Work-related wellbeing in UK prison officers: a benchmarking approach

Purpose-The purpose of this paper is to examine the well-being of UK prison officers by utilising a benchmarking approach. Design/methodology/approach-The Health and Safety Executive (HSE) Stress Indicator Tool is widely used in the UK to assess key psychosocial hazards in the workplace encompassing demands, control, support from managers and co-workers, relationship quality, role and change management. This study utilises this approach to examine the extent to which a sample of UK prison officers meets the HSE recommended minimum standards for the management of work-related well-being. Levels of mental health and job satisfaction in the sector are also assessed using measures with extensive occupational norms. The psychosocial hazards that make the strongest contribution to mental health and job satisfaction are also considered. Findings-Respondents reported lower levels of well-being for all of the hazard categories than recommended. Moreover, mental health and job satisfaction were considerably poorer among prison officers than other occupational groups within the emergency and security services in the UK. Considerable variation was found in the psychosocial hazards that predicted mental health and job satisfaction. Practical implications-The high levels of stressors and strains experienced by UK prison officers gives serious cause for concern. Priority areas for interventions to enhance well-being in the sector are considered and areas for future research discussed. Originality/value-This study highlights the wide-ranging benefits of a benchmarking approach to investigate work-related stressors and strains at the sector level

Strangers in a Strange Land? : Intimate sociality and emergent creativity in Middle Palaeolithic Europe

Europe in the Middle Palaeolithic would have been an unfamiliar world. The landscapes which we reconstruct for this period seem almost alien - often shrouded in ice, occupied by extinct fauna, such as mammoths and woolly rhinoceros, and moreover by people seen by many as ‘not quite human’. Unlike in later periods such as the Mesolithic (see Warren this volume) analogies between modern foragers and populations in the Middle Palaeolithic, Neanderthals, are rare. Such comparisons have typically been restricted to generalised ecological models, rarely extending to the social and cultural lives of these ‘strangers in strange land’ (Stutz 2012). Whilst in recent years a certain blurring of the boundaries between Neanderthals and modern humans has opened up the possibility of drawing on ethnographically documented societies to understand Neanderthal sociality such analogy is far from straightforward. Wholesale application of models from modern contexts onto this distant and undoubtedly different past risks compressing the very diversity we hope to understand. Even so, not only can modern foragers potentially provide much needed insight, but the distant lives lived by Neanderthals equally present us with a possibility of bringing something new to our understanding of hunter-gatherers. Here we aim to rise to the challenge of including Neanderthals within the diversity of hunter-gatherer social existence, without imposing a modern foraging adaptation on to their way of life. We review some of the difficulties with the direct application of analogies from contemporary hunter-gatherers, and explore alternative approaches to help us to understand the nature of Neanderthal sociality

Workplace & Wellbeing

Workplace & Wellbeing: Developing a practical framework for workplace design to affect employee wellbeing reports on a research study between The Helen Hamlyn Centre for Design and architecture and design firm Gensler. The study ran for two years (2015-2016). The study asked whether greater participation in the design of the workplace increases the sense of control and wellbeing of employees. The researchers interviewed employees at 3 organisations about their workspace and patterns of work, developing a model of employee wellbeing that considered both environmental and psychological factors. The team worked with employees on one floor of a large central London headquarters (Bupa House), offering different levels of participation to employees in a workplace design project to see whether the level of participation offered was a factor in the wellbeing of employees, from no engagement to some engagement and finally participation in a co-design process. The team found that engaging employees in the design of their workplace had a positive effect on their wellbeing, regardless of the level of participation offered. The researchers also developed a tool for organisations to measure their own employee wellbeing, based on project findings

Calculated or caring? : Neanderthal healthcare in social context

Explanations for patterns of healed trauma in Neanderthals have been a matter of debate for several decades. Despite widespread evidence for recovery from injuries or survival despite impairments, apparent evidence for healthcare is given limited attention. Moreover, interpretations of Neanderthal’s approach to injury and suffering sometimes assume a calculated or indifferent attitude to others. Here we review evidence for Neanderthal healthcare, drawing on a bioarchaeology of care approach and relating healthcare to other realms of Neanderthal social life. We argue that Neanderthal medical treatment and healthcare was widespread and part of a social context of strong pro-social bonds which was not distinctively different from healthcare seen in later contexts. We suggest that the time has come to accept Neanderthal healthcare as a compassionate and knowledgeable response to injury and illness, and to turn to other questions, such as cultural variation or the wider significance of healthcare in an evolutionary context

