Children with Long Covid: Co-producing a specialist community public health nursing response

© 2021 MA Healthcare Ltd. This is the accepted manuscript version of an article which has been published in final form at https://doi.org/10.12968/johv.2021.9.10.418Globally, children have been profoundly affected by the COVID-19 pandemic in many ways. Whilst the majority of children with acute COVID-19 infection experience mild illness and fully recover, substantial numbers go on to experience Long Covid. Long Covid is clinically identified by experience of persistent (and sometimes different) symptoms for many months after the acute infection (even in children who were asymptomatic). There is currently no agreed consensus on the case definition of Long Covid but real-world data from American health insurance firms and the UK Office for National Statistics report that children with Long Covid experience: intestinal symptoms, pain, breathlessness, cognitive dysfunction and post-exercise malaise. The current understanding of the natural history, diagnostics and treatments of Long Covid is limited, meaning the medical model in isolation is not helpful. Health visitors and school nurses are ideally placed to case-find children with Long Covid and co-produce child and family-centred care.Peer reviewedFinal Accepted Versio

Professionals’ perceptions of young males in child sexual exploitation policy: a critical policy genealogical analysis

Background: The discourse on young males affected by or involved in child sexual exploitation (CSE) is often silenced due to the preoccupation with, and generally greater publicity of, female victims within professional practice, policy and research. Historical and contemporary CSE discourse is largely conceptualised through Feminism and Moral Panic Theory, enmeshed within a general reduction of available professional vocabulary in English child protection policy. This thesis aims to investigate these discourses. Methodology: This research analyses CSE policy implementation between 2000 and 2016 with alternative social theories within a critical policy genealogy (CPG). The CPG considers Foucault’s position of the ‘qualified speakers’ on childhood sexuality to identify the ethics of CSE policy enactment. Two specific methodologies are utilised to establish the discourse and counter-discourse on multiple levels: a critical realist synthesis of CSE policy literature (n=44) and a Foucauldian-inspired discourse analysis of policy actors (n=18) in a geographically-defined case study. Results: By bringing together the critical realist and Foucauldian-inspired datasets, the CPG presents six discourse norm circles (Elder-Vass 2011, 2012) involved in CSE policy enactment: political influences; visibility / surveillance; the construction of the ‘perfect victim’; inclusivity for young males; local governance; and championing the specialist / minority voice. CSE policy is understood, experienced and perceived inconsistently by policy enactors across a range of fields, however those within the voluntary sector are key to developing better understandings of the realities of young males. Conclusions: Policy enactors are stuck in a constant negotiating position, or dance, between co-existing realities of CSE presented by government policy and its implementation. They have to try to make sense of these dances of power (dynamism) by attempting to implement, whilst simultaneously adapting policy expectations to accommodate CSE victims. It is only through this dynamism, however, a new knowledge on young males can be revealed

The lived experience of forgiveness/unforgiveness in victims of violent crime : an empirical phenomenological study.

Thesis (M.Soc.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2004.The aim of this study was to investigate the lived experience of forgiveness or unforgiveness in individuals who had been victims of violent crime. 6 participants who had experienced violent crime underwent an in-depth interview (Silverman, 2000) aimed at gathering descriptions of their life world with respect to their experience of forgiveness/unforgiveness. The method used to analyse the transcriptions was Giorgi's (1985) phenomenological method adapted slightly by Wertz (1985 as cited in Giorgi,1985). Findings indicated that the capacity to forgive is associated with the way in which individuals see themselves, others, their world and their perpetrators. Results were discussed with reference to the literature reviewed and an Object Relations Theoretical framework was introduced in order to explain and illuminate some of the findings. The implications and limitations of the study are discussed as well as recommendations for future research

Implementing an open innovation process in the premium marine industry

Design and manufacturing innovations are important competitive attributes in the premium marine sector. The adoption of an open innovation process has the potential to deliver behavioural and technological transformation. This pilot study illustrates an open innovation approach to explore the benefits of digital innovation when designing new products within the premium marine industry. The research demonstrates how an open innovation approach will flourish when focused on co-creation in collaboration with a network of cross-functional partners

Being orientated towards social justice: learning for health visitor practice

© 2022 Published by Elsevier Ltd. This is an open access article under the CC BY license. https://creativecommons.org/licenses/by/4.0/Peer reviewe

Feasibility and acceptability of the Alarm Distress Baby Scale (ADBB) in universal health visiting practice in England: a mixed-methods study using Normalisation Process Theory

Background: The Alarm Distress Baby Scale (ADBB) is a validated observation tool, designed for use by healthcare practitioners to identify infant social withdrawal. A modified version (m-ADBB) was later developed as a clinically useful behavioural tool. However, neither version has been tested in the UK context. This study aimed to test the feasibility and acceptability of using the ADBB and m-ADBB within universal health visiting practice in England. Methods: A mixed methods convergent parallel design was used. Five health visitors were trained in the ADBB and 20 in the m-ADBB, from two National Health Service (NHS) community sites in England. Quantitative data were collected from health visitors, while qualitative semistructured interviews were conducted with health visitors and service managers, guided by Normalisation Process Theory (NPT). Thematic analysis was used to analyse the qualitative data and descriptive analysis for the quantitative data. NPT provided a framework for analysing the implementation process in routine health visitor practice. Results: The m-ADBB was used with 225 babies and behaviour concerns were identified in 23 babies (10%). Eleven themes were identified, aligned with the four NPT constructs: (1) Coherence: perceived uniqueness of the scale, new vocabulary for articulating baby behaviour, enrichment of existing knowledge and skills; (2) Cognitive participation: commitment to the use of the ADBB/m-ADBB, consolidation of new practice; (3) Collective action: implementation of the m-ADBB scale in routine practice, organisation and management support, existing systems and pathways for children and families and (4) Reflexive monitoring: perceived benefits of integrating the scales in practice, quality assurance for embedding the scales in practice, appraisal of the training and scales in practice. Conclusions: The ADBB/m-ADBB was perceived to have enhanced the health visitors’ skills and knowledge in infant observation. The m-ADBB required minimal additional time and was highly acceptable to health visitors. These findings have significant implications for health visiting practice and future research

The potential of educational comics as a health information medium

Objectives To investigate ways in which educational comics might provide support in dealing with feelings and attitudes towards health conditions, as well as improving understanding of factual information and to identify potential weakness of comics as a medium for health information. Methods Semi-structured interviewees with eleven university students who either had a mental or physical health condition themselves or had a family member with a health condition. Results The result highlighted the potential value of comics as a format for health information. In addition to conveying factual information, comics offer opportunities for self-awareness, reassurance, empathy, companionship and a means to explore the impact of illness on family relationships. However, there are notable barriers to the greater use of comics to provide health information, namely, a lack of awareness of, and easy access to, educational comics, along with the perception that comics are exclusively light-hearted and for children. Conclusions Currently, the full potential of comics in health settings is not being realised. Health information professionals may be in a position to address this issue through identifying, cataloguing, indexing and promoting comics as a legitimate format for health information