Articles de revues sur le sujet « Personnel management – ireland »

Each bank manager should understand that the use of modern personnel management technologies is essential to motivate employees to work efficiently. Coaching is one of the ways to influence employees, it focuses on the formation of employee behavior in such a way as to maximize the independence and effectiveness of the decisions taken. To date, this kind of personnel management is becoming more relevant and significant. The purpose of the study is to determine the methods of coaching and its algorithm in personnel management, the possibility of borrowing the foreign companies experience, as well as its effective use as an innovative approach to personnel management. Scientific findings of leading scholars in personnel management, especially coaching, make the theoretical basis of the research. The research uses the methods of analysis, synthesis and comparison. The article describes the category of “coaching”, defines its main characteristics, functions and tasks, examines the use of coaching in the Coaching Policy on the Central Bank of Ireland, analyzes the current implementation of coaching in Ukrainian banks and rationalizes the relevance and prospects for using coaching by Ukrainian banks.

Abstract This paper examines the development of procedures for conflict resolution in workplaces in Ireland and the more recent emergence of alternative dispute resolution (ADR) practices. Based on a synthesis of data from a series of studies and on a review of reports of conflict resolution innovations, the paper shows how conventional procedures for resolving collective disputes and individual employment grievances had become almost standard by the 1980s, while a series of ADR practices became features of conflict resolution from the 1990s. The changing character of conflict resolution procedures and practices is attributed to a series of influences that include the professionalisation of personnel and human resource management, the changing pattern and context of workplace conflict, the growing importance of multinational firms, and the emergence of professional training and expertise in the provision of ADR support services. The paper projects a continuing rise in the incidence and use of ADR practices but questions the extent to which organisations in Ireland are likely to adopt conflict management systems based on integrated sets of conflict resolution practices.

Despite a number of campaigns conducted in Ireland to increase awareness about appropriate waste management, waste enforcement is still a significant issue. Decisions such as the privatisation of waste collection services and the introduction of new waste charges have contributed to some of the classic waste enforcement issues, like illegal dumping. In addition, the current economic recession affects the resources that local authorities have available to implement enforcement actions. In order to analyse the current situation of waste enforcement in Ireland, a survey was carried out amongst the 34 environmental departments within the Irish local authorities. This paper presents the survey findings. From the results, the principal current waste enforcement issues are extracted and compared with previous studies in the field. In addition, an analysis of the resources employed with regard to technology, personnel, legal prosecutions and best practices is also performed. The technologies and practices used are evaluated for efficiency at reducing the main illegal actions, such as illegal dumping, and compared to international best practices. Finally, the actions carried out by the local authorities in terms of public awareness and environmental education are reviewed.

ABSTRACT The paper uses a current, significant spill incident (November 1997, Cork, Ireland) to discuss a number of planning and spill management issues. The paper demonstrates how the adoption of certain simple but crucial spill management techniques can allow the cleanup of the spill to proceed successfully. Comment is made on the significance of unwieldy spill management systems. The incident occurred at a single site refinery operation in Cork, Ireland. The incident involving fuel oil spilt from the refineiy will highlight pertinent issues as they existed in that local area, the state, and European community. The primary questions asked in the paper are: did the existing plan work? Was it executed correctly? How was the spill managed initially? How was the spill managed in the subsequent weeks?, The main content of the paper will be given to discussion about how the refinery's staff and support organisations initial response and how—with the adoption of simple but workable management systems—the situation was brought under control. More specific issues such as how a small volume of a persistent oil can be more problematic than first understood by less-experienced responders; Actually understanding the numbers of personnel and equipment resources that are required; and resources necessary for shoreline cleanup, especially in an area of difficult foreshore access and differing shoreline types. The importance of resource management and financial control from the very outset of the response activities will be highlighted in the paper. Conclusions will be made on cost comparison of cleanup of other spills at the time and whether large response management systems are effective in certain situations.

