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This discursive paper aims to clarify what roles mental health nurses identify as being within their scope of practice in clinical settings. It also aims to highlight any consumer benefits arising from these roles. Role theory and its relationship with identity are critically discussed as a framework to explain how contemporary mental health nursing roles are poorly understood and undervalued within mental health services. In order to meet the aims of the paper literature written in the last five years by clinical mental health nurses reporting their roles, and outcomes of those roles were searched. This literature was then considered through the lens of social constructionism that premises truths are accessed and then constructed though relationship based language. Six core mental health nursing roles were identified across international settings. The MHN is a psychotherapist. The MHN is a consumer advocate. The MHN is a physical health therapist. The MHN is a psycho‐pharmacological therapist. The MHN is a relationship focussed therapist and finally the MHN is an aggression management therapist. While European and American nurses reported consumer benefit emerging from these roles those from Australia and the United Kingdom did not. The roles reported on were largely instrumental ones that offered little clarity towards the identity of our profession, nor its worth to consumers or funders of services. Mental health nurses will only have their true breadth of clinical capabilities recognized where there is a consistent construction emerging from clinicians in clinical settings on the efficacy of their clinical work. [ABSTRACT FROM AUTHOR]

This paper explores the potential of the perspective of epistemic injustice to reconcile medical sociology's attention to the micro level of experience and interpersonal exchange, and disability studies' focus on the macro level of oppressive structures. The first part of the paper provides an overview of the concept of epistemic injustice and its key instances—testimonial, hermeneutical, and contributory injustice. We also consider previous applications of the concept in the fields of health care and disability, and we contextualise our investigation by discussing key features of postsocialism from the perspective of epistemic injustice. In the second part, we explore specific epistemic injustices experienced by people who use disability support by drawing on interviews and focus groups conducted with parents of disabled children in present‐day Bulgaria. In our conclusion, we revisit our methodological and theoretical points about the potential of epistemic injustice to facilitate mutually beneficial exchanges between medical sociology and disability studies. [ABSTRACT FROM AUTHOR]

The objective of this paper is to conduct a reappraisal of Katona's (1968) adaptive theory of consumer behaviour, which maintains that discretionary consumption is partly determined by attitudes and expectations of households. Initially, using UK data, we follow Katona by empirically examining whether changes in personal expenditure on durable goods are connected to earlier movements in consumer confidence. Evidence of a lack of a stable relationship between these two variables encourages us to perform a disaggregated analysis involving 111 components of four different forms of consumption, which enables construction of an aggregate measure of discretionary spending. We find that sufficient criteria are satisfied for the sentiment index to be accepted as a reliable predictor of the growth of gratuitous expenditure. In conclusion, then, it would seem that the validity of Katona's theory can be revived if we are prepared to discard the assumption that durable goods' consumption is synonymous with discretionary spending. [ABSTRACT FROM AUTHOR]

Despite the growing role of corporate social responsibility (CSR) and the associated environmental, social and governance (ESG) factors, even corporations within the same industry take a vastly different approach in how they manage CSR. What makes corporations adopt more ESG‐aligned investments? What role do stakeholders play? This paper studies the role of government policy and consumer activism in CSR investments. The model shows the complementary nature between different stakeholders and between different government policy tools in inducing CSR investments. Economic uncertainty can amplify or dampen the effect of government policy and consumer activism. I derive testable implications of the model. [ABSTRACT FROM AUTHOR]

The purpose of this discussion paper is to explore how nurses can be strategically poised to advocate for needed policy change in support of greater income equality and other social determinants of health. We adapted Bronfenbrenner's social‐ecological model to highlight how four broad pervasive subsystems shape the opportunities that nurses have to engage in advocacy at the policy level. These subsystems include organizations (the microsystem), professional bodies (the mesosystem), public policies (the exosystem), and societal values (the macrosystem). On the basis of this adapted model, we recommend changes among modifiable elements of the microsystem and mesosystem that can help position nurses (ecologically and collectively) to advocate for public policy change and use examples from a Canadian context to illustrate these points. We believe that the ideas arising from this model can be widely used where policy action on the social determinants of health is needed to inform, guide, and frame change efforts and advocacy work. [ABSTRACT FROM AUTHOR]

Although there is ample evidence that consumer attachment varies across luxury and non‐luxury brands, there is a lack of research in understanding the predictors, moderators and consequences of luxury brand attachment (LBA). This paper aims to develop and test a research model for LBA (study 1), examine the moderating influence of self‐consciousness on the relationship between actual/ideal self‐congruence and LBA (study 2) and validate the research model across privately and publicly consumed products (study 3). Data (n = 961) were analysed using Structural Equation Modelling with the IBM SPSS AMOS 25.0. The results show that consumers' perceived actual and ideal self‐congruence have a significant positive impact on LBA. In addition, LBA results in consumer advocacy. Private (public) self‐consciousness enhances the relationship between actual (ideal) self‐congruence and LBA. However, social anxiety did not influence the relationship between self‐congruence and LBA. Moreover, the relationship between actual self‐congruence and LBA was stronger for privately consumed products. This research would provide luxury managers with an understanding of how consumers develop a bond with luxury brands based on the perceived brand self‐congruence. The LBA model would also help managers segment luxury consumers and identify the segments with low, medium and high attachment. In addition, using the findings of this research, luxury managers can incorporate the relevant aspect of self‐congruence into brand positioning and advertising messages. [ABSTRACT FROM AUTHOR]

Background: The concept of service user involvement is an evolving concept in the mental health‐care literature. Objective: This study sought to explore and analyse the concept of service user involvement as used in within the field of mental health care. Methodological approach: An evolutionary concept analysis was conducted using a literature‐based sample extracted from an electronic database search. One hundred and thirty‐four papers met the inclusion criteria and were analysed to discover key attributes, antecedents and consequences of service user involvement and to produce a definition of the concept. Findings: Five key attributes of service user involvement within the context of mental health care were identified: a person‐centred approach, informed decision making, advocacy, obtaining service user views and feedback and working in partnership. Discussion and conclusions: Clarity of the attributes and definition of the concept of service user involvement aims to promote understanding of the concept among key stakeholders including mental health professionals, service users and community and voluntary organizations. The findings of the research have utility in the areas of theory and policy development, research on service user involvement in mental health care and service user involvement in mental health practice. Directions for further research regarding the concept are identified. [ABSTRACT FROM AUTHOR]

