Now showing items 41-60 of 91

    • Adoption and continued use of mobile contact tracing technology: multilevel explanations from a three-wave panel survey and linked data

      Horvath, Laszlo; Banducci, Susan; Blamire, Joshua; Degnen, Cathrine; James, Oliver; Jones, Andrew; Stevens, Daniel; Tyler, Katharine (BMJ Publishing Group, 2022-01-17)
      Objective To identify the key individual-level (demographics, attitudes, mobility) and contextual (COVID-19 case numbers, tiers of mobility restrictions, urban districts) determinants of adopting the NHS COVID-19 contact tracing app and continued use overtime. Design and setting A three-wave panel survey conducted in England in July 2020 (background survey), November 2020 (first measure of app adoption) and March 2021 (continued use of app and new adopters) linked with official data. Participants N=2500 adults living in England, representative of England’s population in terms of regional distribution, age and gender (2011 census). Primary outcome Repeated measures of self-reported app usage. Analytical approach Multilevel logistic regression linking a range of individual level (from survey) and contextual (from linked data) determinants to app usage. Results We observe initial app uptake at 41%, 95% CI (0.39% to 0.43%), and a 12% drop-out rate by March 2021, 95% CI (0.10% to 0.14%). We also found that 7% of nonusers as of wave 2 became new adopters by wave 3, 95% CI (0.05% to 0.08%). Initial uptake (or failure to use) of the app associated with social norms, privacy concerns and misinformation about third-party data access, with those living in postal districts with restrictions on mobility less likely to use the app. Perceived lack of transparent evidence of effectiveness was associated with drop-out of use. In addition, those who trusted the government were more likely to adopt in wave 3 as new adopters. Conclusions Successful uptake of the contact tracing app should be evaluated within the wider context of the UK Government’s response to the crisis. Trust in government is key to adoption of the app in wave 3 while continued use is linked to perceptions of transparent evidence. Providing clear information to address privacy concerns could increase uptake, however, the disparities in continued use among ethnic minority participants needs further investigation.
    • “We will appreciate each other more after this”: Teachers' construction of collective and personal identities during lockdown

      Spicksley, Kathryn; Kington, Alison; Watkins, Maxine (Frontiers Media, 2021-08-20)
      In March 2020, schools in England were closed to all but vulnerable children and the children of key workers, as part of a national effort to curb the spread of the Covid-19 virus. Many teachers were required to work from home as remote learning was implemented. Teaching is primarily a relational profession, and previous literature acknowledges that supportive relationships with peers help to maintain teachers' resilience and commitment during challenging periods. This paper reports on findings from a small-scale study conducted in England during the first national lockdown beginning in March 2020, which explored the impact of the requirement to teach remotely on teachers' identity and peer relationships. A discourse analysis, informed by the aims and practices of discursive psychology, was conducted in order to explore the association between constructions of peer support and responses to the Covid-19 pandemic. Findings indicate that teachers who presented their professional self-identity as collective rather than personal appeared to have a more positive perspective on the difficulties caused by the Covid-19 pandemic. These findings, which have implications for policymakers and school leaders, contribute to the growing field of research on the impact of the Covid-19 pandemic on education by showing the strong association between teachers' constructions of identity and their capacity to respond positively to the challenges brought about by the Covid-19 pandemic.
    • ‘A less unpalatable alternative’: Executive leaders strategically redefining their work in primary MATs

      Spicksley, Kathryn (SAGE, 2020-09-18)
      Since the election of the Coalition government in 2010, an increasing number of primary schools in England have converted to academy status. This article explores how executive leaders working in primary academies construct academy freedoms and their attitudes towards their local authorities. Interviews with four executive leaders working in two contrasting Multi-Academy Trusts were analysed using critical discourse analysis. Findings show that in these primary academies, leaders chose to discursively distance themselves from other academy schools, and instead construct themselves as continuing the best traditions of local authority support. The findings indicate that the professional identities of academy leaders, as key policy actors, have an impact on how national policy is interpreted and enacted. The discourse of these academy leaders suggests that primary academisation has led to school leaders appropriating methods of strategic redefinition, to navigate the new post-2010 education landscape and construct new professional identities.
    • Early career primary teachers’ discursive negotiations of academisation

      Spicksley, Kathryn (Routledge, 2021-12-08)
      This article reports findings from a small-scale research project which explored the professional identities of early career teachers working in primary academies in England. During interviews and focus groups, these new teachers resisted identifying as ‘academy teachers,’ constructing academy status as an unimportant feature when deciding where to work. I theorise this phenomenon using Foucault, arguing that the willingness of new teachers to construct academy schools as ‘no different’ to their maintained counterparts is a key factor in the success of post-2010 academisation as a biopolitical project.
    • The distinctiveness of smaller voluntary organisations providing welfare services