Concussion has become a widely discussed topic within scientific research and mainstream media in recent years due to the associated potential adverse health outcomes (McCrory et al., 2017). Within cycling, it is estimated that between one and 9% of injuries are concussions (Decock et al., 2016). O’Reilly et al. (2020) examined behaviour towards concussion among cyclists from various disciplines, including track cycling. Their study identified a lack of knowledge as a barrier to medical attention. In the absence of exclusive research, in addition to the high-risk nature of the sport, the barriers and facilitators affecting concussion reporting among track cyclists were investigated in this study. Underpinned by a qualitative research design, semi-structured interviews were carried out with eight track cyclists competing internationally for Ireland (duration between 20 to 25 minutes). Interview questions focused on participants’ experiences with and attitudes towards concussion and perceived barriers and facilitators influencing concussion reporting behaviours. Data was analysed using reflexive thematic analysis, which included an Interpretive Phenomenological Analysis approach. Four overarching themes were identified: (1) Athlete Mindset, (2) Concussion Awareness, (3) Support Systems, and (4) Screening Protocol. Practical applied recommendations include increasing access to education amongst track cyclists in addition to coaches, swannies and medical personnel. Future interventions should also seek to reduce negative perceptions towards reporting concussions and increase awareness of the dangers of concussion and the necessity of appropriate concussion protocol and management among athletes, coaches, swannies and medical personnel. Future research should seek to (1) examine coaches’ perceptions of concussion and how these perceptions are communicated and expressed to athletes and (2) explore concussion management protocol compliance within track cycling.

Abstract Introduction An investigation of Irish workplace adaptation to COVID-19 was conducted to assess impact to workers, their organisations and to develop new occupational hygiene and health adaptation mechanisms for future pandemic emergencies. Materials and Methods As part of the study, occupational safety and health (OSH) professionals (n=60) that held responsibilities for occupational hygiene and occupational health risk management, took part in a series of semi-structured mixed-method online focus groups. Each focus group incorporated twenty quantitative questions that were answered anonymously via a poll function. Results 58% of workplaces began pandemic occupational hygiene and health risk management preparations prior to COVID-19s emergence in Ireland. 66% of workplaces remained open while 27% were partially closed. 34% of workplaces had over half their workforce working from home (as opposed to 5% pre-pandemic). 54% of workplaces had existing occupational hygiene and health risk assessments that incorporated infectious disease considerations prior to the pandemic. 41% of workplaces had identified a viral pandemic scenario as part of its emergency planning prior to COVID-19. The majority (63%) of workers understood the occupational hygiene and health control measures instigated as a response to COVID-19 with a greater majority (90%) more willing to accept future workplace changes if they know it is to keep them safe and healthy. Conclusion Irish workplaces adapted well to the changing OSH landscape that emerged in response to COVID-19. Irish workplaces are now more likely to be able to adapt and respond well to future similar public health emergencies.

Meat inspection (MI) findings can act as a valuable source of information on pig health and welfare. The PIG WELFare INDicators (PIGWELFIND) project (Research Stimulus Fund 11/S/107) was developed to progress the development of ante and post mortem MI as a pig health and welfare diagnostic tool in Ireland. Three multi-stakeholder focus groups were organized to explore areas of conflict and agreement between stakeholders’ vision for including pig health and welfare indicators in MI and on how to achieve this vision. Each focus group consisted of eight stakeholders: pig producers, Teagasc pig advisors, pig processors, veterinarians involved in MI, private veterinary practitioners, and personnel with backgrounds in general animal health and welfare and food safety policy. In general, stakeholders expressed positive attitudes towards the use of MI data to inform pig health and welfare when standardization of recording and feedback is improved, and the MI system provides real-time benchmarking possibilities. Most emphasis was placed on health indicators as a first priority, while it was felt that welfare-related indicators could be included after practical barriers had been addressed (i.e., line speed/feasibility, standardization and training of meat inspectors, data ownership). Recommendations are made to further progress the development of MI as a pig health and welfare diagnostic tool and address some of these barriers.