Religion is an indelible force in society, yet research examining its influence on consumption, particularly in the context of financial well‐being is lacking. Thus, this paper presents a conceptual framework of factors influencing, and outcomes associated with, the effects of religion on financial well‐being. Specifically, this paper introduces a conceptual framework aimed at understanding how religion influences financial decisions and well‐being, both from a consumer and a business perspective. Focus groups were conducted with consumers and financial practitioners to support the development of the conceptual framework. Most novel to this framework is the identification of potential process mechanisms explaining this relationship, including trust, affect, risk propensity, and perceived personal control. The framework concludes with potential interventions targeted at consumers and businesses to improve financial well‐being. This propositions‐based conceptual framework serves as a research agenda to guide and aid scholars, consumer advocacy groups, policymakers, and marketers in promoting greater financial well‐being. [ABSTRACT FROM AUTHOR]

As involvement of consumers/survivors in planning, delivery, and evaluation of services has increased, expectations of authentic and effective engagement, versus tokenism, have also risen. Different factors contribute to, or detract from, authentic engagement. Writing from mental health consumer/survivor and nursing positioning, respectively, we aim to redress the common problem of including only a narrow range of views and voices. This paper introduces a conceptual model that supports leaders in research, clinical, service, and policy roles to understand the necessity of engaging with a broader spectrum of consumer/survivor views and voices. The model draws on published consumer/survivor materials, making explicit diverse experiences of treatment and care and identifying the subsequent rich consumer/survivor advocacy agendas. We propose that strong co‐production is made possible by recognizing and welcoming consumer/survivor activist, facilitator, transformer, and humanizer contributions. The conceptual model forms the basis for a proposed qualitative validation project. [ABSTRACT FROM AUTHOR]

Novel forms of assisted gestation—uterus transplantation and artificial placentas—are highly anticipated in the ethico‐legal literature for their capacity to enhance reproductive autonomy. There are also, however, significant challenges anticipated in the development of novel forms of assisted gestation. While there is a normative exploration of these challenges in the literature, there has not yet, to my knowledge, been empirical research undertaken to explore what reproductive rights organisations and advocates identify as potential benefits and challenges. This perspective is invaluable. These organisations/individuals have an awareness not only of the needs of individuals but also of the political landscape in which regulatory decisions are made and which individuals navigate when seeking reproductive assistance. In this study, data was generated from two semi‐structured focus groups (n = 11). Reflective thematic analysis was used to examine the views raised by study participants in these focus groups. This paper explores two of the themes constructed in the data. First, the equality‐enhancing potential of assisted gestation exploring the multifaceted ways in which assisted gestation has structural benefits for marginalised groups. Second, realising the equality‐enhancing potential of assisted gestation explores the intersecting barriers to access to reproductive technologies and how they may impede the benefits of these technologies in practice. These results can enhance conceptual understanding of the importance of novel forms of assisted gestation and ensure that attention is paid to practical barriers in further normative research. [ABSTRACT FROM AUTHOR]

Background and Aims: This study explores the role of the public health advocacy coalition in alcohol policy development in Ireland. Compared with industry actors, much less is known about the membership, activities and influence of public health advocates in alcohol policymaking. To address this gap, this paper identifies several advocacy strategies, drawn from the advocacy coalition framework and other policy theories, and then analyses them in the context of recent Irish developments. Methods: The study used theory‐building process‐tracing to construct a record of the public health advocacy coalition and its campaign to promote the Public Health (Alcohol) Act 2018 in Ireland. Specifically, we drew upon 131 primary documents produced by advocates, 464 newspaper articles and 18 semi‐structured interviews with key advocates, public health experts and elected officials to undertake a thematic analysis. Results: Public health advocates in Ireland have developed sophisticated political strategies to foster major alcohol policy change. First, public health advocates led the formation of a broad‐based advocacy coalition that helped members to effectively pool their limited resources as well as coordinate their strategy and messaging. Secondly, issue‐framing and message discipline played a key role in the coalition's success. Advocates strategically focused upon the policy problem, specifically health harms, rather than the detailed content of the proposed measures. Finally, there is evidence of political learning, where advocates' prior experiences and knowledge of the political system in Ireland spurred innovations in campaigning. These strategies were interdependent and mutually reinforcing, and succeeded in building support for public health advocates' preferred policies among politicians and the general public. Discussion/conclusion: There are distinct capabilities that public health actors can mobilize in the policy process to win alcohol policy debates and capitalize on the constraints on industry influence on alcohol policymaking. [ABSTRACT FROM AUTHOR]

Abstract: Consumer participation in all aspects of mental health services is clearly articulated as an expectation of contemporary mental health policy. Consumer leadership has been demonstrated to be beneficial to mental health services. Barriers to implementation have limited the realization of this goal. In this discursive paper, we argue that non‐consumers who support consumer partnerships and leadership (known as ‘allies’) have an important role to play in facilitating and supporting consumers in leadership roles. Allies currently have more potential to influence resource allocation, and might be viewed more credibly by their peers than consumer leaders themselves. We call for allies to ensure their role is one of support and facilitation (doing what they can), rather than directing the content or speaking on behalf of the consumer movement (knowing their place). In the present study, we address the importance of allies for the consumer movement. It proposes some ‘rules of engagement’ to ensure that allies do not intentionally or otherwise encroach on consumer knowledge and expertise, so that they maintain the important position of supporting consumers and facilitating the valuing and use of consumer knowledge, expertise, and ultimately, leadership. [ABSTRACT FROM AUTHOR]

