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Background: Since the beginning of December 2019, the coronavirus disease (COVID-19) has spread rapidly around the world, which has led to increased discussions across online platforms. These conversations have also included various conspiracies shared by social media users. Amongst them, a popular theory has linked 5G to the spread of COVID-19, leading to misinformation and the burning of 5G towers in the United Kingdom. The understanding of the drivers of fake news and quick policies oriented to isolate and rebate misinformation are keys to combating it., Objective: The aim of this study is to develop an understanding of the drivers of the 5G COVID-19 conspiracy theory and strategies to deal with such misinformation., Methods: This paper performs a social network analysis and content analysis of Twitter data from a 7-day period (Friday, March 27, 2020, to Saturday, April 4, 2020) in which the #5GCoronavirus hashtag was trending on Twitter in the United Kingdom. Influential users were analyzed through social network graph clusters. The size of the nodes were ranked by their betweenness centrality score, and the graph's vertices were grouped by cluster using the Clauset-Newman-Moore algorithm. The topics and web sources used were also examined., Results: Social network analysis identified that the two largest network structures consisted of an isolates group and a broadcast group. The analysis also revealed that there was a lack of an authority figure who was actively combating such misinformation. Content analysis revealed that, of 233 sample tweets, 34.8% (n=81) contained views that 5G and COVID-19 were linked, 32.2% (n=75) denounced the conspiracy theory, and 33.0% (n=77) were general tweets not expressing any personal views or opinions. Thus, 65.2% (n=152) of tweets derived from nonconspiracy theory supporters, which suggests that, although the topic attracted high volume, only a handful of users genuinely believed the conspiracy. This paper also shows that fake news websites were the most popular web source shared by users; although, YouTube videos were also shared. The study also identified an account whose sole aim was to spread the conspiracy theory on Twitter., Conclusions: The combination of quick and targeted interventions oriented to delegitimize the sources of fake information is key to reducing their impact. Those users voicing their views against the conspiracy theory, link baiting, or sharing humorous tweets inadvertently raised the profile of the topic, suggesting that policymakers should insist in the efforts of isolating opinions that are based on fake news. Many social media platforms provide users with the ability to report inappropriate content, which should be used. This study is the first to analyze the 5G conspiracy theory in the context of COVID-19 on Twitter offering practical guidance to health authorities in how, in the context of a pandemic, rumors may be combated in the future., (©Wasim Ahmed, Josep Vidal-Alaball, Joseph Downing, Francesc López Seguí. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 06.05.2020.)

Technology provides nurses with a new set of tools to enable and improve the nurse-patient relationship. Although not all information and communication technology is 100% accurate, it still provides the ability for readings which can be used to support the management of long-term conditions in the community. Additionally, technology can empower the patient, enabling them to take control over their condition and enable the nurses who support them. It can break down barriers, such as language and distance. However, it is not without its drawbacks. This paper considers the advantages and disadvantages of community nurses using technology.

There has been a longstanding concern among construction scholars and practitioners in classifying construction innovations, whether as "incremental" or "radical," "technological" or "organizational," "product" or "process". In this paper we extend this interest in classification to examine what classification work accomplishes within construction innovation practices. Instead of addressing the validity of innovation categories as objective representations we explore how innovations are classified within everyday interactions that shape how they proliferate. Our approach is informed by socio-material theories of classification, communication and innovation, particularly those from Actor-Network Theory (ANT) and Ventriloquial Analysis (VA). Empirically, our approach is developed through an analysis of how a single innovation – a large format concrete block – was classified within a single warranty approval meeting as it entered the UK housing market. Our analysis explains how such classification work is dynamically constituted by formal and informal classificatory acts that involve displacements of human agency that shape how construction innovations proliferate. Classification work is thus shown to make a vital difference to how construction innovation is accomplished and can be understood. [ABSTRACT FROM AUTHOR]

Over the last two decades, data visualisation has diffused into the broader realm of mass communication. Before this shift, tools and displays of data-driven geographic- and information visualisation were mostly used in expert contexts. By now, they are also used in casual contexts, for example on newspaper websites, government data portals and many other public outlets. This diversification of the audience poses new challenges within the visualisation community. In this paper we propose personal relevance as one factor to be taken into account when designing casual data visualisations, which are meant for the communication with non-experts. We develop a conceptual model and present a related set of design techniques for interactive web-based visualisations that are aimed at activating personal relevance. We discuss our proposed techniques by applying them to a use case on the visualisation of air pollution in London (UK). [ABSTRACT FROM AUTHOR]

The article reports that the Conservative election victory on June 9, 1983 in Great Britain has added weight to the Government's White Paper on cable development which was jointly drafted by the Home Office and the Department of Industry. Since then, the Radio Regulatory Department of the Home Office has been transferred, lock, stock and barrel, to the Department of industry, an early indication that industrial reasons for the promotion of cable technology may prevail in government thinking over calculations of possible cultural consequences. The entire subject is an amalgam of ideological premises with constantly accelerating technical innovation, differing engineering expertise, national aspirations for a place in the sun, show business calculations, industrial policy, broadcasting policy, and public incomprehension on difference.

This paper examines the impact of major social security reform on mental health claimants by analysing the transition to Personal Independence Payment in the UK. Personal Independence Payment was introduced in April 2013, replacing Disability Living Allowance as the main non-means tested disability benefit intended to assist with the additional costs associated with disability or long-term health conditions. It is important to gain a better understanding of how people with mental health problems have experienced this reform. Twelve service users were interviewed for this qualitative research. Analysis identified three main themes: problems with the Personal Independence Payment claims process; problems conveying mental health problems during the assessment process; and positive experiences associated with the transition to Personal Independence Payment. This research demonstrates that major changes in benefit policy are challenging for people with mental health problems, particularly when delivered in a climate of austerity. The UK Government has changed the main disability benefit for disabled adults. From April 2013, Disability Living Allowance (DLA) has been phased out and replaced by Personal Independence Payment (PIP). This research found that this significant change caused difficulties for people with mental health problems. Everyone who took part reported increased anxiety, problems with claiming PIP, communicating with benefit officials and the medical assessment. It is important to learn from these problems so that future benefit changes, both in the UK and in other countries, can be developed and rolled-out in ways which are more appropriate for people with mental health problems. [ABSTRACT FROM AUTHOR]