Background Since 2016, maternity units across Ireland have been switching from paper clinical notes to an electronic health record called the Maternal and Newborn Clinical Management System (MN-CMS). Currently, four units have implemented the MN-CMS: Cork University Maternity Hospital (CUMH), University Hospital Kerry (UHK), Rotunda Hospital and National Maternity Hospital (NMH). The MN-CMS provides opportunity for new data-driven discovery to answer important research questions on maternal and child health. Aim Provide detailed information on how a request can be made to access anonymised MN-CMS data for research purposes, as well as current timelines involved from initial request to data access. Methods A request to collaborate should be made to the clinical lead within each maternity unit where data is being requested in the first instance. A detailed protocol and data collection sheet should be drafted and forwarded to the National Information Governance Group for approval. A Data Protection Impact Assessment should be completed, and permission to access data from each maternity unit must be applied for separately from each unit’s local Ethics Committee. Upon receipt of ethical approval, an application to the Local Information Governance Group must be submitted if requesting data from CUMH and/or UHK. Data can then be extracted and anonymised by the data manager at the respective unit and transferred securely to relevant project personnel. Results The timeline from initial request to data access can range from approximately 6-12 months, depending on number of maternity units from which data is being requested and number of variables being requested from each unit. Conclusions Accessing MN-CMS data for research can be a complex process. A national standardised process for managing the data is needed. This would allow a clear pathway to be developed for accessing data to facilitate new data-driven discovery in the area of maternal and child health.

IntroductionThe Irish Health Service (HSE) Health Technology Assessment Group (HTAG) aims to maximise the impact of its work by collaborating with HSE Procurement, formalised through an evidence-based Memorandum of Understanding (MOU). This study aims to inform the MOU.MethodsA sequential mixed-methods study design was used. A rapid review of the literature identified no substantive body of evidence on collaboration between independent national health technology assessment (HTA) and procurement bodies. Personnel involved in HTA or procurement were invited by email to complete a survey, take part in an interview, or both. The quantitative and qualitative data were analysed using descriptive statistics and thematic analysis, respectively. Findings were integrated using a conceptual framework that examined the complementarity of HTA and procurement processes relevant to an MOU.ResultsThirteen surveys were completed (response rate was 13 percent). Eleven interviews (five Ireland, two Canada, three UK, one New Zealand) were conducted between August and November, 2017. No formalised collaboration between independent national HTA and procurement bodies was identified. However in New Zealand, HTA and procurement are an integrated function of the Pharmaceutical Management Agency (PHARMAC). In other jurisdictions, successful ad hoc collaborations occurred where there was a clear need expressed by Procurement for additional evidence required for decision-making, and where HTA personnel tailored their research approaches accordingly. Key themes to successful collaboration were relationships, communication, clear roles, rigorous research and ‘system support’. Good individual relationships and ready access/communication promoted successful outcomes. Successful outcomes included improved clinical practice, and major cost savings. Collaboration may be focussed on: innovative or established devices; specific types of HTA/research products; specific categories/specialties; or specific procurement departments.ConclusionsAll participants considered collaboration to be beneficial but requiring good relationships and ‘system support’. Furthermore, successful collaboration requires clarity regarding the purpose, parties involved, their roles, responsibilities, modes of communication, information to be shared, and the expected outcomes.

In an era of emergent infectious disease, the timely and efficient management of disease outbreaks is critical to public health protection. Integrated technologies for case and incident management (CIM) collect real-time health intelligence for decision making in Public Health. In Ireland, a Public Health reform program is preparing for implementation of a health information system for health protection. Project implementers seek to document and understand the readiness and willingness of future users to adopt the new system, prior to system procurement and implementation. Qualitative key informant interviews were conducted (n = 8) with Public Health personnel from a single regional department of Public Health representing medical, nursing, disease surveillance and administrative roles, at managerial and staff levels. A qualitative thematic analysis was performed. Participants were frustrated by weaknesses in the current practice of CIM and were ready and willing to adopt a digital CIM system if it met their needs. However, they were frustrated by lack of clear timelines. We identified 7 enablers and 3 barriers to readiness and willingness to adopt a CIM system. ‘Newness of the workforce’ was the main enabler of readiness and willingness, while ‘lack of knowledge and familiarity with system’ was the main barrier to readiness and willingness. Experiences during the COVID-19 pandemic gave a clear understanding of the problems and need for a digital CIM system and the reform program facilitated a culture of change, readying the workforce for the new health information system. New members of the Public Health departments are a likely ready and eager cohort for adoption of a modern, ‘fit for purpose’ CIM system and the execution of implementation will likely determine how ready and willing the wider network of departments will be to adopt a national CIMS.

