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Scaffolding informed consent.
J Med Ethics
December 2024
Faculty of Philosophy, Oxford University, Oxford, UK.
The principle of respecting patient autonomy underpins the concept and practice of informed consent. Yet current approaches to consent often ignore the ways in which the exercise of autonomy is deeply epistemically dependent.In this paper, we draw on philosophical descriptions of autonomy 'scaffolding' and apply them to informed consent in medicine.
View Article and Find Full Text PDFApplying Normalisation Process Theory to a peer-delivered complex health intervention for people experiencing homelessness and problem substance use.
Commun Med (Lond)
January 2025
Salvation Army Centre for Addiction Services and Research, Faculty of Social Sciences, Colin Bell Building, University of Stirling, Stirling, Scotland, UK.
Background: The Supporting Harm Reduction through Peer Support (SHARPS) study involved designing and implementing a peer-delivered, harm reduction intervention for people experiencing homelessness and problem substance use. Normalisation Process Theory (NPT) provided a framework for the study.
Methods: Four Peer Navigators (individuals with personal experience of problem substance use and/or homelessness) were recruited and hosted in six third sector (not-for-profit) homelessness services in Scotland and England (United Kingdom).
Typological and cumulative approaches to risk and adversity in Child and Adolescent Mental Health Services (CAMHS): Retrospective cohort analysis in South London.
Compr Psychiatry
December 2024
Department of Public Health and Primary Care, University of Cambridge, UK. Electronic address:
Background: Childhood adversity is robustly associated with mental ill-health. Yet questions remain about how different ways of conceptualising adversity relate to psychiatric diagnoses and service activity. This research aims to examine associations between typological and cumulative conceptualisations of adversity, and psychiatric diagnosis and service activity.
View Article and Find Full Text PDFWhole System Approach to designing, implementing and measuring health and performance benefits of improving diet behaviour in a military setting.
BMJ Mil Health
January 2025
Griffith University, Brisbane, Queensland, Australia.
Many employers-including the military-are experiencing systemic workforce capacity and capability challenges. This coincides with a time of declining workforce health, especially among military service entrants, where many performance-limiting health conditions are preventable if healthier behaviours are practised. Effectively tackling complex, interconnected health problems demands a multilevel, multicomponent Whole System Approach (WSA).
View Article and Find Full Text PDFThe Impact of Professional Governance on Hope, Resilience, and Empowerment.
J Nurs Adm
December 2024
Author Affiliations: Research Nurse Scientist (Dr Partridge), Roper St Francis Healthcare; Associate Professor (Dr Jorgenson), College of Nursing, Charleston Southern University; Associate Professor (Dr Johnson), College of Nursing, Medical University of South Carolina; and Director of Nursing Excellence (Dr Lott), Roper St Francis Healthcare, Charleston, South Carolina.
Objective: The purpose of this cross-sectional descriptive study was to examine the relationship of professional governance, resilience, and empowerment among RNs in clinical practice in 1 healthcare system.
Background: Given the emotional and physical demands of nursing, especially in recent years, exploring ways that hope-inducing and resilience-building models can support professional practice is vital to the current and future nursing workforce.
Methods: An anonymous survey consisting of demographic questions, the Adult Hope Scale, Connor-Davidson Resilience Scale, and the Conditions for Work Effectiveness Questionnaire II was offered to 1450 RNs in a nonprofit community-based healthcare system for volunteer participation.
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