A Framework for Enabling Evidence-based Practice in Allied Health

Evidence-based practice (EBP) is upheld as best practice in health and human services but there is a need for more research on how this approach can be enabled in day-to-day practice. This qualitative study examined EBP with allied health managers and practitioners in a health service network (n = 17). The findings highlight the systemic nature of EBP and the extent to which it involves both individual and environmental attributes. Individual attributes include clear understanding of EBP, relevant knowledge and skills, and motivation and passion. Environmental attributes are the presence of an organisational culture that values and prioritises EBP and an integrated mix of research support services, professional development activities, supervision and mentorship, and university partnerships. Theoretical frameworks can be useful for making sense of complex processes, planning, and evaluating change. Therefore, the findings are presented as a framework incorporating reflective questions relating to the elements identified as enabling EBP.     

Being a service user and a social work academic: balancing expert identities

Abstract

I am a service user and academic working in a university social work department. My hybrid identity allows me to draw on different types of knowledge in all aspects of my work, including: academic, practice and experiential wisdom. Service user involvement is mandated across social work education but the scope and breadth of different kinds of participation is developed in diverse ways across university contexts. This article affirms the value of service user involvement in health and social care education, exploring its positive impact on students. When lecturers share personal experience of using services alongside practice and academic wisdom in the course of teaching, sometimes the value of experiential knowledge is doubted and its influence dismissed. I examine the importance of experiential wisdom in social work education, specifically when it is embedded in an academic role in a university social work department, and consider how it can be respected and valued. The parallel experiences of involving peer support workers in mental health services, who use their knowledge of recovery to mentor other service users, are then briefly examined, together with reflection of the concerns across mental health with professionals sharing their experiential wisdom with the people that they support.     

Social Work and Complex Care Systems: The Case of People Hospitalised with a Disability

Health and hospital system reforms prioritise efficiency. However, initiatives can impact on people with new or existing disabilities who require time to maximise functional independence. With greater demands for shorter hospital stays social workers face increasing pressure to facilitate discharge. This paper reports findings from research identifying factors contributing to extended stays for adults with disabilities. We sought to better understand patient characteristics and discharge planning challenges by analysing a clinical dataset of 80 patients and qualitative interviews with five experienced hospital social workers. Three key factors are identified: issues around rehabilitation services; assessment and planning for community care; and availability of and access to discharge options. Strategies to reduce length of stay are reported. We argue that building collaborative partnerships and working across multiple, complex systems and disciplines are vital to ensure these patients access appropriate community-based resources within the current health reform environment.     

Theorizing the social: Émile Durkheim's theory of force and energy

This paper offers a new interpretation of Émile Durkheim's The Elementary Forms of Religious Life (1912) as the basis for reconsidering the Tarde–Durkheim debate of 1903 and the distinctions between a theory of social force and a theory of social assemblage. Resisting traditional interpretations of Durkheim's scientism, this essay traces how concepts of force and energy are centrally developed in Elementary Forms to draw new lines between epistemology to ontology for twentieth-century theory. I argue that Durkheim develops an ‘energetic epistemology’ that conceives of the human capacity for shared meaning as a product of invested energy in the form of continually enacted and evolving material practice, thought, and attention. According to Durkheim, when a member of a collective perceives a god or feels belief, he or she actually perceives the accumulated energy of on-going creation and maintenance of objects and ideas by members of a collective. Sacred objects, images, and ideas bear the trace of collective energy the more they are carefully crafted, maintained in spaces that are specially arranged, and written into behavioural codes. This reading of Durkheim allows us to consider him in a lineage of social constructivists and, particularly, in relation to Ludwik Fleck, who has been largely confined to different theoretical discussions when his contributions to sociology have been acknowledged at all. By reconsidering Durkheim, we have occasion to rethink his sociology and understand how he redrew the lines between thought and action, between epistemology and ontology, through the material framework of energy and force.     

