Migrant nurses form an increasing proportion of the nursing workforce, with the United Kingdom (UK) being the third most popular destination for overseas nurses in the world. The migrant nurse workforce is highly susceptible to policy changes at the macro or professional level of the donor and recipient countries. Freedom of information requests were issued to 19 National Health Service [NHS] Trusts in England to determine their involvement in overseas nurse recruitment activity from 1998 onwards. These indicate a notable shift away from active European Union (EU) recruitment and towards overseas countries particularly the Philippines and India. Reasons given were as follows: diminishing returns from EU sources, high attrition among EU nurses and the introduction of English language tests for EU nurses in July 2016. This led to Trusts revisiting their recruitment strategies by increasing more direct/less resource‐intensive methods and expanding their focus outside of the EU. Trusts frequently utilised private recruitment companies for their recruitment drives, including consulting and influencing the Trusts’ workforce strategies. Policy adjustments have numerous influences on the composition of the overseas nursing workforce. While the NHS continues its efforts in expanding its international nursing workforce, this should not be at the expense of ethical and sustainable recruitment practices, which may be compromised indirectly as a result.
Clarifying concepts and terminology relating to "caring cultures" is essential for research to progress and the impact of culture on clinical practice to be better understood.
International research suggests that female veterans may experience gender-specific barriers to accessing veteran-specific care. This is the first UK study to report an exploratory qualitative investigation of the provision of health and social care support for female veterans and whether this support meets their needs. The research team carried out 13 virtual semi-structured interviews between October and November 2020, with representatives from statutory and third sector organisations that provide support to UK female veterans. Ethical approval was obtained from the Anglia
Recent policy reviews, academic research and high-profile media critiques have repeatedly emphasised the UK military as a hypermasculine culture, seemingly permissive of sexual violence, marked by high prevalence of sexual offences and an inadequate justice response. The service justice system has been characterised by low conviction rates and poor treatment of victim-survivors of sexual offences, prompting recommendation that rape should be tried in the civilian criminal justice system rather than the service justice system. Despite notable debate on this matter, the Ministry of Defence (MOD) ultimately rejected this recommendation in December 2021 and instead committed to implementing clear and meaningful change within the service justice system response to sexual offences. In light of this decision, this article interrogates available data about the current service justice system response to sexual offending, and lessons that may be learnt from the civilian criminal justice system, to highlight current obstacles to justice and outline areas in which further research and scrutiny is necessary.
Background
Therapeutic interventions and activities are often used in care homes (CH) to improve the quality of life for residents with dementia. Intergenerational programmes (IPGs) are one form of intervention which may offer benefits to the CH environment and its residents by engaging people with dementia in new relationships and activities with younger people. This study explored the use of an IGP called Up which brings together school children and CH residents for weekly visits.
Aims
To explore the perceived benefits of intergenerational interactions for older adults with dementia living in a CH, and the CH workforce and environment. To explore perceived benefits to school children, and community inclusion and understandings of dementia.
Method
16 semi‐structured interviews and 2 focus groups (relatives of CH residents, CH staff, school teachers, & school children) were analysed using Thematic Analysis. Emergent themes most relating to older adults with dementia are presented.
Results
Meta‐theme 1, Opportunities to Shine, explores how the intergenerational interactions provided unique and new opportunities for residents to demonstrate their individual personalities and skills, irrelevant of their disabilities or illness. Seeing residents in this way transformed how they were seen by CH staff, relatives and others, allowing them to be re‐humanised and recognised beyond their sometimes dependent states. Meta‐theme 2, Evolving Environments, refers to how intergenerational interactions were perceived to bring new life into the CH environment, uplifting residents and challenging monotony and the care home stereotypes of silence. The positive atmosphere created spilled over into the work environment and staffs approach to their work and the residents. Within the evolving environment and changing perspectives, residents with dementia could be seen as ‘normal’ and integrated members of the wider community, a community now felt more understanding of dementia through the presence of younger generations within the CH.
Conclusion
These findings provide insight into how IGPs can be used to positively impact the lives of people with dementia living in CH. They too suggest that IGPs can provide the opportunity for environments, both within and outside the CH communally, which are more conducive to caring and understanding approaches to people with dementia.
Through effective design, risks can be identified and minimised, and the research made viable, ethically sound and ultimately beneficial to all those involved.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.