This paper focuses on Shane Godbolt's commitment to international librarianship and global health and her guiding principles for international working. The authors examine and celebrate how these have been applied in practice, impacting many. [ABSTRACT FROM AUTHOR]

Background and Aim: Public health policy development is subject to a range of stakeholders presenting their arguments to influence opinion on the best options for policy action. This paper compares stakeholders' positions in the discourse networks of two pricing policy debates in the United Kingdom: minimum unit pricing for alcohol (MUP) and the soft drinks industry levy (SDIL). Design Discourse analysis was combined with network visualization to create representations of stakeholders' positions across the two policy debates as they were represented in 11 national UK newspapers. Setting: United Kingdom. Observations: For the MUP debate 1924 statements by 152 people from 87 organizations were coded from 348 articles. For the SDIL debate 3883 statements by 214 people from 175 organizations were coded from 511 articles. Measurements Network analysis techniques were used to identify robust argumentative similarities and maximize the identification of network structures. Network measures of size, connectedness and cohesion were used to compare discourse networks. Findings The networks for both pricing debates involve a similar range of stakeholder types and form clusters representing policy discourse coalitions. The SDIL network is larger than the MUP network, particularly the proponents' cluster, with more than three times as many stakeholders. Both networks have tight clusters of manufacturers, think‐tanks and commercial analysts in the opponents' coalition. Public health stakeholders appear in both networks, but no health charity or advocacy group is common to both. Conclusion: A comparison of the discourse in the UK press during the policy development processes for minimum unit pricing for alcohol and the soft drinks industry levy suggests greater cross‐sector collaboration among policy opponents than proponents. [ABSTRACT FROM AUTHOR]

The food control and regulatory system in China is beset by several challenges. While firms have to reduce their costs in pursuit of benefits, customers are increasingly focusing on safety and quality of food products. Although the Chinese government has developed more stringent regulatory measures, food safety incidents still occur, including abuse of food additives, adulterated products as well as contamination by pathogenic microorganisms, pesticides, veterinary drug residues, and heavy metals, and use of substandard materials. A national food safety strategy has been proposed to assure food safety from "farm to table." This paper begins with the analysis of current food regulatory systems and then discusses cogovernance of food safety management in China. We explore the practice in the city of Shenzhen where government intervention has strengthened food control, thereby creating an opportunity to form a coregulatory system. The review highlights that the current food safety regulatory system of multi‐agency structure can inevitably lead to insufficient incentives for business entities. Due to asymmetric information, lack of regulatory resources, and consumer advocacy, coregulation has been developed and is increasingly being promoted as an important instrument of food regulation. [ABSTRACT FROM AUTHOR]

Accessible summary People with intellectual disability need to be able to talk about the things that are important to them in their lives., This includes talking about their sexuality and the type of relationships they would like to have., A self-advocacy group did research about this subject with our support., Together we found that sexuality is an important topic for many people with intellectual disability., There are those who would like to have more opportunities to have sexual relationships., Summary This paper presented research undertaken in collaboration with a self-advocacy group using inclusive research methods and puts forward the views of people with intellectual disability on the topics of sexuality and relationships. The paper presents the perceptions of sexuality of the people with intellectual disability and how these are influenced by social and cultural norms. Using Judith Bulter's concept of performativity, the analysis of the findings shows how some people with intellectual disability accept the sexual norms that are ascribed to them, while others resist them. The paper also shows how the inclusive research process itself enabled the people with intellectual disability who took part to articulate their acceptance or resistance of these norms. [ABSTRACT FROM AUTHOR]

Abstract: Background and aims: The prevailing ‘evidence‐based policy’ paradigm emphasizes a technical–rational relationship between alcohol and drug research evidence and subsequent policy action. However, policy process theories do not start with this premise, and hence provide an opportunity to consider anew the ways in which evidence, research and other types of knowledge impact upon policy. This paper presents a case study, the police deployment of drug detection dogs, to highlight how two prominent policy theories [the Advocacy Coalition Framework (ACF) and the Multiple Streams (MS) approach] explicate the relationship between evidence and policy. Methods: The two theories were interrogated with reference to their descriptions and framings of evidence, research and other types of knowledge. The case study methodology was employed to extract data concerned with evidence and other types of knowledge from a previous detailed historical account and analysis of drug detection dogs in one Australian state (New South Wales). Different types of knowledge employed across the case study were identified and coded, and then analysed with reference to each theory. A detailed analysis of one key ‘evidence event’ within the case study was also undertaken. Results: Five types of knowledge were apparent in the case study: quantitative program data; practitioner knowledge; legal knowledge; academic research; and lay knowledge. The ACF highlights how these various types of knowledge are only influential inasmuch as they provide the opportunity to alter the beliefs of decision‐makers. The MS highlights how multiple types of knowledge may or may not form part of the strategy of policy entrepreneurs to forge the confluence of problems, solutions and politics. Conclusions: Neither the Advocacy Coalition Framework nor the Multiple Streams approach presents an uncomplicated linear relationship between evidence and policy action, nor do they preference any one type of knowledge. The implications for research and practice include the contestation of evidence through beliefs (Advocacy Coalition Framework), the importance of venues for debate (Advocacy Coalition Framework), the way in which data and indicators are transformed into problem specification (Multiple Streams) and the importance of the policy (‘alternatives’) stream (Multiple Streams). [ABSTRACT FROM AUTHOR]

This paper explores the welfare consequences of product boycotts by linking product and labor markets. Consumers' threat of boycott can affect the firm's decision such as production location, size of operation and wage rate. Such conscientious action, however, can actually result in a welfare loss of the workers of concern as well as consumers themselves. The analysis suggests that consumers set their goals by studying the labor market and coordinating with local groups rather than demanding what may seem righteous. [ABSTRACT FROM AUTHOR]

