Are our Frontline Clinicians Equipped with the Ability and Confidence to Address Child Abuse and Neglect?

Previous studies have suggested that child abuse and neglect (CAN) is under recognised and under reported. Our aims were to examine and compare child protection (CP) knowledge, confidence and practice of frontline clinicians in general practice and hospital settings in South Western Sydney (SWS). We surveyed doctors and nurses in general practice and in the emergency department (ED) in a district in SWS using a validated questionnaire. Of the 113 responses, 62 were general practitioners (GPs), 9 practice nurses, 26 ED nurses and 16 ED doctors. The confidence level with identifying CAN was moderate, with a significant difference between groups. The majority (59%) had made previous CP reports, few suspected but decided not to report; reporting rates differed significantly. A majority (80%) reported some CP training; of the 22 with no training, 21 were GPs and practice nurses. Of those reporting some training, more than 70 per cent of ED nurses, GPs and practice nurses felt their training was inadequate, compared with 19 per cent of ED doctors. There are significant differences in confidence and practice between frontline clinicians in primary care and ED. Targeted CP training should be provided for all frontline clinicians with particular emphasis on primary care GPs. Copyright © 2011 John Wiley & Sons, Ltd.

‘We surveyed doctors and nurses in general practice and in the emergency department’

‘There are significant differences in confidence and practice between front‐line clinicians in primary care and ED’

Citing Literature

Number of times cited: 12

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• Emma Barrett, Suzanne Denieffe, Michael Bergin and Martina Gooney , An exploration of paediatric nurses’ views of caring for infants who have suffered nonaccidental injury , Journal of Clinical Nursing , 26 , 15-16 , (2274-2285) , (2017) . Wiley Online Library
• Louise Everitt, Caroline Homer and Jennifer Fenwick , Working with Vulnerable Pregnant Women Who Are At Risk of Having their Babies Removed by the Child Protection Agency in New South Wales, Australia , Child Abuse Review , 26 , 5 , (351-363) , (2016) . Wiley Online Library
• Stephanie Zielinski, Heather A. Paradis, Pamela Herendeen and Paula Barbel , The Identification of Psychosocial Risk Factors Associated With Child Neglect Using the WE-CARE Screening Tool in a High-Risk Population , Journal of Pediatric Health Care , 31 , 4 , (470) , (2017) . Crossref
• Rick Hood, Jayne Price, Daniele Sartori, Daryl Maisey, Jessica Johnson and Zoe Clark , Collaborating across the threshold: The development of interprofessional expertise in child safeguarding , Journal of Interprofessional Care , 31 , 6 , (705) , (2017) . Crossref
• Tara Flemington, Cathrine Fowler, Quang Nhat Tran and Jennifer Fraser , Clinician Response to Child Abuse Presentations in the Vietnamese Hospital Emergency Setting , Journal of Interpersonal Violence , (088626051771322) , (2017) . Crossref
• Simeon J.A. Visscher and Henk F. van Stel , Variation in prevention of child maltreatment by Dutch child healthcare professionals , Child Abuse & Neglect , 70 , (264) , (2017) . Crossref
• Tara Flemington and Jennifer Fraser , Building workforce capacity to detect and respond to child abuse and neglect cases: A training intervention for staff working in emergency settings in Vietnam , International Emergency Nursing , 34 , (29) , (2017) . Crossref
• Annerley Bates , The Impact of Limited Organisational and Community Resources on Novice Child Protection Workers: A Queensland Example , Child Abuse Review , 24 , 6 , (452-462) , (2013) . Wiley Online Library
• Shanti Raman, Michelle Maiese, Katrina Hurley and David Greenfield , Addressing the Clinical Burden of Child Physical Abuse and Neglect in a Large Metropolitan Region: Improving the Evidence-Base , Social Sciences , 3 , 4 , (771) , (2014) . Crossref
• Peter Sidebotham , Culpability, Vulnerability, Agency and Potential: Exploring our Attitudes to Victims and Perpetrators of Abuse , Child Abuse Review , 22 , 3 , (151-154) , (2013) . Wiley Online Library
• , Perspectives of Neglect , Child Abuse Review , 21 , 2 , (77-80) , (2012) . Wiley Online Library

Volume 21 , Issue 2 March/April 2012

Pages 114-130     

Contracting in a Supply Chain with Stochastic Demand and Substitute Products

Retailers often stock competing products from multiple manufacturers. When the retailer stocks out of a particular item, customers who prefer the item are likely, with some probability, to switch to a substitute product from another manufacturer at the same store. In such an event, a “lost sale” for the manufacturer is not a “lost sale” for the retailer. This exacerbates differences in manufacturer's and retailer's stockout costs for the item. Such differences in stockout cost influence the optimal contract between the manufacturer and the retailer and also impose agency costs on the channel. Such contracts, in turn, determine equilibrium inventory levels and fill rates. We study these issues in a single‐period supply chain, consisting of a manufacturer and a retailer, under three different scenarios (when the two firms are integrated into a single entity, when the retailer makes stocking decisions, and when the manufacturer makes stocking decisions). We compare, and present a methodology for comparing, stocking quantities, manufacturer efforts, and supply chain profits across different scenarios. We find that VMI performs better when manufacturer effort is a substantial driver of consumer demand and when consumers are unlikely to substitute to another brand in case of a stockout. On the other hand, if non‐contractible manufacturer effort is unimportant, or when substitution is significant, VMI can exacerbate, rather than mitigate, channel inefficiencies, and can perform worse than traditional Retailer Managed Inventory.     

