16 results on '"Smith, Simon"'
Search Results
2. The role of boundary maintenance and blurring in a UK collaborative research project: How researchers and health service managers made sense of new ways of working.
- Author
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Smith, Simon and Ward, Vicky
- Subjects
- *
DOCUMENTATION , *INTERPROFESSIONAL relations , *INTERVIEWING , *MEDICAL personnel , *PSYCHOLOGY of Research personnel , *PSYCHOLOGY - Abstract
The paper investigates whether, how and in what circumstances boundary blurring or boundary maintenance is productive or destructive of sense in collaborative research based on a case study involving researchers from two universities and two principal organisational stakeholders in a local healthcare system in England between 2009 and 2012. Adopting a narrative method, using meeting observation, document analysis and interviews, we describe two key sets of activities in the evolution of collaboration, which allows us to tackle the question at two levels. Studying the production of documents and their use as boundary objects in project management meetings, we show how these were used to enable cooperation by establishing a truce between worldviews, giving participants a better feel for the game and a clearer perception of its stakes. Studying how the partnership expanded to take in other organisations besides the two formal partners, we show how the project accommodated pre-existing organisational interests but thereby sacrificed its experimental ethos. In showing how actors needed to subvert their experimental script to enact collaborative partnership, we argue for understanding and evaluating the latter as the co-produced outcome of disputes and co-orientations towards a practical ideal, not as an organisational format for knowledge co-production. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
3. Lessons from the Application of Decision-support Tools in Participatory Management of the New Forest National Park, UK.
- Author
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Edwards, Victoria M. and Smith, Simon
- Subjects
DECISION making ,NATURAL resources management ,EMPLOYEE participation in management ,NATIONAL parks & reserves - Abstract
ABSTRACT This paper reports on participatory processes using agent-based simulation models which were employed in the New Forest National Park, UK, to facilitate greater appreciation of recreational impact on wildlife and in turn support proposed revisions in management. The models helped to foster a greater understanding of the need for visitor management, but some stakeholders seemed intent on discrediting them and opposing any changes to recreational management. The inherent complexity and lack of user-friendly application of the models meant that use of them was compromised. Opportunities should be sought to increase stakeholder involvement in the long-term collection of data and validation of models, and to embed participatory processes in existing decision-making institutions. Overall, the decision support tools detracted attention from opportunities for researching social learning: tools need to be part of a well-run deliberative learning process that addresses stakeholder representation and power relationships, knowledge validation, social learning and improved transparency. Copyright © 2011 John Wiley & Sons, Ltd and ERP Environment. [ABSTRACT FROM AUTHOR]
- Published
- 2011
- Full Text
- View/download PDF
4. The health impact of an online heart disease support group: a comparison of moderated versus unmoderated support.
- Author
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Lindsay, Sally, Smith, Simon, Bellaby, Paul, and Baker, Rose
- Subjects
HEALTH attitudes ,HEALTH behavior ,HEART ,MEDICAL care ,CORONARY disease ,RANDOMIZED controlled trials ,HYGIENE - Abstract
The aim of this study was to assess whether our online closed community heart care support group and information resource could sustain changes in health behaviour after the moderators withdrew their support. Heart patients (n = 108) living in a deprived area of Greater Manchester were recruited from general practi- tioners' coronary heart disease registries. The sample for this randomized controlled trial was divided in half at random where half of the participants received password-protected access to our health portal and the other half did not. At 6 months follow-up (based on the moderated phase), there was a significant difference between the experimental group and the controls in terms of self-reported diet (eating bad foods less often). This change in behaviour was not sustained during the 3-month unmoderated phase. During this unmoderated phase of the intervention, the experimental group had significantly more health care visits compared with the controls. There was no significant difference between the two phases for either group in terms of exercise, smoking or social support. This study offers insight into the potential implications for health changes of moderating arrangements for online health communities. [ABSTRACT FROM AUTHOR]
- Published
- 2009
- Full Text
- View/download PDF
5. Traditionalists and Trendies: teachers' attitudes to educational issues.
- Author
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Kelly, Alison, Baldry, Angela, Bolton, Elizabeth, Edwards, Suzanne, Emery, Jo, Levin, Charmian, Smith, Simon, and Wills, Malcolm
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TEACHER attitudes ,QUESTIONNAIRES ,PUBLIC schools ,EQUALITY ,FEMINISM ,SCIENCE projects ,SEXUAL psychology ,EDUCATION - Abstract
Questionnaires were sent to 900 secondary school teachers throughout England and Wales; 373 (41%) were returned. Teachers agreed on many issues but opinion was divided on the abolition of the remaining grammar schools and the question of mixed-ability teaching. Underlying dimensions of traditionalism, belief in equality of the sexes and feminism were identified in teachers' attitudes. Older teachers were more traditional than younger ones, and science and craft teachers were more traditional than arts teachers. Women were more emphatic about sex equality than men and London teachers were more feminist than others. Teachers in schools which had been involved in the Girls Into Science and Technology (GIST) project were slightly less traditional and more in favour of equality of the sexes than other teachers. [ABSTRACT FROM AUTHOR]
