bluuebunny/crossref_metadata_2025_split huggingface dataset:
Student nurses’ experiences of support in relation to suicide or suicidal behaviours of mental health patients: an exploratory study
Authors: Phillips Louise , Tannis‐Ellick Stephanie , Scott Betsy 
Published: July 2013

PurposeObservations have been made that mental health students receive very little support following observing patients displaying suicidal behaviour. The purpose of this paper is to conduct a small‐scale empirical study to investigate this issue further.Design/methodology/approachThe approach used in this study is phenomenological. Qualitative data were obtained through semi‐structured interviews consisting of a range of questions asking mental health student nurses about their experiences of support in practice. The data are analysed using thematic analysis.FindingsAs well as issues relating to the support of mental health student nurses in practice, there are many ethical issues raised in this paper. These include student responsibilities while in placement areas; students as having a supernumerary status; and the inclusion of students in supervision and debriefing sessions following traumatic incidents.Research limitations/implicationsThis small‐scale exploratory study was conducted with a small number of students in one University. However, the study provides a strong starting point for further research on the support students receive during their mental health nurse training.Originality/valueThis paper makes some recommendations on ways to improve the support of students in practice, including maintaining and supporting the role of Practice Experience Managers who spend a considerable amount of time in placement areas interacting with students and feeding back relevant practice concerns to University staff.
Developing inclusive environments in mental health provision for people with disabilities
Authors: Whitehead Graham , Barnard Adam 
Published: July 2013

PurposeThe increased use of mental health interventions employing cognitive behavioural therapy (CBT) over the last decade raises the significant theme of the efficacy of such treatments for people with disabilities. Recent evidence‐based studies regarding the application of cognitive behavioural interventions for people with disabilities have highlighted issues concerning access to services, questions of engagement and efficacy of the cognitive aspects of CBT practice and service models and forms of delivery. The purpose of this paper is to explore these themes with particular emphasis on barriers to accessibility for this population and provide consideration of ethical and effective practice aspects of psychological interventions in response to the recent World Health Organisation recommendations on disability provision.Design/methodology/approachThe paper considers the development of the “enabling environments” theme for people with disabilities within a mental health context within Europe, with a view to exploring barriers to social inclusion and service user autonomy. The paper is designed to review and enhance existing literature in the field and to question the philosophical position of cognitive‐behavioural approaches to mental health provision in a European context.FindingsConsideration is given to the use and application of CBT and evidence‐based practice (EBP) and considers efficacy in mental health provision for this population. Consideration is also given to the efficacy and appropriateness of short‐term interventions for this population.Research limitations/implicationsAs a conceptual paper, the limitations of the discussion are that the views expressed are solely those of the authors but the paper usefully develops consideration of the existing literature in the field and discusses the implications of developing inclusive practice in mental health provision for this population.Practical implicationsThe issues discussed in the paper offer significant questions relevant to the delivery of mental health provision for people with disabilities from a European perspective. Practical implications relate to the development of inclusive practice for practitioners in the delivery of these services.Social implicationsThe social implications of the paper are significant, as the issues discussed raise questions about how mental health services approach their provision for people with disabilities. From a social context, the conceptual discussion offers insights useful to develop effective mental health provision and promote service user responsibility and autonomy.Originality/valueAs a conceptual paper, the originality of the submission relates to questioning the efficacy of more recent developments in the mental health field re: philosophy of approach and method and recommendations are offered by the authors which may impact service delivery, the focus of relevant evidence‐based practice and service user autonomy.
How do you measure what you can't define?
Authors: Aksoy Lerzan 
Published: July 2013

PurposeThis research aims to provide a synthesis of the normative prescriptions from the scientific literature as it relates to customer loyalty tracking and an evaluation of how close practice comes to these prescriptions. It offers a description of the landscape for how and why aspects of loyalty measurement and management converge and/or diverge.Design/methodology/approachData is gathered through in‐depth telephone interviews with 92 senior level marketing managers across a variety of industries.FindingsThe overwhelming majority of firms view customer loyalty as a top strategic priority but only one in four has a formal definition of customer loyalty. Customer satisfaction and likelihood to recommend are the two most tracked measures. The findings also demonstrate that few firms are relatively sophisticated in their analytics capabilities and only half examine how loyalty influences business outcomes.Research limitations/implicationsThe current study uses single respondent per firm.Practical implicationsThe results provide compelling evidence that managers need to determine more consciously what customer loyalty means in the context of their business. Furthermore, firms could benefit from the use of more sophisticated and advanced modelling approaches which have the potential to uncover patterns in customer data and link with business results.Originality/valueThis is the first study in the scientific literature that investigates how close what managers are actually doing in practice comes to scientific prescriptions for tracking and engaging with customers in an effort to engender customer loyalty.
Multi‐year non‐life insurance risk
Authors: Diers Dorothea , Eling Martin , Kraus Christian , Linde Marc 
Published: July 2013

