Inter-agency Information Sharing in Health and Social Care Services: The Role of Professional Culture

This article uses a literature review to examine the ways inwhich professional culture might shape inter-organizationalexchange of personal information in a health and social carecontext. The aim is to explore a simplified model of possibleinformation-sharing behaviours (‘ideal’, ‘over-open’,‘over-cautious’ and ‘chaotic’) and tosuggest that patterns of information sharing may be influencedby a number of factors. It is proposed that these factors includenot only inter-professional differences in the approach takento information sharing but also the ways in which the professionsinterrelate.     

Judicial Decision Making and International Tribunals: Assessing the Impact of Individual,National, and International Factors*

Objective. The objective of this article is to explain judicial decision making at the International Criminal Tribunal for the Former Yugoslavia by analyzing the impact of individual, national, and international factors. Methods. We use regression and probit analysis of data on the verdicts and sentences handed down by the judges. Results. We find that international factors best explain judicial decision making, especially regarding sentencing. Conclusions. International tribunals and courts are becoming increasingly important and prevalent and it is critical that scholars better understand how their judges make decisions.     

Partnership Working in Public Policy Provision: A Framework for Evaluation

Partnership working has emerged as a key feature of New Labour's approach to social policy. However, although the theoretical benefits of partnership have been well rehearsed, agencies charged with fostering partnerships lack "evidence" about how best to proceed in bringing about organizational change. This paper describes the development and implementation of a practical approach to capturing the strategies that can be used to establish, strengthen and sustain local partnerships. To this end, it presents a conceptual framework for the evaluation of partnership working and demonstrates the application of the framework to an investigation of partnership working in Cornwall and Isles of Scilly, and Plymouth Health action zones.     

Using the 'Looking After Children' dimensions to collect aggregate data on well-being

The Department of Health has funded the development of a set of schedules for collating information on and monitoring the progress of children looked after by local authorities. An additional aspiration underlying official encouragement of the use of these ‘Looking After Children’ (LAC) materials was that they would provide aggregate data to feed into national and local policy and planning. Progress on this aim has been slow, in part because instruments designed to aid practice in individual cases have not adapted easily to the hoped for dual role, and in part because completion rates have been patchy and often poor. This paper describes an action research project designed to use the children's reviewing system to collect aggregate data on the LAC dimensions of well‐being. It comments on the viability of this method of aggregate data collection as well as locating the information on a cohort of 96 children in the context of other studies, and debates about whether the state can be a ‘good parent’.     

Girls’ “New Femininity” Refusals and “Good Girl” Recuperations in Soap Talk

The “new femininities” produced in postfeminist media confront girls with complex and challenging subjectivities that reach into the spaces where girls engage in their own productions of self. Feminist scholarship has interrogated and critiqued the “girl” produced in postfeminist popular culture texts, highlighting her internal contradictions and often problematic re/production within the heterosexual matrix. Yet, despite an intensified focus on girls featured in popular culture, the ways that girls themselves make sense of the “girl” in contemporary femininity texts has been relatively neglected. Viewing girls' sense-making of femininity in popular culture texts as crucial in the process of their subjectivity or self-production, in this paper we examine pre-teen girls' negotiations of femininity through their talk about Scarlett, a main teen girl character in a New Zealand soap drama. Our analyses and discussion focus on girls' management of the contradictory and regulatory productions of femininity in the text, in particular the often classed conditions under which girls recuperate the “good girl” discourse to refuse the regulatory femininities inside the heterosexual matrix. We suggest that an absence of empowering discourses outside of postfeminism's sexual empowerment limits girls' resources for critiquing and challenging regulatory femininities, “new” and “traditional.”     

Funding Strategies for Population Researchers: Perspectives from the National Institutes of Health

The purpose of this article is to briefly describe the application and funding process at the National Institutes of Health (NIH). We target our discussion to demographic and population science at the Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD), but the general strategies are applicable to social and behavioral scientists for all NIH funding opportunities.     

Curved versus straight scissors to avoid 3rd and 4th degree perineal tears: A randomised feasibility study

BackgroundSevere perineal tears sustained during childbirth cause significant distress and morbidity amongst women. The objective of this study was to compare the use of straight scissors for cutting an episiotomy with the use of curved scissors, which are designed to curve away from the anal sphincter.MethodsWe used a single-centre, randomised feasibility trial. The intervention was the use of curved scissors. Women were recruited during a prenatal visit and randomised in the delivery suite, when it became clear that an episiotomy was required. The feasibility outcomes were the proportion of women able to be recruited, randomised and followed up. We also calculated the incidence of obstetric anal sphincter injury when either straight or curved scissors were used to cut an episiotomy. Other outcomes assessed were pain, length of hospital stay, perineal infection and perineal dehiscence.ResultsOf the 155 patients recruited in the prenatal period, only 20 (12.9%) were eventually randomised at birth. The main reasons for the high loss were that women either did not have a vaginal delivery (38, 24.5%), or they did not need an episiotomy (72, 46.5%). Rates of obstetric anal sphincter injury and other outcomes were similar between groups.DiscussionAnal sphincter injury during childbirth remains an important problem. Although the use of curved scissors provides a theoretical solution, we found that the high attrition rate made feasibility of conducting a suitably powered, randomised trial using the current design untenable. Alternative strategies have been suggested to make any future study more viable.