Despite the widely acknowledged importance of corporate social responsibility (CSR) communications, our knowledge is limited with regard to various factors affecting consumer responses to such communication efforts. This paper aims to identify the extent to which prior brand familiarity influences consumer responses to CSR communications through a controlled experiment, exploring whether the use of different communication functions for environmental domain of CSR (i.e., publicity and advertising) generates any different effect on these responses. Findings reveal that familiar and unfamiliar brands do not differ from each other with regard to consumer attitude toward message, but elicit dissimilar responses in terms of attitude toward brand and purchase intentions. The study leads to managerial implications regarding the effective formulation and dissemination of CSR-related messages in order to achieve stakeholder engagement. Copyright © 2015 John Wiley & Sons, Ltd and ERP Environment [ABSTRACT FROM AUTHOR]

This position paper developed the argument that creating innovative and forward-thinking conceptual approaches to consumer education is a proactive process, the trademark of consumer activism. Assuming that (re)conceptualizing consumer education is a form of consumer activism, this article identified the conceptual contributions and intellectual innovations of 24 consumer education initiatives in North America (1962-2012). Using an historical analysis method, this study profiled consumer educators who tried to stay ahead of the curve by creating leading-edge approaches to socializing people into their consumer role. In effect, they were expressing their personal and intellectual convictions about the potential and possibilities of consumer education as a means to promote change to protect and empower people in their consumer-citizen role. [ABSTRACT FROM AUTHOR]

By introducing political consumerism into the vocabulary of the anti-Mafia movement, Addiopizzo activists - a group of post-grad students formed in 2004 - have been able to effectively encourage a growing number of entrepreneurs and shopkeepers to join together to oppose the extortion racket systems in the city of Palermo, Italy. By referring to social movements approaches, the paper discusses how a small, locally-based Social Movement Organization (SMO) has succeeded in mobilizing different segments of society by connecting its symbolic, material and structural dimensions. Data for the analysis came from several sources: interviews with the activists themselves, participant observation, media analysis and a structured questionnaire distributed to 277 entrepreneurs who had joined the mobilization. [ABSTRACT FROM AUTHOR]

Accessible Summary The Norah Fry Research Centre is named after Norah Fry who was one of the first women to stand up for people with learning disabilities., Over a 100 years ago Norah Fry visited people with learning disabilities and their families in Bristol and Somerset to find out what they needed to enjoy better lives., She wrote reports about what she had found and people wrote down what she said should be done to make life better., When she died she left money to the university to be used for teaching and for finding out more about the needs of people with learning disabilities and those who were mentally ill., We can now look back on the changes that she wanted to make and the problems she faced in trying to bring about change., Summary This paper explores how Norah Fry's concerns of 100 years ago have been relevant to the work of the Norah Fry Research Centre. In 1898, Norah Fry began to investigate the social conditions and educational needs of people with learning disabilities living in Bristol and Somerset. In reporting her findings to a Royal Commission in 1905, she set out her vision for the future. For over 50 years, she was a champion for people with learning disabilities. She canvassed support for schools for those excluded from education; she led campaigns to close the parish workhouses; and she sought to establish new patterns of residential support. This account of Norah Fry's life and legacy explores the results of the social investigations which she carried out, the policies that emerged from her work and the resistances she encountered in working for change. [ABSTRACT FROM AUTHOR]

Objectives As obesity rates remain alarmingly high, the importance of healthful diets is emphasized; however, affordability of such diets is disputed. Market basket surveys ( MBSs) investigate the affordability of diets for families that meet minimum daily dietary requirements using actual food prices from grocery stores. This review paper describes the methods of MBSs, summarizes methodology, price and affordability findings, limitations, and suggests related policy and practice implications. Design and Sample This is a systematic review of 16 MBSs performed in the United States from 1985 to 2012. A comprehensive multidisciplinary database search strategy was used to identify articles meeting inclusion criteria. Results Results indicated MBS methodology varied across studies and price data indicated healthful diets for families are likely unaffordable when purchased from small- to medium-sized stores and may be unaffordable in larger stores when compared to the Thrifty Food Plan. Conclusions Using a social ecological approach, public health nurses and all public health professionals are prime advocates for increased affordability of healthful foods. This study includes policy advocacy, particularly in support of Supplemental Nutrition Assistance Program benefits for low-income families. Future research implications are provided, including methodological recommendations for consistency and quality of forthcoming MBS research. [ABSTRACT FROM AUTHOR]

Drawing on a national study of independent mental health advocacy, we explored the social relations of independent advocacy. The study was commissioned by the Department of Health ( England), and involved a case study design covering eight different geographies and service configurations, and interviews or focus groups with a total of 289 stakeholders across two phases of inquiry. This paper focused on the analysis of qualitative data relevant to the relationship between mental health-care services and independent advocacy services, drawn from interviews with 214 participants in phase two of the study. Discussion of these particular findings affords insights into the working relations of independent advocacy within mental health services beset by reorganizational change and funding cuts, and increasing levels of legally-sanctioned compulsion and coercion. We offer a matrix, which accounts for the different types of working relationships that can arise, and how these are associated with various levels of understanding of independent advocacy and appreciation for the value of advocacy. The discussion is framed by the wider literature on advocacy and the claims by practitioners, such as nurses, for an advocacy role as part of their professional repertoire. [ABSTRACT FROM AUTHOR]

The author reflects on the updates concerning the journal "Analyses of Social Issues and Public Policy" (ASAP). The author says that the journal will create virtual issues to combine previous and different issues and include continuing commentary for peer reviews while retaining its regular articles, book reviews and thematic collections. He also discusses the launch of an electronic portal for the publication's reviews and submissions as part of the changes in its editorial process.

