scholarly journals Patient as teacher sessions contextualize learning, enhancing knowledge, communication, and participation of pharmacy students in the United Kingdom

Author(s):  
Andrew Martin Lunn ◽  
Ann Urmston ◽  
Steven Seymour ◽  
Andrea Manfrin

Purpose: This study aimed to evaluate the impact of Patient As Teacher (PAT) sessions on the knowledge, communication skills, and participation of pharmacy students in the United Kingdom.Methods: During the academic year 2019–2020, year 1 and 2 pharmacy students at the University of Central Lancashire were invited to complete a questionnaire following PAT sessions. Data were analyzed by means of descriptive statistics, including mean and standard deviation for: continuous variables and reliability analysis. Pearson’s chi-square or Fisher exact test, odds ratio, and phi were used for analyzing dichotomous variables. Thematic analysis was used for free text comments.Results: Sixty eight of 228 students participated (response rate of 29.8%). No statistical difference was found between gender (P=0.090); a statistically significant difference was found between year (P=0.008). Cronbach’s α (0.809) confirmed a good internal consistency. Ninety-seven percent of the students learned a lot, and 85.3% appreciated and valued the PAT sessions; 89.7% wanted more sessions. Ninety-two point seven percent perceived the sessions to contextualize their learning. Five questions were dichotomized by grouping the responses into negative and positive; 90.3% of responses were positive and did not show statistically significant differences in gender and year of study. Overall students’ free text comments were positive, but active listening and consultation appeared in the positive and negative domains, highlighting the need for more student engagement.Conclusion: PAT sessions had a positive impact on students’ knowledge, communication skills and participation, and contextualized learning. They provide a valuable contribution to the pharmacy students’ experience in the United Kingdom.

2021 ◽  
Vol 10 (6) ◽  
pp. 194
Author(s):  
Michelle L James

The Sustainable Development Goals 2030 call for an end to poverty in all its forms everywhere through the adoption of integrated social protection policies. However, recent literature suggests an implicit and explicit discrimination towards asylum seekers and refugees (ASRs) in United Kingdom social policy, leading to high rates of destitution, poor health and isolation. Due to the limited nature of UK government support, many ASRs become involved with semi-formal and informal social protection. This systematic literature review synthesizes existing qualitative literature that documents the impact of these interventions on the wellbeing of adult ASRs in the United Kingdom. The literature offers useful insights into asylum seeker and refugee perceptions of wellbeing, agency, and support responsibility, and how their interaction with social protection providers constrains or enables the realization of their fundamental human needs. The findings demonstrate that government support is inadequate to meet the needs of many asylum seekers and refugees, leading to disempowerment, lack of agency and exploitation. Positive wellbeing outcomes are linked to semi-formal and informal interventions, summarized into six categories: the positive impact of volunteering; physical space and intentional gathering; practical and material support; training and skills development; solidarity, inclusion and understanding; and peer support and advice.


2016 ◽  
Vol 16 (2) ◽  
pp. 389-410
Author(s):  
S. Nyasha ◽  
N. M. Odhiambo

This paper examines the dynamic impact of both bank-based and market-based financial development on economic growth in the United Kingdom (UK) during the period 1980–2012, using the autoregressive distributed lag bounds testing approach. Given the complexity of the financial structure in the United Kingdom, various financial development indicators have been used to construct bank-based and market-based financial development indices. The empirical results of this study show that while market-based financial development has a positive impact on economic growth in the United Kingdom, bank-based financial development has a distinct negative impact. These results apply irrespective of whether the regression analysis is conducted in the long run or in the short run.


Author(s):  
Michael Connolly

Unhelpful communication behaviours by nurses are known to block patients with cancer from thinking for themselves and so a new approach to training emotional support has emerged from practice. Foundation-level communication skills, including patient-centredness, are being taught in the United Kingdom within a three-hour workshop. Within it, teachers of communication skills are attempting to bridge the gap between published knowledge and clinical practice, using a structured and sequential model known as SAGE & THYME. The model is described as a starter kit to help health workers to listen carefully and practice patient-centred care. The elements of the model and the workshop are described. Published data of self-reported outcomes from workshop participants suggest that learning happens, beliefs change, confidence grows, and willingness to discuss emotional concerns increases. Dissemination of the workshop throughout the United Kingdom appears to be practical, though further research into the impact on patient outcomes is needed.


