The importance of role sending in the sensemaking of change agent roles

Unpacking COVID-19 and conspiracy theories in the UK black community

OBJECTIVES

Conspiracy theories are associated with significant COVID-19 health consequences including lower engagement with protective behaviours. This study uses sensemaking theory, a process of constructing meanings through interpersonal exchanges that enable people to interpret their world to explain the theoretical process underlying the development of conspiratorial beliefs around COVID-19 within Black African and Caribbean communities in the UK.

DESIGN

Qualitative, in-depth interviews were used.

METHODS

Twenty-eight members of the communities were recruited: semi-structured interviews were analysed using grounded theory.

RESULTS

Our findings provide an explanation of how an environment of crisis combined with current and historical mistrust, perceived injustice and inequality provided a context in which alternative conspiracy narratives could thrive. The nature of these conspiratorial beliefs made more sense to many of our respondent's than institutional sources (such as the UK Government). Critically, these alternative beliefs helped respondents shape their decision-making, leading to non-engagement with COVID protective behaviours.

CONCLUSIONS

We conclude that the uncertainty of the pandemic, combined with historical and contemporary perceived injustice and mistrust, and a lack of specific identity-aligned messaging, created a perfect environment for conspiratorial sense-making to thrive. This alternative sensemaking was inconsistent with the health-protection messaging espoused by the Government. To ensure all groups in society are protected, and for health promotion messages to take purchase, the experiences of different target audiences must be taken into account, with sensemaking anchored in lived experience.

Managing changes in the environment of human-robot interaction and welfare services

The purpose of this study was to investigate decision-makers' views on changes that robotics will create in welfare services. The purpose was also to discover what the opportunities and challenges are in human-robot interaction during these changes and how to manage these changes. As a research method, an online survey was used. The survey was sent to Finnish decision-makers (N = 184). They were divided into three groups: Techno-positive (n = 66), Techno-neutral (n = 47), and Techno-critical (n = 71). According to the results, more than 80% of the respondents saw that robots can offer support in existing work tasks, and more than 70% saw that the robots can do existing tasks. The most often mentioned challenges were the reduction of interaction and the reduction of human touch. Further, there are various knowledge needs among the respondents. Most of the knowledge needs were not based on the technical use of the robots; rather, they were quite scattered. The results suggest that successful use and implementation of robots in welfare services require a comprehensive plan and change agents. This study suggests that techno-positive people could act as change agents, assisting in implementing the changes. In addition, to manage change in the welfare services it is essential to improve the quality of the information, solve the resistance to change, create organizational awareness, and understanding, and establish a psychological commitment to change the processes.

From NAFLD to MAFLD: Nurse and allied health perspective

Fatty liver disease associated with metabolic dysfunction is the most prevalent liver disease worldwide, though both patient and health professional still lack awareness of it. An international consensus panel has produced what is sure to be an influential report renaming the disease from non-alcoholic fatty liver disease (NAFLD) to metabolic (dysfunction) associated fatty liver disease (MAFLD) and suggesting how the disease should be diagnosed. This viewpoint explores the call from the perspective of nurse and allied health practitioners. This group have raised serious concerns on the existing nomenclature, which labels the disease as NAFLD, and its diagnostic criteria, including provoking nurse role confusion and representing a major barrier to various key aspects; patient-nurse communications, patient awareness, partnership working, motivation of patients to undertake lifestyle changes and multiple health behaviour change promotion and nurse-led clinics. Therefore, they are enthusiastically supportive of this call to reframe the disease that we believe will ultimately have a positive impact on nurse-patient communication, and through this, improve patient care and quality of life and reduce burden on health system.

Nurses' role in health promotion and prevention: A critical interpretive synthesis

BACKGROUND

Role confusion is hampering the development of nurses' capacity for health promotion and prevention. Addressing this requires discussion to reach agreement among nurses, managers, co-workers, professional associations, academics and organisations about the nursing activities in this field. Forming a sound basis for this discussion is essential.

AIMS AND OBJECTIVES

To provide a description of the state of nursing health promotion and prevention practice expressed in terms of activities classifiable under the Ottawa Charter and to reveal the misalignments between this portrayal and the ideal one proposed by the Ottawa Charter.

METHODS

A critical interpretive synthesis was conducted between December 2018 and May 2019. The PubMed, CINAHL, Scopus, PsychINFO, Web of Science and Dialnet databases were searched. Sixty-two papers were identified. The relevant data were extracted using a pro-forma, and the reviewers performed an integrative synthesis. The ENTREQ reporting guidelines were used for this review.

RESULTS

Thirty synthetic constructs were developed into the following synthesising arguments: (a) addressing individuals' lifestyles versus developing their personal skills; (b) focusing on environmental hazards versus creating supportive environments; (c) action on families versus strengthening communities; (d) promoting community partnerships versus strengthening community action; and (e) influencing policies versus building healthy public policy.

CONCLUSIONS

There are notable misalignments between nurses' current practice in health promotion and prevention and the Ottawa Charter's actions and strategies. This may be explained by the nurses' lack of understanding of health promotion and prevention and political will, research methodological flaws, the predominance of a biomedical perspective within organisations and the lack of organisational prioritisation for health promotion and prevention.