Purpose -- Government guidelines promote service user consultation without providing extensive advice on people in later dementia. "Seen as too difficult to involve, they are effectively excluded from [...] influenc(ing) service provision", especially institutional care residents (Clare and Cox, 2003, p. 936). This hard-to-reach group presents methodological challenges. The purpose of this paper is to explore innovative approaches, offering even those with fragmented or lost speech the opportunity to contribute to decisions about their care. Design/methodology/approach -- This specialists dementia home consultation included staff and every resident, irrespective of the level of their communication impairment Consultation on potential colour schemes took the form of a ballot. Staff helped develop an unpatronising, person-centred approach. Visual aids supported communication, de-emphasising the spoken word and promoting inclusion. Findings -- The majority of residents appeared to express an opinion on the potential decor. Others chose a colour while not necessarily grasping the context. The approach engaged all except four. Research limitations/implications -- Even people with moderate/advanced dementia may be enabled to participate in consultation. Further research needs to refine methodology to include everyone and clarify the interpretation of results. Practical implications -- Service providers may widen their expectations of inclusivity in consultation exercises. Originality/value -- This consultation is important to researchers and practitioners because it explores ways of communicating, which avoid privileging the spoken word, revealing seldom-recognised abilities in people with moderate/advanced dementia. [ABSTRACT FROM AUTHOR]

Purpose – The purpose of this paper is to bring together the findings of two studies investigating the value of academic libraries to teaching and research staff in higher education institutions. The Working Together (WT) project was an international study, funded by SAGE Publishing, investigating the value of academic libraries for teaching and research staff in the USA, UK and Scandinavia. The Raising Academic Impact (RAI) project was an initiative of the University of Nottingham (UoN) aimed at increasing the impact of academic librarians in departments across the university by assessing perception and awareness of current library services and future needs of academic staff. Design/methodology/approach – The WT project was conducted during Spring 2012, comprising a series of eight case studies and an online survey exploring the case study experiences and findings within their wider regional and academic context. One was conducted at the UoN, and included the RAI project. The RAI project was originally a four-phase initiative conducted by academic librarians at the UoN. The first phase, which is reported in this paper, consisted of a survey of teaching and research staff, distributed in summer 2012, investigating awareness, uptake and value of existing services, as well as demand for new library services. Findings – Determining the value of academic libraries is a challenging task as very little evidence (beyond the anecdotal) is collected. Perceptions of library value vary greatly between what librarians think the value of their library is to academic staff and how academic staff actually value their library. Information literacy and study skills teaching are greatly valued by academic staff. Despite current efforts, research support is still limited, owing to a cultural barrier hampering greater collaboration between libraries and academic staff in this area. Communication and marketing are keys to increase the value of academic libraries to teaching and research staff. Originality/value – This paper presents the key findings from the two studies in parallel. It is anticipated that these discoveries will be of interest to the wider library community to help libraries develop services which are closely linked to the needs of teaching and academic staff. [ABSTRACT FROM AUTHOR]

The water industry in every country aims to effectively and efficiently provide water with satisfactory quality in a sustainable and environmentally friendly manner. To this end, it is critical to achieve effective communication among the partners in water supply chain networks. In this paper, we focus on one of the UK's largest water utility companies and its eight main contractors and analyze the factors influencing partner and network communication in a managed programme of their asset supply chain. We employ social network analysis to conduct the cross-sectional and longitudinal analysis of partner communication. Factors found to influence the communication network are grouping of projects within the programme, individual's organisational affiliation, status, tenure, elapsed time through the programme lifecycle, and co-location. Our contributions to practice include demonstrating water programme management factors that influence communication and trust and how social network analysis can better inform them about intra- and interorganisational relationships. Moreover, the methodology introduced in this study may be applied to water management in other parts of the world.

Paediatricians are often faced with managing the child who is unwell, and parents, who may present in ways that are difficult to manage. Difficult behaviours can range from those who disregard their child's needs, to those who overstate their child's minor symptoms, to those who ask for help but then refuse to accept it. This paper gives a framework using attachment theory to help paediatricians recognise, understand and deal with difficult doctor-parent interactions in a way that is appropriate and sensitive. Making changes to the way we communicate with parents can improve outcomes for the child, the family and the doctor's own well-being., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.)

Background and Purpose: Pharmacists need to learn communication styles which adopt a more consultative model. The objectives of this paper are to describe the use of forum theatre facilitated by actors to teach communication skills to pharmacy students and to highlight perceptions of the workshops., Educational Activity and Setting: During the actor-led forum theatre, students redirected scenes depicting pharmacist-patient consultations. Students also learned about their own communication styles and role-played consultations and interview situations with actors. Pharmacy undergraduate students enrolled in years 2, 3, and 4 answered open-ended questions online at the end of workshops. All responses were coded to identify themes., Findings: Five themes emerged from 752 comments: (1) workshops were useful in facilitating communication skills development, (2) workshops encouraged reflection, (3) appreciation of feedback provided, (4) the live, interactive nature of the workshop enhanced learning, and (5) suggestions for improvement. There were requests for more varied scenarios involving different patient groups and more opportunities to participate in the role-plays. Students also requested smaller groups, which would encourage participation from those who were reticent and allow more personal feedback., Summary: The use of forum theatre employing role-play, small group coaching on consultation and interview skills, and emphasizing feedback was perceived as an effective and engaging method to teach communication skills., (Crown Copyright © 2019. Published by Elsevier Inc. All rights reserved.)

