Open dialogue and co-production: promoting a dialogical practice culture in the co-production of teaching and learning within nurse education

Purpose The evidence base associated with Open dialogue (OD) continues to develop. However, much of the literature associated with this “whole system philosophy” is focussed within therapeutic clinical practice. The purpose of this paper is to explore another key aspect of OD within a higher education context, the creation of “dialogical practice culture” and the application of key OD principles to enable an open, empowering ethos which permeates all aspects of teaching and learning and supports co-production. Design/methodology/approach The authors use a collective auto ethnographic approach to reflect on their experiences of developing and delivering a series of co-produced seminars within pre-registration mental health nurse education over a period of 4 years. This paper explores the data produced through this process focussing on the pedagogical impact and challenges of applying OD principles to teaching and learning practice. Findings The paper highlights the way in which two core principles of OD, resonate with the co-production process within teaching design and delivery. Moreover, the paper illustrates the impact that threading these principles throughout teaching practice can have: enhancing the learning environment and facilitating mutual empowerment, and thus supporting the students’ development of empowering therapeutic practice with service users. A significant theme in these reflections has been the nature of empowerment and the necessity to openly address power differentials and relationships. Originality/value This innovative paper is the first to explore the application of OD principles within a nurse education context; considering how they support co-production and enable an empowering culture. This exploration helps to provide a foundation for further inquiry and research.

Training on Introduction to Platforms and Utilization of Social Media in Online Business for MSME Actors Students of SMK Alwashliyah 2 Simalungun Regency

Given the blossoming essence of social media marketing, literature does not delve into the complexities and consequences of small and medium-sized enterprises (SMEs). This paper seeks to advance awareness and provide an extensive analysis of the inspiration and efficiency benefits of social media provided by small and medium-sized businesses through a digital economy analysis. The conceptual analysis shows that interactivity, compatibility, and cost-effectiveness are reasons for social media use, ultimately providing advantages. SMEs of Facebook and Twitter profiles are used to analyze the conceptual paradigm suggested. This research reveals that the interdependencies of social media's motives and the consequences of social media use are optimistic but sporadic across small and medium-sized companies. SMEs selling physical goods prefer to use social media on cost-effective motivations, whereas small and medium-sized businesses tend to see interactivity as the main incentive. Furthermore, the study results indicate that Facebook and Twitter in a two-site story generate success gains for small and medium-sized enterprises' users. The study offers future analysis and management priority problems that strongly affect the academic and practice culture. Obviously, despite any bottlenecks in use, SMEs in developing markets tend to reap expanded social media gains through multi-platform marketing activities.

Multiplicity and complexity: a qualitative exploration of influences on prescribing in UK general practice

ObjectivesDespite widespread availability of evidence-based guidelines to inform rational use of medicines, considerable unwarranted variation exists in prescribing. A greater understanding of key determinants of contemporary prescribing in UK general practice could inform strategies to promote evidence-based prescribing. This study explored (1) current influences on prescribing in general practice and (2) the possibility that general practice-based pharmacists (PBPs) may contribute to greater engagement with evidence-based prescribing.DesignSemistructured, telephone interviews and a focus group were conducted, audio-recorded and transcribed verbatim. Thematic analysis was undertaken.ParticipantsGeneral practice prescribers: general practitioners (GPs), PBPs, nurses.Key informants: individuals within the National Health Service (NHS) with responsibility for influencing, monitoring and measuring general practice prescribing.SettingGeneral practices and NHS organisations in England.ResultsInterviews with 17 prescribers (GPs (n=6), PBPs (n=6), nurses (n=5)) and 6 key informants, and one focus group with five key informants were undertaken between November 2018 and April 2019. Determinants operating at individual, practice and societal levels impacted prescribing and guideline use. Prescribers’ professional backgrounds, for example, nursing, pharmacy, patient populations and patient pressure were perceived as substantial influences, as well as media portrayal and public perceptions of medicines.Prescribers identified practice-level determinants of prescribing, including practice culture and shared beliefs. Key informants tended to emphasise higher-level influences, including NHS policies, availability of support and advice from secondary care and generic challenges associated with medicines use, for example, multimorbidity.Participants expressed mixed views about the potential of PBPs to promote evidence-based prescribing in general practice.ConclusionPrescribing in UK general practice is influenced by multiple intersecting factors. Strategies to promote evidence-based prescribing should target modifiable influences at practice and individual levels. Customising strategies for medical and non-medical prescribers may maximise their effectiveness.

