scholarly journals Narrowing the gap in careers in clinical research and academia for healthcare professionals

2020 ◽  
Vol 14 (1) ◽  
pp. 1-18
Author(s):  
Carlos Curtis-Lopez ◽  
Daniel Robinson ◽  
Manasi Shirke ◽  
Catherine Dominic ◽  
Shivani Sharma ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Career Pathways ◽  
Published Data ◽  
Academic Factors ◽  
Playing Field ◽  
Diversity And Inclusion ◽  
Micro Level ◽  
The Uk ◽  
Minority Ethnic ◽  
Athena Swan

Differential attainment (DA) exists in research and academia, where individuals with protected characteristics face barriers to progression at different stages from selection in training or career pathways through to obtaining funding and getting research published. The causes of DA are multifactorial, however, more barriers are associated with an individual’s gender, race, ethnicity, sexual orientation, disability or other social and economic factors rather than academic factors related to research. DA is seen across medicine and healthcare therefore it is likely a manifestation of wider inequalities experienced by these individuals within a society. This scoping review takes a first step at exploring DA through the lens of equality, diversity and inclusion in research and academia, specific to healthcare professionals in medicine, in the UK. Given the paucity of published data, benchmarking and investigation of the causes of DA and access in this area, this review seeks to identify what published reports exploring this issue reveal. There has been mixed success in the area of gender equality with the Athena Swan benchmarking exercise; however differences in outcomes exist within gender when other protected characteristics, such as ethnicity, are also explored. The DA observed among women despite the Athena Swan programme demonstrates other factors such as allyship, apprenticeship, sponsorship and mentoring which may be accessible to some individuals, but not others. Furthermore, ethnicity appears to be a barrier to accessing this form of support, and non-Black and minority ethnic women appear to be more privileged to receiving this type of support. Without more research into the lived experiences of individuals from non-traditional backgrounds at the micro-level, as well as data across the career progression pathway overtime at the macro-level, the problem of DA is unlikely to improve. If anything, lack of openness and transparency around such data at an organisational level, may exacerbate the sense of injustice within research and academia among individuals with protected characteristics, especially given that the perceived sense of DA is very real for them. The purpose of this paper is to start the conversation with stakeholders within research and academia, about DA and commence the process of reducing the gap using equality, diversity and inclusion as fundamental concepts for achieving a level playing field for all. This type of accountability is essential for developing trust and in the system. Such open conversations need to happen across every organisation, that is a stakeholder of research and academia in the UK.

scholarly journals Certifying Gender Equality in Research: Lessons Learnt From Athena SWAN and Total E-Quality Award Schemes

2021 ◽  
Vol 6 ◽  
Author(s):  
Charikleia Tzanakou ◽  
Kate Clayton-Hathway ◽  
Anne Laure Humbert
Keyword(s):  
Higher Education ◽  
Gender Equality ◽  
Qualitative Interviews ◽  
Horizon 2020 ◽  
Diversity And Inclusion ◽  
Quality Award ◽  
Research Organisations ◽  
The Uk ◽  
The Impact ◽  
Athena Swan

In the past 2 decades, many Certification and Award schemes (CAS) related to gender equality, diversity and inclusion have emerged in the higher education, research and industry sectors. According to a recent report, there are as many as 113 CAS which have been identified across Europe and beyond. These CAS aim at addressing inequalities in relation to the grounds of sex, gender, race, sexual orientation, and disability among others. The high number of CAS, and their continued growth, has taken place in parallel to the shift of policies and efforts from “fixing individuals” to “fixing the system.” In these schemes, gender equality is often understood as a structural, systemic challenge, with a recognition that advancing gender equality is complex and requires drivers and interventions at micro, meso and macro level. Studies focused on analysing and evaluating gender equality initiatives in higher education have been scarce, and often limited to specific schemes. This paper aims to fill this gap by providing a better understanding of the CAS landscape through comparing two of the main gender equality schemes used by research-performing organisations in Europe Athena SWAN (in the UK) and Total E-Quality Award (in Germany). Based on qualitative interviews with stakeholders across Europe and document analysis, this paper focuses on strengths, challenges faced by and the impact of these CAS. This comparative exercise highlights particular learning points that can inform potential reviews of existing schemes and/or the development of new schemes such as a Europe-wide scheme. The latter is the focus of a Horizon 2020 project entitled CASPER (Certification-Award Systems to Promote Gender Equality in Research), which aims at making recommendations to the European Commission as to the feasibility of a Europe-wide CAS for gender equality in research organisations.

