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.     

The reflecting team as a reflection of second order therapeutic ideals

The reflecting (R.T.) team is examined within its theoretical, therapeutic and training contexts. A distinction is made between the reflecting team technique (R.T.T.) and the reflecting team process (R.T.P.), in order to explore whether or not the practice of team reflection is consistent with the requirements of the second order family therapies, the theoretical development which supported the R.T.'s emergence and subsequent popularity. The critique of the R.T.P. suggests that although this therapeutic process does represent attempts towards increasing acceptance of complexity, reduced attempts to control, collaboration, interconnectedness and contextual respect, there is little room for complacency either theoretically or practically.     

How planning and capital budgeting improve SME performance

This paper focuses on the use of strategic planning among small and medium sized enterprises (SMEs) in the UK manufacturing sector. It analyses the relationship between the intensity of strategic planning, business objectives, perceived performance, changes in the business environment and the use of capital budgeting techniques. Capital budgeting is of particular interest as an area of investigation, and is one which has seldom featured in previous studies of strategic planning behaviour. These issues were investigated via a survey of UK manufacturing SMEs carried out in the winter of 1996/97.

The key results suggest that SMEs incorporate a range of objectives into their strategic planning process, with profit improvement perceived to be the most important objective, followed by sales growth. SMEs engaged in detailed strategic planning are more likely to use formal capital budgeting techniques, including the net present value method, which is consistent with maximising the companys' value. Perceived profitability and success in achieving organisational objectives were positively associated with planning detail, suggesting that strategic planning is a key component improving performance. Planning detail was also associated with a significantly higher level of perceived change in the business environment.     

Putting the Children Act Independent Person Procedure under the Spotlight

The Children Act 1989 required local authorities to appoint independent people to participate in their complaints procedures. The Department of Health has concentrated largely on monitoring these newly established procedures. In contrast, very little guidance has been given about the role of independent people. Nor has there been much published research in this area. This paper is based on a study of the response of two neighbouring local authorities. The aims were to discover how these authorities had interpreted the imprecise guidance from the Department of Health, and thereby to analyse the application of principles of independence within complaints procedures. The findings showed how a "pool" of independent people had been selected, trained and employed to participate in Children Act complaints procedures. Analysis of this system raises fundamental questions about the potential of this system to provide the kind of objective representation intended to be helpful to complainants. It also contributes to the debate about the most effective ways of safeguarding the welfare of children and young people by providing them with an accessible complaints procedure. The study identifies areas for future research, including the nature of complaints and the "practice wisdom" being acquired by independent people.     

School Choice in London and Paris – A Comparison of Middle‐class Strategies

Education is one major public service in which quasi‐markets and other choice‐based mechanisms are now established methods of delivery. The types of school people choose, and the extent to which their choices are realized, have a fundamental impact on the outcomes of any mechanism of school choice. In this article, we provide a comparative analysis of the school choice strategies of middle‐class families in London and Paris. We draw on approximately 200 in‐depth interviews carried out across the two cities. This enables us to investigate the extent to which middle‐class school choice strategies transcend the institutional context provided by both the local (state and private) schools market and national education policy in England and France. We discuss these findings in the context of current school choice policy and consider their implications for future policy design.     

When Things Go Wrong: Being an Independent Person under the Children Act 1989 Complaints Procedure

The introduction of market principles into public services in the 1990s meant that British local authorities were required to develop complaints procedures. In the case of services for children and families, the Children Act 1989 required the appointment of an "independent person". This article describes the findings from a research study conducted in 1999. A total of nineteen independent people from a range of London boroughs participated. It was found that young people themselves rarely use this system designed to protect their rights. As "sole traders" in adversarial situations between social services personnel and complainants, the independent people were constantly negotiating their position. Depending upon the issue, they are required to move skilfully between conciliation and formal investigation. The findings will be useful to local authorities using independent people, and to the independent people themselves who are largely unsupported in their roles.     

A Convolution Estimator for the Density of Nonlinear Regression Observations

Abstract. The problem of estimating an unknown density function has been widely studied. In this article, we present a convolution estimator for the density of the responses in a nonlinear heterogenous regression model. The rate of convergence for the mean square error of the convolution estimator is of order n ^?1 under certain regularity conditions. This is faster than the rate for the kernel density method. We derive explicit expressions for the asymptotic variance and the bias of the new estimator, and further a data‐driven bandwidth selector is proposed. We conduct simulation experiments to check the finite sample properties, and the convolution estimator performs substantially better than the kernel density estimator for well‐behaved noise densities.     

Lest power be forgotten: networks, division and difference in the city

Over the last decade we have seen a notable shift in the urban Society literature from discourses of division to discourses of difference. This shift has opened up new ways of understanding the complexities of city life and the formation of heterogeneous subjectivities and identities in the spaces of the city. There has been, we argue, a worrying tendency in this process to lose an analysis of the workings of power, While early Marxist, feminist and race/ethnicity debates were firmly located within a framework which highlighted power, post‐structuralist debates have operated with a more fluid notion of power, which at times has become so fluid as to evaporate into thin air. Our intention here in to re‐emphasise the significance of power while holding on to the concept of difference. We do this by using the notion of power networks that operate at different temporal and spatial scales. These give the city contrasting spatialities and temporalities that overlap one another. The city is seen as a palimpsest of time‐space networks that capture some of the presence of difference as well as suggesting its absences. These time‐space networks of power are considered in the material, perceived and imaginary realms in relation to bodies, interests and symbols.     

Governing Nature: The Re‐Regulation of Resources,Land‐Use Planning,and Nature Conservation*

The ongoing neoliberalization of local and regional economies is contributing to quite profound changes in the ways resources, land uses, and nature are managed. Consider in this regard the changing role of the state ¹ 1Hereafter the term “state” refers to a national or federal government as distinct from, e.g., “State of New Jersey”. within North America and Europe. For a good part of the 20th century, state intervention in land‐use planning, resource management, and nature conservation was motivated primarily by national development goals, including a desire to ensure the territorial‐economic integrity of the nation state. Although there is always variation within countries resulting from such factors as the uneven spatial distribution of natural resources, the variety of arrangements for allocating powers and responsibilities among territorial units of government, and different cultural attitudes toward nature, there was nonetheless a discernible trend toward the nationalization (Europe) or federalization (United States) of resource management, land‐use planning, and nature conservation. At the very least, in most countries the state played a strong coordinating, regulatory, and financial role in relation to the management of nature within its territory.     

Promoting small business in Northern Ireland

During the last 10 years, Northern Ireland has suffered the same economic fate as the rest of the United Kingdom—a severe decline in its manufacturing base, and with this a substantial growth in unemployment to unacceptable levels. In response, a strategy for regeneration has been constructed. The main thrust of this strategy has been three-fold:

1. (1) To seek Inward Investment.

2. (2) To stimulate New Firms.

3. (3) To encourage Existing Firms to grow.

The strategy has involved a wide range of schemes of advice and assistance, managed through the Department of Economic Development, the Industrial Development Board (IDB), the Local Enterprise Development Unit (LEDU), as well as local enterprise organizations.

However, whilst many of the problems encountered, for which various schemes have been devised, can be seen replicated elsewhere in the United Kingdom, the basic problems in Norther Ireland are different in character.