Nursing Development in Indonesia: Colonialism, After Independence and Nursing act

Introduction Stereotyping of nurses still occurs nowadays in Indonesia. Society and healthcare think nursing is a doctor helper service. The public image of a nurse as a doctor's helper is hard to erase. Thus, the nursing development in Indonesia needs to be explored in describing the stereotyping and the nursing conditions in the current situation. Methods The study used a narrative review with 45 sources analyzed and extracted. Results Nursing education has been developed since colonialism. The first time the Netherland Indies built the hospital and they used Babu or a helper as a nurse. The result showed it had a negative impact, which showed as they started to train nurses. They trained male nurses to be Mantri nurses as hulpgeneesheeren (ancillary doctors). After independence, the project HOPE influenced the development of nursing in Indonesia. Indonesian nurses focused on technical aspects and added the nursing process to the education curricula in 1986. However, nurses’ practice culture did not change for a long time because of a lack of research and literature being evaluated during 1990–2010. Indonesia nursing started to increase the education, practice, and research afterward, with specifically the declaration of the Indonesian Nursing Act. It brought nurses into the professionalism of healthcare which the Indonesian government recognized. Then, nurses have faced new problems, including practice and education gaps. Conclusion The development of nurses will increase autonomy and dignity. Increasing education curricula, practice competency, and research impact will change the perspective of society with the support of recognition and education from the nursing organization. In addition, the nursing organization has an essential role in nursing development in each country.

Features of Popular Resistance in Diwan "Glory Bows Before You" Approaches to Subject and Poetic composition

The study deals with the "Glory bends before you" by the poet Abdel Nasser Saleh, as an appropriate model to study the subject of popular resistance and its role in confronting the occupier through the use of popular resistance methods and means, and the statement of its foundations, and objective and poetic features.He lived the experiences of struggle and arrest in the Uprising. He practiced peaceful resistance on the homeland by his pencil and actions.The study attempts to dismantle the vocabulary of the texts of the Diwan by employing the analytical methodology in order to demonstrate the extent to which the text copes with the reality of the event "popular resistance" against the other Israeli, through the study of technical techniques and poetic formation, and the effectiveness of reality and practice, culture and ideology. The researcher found the poet's artistic ability to root the state of popular resistance, whether at the level of term or poetic image, and the resulting positive impact on the conscience of the resistance people.

Features of Popular Resistance in Diwan "Glory Bows Before You" Approaches to Subject and Poetic composition

The study deals with the "Glory bends before you" by the poet Abdel Nasser Saleh, as an appropriate model to study the subject of popular resistance and its role in confronting the occupier through the use of popular resistance methods and means, and the statement of its foundations, and objective and poetic features.He lived the experiences of struggle and arrest in the Uprising. He practiced peaceful resistance on the homeland by his pencil and actions.The study attempts to dismantle the vocabulary of the texts of the Diwan by employing the analytical methodology in order to demonstrate the extent to which the text copes with the reality of the event "popular resistance" against the other Israeli, through the study of technical techniques and poetic formation, and the effectiveness of reality and practice, culture and ideology. The researcher found the poet's artistic ability to root the state of popular resistance, whether at the level of term or poetic image, and the resulting positive impact on the conscience of the resistance people.

Elections and Democracy in the Caribbean

The works included in this compendium summary address themes relevant to the elections and democracy in the Caribbean region. The states that fall within the relevant “region” include the formerly English, French, and Dutch colonies in the Caribbean Sea and the South and Central American mainland, as well as the remaining English, French, Dutch, Danish, and Spanish colonies in the Caribbean. The aim of this bibliography is to provide readers and researchers with a broad overview of the kinds of theoretical, thematic, and empirical emphases that have framed the questions around which the electoral and democratic landscape of the Caribbean has been studied. For purposes of clarification, the collection does not address Caribbean democracy as a stand-alone isolated issue, but instead provides a survey of works on elections in the Caribbean through the lens of their interrelation with Caribbean democratic history, practice, culture, and constitutional development and institutional framework. (A survey of Caribbean democracy will require isolated treatment). Relatedly, while the article addresses the experience of the wider Caribbean, much of the emphasis on the intellectual output is on the works relevant to the English-speaking Caribbean. Where the experiences of the non-English countries have given rise to critical intellectual interventions, these are included to bring balance to the Caribbean story and to highlight commonalities and divergences, useful for researchers interested in comparative analyses. Following this introduction, the article is divided into eleven thematic sections, examining (1) seminal texts and works on Caribbean democracy and Caribbean elections, or works providing general data and analysis of large blocs of countries or works presenting pathbreaking theoretical treatment of critical issues in Caribbean democracy; (2) texts addressing the issue of the administration and governance of elections, inclusive of concerns with money and electoral financing; (3) texts concerned with constitutional development; (4) texts on electoral reform; (5) works addressing dysfunctionalities such as electoral corruption and electoral violence; (6) women and political participation; (7) public opinion and voting behavior; (8) works concerned with providing analyses of the results and outcomes of Caribbean elections in a largely statistical or data-capturing sense; and (9) works that have sought to offer analyses of Caribbean elections in relation to the broader political-economy of the region. Given the reality of ethnic division and the absence of racial and cultural uniformity in several countries of the Caribbean, one of the sections is devoted to (10) surveying some of the key works that have addressed the challenges of ethnicity, ethnic mobilization, and ethnic voting, and their implications for democratic development. The final section presents (11) the main works that have sought to address the very important question of election monitoring in the Caribbean.