Exploitation Strategy and Performance of Contract Manufacturing Exporters: The Mediating Roles of Exploration Strategy and Marketing Capability

Contract manufacturing exporters (CMEs) receive a meagre share of global value chain returns, primarily because of the mundane and exploitative nature of the activities they perform in their dependency relationships with lead firms. We posit that CMEs can enhance their performance by capitalizing on their exploitation strategy. Exploitation strategy triggers exploration strategy which requires building marketing capabilities for enhanced performance. Based on data from 154 Vietnamese CMEs, we find significant indirect only mediation effects of: 1) exploration strategy between exploitation strategy and export performance; and 2) marketing capability between exploration strategy and export performance. Further, we find significant indirect only serial mediation of exploration strategy and marketing capability between exploitation strategy and export performance. The findings are also supported and contextualized based on illustrative quotes from face to face semi-structured interviews with senior managers of 10 Vietnamese CMEs. The findings suggest that CMEs' that consciously capitalize on the exploitation strategy by seeking exploration opportunities while building their marketing capability exhibit enhanced performance.     

Calibration Approach-based Product Estimator of Finite Population Total with Subsampling of Nonrespondents under Single and Two-phase Sampling

Hansen and Hurwitz (1946) technique–based estimator of population total is proposed using the calibration approach under the assumption that the auxiliary variable is negatively correlated with the study variable. The variance estimation is also considered. The two-phase sampling case is also explored. The theoretical results are demonstrated through empirical studies using both generated and real population data. The proposed estimator of population total outperforms the existing estimators in terms of the criteria of relative bias and relative root mean square error.     

Effects of Partnership Quality,Talent Management,and Global Mindset on Performance of Offshore IT Service Providers in India

This paper investigates the effects of partnership quality, talent management and global mindset on the performance of offshore service providers (OSPs) in the information technology sector in India. The findings show that partnership quality has partial and strong mediation effects on the impact of talent management and global mindset on performance of OSPs. We also find that talent management strongly mediates the effects of global mindset on partnership quality. Overall, the results confirm that global mindset, by itself, has limited direct influence on the performance of OSPs and that the full benefits of global mindset can only be enjoyed by OSPs which have well developed talent management and high quality partnerships with their clients. The implications and limitations of the study are also discussed.     

Less than Human? Diaspora,Disease and the Question of Citizenship

The aim of this special edition of International Migration is to bring about discussion between those conducting research in Diaspora Studies and the Anthropology of Public Health and Medicine. Historically, international migration has been associated with the transport of disease. Regardless of the evidence, metaphors of plague, and infection have circulated and been used to marginalise and keep out diaspora communities in host countries in an effort to ‘exclude filth’. Migrants have been referred to in terms such as the ‘Asiatic menace’ indicating a virus‐like threat to local populations. We look at the impact the traces of these images have on current host nations’ perceptions of diaspora communities and also ask what impact does this have on the diasporic communities’ self‐perceptions, if any? Does this affect conceptions of belonging, or feed into continuing dialogues of displacement? The movement of people has long been associated with the spread of disease and infections. In light of this, we are concerned with the role of medical knowledge and practices in relation to diaspora communities, and how these discourses have contributed to the perception of diaspora populations by host societies, and helped shape wider questions of belonging and citizenship. We aim to look at these questions in their historical context, both in their continuities and discontinuities, emphasising the importance of this to an understanding of current practices. Circuits of migration, and connected medical practices are taking new forms, where, on the one hand migrants are still associated with disease and pollution, but on the other migrants are also increasingly staffing the infrastructure of western public health services. At the same time, the west can no longer lay claim to ‘superior’ biomedical provision. These shifts signal new directions in the relationship between medical discourse and diasporic ‘others’, giving rise to a contradictory language of migrants being seen as both a threat, and a solution to the ‘health of the nation’.     

The Manufacturer's Incentive to Reduce Lead Times

Although, ceteris paribus, reducing lead times may be desirable from an overall system perspective, an upstream party (e.g., a manufacturer) may have strong disincentives to offer shorter lead times, even if this came at no cost. We consider a setting in which the downstream party has the ability to exert a costly effort to increase demand (e.g., through sales promotions, advertising, etc.) during the selling season, and compare two situations: one where there is zero lead time (i.e., all demand can be satisfied after observing the demand realization), and one where orders need to be made before demand is realized. We identify two interacting effects that may inhibit shorter lead times. A so‐called “safety stock effect” can be observed when a lower risk of stocking out under short lead times induces the downstream party to alter her order quantity. A second effect, termed as “effort effect,” arises if shorter lead times impact the downstream party's optimal sales effort, and, as a consequence, lead to different order quantities. We provide a formal characterization of both effects, insight into how these effects interact, and show under which conditions the manufacturer has an incentive to offer shorter lead times.     

Natural cubic splines for the analysis of Alzheimer's clinical trials

Mixed model repeated measures (MMRM) is the most common analysis approach used in clinical trials for Alzheimer's disease and other progressive diseases measured with continuous outcomes over time. The model treats time as a categorical variable, which allows an unconstrained estimate of the mean for each study visit in each randomized group. Categorizing time in this way can be problematic when assessments occur off-schedule, as including off-schedule visits can induce bias, and excluding them ignores valuable information and violates the intention to treat principle. This problem has been exacerbated by clinical trial visits which have been delayed due to the COVID19 pandemic. As an alternative to MMRM, we propose a constrained longitudinal data analysis with natural cubic splines that treats time as continuous and uses test version effects to model the mean over time. Compared to categorical-time models like MMRM and models that assume a proportional treatment effect, the spline model is shown to be more parsimonious and precise in real clinical trial datasets, and has better power and Type I error in a variety of simulation scenarios.