      Dayson, Chris; Bennett, Ellen; Damm, Chris; Rees, James; Jacklin-Jarvis, Carol; Patmore, Beth; Baker, Leila; Terry, Vita; Turner, Katie (Cambridge University Press, 2022-02-15)
      This article presents empirical findings about the distinctiveness of smaller voluntary sector organisations (VSOs) involved in welfare service provision, based on in-depth, qualitative case study research. We identify a series of organisational features and practices which can mean that smaller VSOs are distinctive from larger organisations. These include how they are governed and managed, their approach to their work, and their position relative to other providers. To explain our findings, we draw on the concept of stakeholder ambiguity. This idea was posited by Billis and Glennerster (1998) and is commonly cited in relation to distinctiveness. We identified several manifestations of stakeholder ambiguity and confirm the concept’s explanatory importance, although we argue that our understanding of distinctiveness is enhanced when stakeholder ambiguity is considered alongside other closely related features, such as being embedded in a local geographic community and informal, familial care-based organisational cultures. Our findings also highlight the fragility of smaller VSOs. We argue that this combination of distinctiveness and fragility creates a tension for social policy makers, many of whom recognise the value of smaller VSOs and the risks that they face but must weigh this against a requirement to allocate resources for statutory services as effectively as possible.
    • "You can’t Google everything”- voluntary sector and the leadership of communities of place

      Rees, James; Sancino, Alessandro; Jacklin-Jarvis, Carol; Pagani, Michela (SAGE, 2021-11-27)
      This paper addresses an identified absence in the place leadership literature by exploring how voluntary sector actors contribute to the leadership of place. We attempt to untangle the complex relationship between leadership, place and the voluntary sector, exploring first how understandings of both leadership and place are strengthened by the significant recent advances in the collective and critical approaches to leadership studies. We argue that collective approaches are particularly well suited to interrogating place leadership, and the voluntary sector, both of which are inherently collective endeavours. Drawing on an empirical study of locally-rooted voluntary organisations in a district in the Midlands of England, we produce a thematic analysis which highlights three core themes of the voluntary sector contribution to collective place leadership: their ability to draw on and mobilise local knowledge, their positioning in a web of dense local relationships, and the notion that their intrinsic characteristics are a key source of their distinctiveness and value to the wider ’system’ of place leadership. In drawing these empirical strands together we offer insight into the centrality of the voluntary sector in the constitution of place (a role that has long been undervalued). Further, our findings shed light on the complexity and multiplexity of leading in the collective, and particularly the extent to which the voluntary sector is constrained by wider structures and macro-dynamics.
    • Place leadership and the role of the third sector and civil society

      Potluka, O; Sancino, A; Diamond, J; Rees, J (Bristol University Press, 2021-02-09)
      Only relatively recently, place leadership has become an important debate in the leadership studies and public administration literatures. From a place leadership perspective, there is clearly a potential role for third sector organisations and the voluntary engagement that citizens can play for places through different activities, such as for example social innovation, public services provision, volunteering, civic engagement, advocacy, enhancement of the quality of life, strengthening of social bonds and social cohesion. However, the topic of civil society and third sector organisations is still neglected in research and public policy debates on place-based leadership. Our special issue aims at filling this gap.
    • Voluntary and community welfare

      Rees, James; Macmillan, Rob; Powell, Martin (Policy Press, 2019-01-16)
      Voluntary organisations and community groups have long been involved providing welfare support and services in different fields, although over time their relationships with state, commercial and informal welfare have changed. It is unlikely that their role in the mixed economy of welfare will diminish in the near future. This chapter provides an outline of the nature and scope of voluntary and community welfare, a historical overview of its role, and examines the current context, challenges and prospects faced by voluntary organisations and community groups.
    • Doctors’ views on how to improve communication and quality of care for patients experiencing end-of-life: a qualitative descriptive study

      McCormack, Fiona; Hopley, Rachel; Kurth, Judith; Iqbal, Zafar (MDPI, 2021-09-29)
      (1) Background: There remains a lack of sufficient progress in enhancing quality of care for patients experiencing end-of-life. This study aimed to better understand the views of doctors on how to improve end-of-life healthcare, in light of existing challenges and processes. (2) Methods: This qualitative descriptive study used semi-structured individual interviews. Through purposive sampling, sixteen doctors from primary care (three general practices) or acute care (one National Health Service hospital trust) participated. Interviews were audio-recorded, transcribed and thematic analysis conducted. (3) Results: Two main themes were identified: First, planning for patient-centred care—conversations about end-of-life care should take place earlier to allow for care that is planned and personalised. The need for more training and improvements to documenting patient wishes were highlighted. Second, delivering on patients’ wishes: improvements to the healthcare system—the importance of a record of patient wishes that can be shared across the system was identified. Improved utilisation of available resources is also needed to better deliver quality patient-centred care. (4) Conclusion: More effective communication and coordination across acute and primary care settings is needed. The importance of patient wishes and advance care planning was emphasised. More guidance at a strategic level may help provide clarity about expectations, roles and responsibilities.
    • Fun, lifelong relationships and a safer community: understanding collective leadership practice in a grassroots association