- Published
- 1985
- Full Text
- View/download PDF
6. Small is beautiful.
- Author
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Barry, Sylvia, Hughes, Gemma, and Lawton-Smith, Simon
- Subjects
HEALTH promotion ,INPATIENT care ,PEOPLE with intellectual disabilities ,MENTAL health services ,MENTAL health - Abstract
The article focuses on an acute care collaborative established by the London Development Centre with King's Fund and mental health inpatient service provider trusts in London, England. This initiative is aimed to support service providers to develop ways that would improve acute inpatient services. It was first applied on cancer and orthopedic services in the country and a 15-month mental health collaborative run by the Northern Centre for Mental Health.
- Published
- 2006
7. Opening the Floodgates? The Possible Use of Supervised Community Treatment in England and Wales.
- Author
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Lawton-Smith, Simon
- Subjects
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THERAPEUTICS , *MENTAL health laws , *PATIENTS - Abstract
Abstract The UK government's Mental Health Act 2007 introduces compulsory supervised community treatment (SCT) to England and Wales. Estimates of the possible level of use of SCT are helpful both to address patient fears and to plan services. The number of patients under SCT is likely to rise over time, although the level of use will depend on a number of contextual variables and whether evidence of clinical and social benefits is forthcoming. [ABSTRACT FROM AUTHOR]
- Published
- 2008
- Full Text
- View/download PDF
8. Catching them early.
- Author
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Lawton-Smith, Simon
- Subjects
MENTAL health services evaluation ,CHILD mental health services ,QUESTIONNAIRES ,CASE studies - Abstract
The article focuses on a review of projects in London, England which support the emotional well-being of children of primary school age. The review involved a postal and electronic mail questionnaire inviting submissions from projects and 12 case studies involving visits to projects and interviews with staff. All 60 projects have provided a range of interventions and activities. Good working relationships play a very important role in the success of projects.
- Published
- 2007
9. Tribunals and tribulations.
- Author
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Lawton-Smith, Simon
- Subjects
MENTAL health services ,MEDICAL care ,MENTAL health - Abstract
The article discusses Scotland's experience of compulsory community treatment orders and its implications for England and Wales. Scotland is the first British country to introduce powers of compulsory community treatment, through the Mental Health (Care and Treatment) (Scotland) Act 2003, which came into effect on October 5, 2005. Information on research on Scotland's community-based compulsory treatment order arrangement is provided, including the research objectives and findings.
- Published
- 2006
10. Aspiration + hard work = place at a top university.
- Author
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Smith, Simon
- Subjects
PARTNERSHIPS in education ,KINGSFORD Community School (London, England) ,ACADEMIC achievement - Abstract
In this article, the author discusses the partnerships between Kingsford Community School in Beckton, England and Brighton College. It informs about a scholarship scheme initiated by Joan Deslandes and Richard Cairns as a part of the partnership in 2006 which allows 16-year old students avail a sixth-form boarding education at Brighton, England. It informs that such measures helped in personal development and academic achievement of students.
- Published
- 2012
11. EDITORIAL.
- Author
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Smith, Simon
- Subjects
PERSONALITY ,PERSONALISM ,CONFERENCES & conventions - Abstract
The author reflects on the International Conference on Persons held at the Nottingham University in Nottingham, England in August 2009. The author mentions that the audience in the conference was just small but generous. He states that the conference was originally the idea of Tom Buford and Charles Conti. He views that breaking bread indicates the importance of understanding the kind of connections between people which enables them to influence each other.
- Published
- 2010
12. Smooth operators.
- Author
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Smith, Simon
- Subjects
- *
STUDENTS , *SCIENTIFIC knowledge , *TECHNOLOGICAL innovations ,COMPETITION - Abstract
Once a year assembly hail of Colfe's School, Greenwich, London, England, is turned into a buzzing scene of activity as teams compete in technology competition. Teams of pupils from different year groups are given engineering challenges. This year they had to design a remote-controlled buggy to transport a beaker of water across a bumpy course without spilling it. The buggies were based on battery-driven cars and the course was modeled from chicken wire. After a briefing session, pupils had two hours to design, build and test their buggies. They discussed ideas with each other, drew designs and tried things out. Each team had a minimal kit of materials - scraps of card, lolly sticks, rubber bands and a small set of tools.