Body condition scores (BCS) measure a cow’s fat reserves and is important for management and research. Manual BCS assessment is subjective, time-consuming, and requires trained personnel. The BodyMat F (BMF, Ingenera SA, Cureglia, Switzerland) is an automated body condition scoring system using a 3D sensor to estimate BCS. This study assesses the BMF. One hundred and three Holstein Friesian cows were assessed by the BMF and two assessors throughout a lactation. The BMF output is in the 0–5 scale commonly used in France. We develop and report the first equation to convert these scores to the 1–5 scale used by the assessors in Ireland in this study ((0–5 scale × 0.38) + 1.67 → 1–5 scale). Inter-assessor agreement as measured by Lin’s concordance of correlation was 0.67. BMF agreement with the mean of the two assessors was the same as between assessors (0.67). However, agreement was lower for extreme values, particularly in over-conditioned cows where the BMF underestimated BCS relative to the mean of the two human observers. The BMF outperformed human assessors in terms of reproducibility and thus is likely to be especially useful in research contexts. This is the second independent validation of a commercially marketed body condition scoring system as far as the authors are aware. Comparing the results here with the published evaluation of the other system, we conclude that the BMF performed as well or better.

The planning of activities of e-commerce enterprises and their behavior has been influenced by the emergence of the COVID-19 pandemic. The behavior of e-commerce enterprises has been highlighted at the level of EU countries through an analysis elaborated on four variables: the value of e-commerce sales, cloud computing services, enterprises that have provided training to develop/upgrade the ICT skills of their personnel, e-commerce, customer relationship management (CRM) and secure transactions. Using the hierarchical clustering method, analysis was carried out on these variables to identify certain economic and behavioral patterns of e-commerce activity from 2018 and 2020. The study of the relationships involved in the e-commerce activity of these enterprises is reflected in models of the economic behavior of 31 European states in relation to the targeted variables. The results show that the impacts of the COVID-19 pandemic are strongly manifested in the direction of the evolution of each indicator but differ from one country to another. The trends depend on the level of development and the particularities of each country’s economy in adapting to the repercussions reported in relation to the level of impact of the COVID-19 pandemic. This is highlighted by the significant regrouping of countries in 2020 compared with 2018 in relation to the average values of the indicators. The results show that, in 2020, the most significant percentages of the value of e-commerce sales were recorded in Belgium, Ireland and Czechia, as in 2018. In e-commerce, customer relationship management and secure transactions, Denmark and Sweden were superior in 2020 to the countries mentioned above, which were dominant in 2018. For the other two indicators, Finland and Norway were the top countries included in the analysis in both years. The conclusion supports the continuous model of e-commerce enterprise behavior in order to meet the requirements of online customers.

Category: Diabetes; Other Introduction/Purpose: The primary objective was to determine the incidence of COVID-19 infection and 30-day mortality in patients undergoing foot and ankle surgery during the global pandemic. Secondary objectives were to determine if there was a change in infection and complication profile with changes introduced in practice. Methods: Design: Multicentre retrospective national audit. Setting: UK-based study on foot and ankle patients who underwent surgery between the 13th January to 31st July 2020 - examining time periods pre- UK national lockdown, during lockdown (23rd March to 11th May 2020) and post-lockdown. Participants: All adult patients undergoing foot and ankle surgery in an operating theatre during the study period included from 43 participating centres in England, Scotland, Wales and Northern Ireland. Main Outcome Measures: Variables recorded included demographics, surgical data, comorbidity data, COVID-19 and mortality rates, complications, and infection rates. Results: 6644 patients were included. In total 0.52% of operated patients contracted COVID-19 (n=35). The overall all cause 30- day mortality rate was 0.41%, however in patients who contracted COVID-19, the mortality rate was 25.71% (n=9); this was significantly higher for patients undergoing diabetic foot surgery (75%, n=3 deaths). Matching for age, ASA and comorbidities, the OR of mortality with COVID-19 infection was 11.71 (95% CI 1.55 to 88.74, p=0.017). There were no differences in surgical complications or infection rates prior to or after lockdown, and amongst patients with and without COVID-19 infection. After lockdown COVID-19 infection rate was 0.15% and no patient died of COVID-19 infection. Conclusion: COVID-19 infection was rare in foot and ankle patients even at the peak of lockdown. However, there was a significant mortality rate in those who contracted COVID-19. Overall surgical complications and post-operative infection rates remained unchanged during the period of this audit. Patients and treating medical personnel should be aware of the risks to enable informed decisions.

