Salah satu faktor dalam meningkatkan penerapan keselamatan pasien adalah ketersediaan dan efektifitas prasarana dalam rumah sakit. Early warning system (EWS) merupakan prasarana dalam mendeteksi perubahan dini  kondisi pasien. Penatalaksanaan EWS masih kurang efektif karena parameter dan nilai rentang scorenya belum sesuai dengan kondisi pasien. Tujuan penulisan untuk mengidentifikasi efektifitas EWS dalam penerapan keselamatan pasien. Metode penulisan action research melalui proses diagnosa, planning action, intervensi, evaluasi dan  refleksi. Responden dalam penelitian ini adalah  perawat yang bertugas di area respirasi dan pasien dengan kasus kompleks respirasi di Rumah Sakit Pusat Rujukan Pernapasan Persahabatan Jakarta. Analisis masalah dilakukan dengan menggunakan diagram fishbone. Masalah yang muncul belum optimalnya implementasi early warning system dalam penerapan keselamatan pasien. Hasilnya 100% perawat mengatakan REWS membantu mendeteksi kondisi pasien, 97,4 % perawat mengatakan lebih efektif dan 92,3 % perawat mengatakan lebih efesien mendeteksi perubahan kondisi pasien. Modifikasi EWS menjadi REWS lebih efektif dan efesien dilakukan karena disesuaikan dengan jenis dan kekhususan Rumah Sakit dan berdampak terhadap kualitas asuhan keperawatan dalam menerapkan keselamatan pasien. Rekomendasi perlu dilakukan monitoring evaluasi terhadap implementasi t.erhadap implementasi REWS dan pengembangan aplikasi berbasis tehnologi


PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 256A-256A
Author(s):  
Catherine Ross ◽  
Iliana Harrysson ◽  
Lynda Knight ◽  
Veena Goel ◽  
Sarah Poole ◽  
...  

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