- Published
- 2003
13. Modelled impact of virtual fractional flow reserve in patients undergoing coronary angiography (VIRTU-4).
- Author
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Ghobrial M, Haley H, Gosling R, Taylor DJ, Richardson J, Morgan K, Barmby D, Iqbal J, Krishnamurthy A, Singh R, Conway D, Hall I, Adam Z, Wheeldon N, Grech ED, Storey RF, Rothman A, Payne G, Tahir MN, Smith S, Cooke J, Hunter S, Cartwright N, Sadeque S, Briffa NP, Al-Mohammad A, O'Toole L, Rogers D, Lawford PV, Hose DR, Gunn J, and Morris PD
- Subjects
- Humans, Female, Male, Middle Aged, Aged, Percutaneous Coronary Intervention methods, England, Myocardial Infarction therapy, Myocardial Infarction physiopathology, Myocardial Infarction diagnostic imaging, Coronary Artery Disease physiopathology, Coronary Artery Disease diagnostic imaging, Coronary Artery Disease therapy, Fractional Flow Reserve, Myocardial physiology, Coronary Angiography, Acute Coronary Syndrome therapy, Acute Coronary Syndrome physiopathology, Acute Coronary Syndrome diagnostic imaging
- Abstract
Background: The practical application of 'virtual' (computed) fractional flow reserve (vFFR) based on invasive coronary angiogram (ICA) images is unknown. The objective of this cohort study was to investigate the potential of vFFR to guide the management of unselected patients undergoing ICA. The hypothesis was that it changes management in >10% of cases., Methods: vFFR was computed using the Sheffield VIRTUheart system, at five hospitals in the North of England, on 'all-comers' undergoing ICA for non-ST-elevation myocardial infarction acute coronary syndrome (ACS) and chronic coronary syndrome (CCS). The cardiologists' management plan (optimal medical therapy, percutaneous coronary intervention (PCI), coronary artery bypass surgery or 'more information required') and confidence level were recorded after ICA, and again after vFFR disclosure., Results: 517 patients were screened; 320 were recruited: 208 with ACS and 112 with CCS. The median vFFR was 0.82 (0.70-0.91). vFFR disclosure did not change the mean number of significantly stenosed vessels per patient (1.16 (±0.96) visually and 1.18 (±0.92) with vFFR (p=0.79)). A change in intended management following vFFR disclosure occurred in 22% of all patients; in the ACS cohort, there was a 62% increase in the number planned for medical management, and in the CCS cohort, there was a 31% increase in the number planned for PCI. In all patients, vFFR disclosure increased physician confidence from 8 of 10 (7.33-9) to 9 of 10 (8-10) (p<0.001)., Conclusion: The addition of vFFR to ICA changed intended management strategy in 22% of patients, provided a detailed and specific 'all-in-one' anatomical and physiological assessment of coronary artery disease, and was accompanied by augmentation of the operator's confidence in the treatment strategy., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.)
- Published
- 2024
- Full Text
- View/download PDF
14. Viewpoint: measures to safeguard the mental health of children have been slow in arriving.
- Author
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Lawton-Smith S
- Subjects
- Adolescent, Child, England, Health Plan Implementation, Humans, Adolescent Health Services organization & administration, Child Health Services organization & administration, Community Mental Health Services organization & administration, Mental Disorders prevention & control
- Published
- 2009
15. Increasing returns.
- Author
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Lawton-Smith S
- Subjects
- Commitment of Mentally Ill statistics & numerical data, England, Health Care Reform legislation & jurisprudence, Health Planning legislation & jurisprudence, Humans, Needs Assessment legislation & jurisprudence, State Medicine legislation & jurisprudence, Wales, Commitment of Mentally Ill legislation & jurisprudence, Community Mental Health Services legislation & jurisprudence
- Published
- 2005
16. Is a career in emergency medicine associated with stigma?
- Author
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Smith S
- Subjects
- Career Choice, England, Humans, Medical Staff, Hospital statistics & numerical data, Prejudice, Social Isolation, Surveys and Questionnaires, Attitude of Health Personnel, Emergency Medicine statistics & numerical data, Health Knowledge, Attitudes, Practice, Interprofessional Relations, Social Perception
- Abstract
Objective: Many emergency medicine staff report anecdotally that fellow hospital staff have a low opinion of emergency medicine. No research into this attitude has been published. The aim of this study is to determine whether there is stigma attached to emergency medicine and practitioners., Method: A postal questionnaire of all medical staff at a district general hospital, to evaluate the presence or absence of eight perceptions associated with stigma., Results: The response rate was 49.5%, with the response rate decreasing with decreasing grade. Of the stigmatizing themes tested in this study, six of the eight were demonstrated to be associated with negative attitudes, with the remaining two themes positive attitudes towards emergency medicine were suggested. The responses were similar, irrespective of grade and speciality (where given by respondees). Responses that were ambivalent or not completed varied between 25 and 48% in the returned questionnaires., Conclusions: This paper demonstrates that stigmatizing opinions towards emergency medicine exist and that these negative opinions may be widely held by hospital staff.
- Published
- 2003
- Full Text
- View/download PDF
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