AimDoes our Paediatric Assessment Unit (PAU) meet national and local standards? It is a 6-bedded unit, in a busy district general hospital, open 24 hours a day seeing primary care and A and E referrals.MethodologyStandards are taken from RCPCH Facing the Future 2015, RCPCH Paediatric Emergency Care standards and local policy. 50 sets of notes were audited, 10 per day, over 5 days (including a weekend day), spread out over 24 hours. The audit cycle was completed during November 2015, March 2016 and August 2016. After each cycle the results were presented locally.ResultsAbstract G219(P) Table 1StandardNovember 2015March 2016August 2016Triage performed within 15 min71%69%51%Triage includes a pain score38%71%100%Child Protection Register reviewed42%79%94%Child seen by doctor within 1 hourNot audited58%59% Median time to be seen: 31-60 minutesCase discussed with middlegrade or consultant100%96%85%Child seen by consultant within 14 hours of admission93%91%Unable to get dataChild leaves with discharge summary52%62%100%DiscussionDuring the audit period the PAU has become progressively busier and systems have evolved. The unit is now ‘paperless’ using the ‘System One’ IT programme. Nurses report triage happens within 15 min but is documented later onto System One as writing on a tablet during triage affects communication. The Child Protection Register is now checked by both administration and nursing staff. There is increased junior medical staffing with daily Consultant presence 2 pm–10pm, including at handovers. The Consultant carries the ‘Hotline Referral Phone’ releasing the registrar for clinical care. Doctors believe more patients are seen within 1 hour compared with results, however time of clerking is often not documented. The fall in number of patients discussed with Consultant probably reflects increased experience of juniors over the year. It is not currently possible to review old records on System One to see time of Consultant review.ConclusionsOverall the unit is performing well against local and national standards but better documentation will demonstrate this. This requires ongoing System One training and development, plus triage training.
Objective: Political and social elite rhetoric can have a robust impact on individuals' policy stances, particularly when recipients of persuasive messages share an in-group identity with the messenger and when the information is counter-stereotypical. In this study, we build on Harrison and Michelson's (2017) theory of dissonant identity priming (TDIP) and examine an understudied topic, the effectiveness of National Football League (NFL) elite pro-immigration statements in shifting individuals' perspectives on immigration topics. Methods: We explore this question using two unique randomized survey experiments, one conducted face-to-face with residents of Winston-Salem, North Carolina, and one using a national Internet-based sample. Results: We find little support for our expectation that counterstereotypical messages on immigration and immigrants delivered by NFL elites can be effective in shaping the views of their shared in-groups (those who are NFL fans or those who share their race). Conclusion: While TDIP can explain individuals' shift in support of same-sex marriage, we cannot say the same for the effectiveness of sports elites' statements on immigration and immigrants.History includes notable examples of sports elites using their celebrity to make political statements: Muhammad Ali's refusal to fight in Vietnam, the Black Power salutes on the Olympic podium by runners Tommie Smith and John Carlos in 1968, and more recently, former National Football League (NFL) 49ers football player Colin Kaepernick kneeling during the national anthem during the 2016 NFL season to protest persistent social injustice against Black people. Kaepernick's activism spurred a movement of professional athletes kneeling during the national anthem to raise awareness of the racial oppression and police brutality experienced by Black people in the United States. In late August 2020, we saw National Basketball Association (NBA), Women's NBA (WNBA), National Soccer League (NSL), and Major League Baseball (MLB) players boycotting games in order to raise awareness of police brutality in the wake of the shooting of Jacob Blake (Stein, 2020).Though more NFL players have participated in protesting these last few years, it is surprising to find NFL elites partaking in political activism partly due to the fact that the risks associated with their protesting 2996
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