Increasing the prices of products that harm health is an effective intervention for changing behaviour to improve health but public support for such interventions is generally low. The current paper investigates whether communicating evidence of a policy's effectiveness at tackling the focal problem could increase support. Across three studies we develop an infographic for communicating quantitative evidence of the effectiveness of a hypothetical tax to tackle childhood obesity. We investigate first, whether communicating evidence of effectiveness increases (a) perceived effectiveness (Studies 1,2,3) and (b) support for the policy, and second, whether any increase in perceived effectiveness mediates an increase in support (Studies 1 & 3). In all three studies (combined N = 9654) communicating evidence of effectiveness for the intervention increased perceived effectiveness. In Study 1, communicating evidence did not change support for the policy. Variations of the infographic were developed in Study 2 with one emerging as clearer and easier to comprehend. This infographic was therefore used in Study 3 in which it increased support for the tax from 45% to 49%, an effect that was mediated by perceived effectiveness. The effect sizes were small but probably meaningful at a population level. The results of these three studies suggest the potential for presenting quantitative evidence of intervention effectiveness to increase public support. Much uncertainty remains about the most effective ways of presenting this evidence, whether similar effects are achieved by presenting unquantified evidence and whether larger effects might be achieved by presenting information other than effectiveness., (Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.)

Baillie L, Gallagher A. International Journal of Nursing Practice 2011; 17: 336-341 Respecting dignity in care in diverse care settings: Strategies of UK nurses This paper presents nurses' views of dignity issues in diverse UK health-care settings. A qualitative multisite case study was conducted at seven organizations: four National Health Service hospitals, two independent care providers and one mental health-care provider. The paper reports on the data from qualitative semistructured interviews ( n = 51); the participants worked in a wide variety of care contexts. The data were analysed thematically and this paper reports on the theme 'strategies to respect dignity in care'. The subthemes were: recognizing vulnerability to dignity loss; enhancing privacy; improving communication between staff and patients/families and building relationships; improving the care environment; and addressing issues that matter to individuals. The findings indicate core elements to promoting dignity that apply across all care settings but suggest that nurses should identify and address dignity issues specific to their own practice areas [ABSTRACT FROM AUTHOR]

Purpose - This paper aims to give insight into the role of a liaison worker.Design/methodology/approach - This paper presents a first person account of someone in the role of Mental Health and Housing Liaison Officer.Findings - The paper offers insight into a day in the life of a liaison worker, including information about how they work and communicate with clients and their various different situations.Originality/value - The paper demonstrates that communication is central to delivering good and appropriate services for clients. Joint working between housing and mental health needs to become the norm, and a role such as this is the fore-runner to what the author hopes will become part of every mental health service in the country. [ABSTRACT FROM AUTHOR]

Purpose - This paper seeks to highlight the differences foreign personnel undergoing business training in the UK may encounter because of the different teaching and learning environments in their home country as opposed to those they will experience in the UK. It aims to include research in the area among a sample of foreign students, discussion with trainers and teaching colleagues, as well as the results of in-service training (INSET) held with staff in this area. It also aims to highlight differences and recommendations made to overcome them. Design/methodology/approach - The methodology includes discussion, INSET and a structured questionnaire survey comparing the different teaching and learning styles experienced in the foreign culture with those in the UK. Findings - The paper concludes that relatively few differences exist between British and Americans, but a significant range of differences are encountered primarily by Asian students and some by European, Africans and those from the former Soviet Union. In addition, trainers should be given some initial training on the cultures of those on their courses and practical steps taken to overcome weaknesses in understanding of English. Originality/value - This is an increasing area of concern as the numbers from overseas undergoing business training in the UK is likely to increase to help reduce the skills gap in certain areas. The paper suggests how the cultural differences in teaching and learning can be reconciled to make their business training in the UK more effective. [ABSTRACT FROM AUTHOR]

Against an academic and policy backdrop of interest in (and concerns about) the issue, this paper draws on a range of academic writing in various disciplines to explore visual strategies of climate change communication. The geographic scope of the investigation is the United Kingdom, with particular attention to recognizable icons of climate change in UK media and the images used in political campaigns. The paper is in two parts. The first part concentrates on various efforts to put a 'face' on the climate change issue, while part two suggests that weather and renewable energy are the dominant alternative motifs. The paper draws a basic distinction between fear-laden representations of climate change and a variety of visual efforts to use so-called inspirational imagery. All of the images reviewed suggest an affirmative answer to the question in the title, there are multiple efforts underway to move beyond polar bears and represent climate change in more creative and meaningful ways. The bigger question addressed is one raised already by photographers as well as academics, i.e. whether documentary photography (rather than particular types of images) is the more fundamental issue. The answer in the paper is that photographs are no different from other visual images in their capacity to draw attention to messages. The challenge is to use visuals creatively, in ways that prompt positive engagement with climate change without enhancing public disengagement and fatalism. Copyright © 2010 Royal Meteorological Society [ABSTRACT FROM AUTHOR]

This paper investigates and evaluates the process of knowledge transfer in construction projects. Due to the highly competitive nature of business environments, knowledge transfer between organisations has become increasingly popular in recent years. However, although organisations can realise remarkable benefits by transferring knowledge from one unit to another, successful knowledge transfer can be difficult to achieve. The discussions presented in the paper are mainly based on findings of two case studies. The two cases were selected from Private Finance Initiative (PFI) projects in the UK. According to the case study findings, different stages of a knowledge transfer process can be overlapped, omitted, repeated as well as intermitted and then restarted. One of the significant findings of the case studies was the role of the "knowledge mediator". In selected case studies, there were external consultants and expert staff in the form of knowledge mediators. The importance of their roles was frequently highlighted by the interview participants. They were not only facilitating the close liaison between the knowledge source and the receiver, but also their role was strongly associated with practices of translation and interpretation. This combined role of mediator/translator, therefore, appears to be particularly significant for inter-organisational knowledge transfer in PFI projects. [ABSTRACT FROM AUTHOR]

This paper maps out the evidence relating to quality and user experience of transition services for young people with long-term conditions. The review identified that good quality transition was universally seen as a process as opposed to a single event, supported by an effective interagency communication and coordination, with the young person occupying a central place in the decision-making process. Conversely, poor communication and an absence of a designated professional to support the transition were barriers to an effective process. Gaps in the evidence base were most notable when concerned with the relationship between general practice, secondary care and social care. Overall, greater shared learning of the generic components of an effective transition process needs to occur across long-term conditions. [ABSTRACT FROM AUTHOR]