An objective assessment of safety to drive in an upper limb cast

2012 ◽  
Vol 38 (3) ◽  
pp. 321-324 ◽  
Author(s):  
H. L. Stevenson ◽  
N. Peterson ◽  
C. Talbot ◽  
S. Dalal ◽  
A. C. Watts ◽  
...  
Keyword(s):  
Upper Limb ◽  
Healthcare Professionals ◽  
Objective Assessment ◽  
Insurance Companies ◽  
Published Data ◽  
Cast Immobilization ◽  
Different Types ◽  
Left And Right ◽  
The Uk ◽  
Evidence Based Guidelines

Patients managed with upper limb cast immobilization often seek advice about driving. There is very little published data to assist in decision making, and advice given varies between healthcare professionals. There are no specific guidelines available from the UK Drivers and Vehicles Licensing Agency, police, or insurance companies. Evidence-based guidelines would enable clinicians to standardize the advice given to patients. Six individuals (three male, three female; mean age 36 years, range 27–43 years) were assessed by a mobility occupational therapist and driving standards agency examiner while completing a formal driving test in six different types of upper limb casts (above-elbow, below-elbow neutral, and below-elbow cast incorporating the thumb [Bennett’s cast]) on both left and right sides. Of the 36 tests, participants passed 31 tests, suggesting that most people were able to safely drive with upper limb cast immobilization. However, driving in a left above-elbow cast was considered unsafe.

Clinical outcomes, quality improvement and professional recertification: lessons from UK cardiac surgery

2010 ◽  
Vol 92 (5) ◽  
pp. 168-169
Author(s):  
Ben Bridgewater ◽  
Owen Nicholas ◽  
Leslie Hamilton ◽  
Graham Cooper
Keyword(s):  
Cardiac Surgery ◽  
Quality Improvement ◽  
Clinical Outcomes ◽  
Healthcare Professionals ◽  
Care Quality ◽  
Published Data ◽  
Form Part ◽  
Care Quality Commission ◽  
The Uk ◽  
Cardiac Surgeons

At the time of writing this paper, mortality outcomes for cardiac surgeons in the UK are being updated on the Care Quality Commission (CQC) website. The initial clamour for results to become available followed events in paediatric cardiac surgery at Bristol and recommendations from the subsequent inquiry (see http://www.bristol-inquiry.org.uk/). A decade later these published data remain unique in British medicine. More recently legislation was introduced to regulate healthcare professionals and outcomes data will form part of the evidence required. What are the lessons from cardiac surgery?

How diverse is your pipeline? Developing the talent pipeline for women and black and ethnic minority employees

2016 ◽  
Vol 48 (2) ◽  
pp. 61-66 ◽  
Author(s):  
Carol Stewart
Keyword(s):  
Leadership Development ◽  
Design Methodology ◽  
Business Decisions ◽  
Content Type ◽  
High Performing ◽  
Diversity And Inclusion ◽  
The Uk ◽  
Board Level ◽  
Executive Boards ◽  
Minority Ethnic

Purpose – Research shows that companies with a diverse leadership perform better financially. Having a diverse board encourages constructive and challenging dialogue which is key to the effective functioning of any board. However, in the UK, women and black and minority ethnic (BAME) employees still lag behind when it comes to representation at senior management and board level. The purpose of this paper is to highlight the importance of having a diverse talent pipeline of women and BAMEs and offer practical solutions on how this can be achieved. Design/methodology/approach – A mixture of data, analysis, experience and practice forms the basis of the paper, drawing from research on diversity, leadership development, executive boards and developing the talent pipeline. It looks at current initiatives being used in organisations to develop aspiring leaders. Findings – Executive boards are ill representative of the diversity of the working population. Having diversity in the boardroom allows for rich dialogue and better business decisions. In order to address the issue, organisations need to develop a talent pipeline that includes women and BAMEs. There are practical solutions that can be applied to achieve this. Not only does this make good business sense from an economical perspective, it also helps to maintain empowered, motivated and engaged employees. Originality/value – This paper outlines initiatives that organisations can apply to develop the talent pipeline for women and BAME employees and in doing so, retain high performing, aspiring leaders, whilst supporting action to increase diversity and inclusion in the boardroom.