PurposeThe purpose of this paper is to present a simulation‐based approach for modeling multi‐year non‐life insurance risk in internal risk models. Strategic management in an insurance company requires a multi‐year time horizon for economic decision making, for example, in the context of internal risk models. In the literature to date, only the ultimate perspective and, more recently, the one‐year perspective (for Solvency II purposes) are considered.Design/methodology/approachThe authors present a way of defining and calculating multi‐year claims development results and extend the simulation‐based algorithm (“re‐reserving”) for quantifying one‐year non‐life insurance risk, presented in Ohlsson and Lauzeningks, to a multi‐year perspective.FindingsThe multi‐year algorithm is applied to the chain ladder reserving model framework of Mack (1993).Practical implicationsThe usefulness of the new multi‐year horizon is illustrated in the context of internal risk models by means of a case study, where the multi‐year algorithm is applied to a claims development triangle based on Mack and on England and Verrall. This algorithm has been implemented in an excel tool, which is given as supplemented material.Originality/valueTo the best of the authors' knowledge, there are no model approaches or studies on insurance risk for projection periods of not just one, but several, new accident years; this requires a suitable extension of the classical Mack model; however, consideration of multiple years is crucial in the context of enterprise risk management.
China's transformation towards a global green system of innovation
Authors: Marinova Dora , Guo Xiumei , Wu Yanrui 
Published: July 2013

PurposeThis paper aims to examine recent trends and China's role in the emerging global green system of innovation (GGSI) and present the major achievement in China's R&D sectors and major challenges faced by the country. The authors use China's role in the clean development mechanism (CDM) as a case to demonstrate the country's willingness to adopt new technology and green innovation.Design/methodology/approachIn order to understand China's transformation towards the GGSI, the approach used in this study is a review of innovation systems literature combined with analysis of statistical data from various sources. The authors also build an innovation model for the emerging global green system of innovation to demonstrate the building blocks which allow for transformational system failures to be avoided. The clean development mechanism (CDM) is used as a case example as to how GGSI works.FindingsThis paper puts into perspective some recent developments in innovation and argues that there is enough evidence to claim that the world is re‐orienting towards a global green system of innovation in which China is already one of the most significant players.Originality/valueThrough building a new innovation model, this study demonstrates the complexity and the development of innovation in the context of China's transformation towards the GGSI.
QFD application using SERVQUAL for private hospitals: a case study
Authors: Camgöz‐Akdağ Hatice , Tarım Mehveş , Lonial Subash , Yatkın Alim 
Published: July 2013

PurposeThe purpose of this paper is to describe how quality function deployment (QFD) methodology was employed for translating customer needs and expectations into the quality characteristics in a private healthcare setting. This case study illustrates how an existing approach of SERVQUAL and QFD integration can be applied for quality improvement.Design/methodology/approachIntegrating SERVQUAL into QFD to set the success factors to improve quality in the healthcare industry is the main aim of this paper. A privately‐held university hospital, within the city of Istanbul in Turkey, was selected as the sampling frame. A SERVQUAL‐type of questionnaire was used and a total of 250 questionnaires were distributed and 210 of them were received. Usable responses were 170, comprising a response rate of 68 percent.FindingsFrom the results of the QFD application it is seen that behavior and attitude of staff has the highest weight score, meaning that when behavior and attitude of staff is improved there will be almost 25 per cent of improvement in the hospital. Another finding was that there is strong relationship among skills of physician, behavior and attitude of staff, and having enough modern equipment.Research limitations/implicationsQFD technique is able to provide hospitals with a better understanding of customers' expectations to translate these expectations into appropriate service specifications and perform existing process assessment.Originality/valueThe case study was a first attempt to apply this integrative approach to a service sector and thus offers practical and applied information useful to both academicians and practitioners.
A compassionate formulation of task drift in mental health staff
Authors: Kennedy Angela 
Published: July 2013

PurposeThe purpose of this paper is to reflect on the novel use of the compassion focused formulation framework, to give thought to the ways that staff can be distracted from their primary task. It aims to examine systemic ideas for supporting staff to be effective and compassionate in their mental health care.Design/methodology/approachThis paper is a reflective piece using qualitative data and experience to frame the information.FindingsStaff have a variety of ways of coping with the stress of their work and some of these ways are more helpful than others. The formulation framework creates a helpful structure for understanding these strategies in a non‐blaming way. This facilitates reflective practice and the model points to ways that compassionate organisations can help staff in their primary task.Originality/valueThe CFT formulation has not been applied systemically in the literature to organisations or groups of staff.
Creative practice as mutual recovery in mental health
Authors: Crawford Paul , Lewis Lydia , Brown Brian , Manning Nick 
Published: July 2013