International assessments of evidence on climate change (e.g. Intergovernmental Panel on Climate Change, IPCC) or national climate change risk assessments (e.g. UK Climate Change Risk Assessment, CCRA) do not offer a sufficiently granular perspective on climate impacts to adequately inform governance of resilience to climate risks at the local level. Using an analysis of UK decision-makers managing and responding to heatwaves and flood risks, this paper argues how more robust local evidence is needed to inform decision-making regarding adaptation options for enhancing local resilience. We identify evidence gaps and issues relating to local climate change impacts, including sources and quality of evidence used, adequacy and accessibility of evidence available, ill-communicated evidence and conflicting or misused evidence. A lack of appreciation regarding how scientific evidence and personal judgement can mutually enhance the quality of decision-making underpins all of these gaps. Additionally, we find that the majority of evidence currently used is reductively based upon socio-economic and physical characteristics of climate risks. We argue that a step change is needed in local climate resilience that moves beyond current physical and socio-economic risk characterisation to a more inclusive co-constitution of social and politically defined climate risks at the local scale that are better aligned with the local impacts felt and needs of stakeholders. [ABSTRACT FROM AUTHOR]

The effective communication of flood risk offers the opportunity to ensure communities can adapt and respond appropriately to changing local conditions. At a time of diminishing resources, such local responses, which can empower communities and make them more resilient to uncertain future flood events, are vital. The most general and accessible type of flood communication are flood risk visualisations, i.e. pre-prepared emergency flood maps. However, evidence suggests there is much we can do to improve their ability to communicate the complexities of flood risk to a range of stakeholders. This paper considers the development of flood risk visualisation approaches in the UK, presenting findings from a series of targeted workshops over twelve months, where the needs and criteria of stakeholder groups for effective flood risk visualisation were assessed via co-creative processes. Key stakeholders included local authorities, emergency responders, vulnerable homeowners, Environment Agency, business owners and, crucially, communities. These users need certain requirements to be considered in order for future flood risk visualisation to be effective, in particular simplicity, a central hub of information, different visuals available for the same data sets/problems, different maps available for different users, consistent terminology and integrated community knowledge (e.g. local flood groups/help). [ABSTRACT FROM AUTHOR]

Public inquiries have become a standard governmental response to managing matters of public interest and concern, including child abuse, in a number of countries, but questions have been raised over whether they are worth the time, money and resources. This paper examines experts' perceptions of the aims and outcomes of public inquiries, before moving on to consider whether there are more effective and efficient ways of investigating national scandals. Based on findings from a thematic analysis of the proceedings of a four‐day expert summit, and semi‐structured interviews with 16 participants who have been involved in child abuse inquiries in the UK and elsewhere, it concludes that public inquiries are not fulfilling all of their competing objectives. While a limited number of inquiries into the care and protection of children have had a positive impact on policy or practice, or successfully raised public awareness overall, there is little evidence of effectiveness. There is a need to: rethink the purpose, scope, methodology and impact of such inquiries to ensure that they are more effective and cost‐efficient; place children, victims and survivors at the centre; and use a wider range of professional expertise and skills. 'Examines experts' perceptions of the aims and outcomes of public inquiries... [and] consider[s] whether there are more effective and efficient ways of investigating national scandals' Key Practitioner Messages: Victims should be at the centre of any process to investigate serious cases of child abuse.Serious cases should be investigated by multidisciplinary teams comprising individuals with a range of different skill sets and capabilities.Cases where things have gone wrong should be considered alongside evidence from cases where children are well protected. [ABSTRACT FROM AUTHOR]

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Purpose: Domestic abuse victimisation is a common experience among women with problematic substance use, but support provision for both issues is siloed within the UK. Research on the topic focuses on practitioner responses, dominating women's voices within research, policy and practice. As such, knowledge about women's experiences of help-seeking is missing. This study therefore aims to fill a gap in knowledge by exploring the lived experiences of supporting seeking among women impacted by domestic abuse and substance use. Design/methodology/approach: Semi-structured interviews were conducted with 12 women who had a history of co-occurring problematic substance use and domestic abuse. Influenced by interpretive phenomenological analysis and feminist research praxis, the study explored how women with dual needs navigated support and help seeking and the barriers they faced. Findings: The women reported the biggest barrier was the disconnect between substance use and domestic abuse support, including a gap in the communication of information. This resulted in them having to choose which of their needs to seek support for. None of the women received support for their combined experiences, and most of the women never received support for their domestic abuse experiences alone. Originality/value: This is the first piece of research from the UK to explore, in-depth, women's journey through support for their co-occurring substance use and domestic abuse victimisation. Previous research has not consulted with women to understand how they navigate the complex support systems available. This paper is, therefore, important, because it demonstrates the journeys to services these women take and the barriers they have to overcome. [ABSTRACT FROM AUTHOR]

Assistive Technology (AT) product use occurs within a socio-cultural setting. The growth internationally in the AT product market suggests that designers need to be aware of the influences that diverse cultures may have on the societal perception of an AT product through its semantic attributes. The study aimed to evaluate the visual interaction with an AT product by young adults from Pakistan, a collectivist society, and the United Kingdom (UK), an individualist society. A paper-based questionnaire survey was carried out with 281 first-year undergraduate students from the UK and Pakistan to evaluate their perception towards the visual representation of a generic conventional wheelchair image. A semantics differential (SD) scale method was used involving a seven-point bipolar SD scale incorporating sixteen pairs of adjectives defining functional, meaning, and usability attributes of the product. The mean (M) and standard deviation (sd) values were obtained for each pair of adjectives and compared between both groups by employing appropriate parametric tests. The results show that having a diverse cultural background did not appear to have overtly influenced the meanings ascribed to the generic manual wheelchair, which was unexpected. The University 'Internationalist' environment may have influenced the results. Some minor but critical differences were found for some pairs of adjectives (bulky-compact, heavy-light), having p-value less than.05 (p <.05) that related to previous experience of wheelchairs and/or their use. Further studies are planned to investigate and validate outcomes with other student and non-student groups. The semantic attributes of assistive technologies highlight a number of aspects that have implications for those involved in Assistive Technology (AT) product development, manufacturing and marketing. • For online sales, the AT products rely on the web page image to communicate the purpose and attributes of the product. There are limited explorations related to the semantic/communicative attributes of AT product presented in images, as perceived by individuals from diverse cultural backgrounds. • The knowledge towards semantic meaning ascribed to the AT product is important to investigate to provide a perspective that goes beyond practical functions of the AT product towards the communicative function. • Information of comprehending semantics and significance of the AT product from a social (non-users) viewpoint may benefits manufacturers in the development of AT products that best meet the societal needs, preferences and expectations. • A model of best practice, with a focus on semantic manipulation will offer Industrial Designers (ID) internationally with the suitable process and tools to reframe perceptions of disability and enhance acceptance of AT products not only for users, but also for the society around them. [ABSTRACT FROM AUTHOR]