Ethnic Differences in Self-Poisoning Across South London

Crisis ◽  
2014 ◽  
Vol 35 (4) ◽  
pp. 268-272
Author(s):  
Sean Cross ◽  
Dinesh Bhugra ◽  
Paul I. Dargan ◽  
David M. Wood ◽  
Shaun L. Greene ◽  
...  
Keyword(s):  
Black Women ◽  
Data Collection ◽  
White Women ◽  
Population Based ◽  
Care Services ◽  
Self Harm ◽  
Managing Risk ◽  
The Uk ◽  
Incident Cases ◽  
Minority Ethnic

Background: Self-poisoning (overdose) is the commonest form of self-harm cases presenting to acute secondary care services in the UK, where there has been limited investigation of self-harm in black and minority ethnic communities. London has the UK’s most ethnically diverse areas but presents challenges in resident-based data collection due to the large number of hospitals. Aims: To investigate the rates and characteristics of self-poisoning presentations in two central London boroughs. Method: All incident cases of self-poisoning presentations of residents of Lambeth and Southwark were identified over a 12-month period through comprehensive acute and mental health trust data collection systems at multiple hospitals. Analysis was done using STATA 12.1. Results: A rate of 121.4/100,000 was recorded across a population of more than half a million residents. Women exceeded men in all measured ethnic groups. Black women presented 1.5 times more than white women. Gender ratios within ethnicities were marked. Among those aged younger than 24 years, black women were almost 7 times more likely to present than black men were. Conclusion: Self-poisoning is the commonest form of self-harm presentation to UK hospitals but population-based rates are rare. These results have implications for formulating and managing risk in clinical services for both minority ethnic women and men.

Biosolids management integrated into national organic resource strategies in the UK

2007 ◽  
Vol 2 (4) ◽  
Author(s):  
P.J. Matthews
Keyword(s):  
Customer Service ◽  
Food Processing ◽  
Special Treatment ◽  
Market Place ◽  
Playing Field ◽  
Municipal Compost ◽  
Starting Point ◽  
Organic Resource ◽  
The Uk ◽  
Organic Resources

There are many kinds of organic byproducts. They are potentially useful, but can be wasted and thrown away. One use for many of these products is as fertilisers and soil conditioners but they are managed and regulated separately. Customers are faced with choices of services and products. Examples are biosolids, municipal composts, food processing byproducts and farm yard manures. Biosolids are perceived as being special, but part of a range of a number of wastes seeking a disposal. The target must be to establish and maintain safe, sustainable and welcome operations for the supply of all of these products. Trust is at the heart. There is nothing special about biosolids; they should not demand special treatment and should be viewed as one of a range of safe products. There must be a ‘level playing field’ for all products and then customers can choose that which is most suitable for their needs on the basis of agronomic value, customer service and financial deals available. So, for example, municipal compost and biosolids should compete in the market place on the basis of normal commercial terms, but not on the basis of differential safety or quality. It behoves everyone to co-operate in creating the starting point of equality of opportunity. The UK has established the Sustainable Organic Resources Partnership to bring together all stakeholders for all kinds of organic resources. The objective has been to create a national focus of knowledge excellence, which can provide the confidence for building public trust. The paper describes the history, role and future of SORP.

scholarly journals The media diversity and inclusion paradox: Experiences of black and brown journalists in mainstream British news institutions

Journalism ◽  
2021 ◽  
pp. 146488492110017
Author(s):  
Omega Douglas
Keyword(s):  
Open Letter ◽  
News Production ◽  
Black British ◽  
Media Diversity ◽  
Diversity And Inclusion ◽  
The Us ◽  
The Media ◽  
Journalistic Field ◽  
The Uk ◽  
Race Problem

Over 100 British journalists of colour are signatories to an open letter demanding the US Ambassador to the UK condemns the arrest of African-American journalist, Omar Jimenez, on May 29th 2020, whilst he was reporting for CNN on the Minneapolis protests following the police killing of George Floyd. The letter is a vital act of black transatlantic solidarity during a moment when journalism is under threat, economically and politically, and there’s a pandemic of racism in the west. These factors make journalism challenging for reporters from racial minorities, who are already underrepresented in western newsrooms and, as this paper shows, encounter discrimination in the field, as well as within the institutions they work for. The letter speaks to how black British journalists are all too aware that the British journalistic field, like the American one, has a race problem, and institutional commitments to diversity often don’t correspond with the experiences of those included, impacting negatively on the retention of black journalists. Drawing on original interviews with 26 journalists of colour who work for Britain’s largest news organisations, this paper theoretically grounds empirical findings to illustrate why and how discriminatory patterns, as well as contradictions, occur and recur in British news production.

scholarly journals Shape-shifting and pushing against the odds: staff perceptions of the experiences of first generation students in South Africa and the UK

2021 ◽  
Author(s):  
Rachel Forsyth ◽  
Claire Hamshire ◽  
Danny Fontaine-Rainen ◽  
Leza Soldaat
Keyword(s):  
Higher Education ◽  
South Africa ◽  
First Generation ◽  
Teaching Practice ◽  
First Generation Students ◽  
Staff Perceptions ◽  
Staff Members ◽  
Diversity And Inclusion ◽  
University Life ◽  
The Uk