Abstract Background To manage injuries effectively, players, head coaches, and medical personnel need to have excellent knowledge, attitudes, and behaviours in relation to the identification of risk factors for injuries, the implementation of injury prevention initiatives, as well as the implementation of effective injury management strategies. Understanding the injury context, whereby specific personal, environmental, and societal factors can influence the implementation of injury prevention initiatives and injury management strategies is critical to player welfare. To date, no qualitative research investigating the context of injuries, has been undertaken in elite-level women’s football. The aim of our study was to explore the knowledge, attitudes, and behaviours of players, head coaches, and medical personnel in the Irish Women’s National League (WNL) to injury prevention and injury management. Methods We used qualitative research methods to explore the knowledge, attitudes, and behaviours of players, head coaches, and medical personnel in the Irish WNL to injury prevention and injury management. Semi-structured interviews were undertaken with 17 players, 8 medical personnel, and 7 head coaches in the Irish WNL. The data were analysed using thematic analysis. Our study is located within an interpretivist, constructivist research paradigm. Results The participants had incomplete knowledge of common injuries in elite-level football, and many held beliefs about risk factors for injuries, such as menstrual cycle stage, which lacked evidence to support them. Jumping and landing exercises were commonly used to reduce the risk of injuries but evidence-based injury prevention exercises and programmes such as the Nordic hamstring curl, Copenhagen adduction exercise, and the FIFA 11+ were rarely mentioned. Overall, there was dissatisfaction amongst players with their medical care and strength and conditioning (S & C) support, with resultant inadequate communication between players, head coaches, and medical personnel. Conclusion Poor quality and availability of medical care and S & C support were considered to be a major obstacle in the effective implementation of injury risk reduction strategies and successful return-to-sport practices. More original research is required in elite-level women’s football to explore injury risk factors, injury prevention initiatives, and contextual return-to-sport strategies, so that players, head coaches, and medical personnel can use evidence that is both up-to-date and specific to their environment.

ObjectivesThe aim of our study was to explore the contextual factors that affect the implementation of football injury prevention initiatives and the provision of effective injury management in the Irish Women’s National League (WNL).MethodsWe used a criterion-based purposive sampling approach to recruit coaches (n=7), players (n=17) and medical personnel (n=8) representing eight of the nine clubs in the WNL to participate in one-to-one semistructured interviews. Our study was located within an interpretivist, constructivist research paradigm. The interview data were analysed using reflexive thematic analysis.ResultsThe participants identified academic and work pressures, financial challenges, conflict with college football, inadequate facilities and gender inequity as being barriers to the implementation of injury prevention initiatives and the provision of effective injury management. Financial constraints within clubs were perceived to limit the provision of medical care and strength and conditioning (S&C) support and this was deemed to be associated with a heightened risk of injuries.ConclusionSpecific contextual factors were identified which curtail the implementation of injury prevention initiatives and the provision of effective injury management in elite-level women’s club football in Ireland. Gender inequity was identified as one of the factors impacting the availability of high-quality medical care, S&C support, as well as access to training and match facilities. Our results provide new insights that could be used to inform the design and implementation of injury prevention and management initiatives for women football players in Ireland.