Concerns about covert HIV testing are associated with delayed presentation of suspected malaria in Ethiopian children: a cross-sectional study

BACKGROUND Early diagnosis is important in preventing mortality from malaria. The hypothesis that guardians' fear of covert human immunodeficiency virus (HIV) testing delays presentation of children with suspected malaria was tested. METHODS The study design is a cross-sectional survey. The study population consisted of guardians of children with suspected malaria who presented to health centres in Oromia Region, Ethiopia. Data were collected on attitudes to HIV testing and the duration of children's symptoms using interview administered questionnaires. RESULTS Some 830 individuals provided data representing a response rate of 99% of eligible participants. Of these, 423 (51%) guardians perceived that HIV testing was routinely done on blood donated for malaria diagnosis, and 353 (43%) were aware of community members who delayed seeking medical advice because of these concerns. Children whose guardians suspected that blood was covertly tested for HIV had longer median delay to presentation for evaluation at health centres compared to those children whose guardians did not hold this belief (three days compared to two days, p < 0.001). Children whose guardians were concerned about covert HIV testing were at a higher odds of a prolonged delay before being seen at a health centre (odds ratio 1.73, 95% confidence intervals: 1.10 to 270 for a delay of ≥ 3 days compared to those seen in ≤ 2 days). CONCLUSION Children whose guardians believed that covert testing for HIV was routine clinical practice presented later for investigation of suspected malaria. This may account for up to 14% of the delay in presentation and represents a reversible risk factor for suboptimal management of malaria

Designing for wellbeing in late stage dementia

This paper presents research that is developing new ways of supporting the wellbeing of people with late stage dementia through the development of playful objects. The LAUGH project is an international AHRC funded design research project that is using qualitative and participatory approaches to inform innovative concepts for new playful artefacts to stimulate fun, joy and in the moment pleasure for people living with dementia. The research is partnered by Gwalia Cyf and supported by Age Cymru and Alzheimer’s Society, including people living with dementia from their Service User Review Panels (SURP). Data presented is informed by three pre-design development workshops in which a multidisciplinary group of experts in the fields of dementia care and design have contributed their professional experience. This paper specifically focuses on data from the third of these workshops exploring procedural memory in relation to hand-use and craft making. This paper contends that hand-use, gesture and haptic sensibilities can provide access to procedural and emotional memories, which are retained even into the late stages of the disease. Craft and making activities learned in earlier life, provide rhythmic patterns of hand activity that can enhance wellbeing by supporting in the moment sensory experience, competency and reaffirmation of personhood. Playful activities provide a person with dementia freedom to explore, learn and have positive experiences even when cognitive function and memory recall is severely impaired. Future planned workshops will see the iterative development of prototype designs and their evaluation in ‘live labs’ with people living with late stage dementia

Pretransplant HLA typing revealed loss of heterozygosity in the major histocompatibility complex in a patient with acute myeloid leukemia

Introduction Chromosomal abnormalities are frequent events in hematological malignancies. The degree of HLA compatibility between donor and recipient in hematopoietic stem cell transplantation is critical. Purpose of the study In this report, we describe an acute myeloid leukemia case with loss of heterozygosity (LOH) encompassing the entire HLA. Materials and methods HLA molecular typing was performed on peripheral blood (PB) and buccal swabs (BS). Chromosomal microarray analysis (CMA) was performed using a whole genome platform. Results Typing results on PB sample collected during blast crisis demonstrated homozygosity at the -A, -B, -C, -DR, and -DQ loci. A BS sample demonstrated heterozygosity at all loci. A subsequent PB sample drawn after count recovery confirmed heterozygosity. The CMA performed on PB samples collected during and after blast crisis revealed a large terminal region of copy-neutral LOH involving chromosome region 6p25.3p21.31, spanning approximately 35.9 Mb. The results of the CMA assay on sample collected after count recovery did not demonstrate LOH. Conclusions LOH at the HLA gene locus may significantly influence the donor search resulting in mistakenly choosing homozygous donors. We recommend confirming the HLA typing of recipients with hematological malignancies when homozygosity is detected at any locus by using BS samples, or alternatively from PB when remission is achieved