AbstractThe principles of diversity and inclusion are valued across the higher education sector, but the ways in which these principles are translated into pedagogic practice are not always evident. Students who are first in their family to attend university continue to report barriers to full participation in university life. They are more likely to leave their studies early, and to achieve lower grades in their final qualifications, than students whose families have previous experience of higher education. The purpose of this study was to explore whether a mismatch between staff perceptions and students’ experiences might be a possible contributor to these disparities. The study explored and compared staff discourses about the experiences of first generation students at two universities, one in the United Kingdom (UK), and the other in South Africa (SA). One-to-one interviews were carried out with 40 staff members (20 at each institution) to explore their views about first generation students. The results showed that staff were well aware of challenges faced by first generation students; however, they were unsure of their roles in relation to shaping an inclusive environment, and tended not to consider how to use the assets that they believed first generation students bring with them to higher education. This paper explores these staff discourses; and considers proposals for challenging commonly-voiced assumptions about students and university life in a broader context of diversity and inclusive teaching practice.

scholarly journals Healthcare professionals’ views of the use of oral morphine and transmucosal diamorphine in the management of paediatric breakthrough pain and the feasibility of a randomised controlled trial: A focus group study (DIPPER)

2021 ◽  
pp. 026921632110087
Author(s):  
Liz Jamieson ◽  
Emily Harrop ◽  
Margaret Johnson ◽  
Christina Liossi ◽  
Christine Mott ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Healthcare Professionals ◽  
Breakthrough Pain ◽  
Controlled Trial ◽  
Oral Morphine ◽  
Oral Route ◽  
Focus Group Study ◽  
Framework Approach ◽  
Randomised Controlled ◽  
The Uk

Background: Oral morphine is frequently used for breakthrough pain but the oral route is not always available and absorption is slow. Transmucosal diamorphine is administered by buccal, sublingual or intranasal routes, and rapidly absorbed. Aim: To explore the perspectives of healthcare professionals in the UK caring for children with life-limiting conditions concerning the assessment and management of breakthrough pain; prescribing and administration of transmucosal diamorphine compared with oral morphine; and the feasibility of a comparative clinical trial. Design/ participants: Three focus groups, analysed using a Framework approach. Doctors, nurses and pharmacists ( n = 28), caring for children with life-limiting illnesses receiving palliative care, participated. Results: Oral morphine is frequently used for breakthrough pain across all settings; with transmucosal diamorphine largely limited to use in hospices or given by community nurses, predominantly buccally. Perceived advantages of oral morphine included confidence in its use with no requirement for specific training; disadvantages included tolerability issues, slow onset, unpredictable response and unsuitability for patients with gastrointestinal failure. Perceived advantages of transmucosal diamorphine were quick onset and easy administration; barriers included lack of licensed preparations and prescribing guidance with fears over accountability of prescribers, and potential issues with availability, preparation and palatability. Factors potentially affecting recruitment to a trial were patient suitability and onerousness for families, trial design and logistics, staff time and clinician engagement. Conclusions: There were perceived advantages to transmucosal diamorphine, but there is a need for access to a safe preparation. A clinical trial would be feasible provided barriers were overcome.

scholarly journals In-work Universal Credit: Claimant Experiences of Conditionality Mismatches and Counterproductive Benefit Sanctions

2020 ◽  
pp. 1-19
Author(s):  
SHARON WRIGHT ◽  
PETER DWYER
Keyword(s):  
Social Security ◽  
Job Search ◽  
Longitudinal Research ◽  
Working Hours ◽  
Unique Contribution ◽  
Working Age ◽  
Micro Level ◽  
Benefit Sanctions ◽  
The Uk ◽  
Over Time

Abstract Universal Credit is the UK’s globally innovative social security reform that replaces six means tested benefits with one monthly payment for working age claimants - combining social security and tax credit systems. Universal Credit expands welfare conditionality via mandatory job search conditions to enhance ‘progression’ amongst working claimants by requiring extra working hours or multiple jobs. This exposes low paid workers to tough benefit sanctions for non-compliance, which could remove essential income indefinitely or for fixed periods of up to three years. Our unique contribution is to establish how this new regime is experienced at micro level by in-work claimants over time. We present findings from Qualitative Longitudinal Research (141 interviews with 58 claimants, 2014-17), to demonstrate how UC impacts on in-work recipients and how conditionality produces a new coerced worker-claimant model of social support. We identify a series of welfare conditionality mismatches and conclude that conditionality for in-work claimants is largely counterproductive. This implies a redesign of the UK system and serves as an international warning to potential policy emulators.

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