PurposeThe purpose of this paper is to examine the value of approaches to mental health based on creative practice in the humanities and arts, and explore these in relation to the potential contribution to mutual recovery.Design/methodology/approachThe paper is a conceptual analysis and literature review.FindingsRecovery can embrace carers and practitioners as well as sufferers from mental health problems. Divisions tend to exist between those with mental health needs, informal carers and health, social care and education personnel. Mutual recovery is therefore a very useful term because it instigates a more fully social understanding of mental health recovery processes, encompassing diverse actors in the field of mental health. Research demonstrates the importance of arts for “recovery orientated mental health services”, how they provide ways of breaking down social barriers, of expressing and understanding experiences and emotions, and of helping to rebuild identities and communities. Similarly, the humanities can advance the recovery of health and well‐being.Originality/valueThe notion of mutual recovery through creative practice is more than just a set of creative activities which are believed to have benefit. The idea is also a heuristic that can be useful to professionals and family members, as well as individuals with mental health problems themselves. Mutual recovery is perhaps best seen as a relational construct, offering new opportunities to build egalitarian, appreciative and substantively connected communities – resilient communities of mutual hope, compassion and solidarity.
Too big to hire: factors impacting weight discrimination
Authors: Bartels Lynn K. , Nordstrom Cynthia R. 
Published: July 2013

PurposeThis study aims to examine the impact of applicant weight and sex, job type and employer attitudes on employee screening decisions.Design/methodology/approachParticipants rated one of four job applicants on their hiring suitability for four different entry‐level jobs with high or low visibility and physical demands. Applicants varied in sex and weight as depicted in a photograph, but their job applications were identical.FindingsResults showed that overweight women experienced weight discrimination when applying for a job that was high in both visibility and physical demands.Research limitations/implicationsFuture research should examine weight discrimination in other racial and ethnic groups and with higher‐level jobs. Future research could also examine hiring decisions using a within‐subjects design to allow comparison across job applicants.Practical implicationsEmployers' perceptions of applicant weight may lead them to make biased decisions about individuals who are overweight during the hiring process particularly for jobs that are high in visibility and physical demands.Social implicationsThere has been an alarming increase in obesity rates in the USA, but there is limited legal protection against weight discrimination. Employers who make stereotyped assumptions about individuals who are overweight may be missing out on valuable workforce talent. Similarly, individuals who are overweight may face discriminatory obstacles in finding work.Originality/valueThis study systematically manipulated two important job characteristics: visibility and physical demands and used a sample of adults as raters.
Markers for persistent specific expressive language delay in 3–4‐year‐olds
Authors: Everitt Andrea , Hannaford Philip , Conti‐Ramsden Gina 
Published: July 2013

AbstractBackgroundIdentifying 3–4‐year‐olds who are most at risk of persisting language difficulties, and possibly specific language impairment (SLI), is difficult due to the natural variation of language in young children. In older children, markers for SLI have been identified that differentiate between children with and without SLI. It is not known whether these markers can be used at an earlier age to identify children most at risk of persisting language difficulties.AimsTo identify possible risk markers of current status that distinguish children who have specific expressive language delay (SELD) from the variation observed in normally developing children at age 3;0–4;0 and 4;0–5;0. To determine the most suitable measure(s) that would predict which children with SELD at age 3;0–4;0 were likely to have persistent expressive language delay (PELD) at age 4;0–5;0.Methods & ProceduresForty‐seven children with SELD and 47 children with typical language development (TLD) were assessed on language, nonverbal IQ and marker tasks at age 3;0–4;0 (baseline). Ninety‐one children were reassessed on the measures one year later (follow‐up). At both time points, the marker tasks were compared with a reference standard (Expressive Communication subscale (EC) of the Preschool Language Scale—3 (PLS‐3) (UK)) to determine the most useful marker for identifying children with SELD. Possible predictors were examined to determine the most suitable measure(s) that would predict which children with SELD at baseline were likely to have PELD at follow‐up.Outcome & ResultsA modified version of Recalling Sentences, a subtest of the Clinical Evaluation of Language Fundamentals (CELF)—Preschool UK, was the most useful marker for identifying children with SELD at baseline and at follow‐up. Thirty‐five (76.1%) of the 46 children with SELD at baseline had PELD at follow‐up. Performance on the Auditory Comprehension (AC) and EC subscales of the PLS‐3 (UK) and on modified Recalling Sentences at age 3;0–4;0 were predictors of PELD at age 4;0–5;0.Conclusions & implicationsA modified Recalling Sentences task was a good risk marker for SELD at age 3;0–4;0 and SELD at age 4;0–5;0. PLS‐3 AC, PLS‐3 EC and modified Recalling Sentences at baseline were the best predictors of PELD. The use of modified Recalling Sentences as a predictive marker requires confirmation.
Simultaneity, Forecasting and Profits in London Copper Futures
Authors: Goss Barry A. , Avsar S. Gulay 
Published: July 2013

