scholarly journals Engaging People and Co-Producing Research with Persons and Communities to Foster Person-Centred Care: A Meta-Synthesis

Author(s):  
Beatriz Vallina Acha ◽  
Estrella Durá Ferrandis ◽  
Mireia Ferri Sanz ◽  
Maite Ferrando García

Introduction: Engagement and co-production in healthcare research and innovation are crucial for delivering person-centred interventions in underserved communities, but the knowledge of effective strategies to target this population is still vague, limiting the provision of person-centred care. Our research aimed to identify essential knowledge to foster engagement and co-production. Materials and Methods: A meta-synthesis research design was used to compile existing qualitative research papers on health communication, engagement, and empowerment in vulnerable groups in high-income countries (HICs) from 2008 to 2018. A total of 23 papers were selected and analysed. Results: ‘Design and recruitment’ and ‘engagement and co-production’ thematic areas are presented considering the factors related to researcher–communities attunement and the strategical plans for conducting research. The insights are discussed in light of the literature. Long-term alliances, sustainable structures, and strengthened bonds are critical factors for producing real long-term change, empowering persons and communities, and paving the way to person-centred care. Conclusions: The enhancement of the recruitment, involvement, and empowerment of traditionally disengaged communities and individuals depends on the awareness and analysis of social determinants, power differentials and specific tactics, and the capacity of researchers and individuals to apply all these principles in real-world practice.

PMLA ◽  
2010 ◽  
Vol 125 (3) ◽  
pp. 820-840

I Am Pleased to Report on the Association's Activities in 2009, a year in which the seventh edition of the MLA Handbook for Writers of Research Papers was published. The new edition, sent free to members, contains significant updates to MLA citation style and offers an electronic component for the first time. Another project in 2009, the Academic Workforce Advocacy Kit on the MLA Web site, brings together documents that equip members to work for long-term change in employment conditions. New online benefits of MLA membership include the Directory of Periodicals, a customizable convention program, and self-nomination forms for committee membership. Although the MLA, like all associations and academic institutions, has felt the effects of the economic recession, our membership and finances remained strong in 2009.


2021 ◽  
Vol 4 (1) ◽  
pp. 29
Author(s):  
Luís Capucha ◽  
Nuno Nunes ◽  
Alexandre Calado

Can artificial intelligence (AI) be a sustainable way to help solving the Covid-19 global problem? What does the way how welfare states, charity organizations and labour markets are dealing with the pandemic crisis tells us about the AI capacity for reducing exposition of underprivileged groups to the desease? It is becoming more and more visible how the new coronavirus pandemic is affecting specifically the most deprived and vulnerable groups, and also the big difference that welfare states and their policies make. What did the pandemic show about the relations between social inequality, welfare state provision and AI? This presentation will discuss the role of AI as a tool for public policies fighting inequalities that were amplified during the Covid-19 crisis. It will be analysed how the welfare state, the labour market and social communities are already incorporating AI tools and how this can eventually produce more resilient paths. Accelareted and amplified by the Covid-19, several processes of AI penetration in health, education, healthcare, social security, public administrations, labour and surveillance of citizens, became a subject of public discussion. Artificial intelligence is currently a process of long-term change in health and biotechnologies, long-distance education, teleworking, automation, robotization, consumption behaviours, surveillance and human enhancement. An in-deep analysis of the Portuguese case will support the lessons that can be learnt from AI and its use in public policies in a context of pandemic crisis, leading to a set of political recommendations, to promote its application as a resilient tool to fight inequalities.


2006 ◽  
Vol 27 (4) ◽  
pp. 218-228 ◽  
Author(s):  
Paul Rodway ◽  
Karen Gillies ◽  
Astrid Schepman

This study examined whether individual differences in the vividness of visual imagery influenced performance on a novel long-term change detection task. Participants were presented with a sequence of pictures, with each picture and its title displayed for 17  s, and then presented with changed or unchanged versions of those pictures and asked to detect whether the picture had been changed. Cuing the retrieval of the picture's image, by presenting the picture's title before the arrival of the changed picture, facilitated change detection accuracy. This suggests that the retrieval of the picture's representation immunizes it against overwriting by the arrival of the changed picture. The high and low vividness participants did not differ in overall levels of change detection accuracy. However, in replication of Gur and Hilgard (1975) , high vividness participants were significantly more accurate at detecting salient changes to pictures compared to low vividness participants. The results suggest that vivid images are not characterised by a high level of detail and that vivid imagery enhances memory for the salient aspects of a scene but not all of the details of a scene. Possible causes of this difference, and how they may lead to an understanding of individual differences in change detection, are considered.