      Jacklin-Jarvis, Carol; Rees, James (Bristol University Press, 2021-08-31)
      The relational processes and practices that create and sustain grassroots associations have received limited attention from researchers. This article addresses this gap, exploring collective leadership of grassroots associations through a ‘leadership-as-practice’ lens (Raelin, 2016a; 2016b). It adopts the concept of ‘bundles’ of leadership practice (Schatzki, 2005) to analyse data from a single ethnographic case study. Adopting this conceptual lens, we identify a set of ‘bundles’ of related practices – organising, engaging and accounting – that constitute the enduring reality of the grassroots association’s collective leadership.
    • Social inclusion, immigration legislation and social services

      Jolly, Andy; Liamputtong, Pranee (Springer, 2021-05-06)
      Undocumented migrants are at particular risk of social exclusion, both because of the precarity of their immigration status, and because of restrictive welfare policies at a national level, which make it more difficult for non-nationals to access social security and other welfare programs. In the absence of access to other forms of support, health and social care services have a key role in supporting social inclusion for families with an irregular migration status. However, the tension between the focus of immigration legislation on enforcement and control on the one hand; and the emphasis of child welfare legislation on rights and care on the other, can lead to ethical dilemmas for workers in health and social care settings. This chapter discusses how some of these tensions can work out in practice. Using the concept of statutory neglect, it outlines the different forms of social exclusion faced by irregular migrant families, and concludes with a discussion of the implications for the role of health and social care services, with suggestions for how to promote social inclusion for migrant children and families.
    • Immigration policies: enforcing borders, driving hunger and creating destitution

      Jolly, Andrew; Dickson, Eve; Garande, Kimberley; Richmond-Bishop, Imogen; Singh, Jasber (University of Wolverhampton, 2021-04-30)
      There is a long history of immigration control and welfare conditionality in the UK, but the interaction between immigration policies and food poverty is underresearched. This article outlines the links between immigration control and food poverty or destitution in the UK. Drawing on insights from the existing literature and a structured discussion at a participatory workshop for researchers and practitioners, the article identifies issues for research and practice around the issue of the No Recourse to Public Funds (NRPF) immigration rule and food poverty. We argue that future research should take a rights based approach to immigration and food poverty that engages with both the history of immigration control and the intent of public policies such as the NRPF rule.
    • Local authority responses to people with NRPF during the pandemic: research report

      Dickson, Eve; Jolly, Andrew; Morgan, Benjamin; Qureshi, Fizza; Sojka, Bozena; Stamp, Dave (ICRD, 2020-08-03)
    • Café Delphi: Hybridising ‘World Café’ and ‘Delphi Techniques’ for successful remote academic collaboration

      Jolly, Andy; Caulfield, Laura; Sojka, Bozena; Iafrati, Steve; Rees, James; Massie, Rachel (Elsevier, 2020-12-23)
      Developing collaborative and cooperative research across academic disciplines and university administrative boundaries can be a challenge. In an attempt to understand and propose solutions to this challenge, the authors of this paper set out to: test an innovative combination of methods to generate and evaluate ideas and strategies; and to write about the findings using collaborative online methods. During this process universities in the UK moved to online working and so the authors completed this paper through entirely online means. The authors - a team of academic researchers from the University of AAA - came together in sessions designed as a hybrid of World Café and Delphi technique approaches to discuss challenges and solutions. The findings were written up drawing on insights from the use of massively authored papers (also known as ‘massively open online papers’, MOOPs), and online tools to enable remote collaboration. Expert consensus was sought in this project within a group of participants (N ​= ​7) in one university setting to create a MOOP. This paper presents details of the process, the findings, and reflections on this collaborative and cooperative exercise. That this paper was written using the methods discussed within it, highlights the value and success of the approach. In light of the current Coronavirus pandemic and the increased need to work remotely, this paper offers academics useful strategies for meaningful and productive online collaboration.
    • A systematic review of the characteristics and needs of older prisoners