Youth Perspectives on Social Insurance in Egypt: Qualitative Insights on the Gap between Legal and Effective Coverage

A gap between legal and effective coverage rates is a common challenge facing social insurance systems in Low‐ and Middle‐Income Countries. This article draws on an exploratory qualitative study with youth in Egypt to examine how labour market dynamics and worker preferences contribute to this gap. Labour market factors, particularly instability of employment and job mobility, were found to reduce the perceived value of social insurance. Poor understanding of how social insurance works was another contributing factor. However, youth displayed a high level of trust in the public social insurance system and saw pensions as valuable in the abstract. In combination with awareness promotion, eliminating penalties to discontinuous labour force participation could make social insurance more attractive to youth.     

It is risky business: can social capital reduce risk-taking behaviours among disadvantaged youth?

This study addresses the gap in the research for sound multidimensional assessment of social capital and its relationship with risk-taking behaviour among youths living in disadvantaged communities. Social capital and adolescent risk-taking outcomes were studied cross-sectionally in 1371 secondary students living in two disadvantaged communities within Australia. First, a multidimensional measure of social capital was developed and tested using confirmatory factor analysis. Then, the associations between social capital and a range of youth risk-taking behaviours were examined using structural equation modelling across five-year groups (Grades 7–12). With a few exceptions, higher levels of social capital and belongingness within the school and community were generally associated with decreases in smoking, alcohol and drug consumption, and physical violence. Some outcomes were more strongly associated with family and peer social capital, while others associated more with neighbour and community social capital, indicating that attempts to build social capital need to be targeted across the whole community. This study supports the notion that social capital can be measured empirically and is beneficial in alleviating many of the detrimental health outcomes commonly associated with risk-taking behaviours during adolescence.     

Three layers of history in recurrent social movements: the case of food reform

Using the understudied genre of food reform movements for illustration, we advocate greater attention to recurrent social movements. Analysis of these movements calls for combining three levels of historical analysis. One links the incidence and character of mobilization to long-term, large-scale historical changes; the second shows how periods of activism are also animated and shaped by specific historical contexts; and the third tracks legacies from earlier to later periods, thus both tracing additional causal influences and connecting separate cases into coherent sequences. The social movements literature includes excellent examples of each type of historical account. Combining types is much less common. Doing so, we contend, offers methodological advantages for scholars comparing and sequencing mobilization around similar problems in different historical periods. We develop the argument from three eras of food protest: Grahamites in the 1830s and early 1840s, dietary reformers and food safety campaigners of the late nineteenth and early twentieth centuries, and organic advocates who gained popular support beginning in the late 1960s.     

新兴业态发展与政府管理变革研究

我国新兴业态的技术支撑仍以移动互联网技术为主,背后的发展逻辑实质是新技术下的资本运作.新兴业态的乘数效应得以体现与扩张,并带来市场权力、市场关系和社会关系的重构,提出市场网络中心、供方、需方的政府监管需求.对此,政府应以公众利益为导向,充分发挥市场稳定器的作用;树立底线意识,把握新兴业态背后的本质社会关系,并通过法律法规政策加以规制;借鉴多方经验与力量,务实提高事中与事后监管能力,应对网络化与信息化的发展趋势;把握时代潮流,以合理方式促进社会经济朝信息化、网络化发展.     

新常态下推进"撤村建居"的探索与思考

"撤村建居"是一个庞大的系统工程,与国家、集体和个人利益息息相关,稍有不慎就会造成社会的不稳定因素.要以有利于经济社会全面发展、有利于加强社会事务管理、有利于提高人民生活水平为要求,统一规划,合理布局,加快农村社区建设,推进新型城镇化步伐.在实施过程中应注意妥善解决好以下问题:"撤村建居"过程中原村集体资产的处置,"撤村建居"后的换届,"撤村建居"后的公益事业及工作经费,"撤村建居"后的社区划分和管理,失地农民的社会保障,建设资金的来源等.     

英语教学中的文化渗透

英语国家社会文化和汉语文化存在着很大差异,在英语教学中,不但要教会学生英语语言本身,也要传授给学生英语语言中所承载的社会文化内涵,使学生学到真正地道的英语,从而真正达到文化交流的目的。