Suchergebnisse

Table of Contents; List of Tables and Illustrated Material; Acknowledgements; List of Abbreviations; Chapter One; Chapter Two; The League of Nations Reacts to German-speaking Refugees; Evian Conference; The Relationship between Ireland and Britain in Relation to Policy Development; The Relationship between Ireland and Continental Europe in Relation to Policy Development; Case Study: The International Community in Action as Depicted in the Media-the Incident of the St Louis; Chapter Three; Chapter Four; The Role of the Department of External Affairs; The Role of the Department of Justice

PurposeThis paper aims to outline a knowledge translation (KT) case study undertaken as part of a multi-component research programme aimed at evaluating new parenting supports in the earliest years. The study aimed to: explore the influencing factors relating to research use in an early years context; and to use the findings, at least in part, to execute an integrated KT plan – to promote stakeholder engagement, greater research visibility and to enhance the understanding of findings emerging from the research programme.Design/methodology/approachA mixed-methods study was embedded within a large-scale, longitudinal research programme. In the present study, a national survey (n= 162) was administered to stakeholders working with children and families throughout Ireland. A series of one-to-one interviews were also undertaken (n= 37) to amplify the survey findings. Also, one focus group was carried out with parents (n= 8) and one with members of the research team (n= 3). Several dissemination strategies were concurrently developed, executed and evaluated, based partly on survey and interview findings and guided by the knowledge translation planning template (Barwick, 2008; 2013; 2019).FindingsThe main factors influencing the dissemination of evidence, as identified by the stakeholders – were: a lack of resources; an under-developed understanding of research use and dissemination; insufficient collaboration and communication; and conflicting stakeholder priorities. Despite these challenges, the research programme was found to benefit from a multi-component KT plan to achieve the outlined dissemination goals.Practical implicationsThe KT planning process allowed the research team to be more accountable, introspective and to work more efficiently. This helped increase the likelihood of more targeted and successful dissemination of the research findings, delivering a better return on research investment.Originality/valueThis is the first study of its kind (to our knowledge) to provide important insights for stakeholders in Ireland and elsewhere about how to improve the dissemination process. Effective KT planning can ultimately help to bridge the research-policy-practice gap and enable the effective translation of high-quality evidence in the early years' sector to enhance outcomes for families in the shorter and longer-term.

Information Technology (IT) continues to evolve and develop with electronic devices and systems becoming integral to healthcare in every country. This has led to an urgent need for all professions working in healthcare to be knowledgeable and skilled in informatics. The Technology Informatics Guiding Education Reform (TIGER)Initiative was established in 2006 in the United States to develop key areas of informatics in nursing. One of these was to integrate informatics competencies into nursing curricula and life-long learning. In 2009, TIGER developed an informatics competency framework which outlines numerous IT competencies required for professionalpractice and this work helped increase the emphasis of informatics in nursing education standards in the United States. In 2012, TIGER expanded to the international community to help synthesise informatics competencies for nurses and pool educational resources in health IT. This transition led to a new interprofessional,interdisciplinary approach, as health informatics education needs to expand to other clinical fields and beyond.In tandem, a European Union (EU) - United States (US) Collaboration on eHealth began a strand of work which focuses on developing the IT skills of the health workforce to ensure technology can be adopted and applied in healthcare. One initiative within this is the EU*US eHealth Work Project, which started in 2016 and is mapping the current structure and gaps in health IT skills and training needs globally. It aims to increase educational opportunities by developing a model for open and scalable access to eHealth training programmes. With this renewed initiative to incorporate informatics into the education and training of nurses and other healthprofessionals globally, it is time for educators, researchers, practitioners and policy makers to join in and ROAR with TIGER.

Objectives. Examine the online interactions, social networks, and perspectives of nursing actors on COVID-19 from conversations on Twitter to understand how the profession responded to this global pandemic. Design. Mixed methods. Sample. 10,574 tweets by 2,790 individuals and organisations. Measurements. NodeXL software was used for social network analysis to produce a network visualisation. The betweenness centrality algorithm identified key users who were influential in COVID-19 related conversations on Twitter. Inductive content analysis enabled exploration of tweet content. A communicative figurations framework guided the study. Results. Nursing actors formed different social groupings, and communicated with one another across groups. Tweets covered four themes; 1. outbreak and clinical management of the infectious disease, 2. education and information sharing, 3. social, economic, and political context, and 4. working together and supporting each other. Conclusion. In addition to spreading knowledge, nurses tried to reach out through social media to political and healthcare leadership to advocate for improvements needed to address COVID-19. However, they primarily conversed within their own professional community. Action is needed to better understand how social media is and can be used by nurses for health communication, and to improve their preparedness to be influential on social media beyond the nursing community.