Context This paper sets out to analyse and interpret the complex events of the last 20 years in order to understand how the teaching and learning of clinical communication has emerged as a core part of the modern undergraduate medical curriculum in most medical schools in the UK. Methods The paper analyses the effects of key political, sociological, historical and policy influences on clinical communication development. Results Political influences include: the effects of neo-liberalism on society and on the professions in general; the challenging of traditional notions of professionalism in medicine; the creation of an internal market within the National Health Service, and the disempowerment of the medical lobby. Sociological influences include: the effects of a ‘marketised’ society on medicine and subtle shifts in the doctor−patient relationship because of this; the emergence of globalised information through the Internet, and the influence of increased litigation against doctors. Historical influences include: the effects of a change in emphasis for medical education away from an inflated factual curriculum towards a curriculum that recognises the importance of student attitudes and the teaching and learning of clinical communication skills. Policy influences include the important effects of Tomorrow's Doctors and the Dearing Report on the modern medical curriculum. Conclusions The paper concludes with a developmental map that charts the complex influences on clinical communication teaching and learning and a brief commentary on the growing body of teachers who deliver and develop the subject today. [ABSTRACT FROM AUTHOR]

The present paper examines the developing role of the medicines counter assistant (MCA) based in community pharmacies in the UK. In recent years, community pharmacies have been promoted as sources of primary care advice, and this has been accompanied by an increase in the number of pharmacy-only medicines made available for purchase without prescription. At the forefront of these changes is the MCA, who responds to requests for medicines and also advises customers seeking guidance on treating minor illness. This paper uses qualitative data drawn from non-participant observation of interactions between MCAs and customers in six community pharmacies in the south-west region of the UK. The data show communication in the pharmacy to be a complex process, characterised by multiple discourses including medical, retail and pharmaceutical information. At times, the different discourses worked in equilibrium, but there were also regular occurrences of clashes between the different discourses, where interaction became problematic. The authors argue that the current focus on pharmacy protocols to structure communication is, in some cases, too rigid for meaningful interaction and does not acknowledge the complexity of the encounter. A specific way forward for developing the interaction is discussed. [ABSTRACT FROM AUTHOR]

This paper makes the case for working at relational depth (Mearns & Cooper 2007) in qualitative work. To establish this case, I trace the roots of psychological methods in qualitative work, and their foundations in the European and American schools of psychology. In particular I describe a split between holistic and elemental approaches, which I believe has done much to undermine the potential of qualitative work. I have also tried to set qualitative work in an appropriate psycho-social context because I feel it can play such a key role in sustaining democratically-based commercial growth and innovation in the UK and elsewhere in these days when consumer choice is as important in deciding our future as any other element of society. [ABSTRACT FROM AUTHOR]

Issues of combating social exclusion are often held to be synonymous with a reduction of truancy and exclusion from schools. In the UK, for example, the Labour Party has expressed a commitment to reducing the number of pupils truanting or excluded from our schools Social Exclusion Unit (SEU) (1998). As this paper will illustrate however, the social exclusion of pupils goes way beyond simple measures of school attendance. Equally important are issues of affect, the external, observable manifestation of emotion and feeling, which are related to the engagement and active participation of pupils in schools. Drawing on years of teaching and research in Australia and the UK, this paper examines the role of affect in learning and teaching. We begin by examining the ways in which pupils' participation and inclusion is related to their perceptions of themselves, the quality of their relationships in school and their feelings about the culture of the classrooms in which they work. We then examine the ways in which teachers' perceptions of themselves and their feelings about the culture of the school in which they work influences how they teach and indeed how they learn. We argue that constructivist approaches to learning provide an opportunity for pupils, and teachers, to feel more included, rather than excluded, from the education process. [ABSTRACT FROM AUTHOR]

As the number of disasters and crises affecting the tourism industry increases, it is becoming necessary to understand the nature of these disasters and how to manage and limit the impacts of such incidents. This paper defines crises and disasters before discussing the area of crisis communication management and crisis communication in the tourism industry. The paper then applies the foot and mouth disease (FMD) which occurred in the United Kingdom to crisis communication theory at a national level (by examining the response of the British Tourist Authority) and at a local level (by examining the response of a District Council). The response was limited in part because of a lack of preparedness, but also due to the nature of the foot and mouth outbreak, and the speed and severity of international media coverage. Action was taken in the emergency phase of the crisis and was reactive involving inconsistency in developing key messages to stakeholders, partly due to confusion and a lack of information at the national level. Recovery marketing was also limited due to the length of time of the disease outbreak. This paper provides lessons for destinations and organisations are discussed which may help develop crisis communication strategies for tourism organisations. [ABSTRACT FROM AUTHOR]

This paper aims to enrich our understanding of the history and substance of cybernetics. It reviews the work of three British cyberneticians — W. Ross Ashby, Stafford Beer and Gordon Pask — paying attention particularly to the materiality of their practice — the strange and fascinating devices and systems that were at the heart of their work — and to the worldly projects they pursued — scientific, technological, artistic, organizational, political and spiritual. Connections are drawn between cybernetics and recent theoretical work in science and technology studies, in the hope of illuminating key features of both. The paper concludes by suggesting that the antidisciplinary impulse of contemporary science studies might find inspiration in the work of cyberneticians — that theory does not have to remain confined to the realm of theory. [ABSTRACT FROM AUTHOR]