Aims and design The historical and economic involvement of Brazil with tobacco, as a major producer and exporter, was considered an insurmountable obstacle to controlling the consumption of this product. Nevertheless, the country was able to achieve significant progress in implementing public policies and to take an international leadership position, meeting its constitutional commitment to protect public health. In this paper we provide a brief historical overview of tobacco control ( TC) in Brazil, and analyse the factors that contributed to the major decline in tobacco consumption in the country over the last 20 years, as well as identify the challenges that had to be overcome and those still at play. Findings The Brazilian case demonstrates how cross-sectorial collaborations among health-related groups that capitalize on their respective strengths and capacities can help to influence public policy and overcome industry and population resistance to change. Although Brazil still lags behind some leading TC nations, the country has an extensive collaborative TC network that was built over time and continues to focus upon this issue. Conclusions The tobacco experience can serve as an example for other fields, such as alcoholic beverages, of how networks can be formed to influence the legislative process and the development of public policies. Brazilian statistics show that problems related to non-communicable diseases are a pressing public health issue, and advocacy groups, policy-makers and government departments can benefit from tobacco control history to fashion their own strategies. [ABSTRACT FROM AUTHOR]

Ethical labeling campaigns have become a central means for diffusing and negotiating conflicts between social movements and market actors. Fair Trade was a pioneering ethical label and, by many accounts, a success. For nearly a decade, United Students for Fair Trade (USFT) activists worked to build the reputation of the Fair Trade Certified (FTC) label, but in Fall 2011 they withdrew their support and urged ethical consumers to do the same. This paper is an urgent reflection on USFT's trajectory from guerrilla marketing to boycotting FTC products. While their actions may appear shortsighted and contradictory, their decision to withdraw support from the FTC label has roots in a long struggle for control of Fair Trade. We argue that their actions signal a new stage in consumer action, as activists lose faith in the legitimacy of ethical labels and instead target the agencies that own the ethical brandscape. [ABSTRACT FROM AUTHOR]

REUTTER L and KUSHNER KE. Nursing Inquiry 2010; 17: 269–280 ‘Health equity through action on the social determinants of health’: taking up the challenge in nursing Reducing health inequities is a priority issue in Canada and worldwide. In this paper, we argue that nursing has a clear mandate to ensure access to health and health-care by providing sensitive empowering care to those experiencing inequities and working to change underlying social conditions that result in and perpetuate health inequities. We identify key dimensions of the concept of health (in)equities and identify recommendations to reduce inequities advanced in key global and Canadian documents. Using these documents as context, we advocate a ‘critical caring approach’ that will assist nurses to understand the social, political, economic and historical context of health inequities and to tackle these inequities through policy advocacy. Numerous societal barriers as well as constraints within the nursing profession must be acknowledged and addressed. We offer recommendations related to nursing practice, education and research to move forward the agenda of reducing health inequities through action on the social determinants of health. [ABSTRACT FROM AUTHOR]

The exchange of material and individuals between neighboring food webs is ubiquitous and affects ecosystem functioning. Here, we explore animal foraging movement between adjacent, heterogeneous habitats and its effect on a suite of interconnected ecosystem functions. Combining dynamic food web models with nutrient‐recycling models, we study foraging across habitats that differ in fertility and plant diversity. We found that net foraging movement flowed from high to low fertility or high to low diversity and boosted stocks and flows across the whole loop of ecosystem functions, including biomass, detritus, and nutrients, in the recipient habitat. Contrary to common assumptions, however, the largest flows were often between the highest and intermediate fertility habitats rather than highest and lowest. The effect of consumer influx on ecosystem functions was similar to the effect of increasing fertility. Unlike fertility, however, consumer influx caused a shift toward highly predator‐dominated biomass distributions, especially in habitats that were unable to support predators in the absence of consumer foraging. This shift resulted from both direct and indirect effects propagated through the interconnected ecosystem functions. Only by considering both stocks and fluxes across the whole loop of ecosystem functions do we uncover the mechanisms driving our results. In conclusion, the outcome of animal foraging movements will differ from that of dispersal and diffusion. Together we show how considering active types of animal movement and the interconnectedness of ecosystem functions can aid our understanding of the patchy landscapes of the Anthropocene. [ABSTRACT FROM AUTHOR]

New gene editing techniques, such as CRISPR‐Cas9, have created the potential for rapid development of new gene‐edited food (GEF) products. Unlike genetically modified organism foods, there is limited research and literature on U.S. public opinions about GEFs. We address this knowledge gap by examining how crop‐based GEF adoption is linked to public trust in institutions and values using the Theory of Planned Behavior. We employ ordinal regression models to predict adoption intentions (direct benefits, acceptability, willingness to eat, and labeling) using a unique and nationally representative survey of n = 2,000 adults in the United States. We find that adoption hinges on public trust in institutions overseeing GEF development, especially trust in university scientists. The 29 percent of Americans likely to adopt GEFs highly trust government food regulators and the biotech industry. A nearly equal number of likely non‐adopters distrust current regulatory systems in favor of consumer and environmental advocacy groups. However, most Americans (41 percent) are uncertain about GEF adoption and whom to trust. Although 75 percent of Americans want GEFs labeled, few trust government agencies who have authority to issue labels. Our findings suggest public trust in GEFs and labels can only be obtained by tripartite oversight by universities, advocacy groups, and government food regulators. [ABSTRACT FROM AUTHOR]

Despite considerable evidence of the patriarchal nature of the police and underreporting of gender‐based violence in India, there is a dearth of literature on how gender advocacy campaigns in India tackle these issues. This study addresses this gap by exploring how the police is represented in gender advocacy in India. The material comprises of eight campaign videos from two ideologically opposing organizations: Amnesty International, an international human rights organization and Ministry for Women and Child Development, a government body. Social representations theory and narrative analysis are applied in the analysis to answer how the role of the police is narratively constructed. Results suggest two contrasting representations held by each organization in line with their organizational identities. While Amnesty constructed the police as villains obstructing women's access to justice, the Ministry represented the police as heroes defending women's safety. The analysis contributes a novel way of locating anchors and objectifications by a focus on narrative actions and goals. Additionally, the discussion of the findings broadens conceptions of hegemonic and polemic representations, arguing for a more power‐centric approach that conceives of hegemony in terms of access to media channels and material resources. Please refer to the Supplementary Material section to find this article's Community and Social Impact Statement. [ABSTRACT FROM AUTHOR]

