Knowledge Brokering: The missing link in the evidence to action chain?

Transferring health care research into policy and practice is a messy and complex process which both policymakers and researchers can struggle with. A potential solution is to use individuals or organisations as knowledge brokers. Using a range of literature, this paper explains the theory behind knowledge brokering, identifies three models of brokering and explores the challenges of brokering. We suggest that clarifying these factors is a significant step towards planning well designed and rigorously evaluated brokering interventions. We also suggest that a clearly defined theoretical framework could help us to find out more about how brokering works and its effectiveness.     

Final report of the Color Additive Scientific Review Panel

The Color Additives Scientific Review Panel considered whether there was information sufficient to perform a carcinogenic risk assessment on the colors D&C Red No. 19 (R-19), D&C Red No. 37 (R-37), D&C Orange No. 17 (O-17), D&C Red No. 9 (R-9), D&C Red No. 8 (R-8) and FD&C Red No. 3 (R-3) and to evaluate the assessments sent to FDA as part of the petitions for use of the colors for drug and external uses by the Cosmetic, Toiletry and Fragrance Association (CTFA). There is a lack of human data concerning the colors for making a human health assessment, so the assessments are based upon the extrapolation of animal data. The risk assessments are determined for exposure to single chemicals. Excluded from consideration are possible effects from exposure to multiple chemicals, such as co-carcinogenesis, promotion, synergism, antagonism, etc. In the light of recent efforts in establishing a consensus in risk assessment, the Panel has determined that the CTFA assessments for R-10, O-17, and R-9 are consistent with present acceptable usages, although it questions some of the assumptions used in the assessments. The Panel identified a number of general assumptions made, and discusses their validity, their impact on total uncertainty, and the potential options to address the gaps in understanding that necessitate the assumption. The Panel also derived revised risk estimates using more "reasonable" assumptions than "worst-case" situations, for 90th percentile and average exposure. For those assumptions that are easily quantifiable, the Panel's estimates are less than an order of magnitude lower than the CTFA risk estimates, indicating that the underestimates and overestimates of the CTFA risk estimates tend to balance each other. The impact of most of the assumptions is not quantifiable. The assessment for R-3 is complicated by the fact that there is no good skin penetrance study for this color. It was assumed that the penetrance is similar to that of another water-soluble xanthene color, R-19. It is expected that the absorption of the color is not likely to exceed that of the smaller molecule, R-19. Therefore, the risk estimates are similar to the CTFA estimates, but with different reasoning. The estimates for R-8 and R-37 are different from the others in that there is a lack of any exposure or toxicological information on these colors.(ABSTRACT TRUNCATED AT 400 WORDS)     

Planning for permanency planning in foster care

The perceived severity of the problem of “drift” in the foster care system has encouraged agencies nationwide to accept permanency planning, but perhaps with limited attention to the planning process. This article examines the phenomenon of permanency planning from a planning perspective by focusing on: (a) definition of the permanency planning problem, (b) understanding of issues relevant to permanency planning (caseworker, program and systemic), (c) appreciation of the operational context (political, economic and social factors), and (d) evaluation of available options and possible consequences in developing or improving a permanency planning program. Permanency planning is not a simple, ready-made program applicable to any situation; it involves coordinated efforts by workers, service systems, and society in general, and requires time, commitment and resources. Successful planning for permanency planning can permit more children to grow up in homes providing continuity and stability.     

Community corrections officers' attributions for sexual offending against children

The present research examined gender differences in community corrections officers' (CCOs') attributions for child sexual offending. Eighty-five CCOs were asked to write down the reasons why they thought men sexually abused children, and then rate their reasons using Benson's Attributional Dimensions Scale. The results found that CCOs' reasons regarding why men sexually abuse children strongly paralleled current scientific theories on the etiology of child sexual abuse. Also, significant gender differences were found regarding the frequency with which participants cited certain types of reasons for child sexual abuse. Female CCOs were more likely to cite power and control as a reason, while male CCOs were more likely to cite psychopathology as a reason for child sexual abuse. No other gender differences were found. The research, clinical, and educational implications pertaining to these findings are discussed.     

Psychiatric inpatients' experience of nursing observation. A United Kingdom perspective

1. Nursing observation is a key component of psychiatric inpatient nursing care. 2. Patients' experiences of being observed are strongly influenced by the attitudes and behaviors of the observing nurses. 3. Patients prefer to be observed by nurses they know and who talk to them.     

Measuring Marital Satisfaction: A Comparison of the Revised Dyadic Adjustment Scale and the Satisfaction with Married Life Scale

Marital satisfaction has been psychometrically measured using many different instruments not soundly based on theory. The Revised Dyadic Adjustment Scale (RDAS), consisting of 14 items, is commonly accepted by researchers and practitioners to measure marital satisfaction but was not specifically designed to measure marital satisfaction. The Satisfaction with Married Life Scale (SWML), consisting of five items, is a short scale specifically targeted toward measuring marital satisfaction. An online sample collected from 1,187 couples throughout the United States was used to compare these instruments' correlation (r = .782), factor structures, reliability (SWML, α = .958; RDAS, α = .943), theoretical foundation, and validity. These instruments are on parity with each other when measuring marital satisfaction; however, each instrument yields implications for practitioners and researchers desiring to measure marital satisfaction.     

The geographic distribution of gaming machine proceeds in New Zealand

ABSTRACT

Within NZ gambling and its associated harms are well-researched topics. However, most studies to date have relied upon the use of survey methodology or have focused on individual regions. In this paper we distribute gaming machine proceeds (GMP) from gaming venues to the surrounding localities in order to derive estimates of GMP per capita. It is hoped these estimates will enable the trusts who operate the electronic gaming machines (EGMs), and who are responsible for reinvesting a proportion of proceeds back into the community, to more accurately target funding towards the areas most affected by the harms of EGM gambling. Our estimates of GMP per capita also provide a means of assessing the criterion validity of the recently developed Dynamic Deprivation Index. Furthermore, although it is well known that Māori and Pacific Island populations have a higher incidence of problem gambling, our results imply that when controlling for socio-economic deprivation and the geographic location of EGMs the associations between ethnicity and GMP per capita are weak. From a policy perspective, this suggests the most effective way of limiting the harms of EGM gambling on these populations is to place tighter controls on the number of venues within their communities.     

From Where I Stand I Can Almost See Society,or The Ups and Downs of Social Research

In a hierarchically structured society such as ours, the problem of the place the student of society occupies vis-à-vis those he or she studies is of critical importance. Several social scientists have recently appealed to their colleagues to turn their focus away from those at the bottom of the structure and to spend more time studying those at the top. The present article discusses the pitfalls of exclusively ‘upward’ or ‘downward’ research.     

Towards Being Down Without Being Out: Self Help on Skid Row

If the lot of the homeless man in Australian cities is to improve the impetus will have to come largely from within—that is through self help. Amelioration of the skid row life style in Australia will probably come in the form of increased sense of group identity, the establishment of clearly defined home territories, improved communication among those agencies that cater to the needs of homeless persons, and a change in the general public's perception of what constitutes skid row and its inhabitants. Brisbane's 139 Club, a drop in centre for the homeless, is an example of self help approaches to bringing about this amelioration of the skid row life style.