The rapid development of information and communication technologies (ICTs), with the Internet being one of the most significant, is shaking the foundation of the banking industry. Simply deploying the Internet as a more efficient distribution channel will not bring sustainable strategic advantages. To compete effectively, banks may need to embrace a new set of strategic priorities, based on the ‘unbundling’ of banking services and processes, and the ‘deconstruction’ of the integrated banking model. Such a radical transformation threatens the profitability and survival of some existing incumbent banks, and at the same time, it brings a cohort of new opportunities and powerful new players to the market. This paper reviews existing studies on the use of the Internet in banking, and highlights two prevailing models and the strategic thinking behind them. Based upon recent empirical evidence gathered from in-depth case studies and other information sources in the UK, the paper discusses a number of emerging tendencies and explores possibilities to reconcile the discrepancies between the two prevailing models. The paper calls for a radical departure from existing strategies in the banking industry based on the concept of process integration and service bundling. A new framework is outlined for banks and other financial organizations in developing and evaluating their strategies. The latest evidence suggests that at least eight models of Internet banking, somewhere on the spectrum between the two prevailing models highlighted by previous studies, have emerged in the UK. These models are illustrated briefly in the paper. This is still a rapidly evolving area, and new research is clearly needed to understand the key dynamics of the banking industry in the networked economy. Finally, some themes for further research are highlighted. [ABSTRACT FROM AUTHOR]

Labour's second landslide victory of 2001 seemed inevitable given the almost continuous public support for the government through its first term. This paper considers the ways in which the party attempted to maintain and cultivate the electorate's backing during the last four weeks or 'short' campaign. Perhaps fearing apathy more than the Conservatives Labour launched 'Operation Turnout' in order to mobilise its core supporters. Though this attempt failed to boost electoral participation the party nevertheless achieved another major victory. In this so-called 'apathetic landslide' Labour was able to strategically outmanoeuvre their principal opponents the Conservatives. Interestingly the more telling and potentially compromising criticisms of government policy and party procedure came from sympathisers. These and other points will be examined with recourse to a marketing analysis of the Labour campaign. [ABSTRACT FROM AUTHOR]

A documentary review was carried out on the production and publication of research papers related to the study of the variables CHATGPT, TEACHING, NATURAL LANGUAGE and ARTIFICIAL INTELLIGENCE. The purpose of the bibliometric analysis proposed in this document was to know the main characteristics of the volume of publications registered in the Scopus database during the first semester of 2023, achieving the identification of 10 publications. The information provided by this platform was organized through graphs and figures categorizing the information by, Country of Origin, Area of Knowledge and Type of Publication. Once these characteristics have been described, the position of different authors towards the proposed theme is referenced through a qualitative analysis. Among the main findings made through this research, it is found that the United Kingdom with 2 publications with the highest scientific production registered in the name of authors affiliated with institutions of that nation. The Area of Knowledge that made the greatest contribution to the construction of bibliographic material referring to the study of CHATGPT, TEACHING, NATURAL LANGUAGE and ARTIFICIAL INTELLIGENCE was Social Sciences with 8 published documents, and the Type of Publication most used during the period indicated above were Journal Articles with 70% of the total scientific production. [ABSTRACT FROM AUTHOR]

The perceptual cycle model (PCM) underpins much Ergonomics research, particularly in a team context, for example in its theoretical underpinning of distributed situation awareness. Despite this, the PCM framework it has not been explicitly applied to explore team processes, which is surprising given the prevalence of teamwork in safety critical systems. This paper explores team processes in the context of search and rescue (SAR) by applying the PCM and an association classification scheme with a network analysis approach utilising the event analysis of systemic teamwork (EAST) method. Data were collected via observations and communication recordings during training flights with SAR crews and were amalgamated into a representative case study. The analysis demonstrates how the SAR team function within a distributed perceptual cycle whereby the actions of one team member become world information for another team member. Advancements to the EAST method are proposed and the implications of the research are discussed. Practitioner Summary: This paper explores the perceptual cycle interactions of SAR crews using a novel EAST approach. The analysis demonstrates how the crew function as a distributed cognitive unit and applications in terms of training and design are discussed. [ABSTRACT FROM PUBLISHER]

Children's services have a high profile today, as policymakers are concerned about effective education and the level of reading skills. Political policies influence and shape what is offered to our communities, and it is important for practitioners to be effective in developing and delivering a range of services to meet local needs. The political dimension relating to issues around the child and the family is complex, and this paper discusses, often with reference to the UK, some of the challenges associated with the provision of public library services for the early years and young children. Librarians have a valuable contribution to make to the early years by providing activities that support the development of language, communication, and literacy skills. Working as partners with other agencies enables proactive library services to develop and customize services specifically for their local communities, and librarians are successfully building partnerships based on bookgifting and early intervention literacy programs. The library has a role to play in helping to generate social capital at the individual level by providing support for families and parenting activities. Funding, sustainability, and accountability are at the center of most initiatives and programs, but many practitioners may not be aware of the complex political landscape in which library services for the early years are delivered. [ABSTRACT FROM AUTHOR]

This paper reports on a qualitative study of child protection in the UK. The research involved children's practitioners from a range of agencies, including social care, education, health and youth offending, who were asked about working together on complex child protection cases. The aim was to explore how participants talked about complexity in these cases, in order to deconstruct influential perspectives on interprofessional working. Interview transcripts were analysed using critical discourse analysis, a qualitative method that examines patterns of language use in relation to social structures of power and control. The findings identified three overall perspectives: clinical, expert system and relation‐centred approaches, which practitioners combined in various ways. These perspectives have a bearing on how the ‘team around the child’ is conceptualized in discourse about child protection. The paper links these findings to the assumptions of predictability and control currently embedded in policy and practice guidance, and explores their implications for social workers and other children's practitioners. [ABSTRACT FROM AUTHOR]

Little is known about how children themselves understand their moves to and between foster homes. The data presented in this paper come from a study that sought children's views on becoming and being a foster child. A key finding of that study was how children's accounts of being fostered illustrated a high level of anxiety and concern about their moving to live with a foster family. This paper firstly explores the key issues about looked‐after children's moves. It then describes the research study undertaken, before exploring the data generated from children's accounts of their moves to a new foster home. Lastly, there is a discussion of the implications for social work practice in this area. [ABSTRACT FROM AUTHOR]