Abstract Background Proximal humeral fractures are a common injury accounting for a significant workload across orthopaedic departments. Though often managed non-operatively, surgical management is indicated for a proportion of patients. Aims The aim of this study is to examine the trends in the management of proximal humeral fractures within Ireland over the past 13 years. Methods A retrospective review of Irish Hospital In-Patient Enquiry (HIPE) data was performed between January 2009 and December 2022. Information regarding demographics including age and gender, along with procedure type were collated after patients with proximal humerus fractures, were identified using relevant ICD 10 codes. Results Demographic details remained stable with females and those within the 55–69 year age bracket accounting for the highest proportion of patients. The mean annual number of procedures performed across the study period was 365 (273–508), with an increase from 288 cases in 2009 to 441 in 2022. Open reduction and internal fixation were the most common procedures accounting for 76.4% of cases. There has been a rising usage of total shoulder arthroplasty for fixation with an increase from < 5 cases in 2016 to 84 in 2022. A decrease in the usage of hemiarthroplasty and closed reduction internal fixation was also observed. Conclusions There has been an increasing volume of operatively managed proximal humeral fractures in Ireland, which sustained despite the 2015 publication of the highly publicised PROPHER trial. The increasing utilisation of total shoulder arthroplasty in acute trauma management is notable and necessitates appropriate training for trauma theatre personnel.

Abstract Chronic diseases are at epidemic proportions and continuing to increase in both incidence and prevalence globally. Therefore, there is a growing need to assess and improve on the value currently provided within chronic care pathways. Examining a chronic disease, Rheumatoid Arthritis (RA), this study aimed to assess the cost associated with RA in primary and secondary care within the Health Service Executive in Ireland. Following mapping of the care pathway, patient vignettes based on exemplar RA patient types were used to conduct semi-structed interviews with every member of the primary (N = 21) and secondary care (N = 13) RA pathway. Overall cost of each patient type was calculated using time-driven activity-based costing along with medication and clinic running costs. Treating newly diagnosed RA patients costs second highest in primary (€337.39/year) and highest in secondary care (€922.32/year). While patients with advanced RA were most expensive to treat in primary (€469.18/year) and least costly in secondary care (€615.70/year). In primary care occupational therapists were the most expensive allied health care professionals (HCPs) at €1.19/min, followed by physiotherapists at €1.17/min. GP secretaries were the least costly at €0.30/min. In secondary care, consultant rheumatologists and phlebotomists were most and least costly respectively at €3.10 and €0.60/min/patient. Biological Disease-Modifying Anti-Rheumatic Drugs (bDMARDs) cost significantly more (€8718.98/year) than Conventional Synthetic Disease-Modifying Anti-Rheumatic Drugs (csDMARDs) (€120.87/year). In terms of personnel cost newly diagnosed patients and patients with advanced RA are expensive to treat as these require more time with the HCPs. Being referred to departments outside of rheumatology such as orthopaedics, advanced RA patients cost less in secondary care. The difference between whether a patient was on a csDMARD or bDMARD had the biggest influence on total, overall costs amongst the RA patient. Key messages • The study provides a breakdown of costs of RA multidisciplinary care in Ireland, facilitating understanding cost drivers and potential areas for cost-savings. • The study advances the understanding of RA management in HSE Ireland.

Background In 2020, due to the COVID-19 pandemic, the European Centre for Disease Prevention and Control (ECDC) accelerated development of European-level severe acute respiratory infection (SARI) surveillance. Aim We aimed to establish SARI surveillance in one Irish hospital as part of a European network E-SARI-NET. Methods We used routine emergency department records to identify cases in one adult acute hospital. The SARI case definition was adapted from the ECDC clinical criteria for a possible COVID-19 case. Clinical data were collected using an online questionnaire. Cases were tested for SARS-CoV-2, influenza and respiratory syncytial virus (RSV), including whole genome sequencing (WGS) on SARS-CoV-2 RNA-positive samples and viral characterisation/sequencing on influenza RNA-positive samples. Descriptive analysis was conducted for SARI cases hospitalised between July 2021 and April 2022. Results Overall, we identified 437 SARI cases, the incidence ranged from two to 28 cases per week (0.7–9.2/100,000 hospital catchment population). Of 431 cases tested for SARS-CoV-2 RNA, 226 (52%) were positive. Of 349 (80%) cases tested for influenza and RSV RNA, 15 (4.3%) were positive for influenza and eight (2.3%) for RSV. Using WGS, we identified Delta- and Omicron-dominant periods. The resource-intensive nature of manual clinical data collection, specimen management and laboratory supply shortages for influenza and RSV testing were challenging. Conclusion We successfully established SARI surveillance as part of E-SARI-NET. Expansion to additional sentinel sites is planned following formal evaluation of the existing system. SARI surveillance requires multidisciplinary collaboration, automated data collection where possible, and dedicated personnel resources, including for specimen management.