Friendship is valued by most children and young people around the world. In research on happiness, it is often identified as an essential ingredient for a happy life. In this short report we go further by exploring the importance of friendship as an ingredient in advocacy and activism. The report is written by two care experienced young people and two adult allies. The report explores how friendship makes advocacy and activism more possible and more powerful. Drawing on our reflections and personal experiences we discuss how having a space to make friends with others who have care experience and allies, and working together to effect change around policy and practice, has a protective impact on those working for change and those they support. These friendships are protective in practical and emotional ways, but they are also protective because they help hope to grow. We argue that the protective power of friendship, advocacy and activism should be more widely recognised as an important function of advocacy organisations like Who Cares? Scotland. [ABSTRACT FROM AUTHOR]

Policy PointsThe commercial determinants of health (CDH) framework can inform public health policy, practice, and research in ways that contribute to overcoming the world's most serious public health challenges.By documenting the pathways by which commercial actors shape health, the CDH framework can provide a unifying focus for collective action to prevent and ameliorate global health crises.To realize these opportunities, CDH proponents need to find synergies in the multiple emerging streams of research, practice, and advocacy and create a body of scientific evidence, methodologies, and ideas that can inform a public health practice for the 21st century. [ABSTRACT FROM AUTHOR]

The 2018 implementation guidance for the Baby‐Friendly Hospital Initiative (BFHI) recommends institutionalising the ten Steps through nine national responsibilities for universal coverage and sustainability. As countries adapt BFHI programmes to this paradigm shift away from traditional designation programmes, documenting and sharing policy and programme experience are critical and currently sparse. This qualitative case study included desk reviews of published and grey literature on BFHI programming, national plans and policy documents specific to the selected national responsibilities for universal coverage and key informant (KI) interviews across a range of actors. In the Kyrgyz Republic, the case study explored responsibility 5, development and implementation of incentives and/or sanctions, and responsibility 6 in Malawi, providing technical assistance (TA). In both countries, the three sustainability responsibilities (national monitoring [7] communication and advocacy [8] and financing [9]) as they relate to the universal coverage of the targeted responsibilities were also explored. Thirty‐eight respondents in the Kyrgyz Republic described approaches that were used in the health system, including BFHI designation plaques, performance‐based financing and financial sanctions. However, currently, there are no formal incentives and sanctions. In Malawi, TA was utilised for national planning and to introduce quality improvement processes. Forty‐seven respondents mostly described provisions of TA in building and strengthening the capacity of providers. More programmatic evidence to demonstrate which types of incentives or sanctions can be effective and sustained and more documentation of how TA is provided across multiple aspects of implementation are needed as countries institutionalise BFHI. Key messages: 1.National policies and national and subnational plans need to be effectively communicated throughout the health system and systematic coordination are important to institutionalising Baby‐Friendly Hospital Initiative (BFHI).2.Technical assistance, commonly provided for professional competency building, could support hospital practices, procedures and management.3.Understanding the motivations of providers and health systems and monitoring key indicators are important for incentives and sanctions to be effective.4.Documenting and sharing programmatic experiences are critical as countries adopt the new BFHI guidance.5.Multisectoral advocacy for the ten Steps is needed to secure national and local commitment and funding across and beyond the health system. [ABSTRACT FROM AUTHOR]

Background: People with intellectual disabilities are at risk of experiencing stigma and require the skills and confidence to deal with stigma in their daily lives. Method: Development and piloting of a 5‐session manualised psychosocial group intervention designed to increase the capacity of people with intellectual disabilities aged 16+ to manage and resist stigma. Ten pre‐existing groups (N = 67) in third sector and education settings participated. Interviews with participants (n = 26), facilitators (n = 9) and significant others (n = 7) 2–4 months after the intervention assessed perceived impact. Results: Perceived benefits of the intervention for participants included increased understanding, improved connections with others, drive for advocacy, increased activity and self‐efficacy, and opportunity to process difficult events and emotions. Differential impact depending on individuals' pre‐existing self‐advocacy skills was noted. Conclusions: This early‐stage study indicates that further evaluation is merited to examine feasibility and outcomes of the STORM intervention. [ABSTRACT FROM AUTHOR]

Evolving financial behavior, an unpredictable public policy atmosphere, and an unparalleled global pandemic have collaborated to disrupt nonprofit fundraising. The COVID‐19 pandemic alone exacerbated consumer demands for nonprofit services while curtailing nonprofit organizations' ability to fundraise. Without fundraising, nonprofit organizations cannot achieve their mission or support their causes, leading to a precarious situation for societal well‐being. Meanwhile, consumers are changing their financial behaviors, with younger generations often going cashless. At the same time, governments continue to change policies that affect nonprofit organizations. In keeping with the transformative consumer research movement, the present study provides a conceptual framework for the state of nonprofit fundraising amid the challenges associated with changes in financial behavior and public policy, coupled with the effects of the global pandemic. Marketing strategies for fundraising success are presented to aid nonprofits going forward and serve societal interests. [ABSTRACT FROM AUTHOR]

Introduction: Work‐related transitions following serious hand injury can be complex for people with hand injuries and rehabilitation professionals supporting the return‐to‐work process. This study explored South African occupational therapy practice related to work transitions after a serious hand injury. Methods: In this collective case study, maximum variation sampling was used to select seven occupational therapists involved in facilitating work‐related transitions for people with serious hand injuries. Participants selected at least five cases that illustrated the breadth of their practice in terms of work transitions; these cases formed the focus of the semi‐structured interviews. Data were analysed using inductive content analysis. Exemplar quotations were extracted to support emergent key themes. Results: There was one overarching theme—Ongoing appraisal of the fit between function and inherent work demands—which comprised three stages: (1) determining and facilitating readiness to work; (2) managing the risk and trauma of returning to work, and (3) implementing reasonable accommodation. The central theme comprised six strategies that were used to optimise the transition process and achieve the best possible outcome. Conclusion: The study highlighted the importance of work‐related transitions that are context‐driven, flexible, and involve multiple stakeholders. The occupational therapists demonstrated how they drew on their knowledge of local contexts to solve problems and generate effective individual strategies over the rehabilitation period. The findings may be applicable to other low‐ or middle‐income countries where the return‐to‐work process may not be as predictable as high‐income countries. [ABSTRACT FROM AUTHOR]