Background: Effective heart failure (HF) self-care can improve clinical outcomes but is dependent on patients’ undertaking a number of complex self-care behaviors. Research into the effectiveness of HF management programs demonstrates mixed results. There is a need to improve understanding of patient perspectives’ of self-care need in order to enhance supportive interventions. Aim: This paper reports selected findings from a systematic review of qualitative research related to HF self-care need from the patients’ perspective. The focus here is on those facets of patient-healthcare professional relationships perceived by patients to influence HF self-care. Method: We searched multiple healthcare databases to identify studies reporting qualitative findings with extractable data related to HF self-care need. Joanna Briggs Institute systematic review methods were employed and recognized meta-synthesis techniques were applied. Critical realist theory provided analytical direction to highlight how individual and contextual factors came together in complex ways to influence behavior and outcomes. Results: Altogether 24 studies (1999–2012) containing data on patient-healthcare professional relationships and HF self-care were included. Interaction with healthcare professionals influenced self-care strongly but was notably mixed in terms of reported quality. Effective HF self-care was more evident when patients perceived that their healthcare professional was responsive, interested in their individual needs, and shared information. Poor communication and lack of continuity presented common barriers to HF self-care. Conclusion: Interactions and relationships with clinicians play a substantial role in patients’ capacity for HF self-care. The way healthcare professionals interact with patients strongly influences patients’ understanding about their condition and self-care behaviors. [ABSTRACT FROM AUTHOR]

The demand for alternative methods of providing informed consent is increasing, especially in research with marginalised (or illiterate) research participants. This article discusses the co-creation of a visual informed consent (VIC), in collaboration with an artist. The VIC was inspired by the experience of obtaining informed consent from a group of migrant women with limited English proficiency, in empirical research undertaken on agroecology and health in Coventry, UK. Reflecting further on its creation and wider utility, this article explores the inner values that might guide researchers and lead to the co-creation of care-full tools that meet the needs of research participants. Specifically, this includes, reflecting on the iterative process of developing a VIC and using an ethics of care as a primary conceptual framework. Findings reveal that participants' understanding of ethical issues is facilitated using visual illustrations. It is argued that the creation of a VIC requires the researcher to be attentive to the embodied nature of research practice and guided by an ethics of care. A conceptual framework that integrates care and embodiment is presented, with the intention that it may further support the development of care-full research by others. [ABSTRACT FROM AUTHOR]

The use of Remote Consultations (RCs) in primary care expanded rapidly during the Covid-19 pandemic: their ongoing use highlights a need to improve experiences of them. We interviewed 17 adults in the UK, including a sub-sample of five people with a First Language other than English (FLotE). Interpretative Phenomenological Analysis identified five major themes: (1) RCs are convenient, but they require appropriate technology and appropriate conditions of use; (2) even those with good general eHealth literacy and connectivity may struggle with systems that are not user-friendly; (3) greater reliance on verbal communication was experience as limiting empathy, and also made RCs more difficult for people with a FLotE; (4) RCs are considered inappropriate for complex conditions, or those with major psychological components; (5) continuity of care is important, but is often lacking. Overall, interviewees emphasised the need for more user-friendly processes, and greater attention to patients' preferences for consultation type. [ABSTRACT FROM AUTHOR]

The aim of this study was to describe the goals, activities, and methods of EUMOVE project in developing a set of resources targeting both primary and secondary schools that allow the entire educational community to promote healthy lifestyles (HL). The EUMOVE project is an Erasmus+ program based in the Creating Active Schools (CAS) framework. The project lasted 3 years and was developed by 14 academic and non-governmental institutions from Spain, Portugal, France, Italy, and the UK. EUMOVE was divided into three phases. In the first phase, several work packages were carried out aimed to ensure the coordination/management of the project activities. In the second phase, seven educational resources strengthened by rigorous scientific research were developed to promote HL from schools. During the last phase, all the resources were disseminated through scientific seminars, workshops with families and teachers, and the online promotion by the non-governmental institutions of each country. The EUMOVE project developed and promoted a smartphone APP, video/activity repository of physically active lessons, active break virtual platform, learning units, and parent/teachers/school-leaders' guidelines to promote physical activity, active commuting, active school playgrounds, healthy diet, and sleep habits. To our knowledge, EUMOVE is the first European project to provide a set of practical tools based on scientific evidence to help schools or future school-wide interventions implement a paradigm shift based on the CAS framework for the promotion of HL. Future research will need to investigate the implementation, effectiveness, and scalability of this proposal. [ABSTRACT FROM AUTHOR]

Objectives: Clinical communication is a core component of undergraduate medical training. A consensus statement on the essential elements of the communication curriculum was co-produced in 2008 by the communication leads of UK medical schools. This paper discusses the relational, contextual and technological changes which have affected clinical communication since then and presents an updated curriculum for communication in undergraduate medicine., Method: The consensus was developed through an iterative consultation process with the communication leads who represent their medical schools on the UK Council of Clinical Communication in Undergraduate Medical Education., Results: The updated curriculum defines the underpinning values, core components and skills required within the context of contemporary medical care. It incorporates the evolving relational issues associated with the more prominent role of the patient in the consultation, reflected through legal precedent and changing societal expectations. The impact on clinical communication of the increased focus on patient safety, the professional duty of candour and digital medicine are discussed., Conclusion: Changes in the way medicine is practised should lead rapidly to adjustments to the content of curricula., Practice Implications: The updated curriculum provides a model of best practice to help medical schools develop their teaching and argue for resources., (Copyright © 2018 Elsevier B.V. All rights reserved.)

Communication during a major incident or business disruption is essential for all organisations, but to the emergency services it is paramount. Timely and accurate communications are critical but present many challenges to all responders, particularly the blue-light sector. There are many layers and components to communication, including command and control, technical solutions and the inherent cultures within each of the ambulance services. While ambulance services have the same tools available to them as their partners in the police and fire service, they appear at times to be disadvantaged, but why is this? Is it organisational culture, access to training or simply the attitude and experience of responding individuals and commanders? UK NHS ambulance services are often the 'gateway to health', so failure to communicate is not an option. This paper will discuss the communication challenges that the ambulance service regularly face and the options that are available when dealing with complex or major incidents.