ORIENTATION: Organizational Justice is very crucial for an organizations’ success and how it is perceived by employees. It develops great trust between the management and the employees, enhancing their job satisfaction, commitment, efficiency, and thus reduces turnover intention and improves the level of employees’ citizenship behaviour. AIM: This study is designed to determine the impact of organizational justice on job satisfaction, turnover intention, and organizational citizenship behaviour among healthcare professionals working in Ireland. MOTIVATION FOR THE STUDY: The selection of healthcare professionals was to add another perspective and research dimension to the currently limited research material on organizational justice and citizenship behaviour among Irish healthcare professionals. Work exhaustion and turnover intention among healthcare professionals are the major issues faced by healthcare employees and management respectively and different forms of organizational justice play a major role in attenuating these factors. METHOD: An online survey by using validated tools was employed to achieve the research objective. A total number of 53 healthcare personnel participated in the study who completed a questionnaire comprising of organizational justice, job satisfaction, turnover intention, and organizational citizenship behaviour scales and were evaluated for their organizational citizenship in terms of altruism, sportsmanship, and courtesy. RESULT: It has been identified from this survey that organizational justice, is positively related to job satisfaction and organisational citizenship behaviour whereas negatively related to turnover intention among Irish healthcare professionals.CONCLUSION: It is concluded that organisational justice is a strong indicator of organisational citizenship behaviour among healthcare professionals and also influences job satisfaction and turnover intention moderately.

<div class="O"><p><strong>Background</strong></p><p>Paramedics are reported to be the most underutilised profession working within rural areas, due to the paucity of service requirements. (O’ Meara et al 2012). Infrequent opportunities to practice particular skills can lead to reduction in levels of confidence and competence that can have significant risk and safety ramifications for practitioners and patients. (Mulholland et al 2014). Traditionally paramedic practice provides emergency care and transport within the community, but current ambulance service models within rural Ireland may be inefficient and contributing to hospital overcrowding and increased healthcare costs. (Lightfoot, 2015). Alternative models of healthcare are implemented within alternative rural jurisdictions such as Australia and Canada that aims to address issues of practitioner underutilisation, skill retention and healthcare personnel shortages. (Wilson, et al 2009).</p><p><strong>Rationale</strong></p><p>Ireland’s population is ageing, with increased co-morbidities and reports of current and predicted workforce shortages in general practice. (Smyth et al 2017). With rising demands on general practitioners (GPs), measures to increase their supply and retention has become a challenging problem. Potential solutions to this will require immediate change to established work practices, to cater for current and predicted healthcare needs. (H.S.E, 2015). Paramedics with advanced skills (APs) could alleviate some of the shortages identified and enhance paramedic profile by transferring some tasks deemed appropriate from GPs to APs within both urban and rural communities. This process is globally known as task shifting where some competencies are transferred to alternative healthcare practitioners with less training. (WHO, 2007).</p><p><strong>Aim</strong></p><p>To ascertain the attitudes and opinions of paramedics and GPs associated with GEMS - UL, towards a new concept of joint collaboration in primary care that should be of mutual benefit to both groups, and also to identify potential barriers.</p><p><strong>Methodology</strong></p><p>Questionnaire survey of graduate Paramedics and General Practitioners associated with University of Limerick Graduate Entry Medical School and Paramedic Studies to identify competencies that GPs would deem appropriate to reassign to APs and ascertain both groups’ opinions towards this new concept of joint collaboration and practice.</p><p><strong>Conclusion</strong></p><p>Studies report successful outcomes in similar models of joint collaboration to support shortages of GPs in rural healthcare. (Reaburn, 2017). Collaboration on this scale has been shown to be beneficial for enhancing the paramedic profession within the wider healthcare system while providing essential support within primary care and general practice. Potential benefits have been reported with reduced emergency department admissions and early intervention in the management of chronic disease. (Blacker et al, 2009).</p></div>