We consider consumer subversion of advertising by investigating social media activity in response to an advertisement aired by a global brand. We draw on Aristotle's rhetorical justification to show how consumers used logos (logical appeals), ethos (credibility or moral authority), pathos (emotion‐inducing), and kairos (opportunity) rhetoric to challenge and undermine this advertising. Our study provides greater understanding of the mechanisms of consumer activism, examining how rhetorical strategies were deployed within consumers' institutional work toward the subversion of contentious advertising. We also examine the work of an organized boundary group to marshal consumer support for marketplace change and identify how ensuing argumentation led to the development of novel message frames intended to delegitimize advertising practices. We warn advertisers and brands to consider the implications of such collective consumer subversion at a time when the public and media are increasingly intolerant of organizational transgressions, particularly in relation to social justice issues, for example, gender stereotyping in advertising. [ABSTRACT FROM AUTHOR]

Moral distress results from the threat to professional moral integrity and identity. This phenomenon is well documented in nursing literature. Persistent and unresolved moral distress is frequently linked to high nursing staff turnover and shortages. Engagement in a structured hermeneutic critical reflective process facilitated identification of micro, meso, and macro factors influencing the experience of moral distress. Following this process, a theorized model was developed to illustrate interactions between influences contributing to the experience of moral distress in nurses. The model highlights where opportunities lay to take action to avoid or minimize the negative consequences of this phenomenon. Professional resilience is achieved via the conscientious development of professional identity and practice of critical reflection, as components of enculturation of nurses into the profession. Undergraduate and further nurse education activities must focus on developing the necessary attitude, confidence, and skills to address issues in practice which contribute to the experience moral distress to build resilience. [ABSTRACT FROM AUTHOR]

External policy networks resolve two collective action problems in EU external relations: engaging nonstate actors from the EU and its partner countries in transnational policymaking and converting this engagement to feedback for policymakers. We use formal network analysis to understand the relationship between network structure and collective action by transnational nonstate actors. Our empirical focus is on the Transatlantic Business Council and the Transatlantic Consumer Dialogue networks, which engage business and consumer advocacy organizations in transatlantic economic policymaking. We find that both are highly centralized around EU and US government institutions, with relatively low, but rising, levels of interaction among nonstate organizations. This structure helps increase engagement by giving organizations opportunities to interact with government institutions, learn from their peers, and, for some, to exercise power. It also helps EU and US institutions harness policy feedback, especially from nonstate actors that have frequent interactions with their peers. [ABSTRACT FROM AUTHOR]

Objectives: To understand how the events of the 1996 formation of a school‐based health center (SBHC) both illustrate the concept of civic engagement and embody historic aspects of public health nursing practice. Design: Case study design. Sample: Interviews, documents, epidemiologic records, and field observations. Results: The three themes discovered were collaboration to achieve public good, equity and social justice, creation of a long‐term partnership, and demonstration of leadership using grassroots advocacy. Conclusion: The SBHC case serves as a contemporary example of public health nurses' leadership in the current practice arena. The experience of nurse leadership evokes the historic mission and practice of public health nursing. [ABSTRACT FROM AUTHOR]

In isotopic studies of mobile consumers, measurement error in spatial location is almost inevitable when individuals are observed only once. This error can have considerable impacts on the interpretation of ecologically important features, such as individual movement behaviour and dietary niche breadth. This study introduces a measurement error modelling framework for estimating movement scale and isotopic fractionation for consumers that move and feed along a linear isoscape gradient.The model assumes that the key mechanism underlying the difference in spatial isotopic regression slopes of mobile consumers and their baseline resources is the presence of measurement error in the spatial location of consumers. Measurement error is assumed to arise from consumer movements, which are represented by realistic movement kernels. Simulations with known parameter values are used to evaluate the performance of the models under scenarios involving different combinations of consumer mobility and sample size. Several variants of the model are fit to empirical data, and their parameter estimates are compared with those of alternative models.In simulations with known parameter values, model estimates of movement scale converged to the known values and had substantially smaller bias and variance than those of alternative models. Estimates of movement scale and fractionation for empirical data were consistent with previously reported estimates.Neglecting measurement error in spatial location is likely to hinder progress in spatial isotopic analyses. The proposed framework provides a statistically principled basis for incorporating measurement error in spatial location into isoscape analyses to provide improved estimates of parameters of interest, such as movement scale and fractionation. The framework is sufficiently general to be applicable to a variety of species, isotopic tracers, environments and spatial scales. Logical next steps to extend the framework could involve modelling of multiple species, nonlinear isoscape gradients and 2‐dimensional isoscapes. [ABSTRACT FROM AUTHOR]