      Wilkinson, Dean; Caulfield, Laura (Emerald, 2020-09-21)
      Purpose The purpose of this paper is to review and understand what the existing evidence base concludes about the needs of this population. The older prisoner population is growing faster than the older general population and placing a strain on prisons. Much of the existing literature focusses on the health-care needs of, or in-prison initiatives for, older prisoners. Typically, these are responsive and lacking an evidence-based understanding of the characteristics and needs of this group. Design/methodology/approach This paper presents a systematic review of the existing literature on the needs and characteristics of older people in contact with the criminal justice system. After a thorough search and selection process, 21 papers, from 2002 onwards, were included in the final analysis. The review process was structured through (People, Intervention/Exposure, Comparison, Outcome) and reported using (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Findings The contradictions within the existing evidence base make it difficult to reach firm conclusions about the needs and characteristics of older prisoners. What is clear from the existing research are the relatively high levels of need. There is also some consensus that where older people commit homicide, the victim is likely to be an intimate partner. Overall, there is a need for consistent recording and reporting of characteristics and demographics and more systematic study design. Originality/value This paper has highlighted the key findings and limitations in the existing literature. Future research should make use of secondary official data sources to provide a clearer understanding of the characteristics of this group, their routes to prison, their needs and challenges they present.
    • Local Authority responses to people with NRPF during the pandemic: Interim project findings briefing

      Jolly, Andy; Sojka, Bozena; Dickson, Eve; Qureshi, Fizza; Stamp, Dave; Morgan, Benjamin (University of Wolverhampton, 2020-05-21)
      This interim briefing presents initial findings from a project exploring the support available to migrants with no recourse to public funds during the COVID-19 pandemic. The research included a survey of local authorities in England, and a call for evidence from migrant support organisations in England, Scotland and Wales. More than 90 percent of local authorities had not shared information about support for people with NRPF during the pandemic, and support organisations reported that service users had struggled to access food, shelter and subsistence support during the pandemic.
    • Statutory neglect and care in a pandemic

      Jolly, Andrew (SAGE Publications, 2020-07-23)
      Much has been written about the prevalence of COVID-19 infections in care homes in Europe and North America, with claims that the high mortality rate has been worsened by the policy decisions taken by governments. This essay argues that the concept of statutory neglect is a useful framework for understanding situations where neglect results from law or policy rather than the lack of action by an individual caregiver.
    • The contribution of the voluntary sector to mental health crisis care: a mixed-methods study

      Newbigging, Karen; Rees, James; Ince, Rebecca; Mohan, John; Joseph, Doreen; Ashman, Michael; Norden, Barbara; Dare, Ceri; Bourke, Suzanne; Costello, Benjamin (National Institute for Health Research, 2020-07)
      Background Weaknesses in the provision of mental health crisis support are evident and improvements that include voluntary sector provision are promoted. There is a lack of evidence regarding the contribution of the voluntary sector and how this might be used to the best effect in mental health crisis care. Aim To investigate the contribution of voluntary sector organisations to mental health crisis care in England. Design Multimethod sequential design with a comparative case study. Setting England, with four case studies in North England, East England, the Midlands and London. Method The method included a scoping literature review, a national survey of 1612 voluntary sector organisations, interviews with 27 national stakeholders and detailed mapping of the voluntary sector organisation provision in two regions (the north and south of England) to develop a taxonomy of voluntary sector organisations and to select four case studies. The case studies examined voluntary sector organisation crisis care provision as a system through interviews with local stakeholders (n = 73), eight focus groups with service users and carers and, at an individual level, narrative interviews with service users (n = 47) and carers (n = 12) to understand their crisis experience and service journey. There was extensive patient and public involvement in the study, including service users as co-researchers, to ensure validity. This affected the conduct of the study and the interpretation of the findings. The quality and the impact of the involvement was evaluated and commended. Main findings A mental health crisis is considered a biographical disruption. Voluntary sector organisations can make an important contribution, characterised by a socially oriented and relational approach. Five types of relevant voluntary sector organisations were identified: (1) crisis-specific, (2) general mental health, (3) population-focused, (4) life-event-focused and (5) general social and community voluntary sector organisations. These voluntary sector organisations provide a range of support and have specific expertise. The availability and access to voluntary sector organisations varies and inequalities were evident for rural communities; black, Asian and minority ethnic communities; people who use substances; and people who identified as having a personality disorder. There was little evidence of well-developed crisis systems, with an underdeveloped approach to prevention and a lack of ongoing support. Limitations The survey response was low, reflecting the nature of voluntary sector organisations and demands on their time. This was a descriptive study, so evaluating outcomes from voluntary sector organisation support was beyond the scope of the study. Conclusions The current policy discourse frames a mental health crisis as an urgent event. Viewing a mental health crisis as a biographical disruption would better enable a wide range of contributory factors to be considered and addressed. Voluntary sector organisations have a distinctive and important role to play. The breadth of this contribution needs to be acknowledged and its role as an accessible alternative to inpatient provision prioritised. Future work A whole-system approach to mental health crisis provision is needed. The NHS, local authorities and the voluntary sector should establish how to effectively collaborate to meet the local population’s needs and to ensure the sustainability of the voluntary sector. Service users and carers from all communities need to be central to this.