Previous research on price determination for non‐ferrous metals at the London Metal Exchange (LME) suffers from three limitations: first it has employed single equation methods only, which cannot explain the simultaneous determination of spot and futures prices; second, by focusing on current and lagged prices, previous research does not analyse the effect on price determination of critical variables such as expectations, consumption and inventories; third, the outcome of prior research regarding market efficiency is ambiguous.This paper, which addresses these issues, develops a simultaneous model of the copper market at the LME, with representation of the activities of hedgers, speculators and consumers. This model produces post‐sample forecasts of the spot price which outperform conventional benchmarks, thus providing evidence against the efficient market hypothesis. Model‐derived forecasts are employed as the foundation of a trading program which produces risk‐adjusted profits (net of commission costs) for holding periods of one week and one month, thus fulfilling the ‘sufficient condition’ for market inefficiency.This study, therefore, provides new insights into price determination on the LME copper market, and resolves the ambiguity of previous research regarding the efficiency of that market. This is the first application of the model forecasting approach to the question of performance of the market for copper.
Unravelling the nature of Waiparaconus, a pennatulacean (Cnidaria: Octocorallia) from the Late Mesozoic–Early Cainozoic of the Southern Hemisphere
Authors: BUCKERIDGE John S. , CAMPBELL Hamish J. , MAURIZOT Pierre 
Published: July 2013

AbstractEnigmatic calcareous conical fossils have been known from marine Paleocene–Eocene sequences of New Zealand since the early 1870s. More recently, similar fossils have been recorded from both Late Cretaceous marine sequences of Western Australia, New Caledonia and Antarctica, and possibly from the Eocene of South America. The present paper extends the record to the late Cretaceous of New Caledonia. These remains are unlike any living taxa, and have been variously interpreted as molluscs (rudistid bivalves), cirripedes (stalked barnacles), annelids and inorganic structures. Assignation to the Cirripedia has been refuted by Buckeridge (1983, 1993), who proposed that the material would be better placed within the Cnidaria. We investigate this hypothesis in light of the New Caledonian material and by comparison with living gorgonians and pennatulaceans, and demonstrate that Waiparaconus is best placed within the Pennatulacea. Waiparaconus zelandicus varies in form somewhat, with 3 morphotypes defined and reinforced by geography. Comment is provided on the imperative to fit organic remains into known groups, with reflection on what may happen if taxa are left in insertae sedis.
A multicomponent theory‐based intervention improves uptake of pelvic floor muscle training before radical prostatectomy: a ‘before and after’ cohort study
Authors: Hirschhorn Andrew D. , Kolt Gregory S. , Brooks Andrew J. 
Published: July 2013

Objective
To assess the effect of a multicomponent theory‐based intervention, incorporating patient information guides, an evidence summary, audit and feedback processes and a provider directory, in the provision/receipt of preoperative pelvic floor muscle training (PFMT) among patients undergoing radical prostatectomy.
Subjects and Methods
Over an 18‐month period (9 months before and 9 months after the intervention), we measured the provision/receipt of preoperative PFMT using surveys of patients undergoing radical prostatectomy at one public hospital (n = 32) and two private hospitals (n = 107) in Western Sydney, Australia, as well as practice audits of associated public sector (n = 4) and private sector (n = 2) providers of PFMT.
Self‐report urinary incontinence was assessed 3 months after radical prostatectomy using the International Consultation on Incontinence Questionnaire – Urinary Incontinence Form (ICIQ‐UI Short Form).
Results
There was a significant increase in the proportion of survey respondents receiving preoperative PFMT post‐intervention (post‐intervention: 42/58 respondents, 72% vs pre‐intervention: 37/81 respondents, 46%, P = 0.002).
There was a corresponding significant increase in provision of preoperative PFMT by private sector providers (mean [sd] post‐intervention: 16.7 [3.7] patients/month vs pre‐intervention: 12.1 [3.6] patients/month, P = 0.018).
Respondents receiving preoperative PFMT had significantly better self‐report urinary incontinence at 3 months after radical prostatectomy than those who did not receive preoperative PFMT (mean [sd] ICIQ‐UI Short Form sum‐scores: 6.2 [5.0] vs 9.2 [5.8], P = 0.002).
Conclusions
The intervention increased the provision/receipt of preoperative PFMT among patients undergoing radical prostatectomy.
Additional component strategies aimed at increasing the use of public sector providers may be necessary to further improve PFMT receipt among patients undergoing radical prostatectomy in the public hospital system.