Author(s):  
Vyacheslav A. Denisov ◽  
Aleksandr Yu. Kostyukov ◽  
Roman N. Zadorozhniy

One of the most promising technologies for restoring machine parts and cylinder liners is electric spark treatment as the most versatile technology that provides high-quality restoration of worn parts with wear up to 0.5 mm. (Research purpose) The research purpose is in developing a technology for restoring various cylinder liners by means of electric spark processing, selecting optimal modes and electrode materials that allow improving the quality of repair and increasing the post-repair life of the sleeve. (Materials and methods) It was taken into account when conducting research aimed at restoring the geometric parameters of the sleeve, that the coating must have sufficient adhesion strength to the surface of the sleeve under mechanical, thermal loads and long-term operation. Laboratory studies of the adhesion strength of electric spark coatings on the separation (adhesive) and on the cut, as well as tribotechnical studies of interfaces were conducted. Authors have found by analyzing the results of operational tests of restored and new cylinder liners the prospects for using electric spark treatment of worn parts, including diesel engine liners. (Results and discussion) It was shown by laboratory studies of the adhesion strength of electric spark coatings with a 0.2 mm thick BrMKc 3-1 electrode to the working surface of cylinder liners that their separation strength (adhesive) was 20-40 megapascals, and the shear strength (cohesive) was 50-80 megapascals. It was found that this provides the required functional strength of coatings with maximum operational load. The article presents the results of comprehensive research in graphs and tables. (Conclusions) The research conducted in the CCP "Nano-Center" of the FSAC VIM and operational tests in the 2nd bus fleet of Moscow confirmed the principal possibility of effectively restoring cast iron liners (blocks) using the technology of electric spark processing.


Author(s):  
Walter Pohl

When the Gothic War began in Italy in 535, the country still conserved many features of classical culture and late antique administration. Much of that was lost in the political upheavals of the following decades. Building on Chris Wickham’s work, this contribution sketches an integrated perspective of these changes, attempting to relate the contingency of events to the logic of long-term change, discussing political options in relation to military and economic means, and asking in what ways the erosion of consensus may be understood in a cultural and religious context. What was the role of military entrepreneurs of more or less barbarian or Roman extraction in the distribution or destruction of resources? How did Christianity contribute to the transformation of ancient society? The old model of barbarian invasions can contribute little to understanding this complex process. It is remarkable that for two generations, all political strategies in Italy ultimately failed.


Science ◽  
2013 ◽  
Vol 341 (6150) ◽  
pp. 1085-1089 ◽  
Author(s):  
H. D. Graven ◽  
R. F. Keeling ◽  
S. C. Piper ◽  
P. K. Patra ◽  
B. B. Stephens ◽  
...  

Seasonal variations of atmospheric carbon dioxide (CO2) in the Northern Hemisphere have increased since the 1950s, but sparse observations have prevented a clear assessment of the patterns of long-term change and the underlying mechanisms. We compare recent aircraft-based observations of CO2 above the North Pacific and Arctic Oceans to earlier data from 1958 to 1961 and find that the seasonal amplitude at altitudes of 3 to 6 km increased by 50% for 45° to 90°N but by less than 25% for 10° to 45°N. An increase of 30 to 60% in the seasonal exchange of CO2 by northern extratropical land ecosystems, focused on boreal forests, is implicated, substantially more than simulated by current land ecosystem models. The observations appear to signal large ecological changes in northern forests and a major shift in the global carbon cycle.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 39-39
Author(s):  
Katie Aubrecht ◽  
Ivy Bourgeault ◽  
Tamara Daly

Abstract Intersectionality is a useful method (Lutz, 2015) for interdisciplinary long-term care (LTC) research to advance a more critical understanding of how experiences of quality are shaped by mutually reproducing social divisions, identities and relations of power that shape LTC. This paper discusses insights from the “Mapping Care Relationships” stream of the Seniors – Adding Life to Years (SALTY) project, a pan-Canadian program of research examining clinical, social and policy perspectives on quality in LTC. “Mapping Care Relationships” mapped how promising approaches to care relationships are organized and experienced in LTC. From January 2018-August 2019 our team of nine researchers conducted rapid ethnographies in eight nursing homes, two in each of four provinces across Canada. We purposively observed and interviewed workers from a wide variety of positions and backgrounds, informed by an intersectionality approach. We traced how promising approaches in person-centred dementia care (PCDC) in particular may reify the subordinated status of care workers (some more than others) and reinforce inequities within LTC systems. In multiple LTC homes, front-line care workers described experiencing physical and emotional harm in care relationships with residents which caused them distress. However, consistent with a PCDC approach, the harm was attributed to ‘behaviours’ clinically symptomatic of dementia. In framing power differentials from a medical perspective, PCDC makes it possible to interpret harmful experiences as 'part of the job’ and something workers should know to expect, prevent, avoid, redirect, or ignore. Lutz, H. (2015). Intersectionality as method. DiGeSt. Journal of diversity and gender studies, 2(1-2), 39-44.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Cristina Fernandez Turienzo ◽  
◽  
Mary Newburn ◽  
Agnes Agyepong ◽  
Rachael Buabeng ◽  
...  

AbstractThe response to the coronavirus outbreak and how the disease and its societal consequences pose risks to already vulnerable groups such those who are socioeconomically disadvantaged and ethnic minority groups. Researchers and community groups analysed how the COVID-19 crisis has exacerbated persisting vulnerabilities, socio-economic and structural disadvantage and discrimination faced by many communities of social disadvantage and ethnic diversity, and discussed future strategies on how best to engage and involve local groups in research to improve outcomes for childbearing women experiencing mental illness and those living in areas of social disadvantage and ethnic diversity. Discussions centred around: access, engagement and quality of care; racism, discrimination and trust; the need for engagement with community stakeholders; and the impact of wider social and economic inequalities. Addressing biomedical factors alone is not sufficient, and integrative and holistic long-term public health strategies that address societal and structural racism and overall disadvantage in society are urgently needed to improve health disparities and can only be implemented in partnership with local communities.


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