With a focus on 'screen and team' family therapy, we tentatively explore possible practice implications associated with family therapy moving from in‐person to online delivery, with the intention of developing questions for further empirical research. By examining some of the affordances and constraints of the online medium in relation to the use of triadic questioning, we set forth a number of the epistemological and ontological consequences of this move. We argue that online therapy has particular features of a dialogical approach and method. We then examine the concept of joint action, the nature of the conversational processes, and the utterance chains that seem to be more likely to emerge when working online. We posit that a major advantage of the move to online delivery of family therapy is the medium's particular utility for generating more invitational, collaborative, and dialogical practices. [ABSTRACT FROM AUTHOR]

This study explores the impact of mental capacity in relation to breast screening for women with intellectual disabilities in the UK. Participation in breast screening is considerably lower for women with intellectual disabilities compared to the general population. Barriers to screening include poor mobility and behavioural difficulties. There is currently no research which primarily explores the relationship between mental capacity and breast screening for this group of individuals. This paper presents the results of a cross‐sectional survey of 131 women with intellectual disabilities supported by eight Social Care Providers within England and Wales. The data were collected between January 2017 and July 2017. The current research explores the decision‐making process surrounding breast screening, considering the impact of associated risk factors during this process. Participants completed a specifically created survey addressing the aforementioned issues. The results indicated that women who lacked capacity, were less likely to engage in breast screening. It was also demonstrated that the process outlined in the Mental Capacity Act (MCA; 2005) was not always followed; women were not routinely assessed if there were doubts regarding their decision‐making ability around breast screening and best interest meetings (BIM) were not always held if the person lacked capacity. In order to be able to generalise the current findings, further research is needed to gain a broader understanding of how professionals make decisions around breast screening for women with intellectual disabilities in case the individuals are unable to decide this independently. [ABSTRACT FROM AUTHOR]

The drive to deliver services addressing loneliness in older people by telephone and online makes it increasingly relevant to consider how the mode of communication affects the way people interact with services and the capacity of services to meet their needs. This paper is based on the qualitative strand of a larger mixed-methods study of a national phoneline tackling loneliness in older people in the United Kingdom. The research comprised thematic analysis of four focus groups with staff and 42 semi-structured interviews with callers. It explored the associations between telephone-delivery, how individuals used the services and how the services were able to respond. To understand these associations, it was useful to identify some constituent characteristics of telephone communication in this context: namely its availability, reach and non-visual nature. This enabled various insights and comparison with other communication media. For example, the availability of the services attracted people seeking frequent emotional support but this presented challenges to staff. More positively, the ability of the services to connect disparate individuals enabled them to form different kinds of satisfying relationships. The evolution of mixed communication forms, such as internet-based voice communication and smartphone-based visual communication, makes analysis at the level of a technology's characteristics useful. Such a cross-cutting perspective can inform both the design of interventions and assessment of their suitability for different manifestations of loneliness. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this paper is to report on an evaluation of the UK Healthy Universities Network (UKHUN), which explored engagement of network members; identified what members value about the network; examined facilitators and barriers to engagement; and informed the network's future development. Design/methodology/approach: The study was a two phase mixed-method study, with participants being staff from Higher Education institutions. Phase 1 involved a documentary review and an online 14-question survey (n=32). Phase 2 comprised follow-up semi-structured interviews and focus groups, conducted using Skype (n=11). These were audio recorded and transcripts were thematically analysed in a two-stage process. Findings: A number of key themes emerged from the thematic analysis: value of network meetings and events; popularity of the network website; increased communication and collaboration; sense of leadership offered by the network; interest and inclusion of an international perspective; importance of institutional support. Research limitations/implications: Only six universities who are involved in the network took part in Phase 2. Although a range of organisations were chosen purposively, it is possible that additional key issues at other universities were excluded. Originality/value: The UKHUN is valued by its membership, particularly its biannual meetings, online presence, leadership, ethos and communication methods. Key barriers include the capacity of staff to attend meetings and contribute to the network, influenced by a lack of institutional commitment and prioritisation. Findings from the evaluation have informed a "refresh" of the network's website and a revision of its membership structure, as well as guiding its positioning to achieve greater strategic influence. [ABSTRACT FROM AUTHOR]

This paper reports findings from a study of the practical experiences of junior diagnostic radiographers in the UK when managing patients with dementia. Extended semi-structured interviews with six participants (mean experience in diagnostic radiography = 3.5 years) were analysed using interpretative phenomenological analysis. Findings highlight that participants' recurrently cited lack of confidence around their knowledge of dementia, and regular treatment of the condition as a 'generic' thing in practice, had sometimes damaged clinical interaction, particularly when the participant was feeling institutional time pressures. Education for new professionals was seen as lacking in both quantity and context-relevance, with implications for professional confidence and ethical practice. Carers and family members were viewed by participants as potentially positive and negative forces within an examination context, and technological advances in radiography were taken to be clinically advantageous but also actively detrimental to the effective interpersonal care of their patients. [ABSTRACT FROM AUTHOR]

Purpose The purpose of this paper is to review marketing materials of surveillance products for people with dementia and their carers in three ageing countries, as part of a dementia-technology media analysis.Design/methodology/approach An online environmental scan was conducted using search terms for surveillance technologies (STs) and dementia through a Google search focussed on the UK, Sweden and the Netherlands. Data were extracted on the products' and websites' marketing messages from consumer and marketer perspectives.Findings Information was gathered for 382 product websites, of which 242 met eligibility criteria. The majority of products come from the UK. In the UK and Sweden, the companies behind the websites appeared to be mainly "cottage industries" which focus on selling ST. In contrast, sellers in the Netherlands included a more balanced mixture of small, medium and large companies. In all three countries, the website messaging focussed on the need to manage safety concerns, without considering privacy or consent.Social implications Contrary to the perception of future dependence on technology, the ST sector seems to be a niche market. The media messages, equating people with dementia with animals and children, are at odds with initiatives that strive for dignity and dementia friendliness.Originality/value No previous study is known to have explored media messages from websites that market ST for people with dementia. [ABSTRACT FROM AUTHOR]