Objectives: A better understanding of the factors affecting client engagement in hospital‐based violence intervention programs (HVIPs), and which types of client needs prove most challenging to achieve, may be of key importance in developing novel, targeted strategies to violence intervention. In this study, we examined the demographics and injury characteristics of violently injured patients by their level of engagement with the Boston Violence Intervention Advocacy Program (VIAP) and determined the degree of client goal achievement through VIAP client services. Methods: This retrospective study was performed using a cohort of patients presenting to the Boston Medical Center emergency department for a violent penetrating injury due to community violence between 2013 and 2018. Data on client demographics, injury characteristics, and client needs were collected from the VIAP data repository. Cox proportional hazard regression models were used to estimate hazard ratios (HRs) and 95% confidence intervals to assess the difference in hazards of client goal achievement by need type. Results: Of the 2,243 victims of violent injury, 839 (37.4%) patients engaged with VIAP. Significant predictors of client engagement include younger age, Black race, permanent home, existing mental health diagnosis, gunshot wound, and more severe injuries. Conversely, older age, homelessness, substance use, stab wound, and less severe injuries predicted refusal of VIAP services. For clients who chose to engage with VIAP, needs related to education (HR = 0.47, 95% CI = 0.38 to 0.58), employment (HR = 0.66, 95% CI = 0.57 to 0.77), and housing (HR = 0.76, 95% CI = 0.68 to 0.86) were significantly less likely to be achieved compared to basic needs. Conclusions: This study demonstrates that VIAP is effectively engaging the client population that HVIPs have been designed to support. HVIPs should consider novel strategies to engage vulnerable populations not typically targeted by intervention programs. These results speak to the difficulties of program attrition and the complexities of altering the life course for victims of violence. [ABSTRACT FROM AUTHOR]

Are religious consumers less wasteful? If so, to what extent and by what mechanisms does religiosity motivate consumers to reduce food waste? To address these questions, this study proposes a conceptual model and evaluates it empirically using PLS‐SEM and data from 583 consumers. The results reveal that religiosity encourages food waste reduction. Specifically, religiosity is positively related to consumer attitudes, activism and personal and subjective norms to reduce food waste. Consumers' activism and personal norms are significant mediating mechanisms that convey the impact of religiosity on food waste reduction intentions. Interestingly, however, consumers' attitudes and subjective norms show no significant effects on their food waste reduction intentions. In addition, perceived behavioural control (PBC) appears to be an important determinant of consumer intentions, but it plays a direct role rather than a moderating role. These results extend the previous literature by (a) proposing novel intervening mechanisms to explain the understudied religiosity‐consumer behaviour relationship and (b) shedding light on the controversy regarding the additive versus moderating effect of PBC. Ultimately, this study provides a basis for religious‐based interventions for policy makers and marketers as well as ideas to motivate food waste reduction at the consumer level. [ABSTRACT FROM AUTHOR]

Background: The purpose of the study was to explore the support needs of caregivers of children with Down syndrome from their perspective using a mixed‐method participatory research approach. Methods: Concept mapping methodology was used to obtain caregiver perspectives. Twenty‐one caregivers answered the question 'Are parents of individuals with Down syndrome supported, why or why not?' Caregivers were involved in the analysis of the data through concept mapping procedures. Results: Sorted data were analysed with multidimensional scaling and cluster analysis. Participants generated eight thematic clusters representing the support needs of caregivers of children with Down syndrome. The themes included online and social support, support system gaps, areas where support is lacking, Down syndrome community support, financial support, advocacy needs, educational support and concerns for community programming. Conclusions: Themes align with previous research on support needs of parents of children with developmental disabilities. The study highlights the need for more local organisations to offer support that is affordable and accessible for families. Results will support future programme planning for services for individuals caring for those with Down syndrome. [ABSTRACT FROM AUTHOR]

Campus sexual assault affects a large proportion of college students in the United States, most of whom are women. There is little research on the federal complaint mechanism from the standpoint of survivors accessing it, or on whether existing justice mechanisms meet survivors' needs. This qualitative study asks how survivors define justice, and how policy might help survivors achieve justice. To answer these questions, qualitative data were collected and analyzed through interviews with survivors and campus administrators, and focus groups with survivor advocates. These data are analyzed within the context of an ecological framework and produce the just prevention theory for policymaking on campus sexual assault. The just prevention theory argues that genuine justice for survivors must be pursued through a framework of prevention. This theory reconceives justice in a fundamental way: while justice may include other response measures, it must include prevention. [ABSTRACT FROM AUTHOR]

Background: Special education advocacy trainings, such as the Volunteer Advocacy Project (VAP), have the goal of training advocates who can eventually support families in accessing needed services for students with disabilities. In addition to the training goal of increasing participants' special education knowledge and advocacy comfort, it is unknown if the VAP improves other participant outcomes related to later advocacy. Specific Aims: In this study, we asked: (1) Do VAP participants improve from pre‐ to post‐test on knowledge and advocacy comfort, as well as on role identity, involvement in the disability community, and empowerment?; (2) Do participants' roles and levels of education moderate improvements in these outcomes?; and (3) Do participants who are differentially higher or lower on any of these variables at the pre‐test show greater improvement from pre‐ to post‐test on one or all other variables? Method: Participants included 70 graduates of the VAP from 2014 to 2016. These participants completed pre‐test and post‐test assessments with measures on: special education knowledge, advocacy comfort, role identity, involvement, and empowerment. Findings: Results showed significant change in knowledge, comfort, involvement, and empowerment from pre‐test to post‐test. Only level of education significantly moderated the change in role identity from pre‐test to post‐test, with those with high school education increasing their role identity compared to those with a college degree or more. Empowerment was closely related to pre‐test levels and to change scores for all other variables. Discussion: Implications for future research and practice are discussed, including the need to better understand moderators of treatment effect and mechanisms of change for advocacy trainings. [ABSTRACT FROM AUTHOR]

People with disabilities ( PWD) tend to experience less career success than their counterparts without a disability, and their talent and skill remain underutilized. Disability literature also outlines various barriers to careers of PWD. Yet there are those who successfully manage their careers. Our aim in the present interview-based study was to understand which strategies PWD engage in to manage their careers proactively. Findings indicate that strategies include maintaining a positive mind-set; trouncing competence stereotypes by sensitizing people to their ability through learning and applying new skills, and by seeking feedback; engaging in disability advocacy to remove performance myths; and building, leveraging, and contributing to disability networks. We noted gender and tenure differences with regard to strategies employed. Findings imply that career objectives of PWD are not those traditionally expected or lauded by organizations, and motivations for career self-management are unique to PWD as compared to those without a disability. © 2014 Wiley Periodicals, Inc. [ABSTRACT FROM AUTHOR]