ObjectivesExamine the online interactions, social networks, and perspectives of nursing actors on COVID-19 from conversations on Twitter to understand how the profession responded to this global pandemic.DesignMixed methods.SampleTen-thousand five-hundred and seventy-four tweets by 2790 individuals and organizations.MeasurementsNodeXL software was used for social network analysis to produce a network visualization. The betweenness centrality algorithm identified key users who were influential in COVID-19 related conversations on Twitter. Inductive content analysis enabled exploration of tweet content. A communicative figurations framework guided the study.ResultsNursing actors formed different social groupings, and communicated with one another across groups. Tweets covered four themes; (1) outbreak and clinical management of the infectious disease, (2) education and information sharing, (3) social, economic, and political context, and (4) working together and supporting each other.ConclusionIn addition to spreading knowledge, nurses tried to reach out through social media to political and healthcare leaders to advocate for improvements needed to address COVID-19. However, they primarily conversed within their own professional community. Action is needed to better understand how social media is and can be used by nurses for health communication, and to improve their preparedness to be influential on social media beyond the nursing community.

AbstractFarmers face significant mental health issues, including depression, anxiety and suicidal ideation. Additionally, rural populations widely endorse stoic values which can be a barrier to farmers' help‐seeking. In this study, we identified sociocultural barriers and facilitators to Irish farmers' mental health help‐seeking. We conducted 17 semi‐structured interviews with Irish farmers and three focus groups and one interview with farming stakeholders in Ireland online. Interviews and focus groups followed a conversational, semi‐structured schedule concerning Irish farmers' help‐seeking beliefs and behaviours, and were analysed using reflexive thematic analysis. We identified three central barriers to farmers' help‐seeking: resilience, pride in being a 'good farmer' and help‐seeking stigma. We also identified one central barrier/facilitator: slowly increasing mental health awareness. Across all themes, participants described Irish farmers of all genders, particularly older men, as suffering from a self‐reliant cycle of masculine stoicism. Our findings add to the growing 'good farmer' literature by illustrating how farmers' health practices can be both a source of social capital and a detriment to their own health and help‐seeking.

Background: This paper describes the first phase of a community-based, controlled trial conducted to investigate the potential utility of a new, complex group-based early parenting intervention. In total, 106 parent-infant dyads were recruited to an interagency Parent and Infant (PIN) intervention which combines a range of supports, including the Incredible Years Parent and Baby Programme, baby massage, weaning workshops and paediatric first aid training. A 'services-as-usual' comparison group was also recruited (n = 84). Methods: The primary outcome was parenting self-efficacy (Parenting Sense of Competence Scale). Parent well-being, child development and the home environment were also measured. Assessments were conducted at baseline (when infants were 6–20 weeks old) and at follow-up (when infants were aged approximately 8 months). Parent satisfaction with the intervention was examined, as well as uptake of community-based services and health service utilisation. Results: An intention-to-treat analysis of covariance (ANCOVA) examined between-group post-intervention differences, whilst secondary analyses on a 'per protocol' sample of participants (who attended at least 50% of the intervention sessions) were also conducted. Satisfaction with the PIN intervention was very high. The intention-to-treat ANCOVA showed no post-intervention between-group differences on measures of parent competency or well-being. At baseline, children in the comparison group were older than those in the intervention group and, at follow-up, fared better than their intervention group counterparts on measures of child development. The per protocol analysis revealed a significant effect for the intervention group on the efficacy subscale of the primary outcome measure (effect size = 0.44, p < 0.05). Intervention group infants attended GP and nursing services on significantly fewer occasions than their comparison group counterparts. Conclusion: The findings provide tentative early support for the utility of the PIN intervention in terms of improving parenting efficacy and reducing reliance on primary health care services. Further follow-ups when infants are 16 and 24 months old are underway.