2021 ◽  
Vol 108 (Supplement_5) ◽  
Author(s):  
W Luo ◽  
R Limb ◽  
A Aslam ◽  
R Kattimani ◽  
D Karthikappallil ◽  
...  

Abstract Introduction This study aimed to assess the impact of the COVID-19 pandemic on emergency operations during the first phase of lockdown in the United Kingdom, compared to the equivalent population in the same calendar period in 2019. Method We retrospectively reviewed patients undergoing surgery in emergency theatres at our district general hospital between March 23rd and May 11th in 2019 and 2020. Data collected included demographics, National Confidential Enquiry into Patient Outcome and Death (NCEPOD) category and procedure. The primary outcome was 90-day post-operative mortality; secondary outcomes included time to intervention and length of inpatient stay. Result 132 patients (2020) versus 141 (2019) patients were included with no significant difference in age (P = 0.676), sex (P = 0.230), or overall 90-day postoperative mortality (P = 0.196). Notably, time to intervention was faster for NCEPOD code 3 patients in 2020 than 2019 (P = 0.027). Time to intervention in 2020 was longer for those dying within 90 days post-operatively compared to survivors (P = 0.02). There was no difference in length of stay between years, both overall and when comparing subgroups by NCEPOD category or procedures (fractured neck of femur (P = 0.776), laparoscopies (P = 0.866), laparotomies (P = 0.252)), except for upper limb trauma (P = 0.007). Conclusion This study is amongst the first describing the general case mix in emergency theatres in the UK. Patient pre-operative characteristics and demographics did not change. Our data confirms patient prioritisation according to NCEPOD recommendations and streamlining of surgical services, with no difference in overall mortality, time to intervention or length of stay compared to 2019. Take-home Message At this district general hospital, patients were appropriately prioritised, and our results show adaptation of hospital practice to emerging national guidelines during the first phase of lockdown. A national validation audit assessing morbidity and mortality outcomes for all NCEPOD patients may be facilitate further understanding of risks posed to patients requiring urgent surgery during these unprecedented times.


2020 ◽  
Vol 15 (2) ◽  
pp. 171-173
Author(s):  
Brittany Richardson

A Review of: Dawson, D. (2018). Effective practices and strategies for open access outreach: A qualitative study. Journal of Librarianship and Scholarly Communication, 6(1), eP2216. https://doi.org/10.7710/2162-3309.2216 Abstract Objective – To discover effective outreach methods used by academic libraries to promote open access (OA) publishing to researchers. Design – Semi-structured interviews Setting – 7 large research universities in the United Kingdom (UK) Subjects – 14 individuals responsible for OA outreach at their institution, including librarians and other OA practitioners Methods – Purposive sampling was used to select universities based on their membership in the UK’s Russell Group, designation in the top 20 of the Research Council UK’s OA grant-size ranking, and suggestions from other professionals. The author contacted individuals responsible for OA at these institutions by email to inform them of the study and solicit their participation. The subsequent semi-structured interviews occurred in person. Areas of focus in the interview included: job responsibilities and overview of offered scholarly communications services; sources of OA services at the institution; evolution and effectiveness of OA outreach activities; support and scholarly communication knowledge needed by researchers; and advice for fellow practitioners conducting OA outreach. Interviews were recorded, transcribed, and coded using the qualitative software NVivo. Inductive analysis was conducted to identify key themes. Main Results – The author identifies four primary themes in the coded interviews: “The Message”; “Key Contacts and Relationships”; “Qualities of the OA Practitioner”; and “Advocacy versus Compliance” (p. 1). Participants advocated for straightforward, frequent messaging tailored to the audience. The author identifies relationships as important to outreach – especially support from influential administrators and buy-in from key researchers – highlighting that face-to-face interaction is helpful when cultivating these types of relationships. Participants emphasized important qualities for OA practitioners to possess, including expertise, diplomacy, and perseverance. Establishing credibility as an expert was identified as important to generating buy-in from researchers. Finally, the author discusses the library’s role in OA advocacy vs. compliance. Some participants suggested an overemphasis on compliance to meet funder requirements may overshadow promotion of the inherent value of OA in academic publishing. Conclusions – The author suggests that because UK open access efforts are robust and have been in progress for many years, OA practitioners from the UK may possess useful insights for North American librarians with growing initiatives. The study highlights implications for practice including the identification of effective outreach strategies, evidence of the need for balanced messaging, and observations on why faculty may be resistant to outreach from librarians. The author recommends further research to determine what type of messaging is most valuable and when, suggesting less complex policies in North America may allow for more focus on the public good of OA. Successful outreach is predicated upon having enough time to gain the necessary depth of knowledge, and the study acknowledges that librarians with diverse job responsibilities may have less time to invest in this way. The author also suggests more research is needed to evaluate the impact of the dynamics between librarians and classroom faculty. The article posits that librarians who participate in research and tenure processes may find communication easier and have opportunities to promote OA through participation in university governance. Finally, the author observes that librarians are poised to have a positive impact on the scholarly publishing system through outreach to researchers who can drive systemic change.


2018 ◽  
Vol 18 (2) ◽  
pp. 134-151
Author(s):  
Andrea Circolo ◽  
Ondrej Hamuľák

Abstract The paper focuses on the very topical issue of conclusion of the membership of the State, namely the United Kingdom, in European integration structures. The ques­tion of termination of membership in European Communities and European Union has not been tackled for a long time in the sources of European law. With the adop­tion of the Treaty of Lisbon (2009), the institute of 'unilateral' withdrawal was intro­duced. It´s worth to say that exit clause was intended as symbolic in its nature, in fact underlining the status of Member States as sovereign entities. That is why this institute is very general and the legal regulation of the exercise of withdrawal contains many gaps. One of them is a question of absolute or relative nature of exiting from integration structures. Today’s “exit clause” (Art. 50 of Treaty on European Union) regulates only the termination of membership in the European Union and is silent on the impact of such a step on membership in the European Atomic Energy Community. The presented paper offers an analysis of different variations of the interpretation and solution of the problem. It´s based on the independent solution thesis and therefore rejects an automa­tism approach. The paper and topic is important and original especially because in the multitude of scholarly writings devoted to Brexit questions, vast majority of them deals with institutional questions, the interpretation of Art. 50 of Treaty on European Union; the constitutional matters at national UK level; future relation between EU and UK and political bargaining behind such as all that. The question of impact on withdrawal on Euratom membership is somehow underrepresented. Present paper attempts to fill this gap and accelerate the scholarly debate on this matter globally, because all consequences of Brexit already have and will definitely give rise to more world-wide effects.


2021 ◽  
pp. 203228442199492
Author(s):  
Catherine Van de Heyning

The submission discusses the provisions in the EU–UK Trade and Cooperation Agreement on data protection as well as the consequences for the exchange of passenger name record data in the field of criminal and judicial cooperation. The author concludes that the impact of the Agreement will depend on the resolvement of the United Kingdom to uphold the standards of protection of personal data equivalent to the EU’s in order to reach an adequacy decision.


Author(s):  
Ming-Bo Liu ◽  
Géraldine Dufour ◽  
Zhuo-Er Sun ◽  
Julieta Galante ◽  
Chen-Qi Xing ◽  
...  

Author(s):  
Emily Shoesmith ◽  
Lion Shahab ◽  
Dimitra Kale ◽  
Daniel S. Mills ◽  
Catherine Reeve ◽  
...  

The coronavirus disease 2019 (COVID-19) pandemic presents an opportunity to explore the role of animals as sources of emotional and physical support during a period when most of the population is experiencing social and environmental challenges. We investigated how companion animal owners perceived the influence of human–animal interaction on their physical and mental health during the first COVID-19 lockdown phase in the U.K., and what concerns they had regarding their animals at this time. We also explored the impact of participants’ interaction with non-companion animals during this phase. A cross-sectional online survey of U.K. residents aged over 18 was conducted between April and June 2020. The final item of the survey invited open-ended free-text responses, allowing participants to describe any experiences and/or perceptions of their human–animal relationships during the COVID-19 lockdown phase. A qualitative thematic analysis of responses was undertaken. Four main themes related to the following aspects of human–animal interactions during the COVID-19 lockdown phase were identified: the positive impact of animal ownership during the COVID-19 lockdown (e.g., amelioration of wellbeing and mental health), concerns relating to animal ownership during the COVID-19 lockdown (e.g., concerns over animals carrying the COVID-19 virus), grief and loss of an animal during the COVID-19 lockdown and the impact of engaging with non-companion animals during the COVID-19 lockdown. The findings complement and extend previous insights into the impact of human–animal interaction with both companion and non-companion animals. They also highlight the challenges of caring for an animal during the lockdown phase and indicate the need to consider the development of further targeted support strategies, such as “day care” for the companion animals of key workers in this context.


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