The Defence Forces are Ireland's military instrument of national power with responsibilities for national security and defence. The Irish government is committed to supporting international peace and security by deploying Defence Forces' personnel on United Nations peacekeeping missions and EU and NATO-led crisis management operations. However, the characteristics of the contemporary operating environment (COE) make military operations today more complex than at any other time in human history. To operate effectively in the COE requires officers that are educated to cope with uncertainty and have highly developed critical thinking skills. This article examines the Defence Force's response to the challenge of educating its senior leaders through the recently developed Joint Command and Staff Course delivered in partnership with Maynooth University. This paper advances the argument that developing its personnel's intellectual capacities is essential for the Defence Forces to operate effectively in the uncertainty of the modern security environment.

Abstract Background Translating research findings into service improvements for patients and/or policy changes is a key challenge for health service organizations. The Health Service Executive (HSE) in Ireland launched the Action Plan for Health Research 2019–2029, as reported by Terrés (HSE, Dublin, 2019), one of the goals of which is to maximize the impact of the research that takes place within the service to achieve improvements in patient care, services, or policy change. The purpose of this research is to review the literature on knowledge translation theories, models, and frameworks (TMFs) and to assess the suitability of the TMFs for HSE use, selecting one or more for this purpose. The aim is to produce guidance for HSE researchers and other health services staff, validate the usability of the framework(s) with researchers, and review and implement the guidance. It was hoped that identifying a suitable methodology would provide the means to increase the uptake and application of research findings, and reduce research wastage. This paper reports on the first part of the study: the review, assessment, and selection of knowledge translation TMFs for a national health service. Methods An interdisciplinary working group of academic experts in implementation science, research wastage, and knowledge translation, along with key representatives from research funders (Health Research Board) and HSE personnel with expertise in quality improvement and research management, undertook a three-stage review and selection process to identify a knowledge translation TMF that would be suitable and usable for HSE purposes. The process included a literature review, consensus exercise, and a final consensus workshop. The review group adopted the Theory Comparison and Selection Tool (T-CaST) developed by Birken et al. (Implement Sci 13: 143, 2018) to review knowledge translation theories, models, and frameworks. Results From 247 knowledge translation TMFs initially identified, the first stage of the review identified 18 that met the criteria of validity, applicability, relevance, usability, and ability to be operationalized in the local context. A further review by a subgroup of the working group reduced this number to 11. A whole-group review selected six of these to be reviewed at a facilitated consensus workshop, which identified three that were suitable and applicable for HSE use. These were able to be mapped onto the four components of the HSE knowledge translation process: knowledge creation, knowledge into action, transfer and exchange of knowledge, and implementation and sustainability. Conclusion The multiplicity of knowledge translation TMFs presents a challenge for health service researchers in making decisions about the appropriate methods for disseminating their research. Building a culture that uses research knowledge and evidence is important for organizations seeking to maximize the benefits from research. Supporting researchers with guidance on how to disseminate and translate their research can increase the uptake and application of research findings. The use of robust selection criteria enabled the HSE to select relevant TMFs and develop a process for increasing the dissemination and translation of research knowledge. The guidance developed to inform and educate researchers and knowledge users is expected to increase organizational capacity to promote a culture of research knowledge and evidence use within the HSE.

In today's society there is evidence of a culture of the 'empowered consumer' -- an image of the consumer as a citizen rather than a subordinate. In fact, human rights language is increasingly coming to the fore in the consumption debate. The consumer has been allocated rights by the United Nations whereby all human beings are born free and equal and have civil, political, economic and social rights (McGregor 44). However, as citizens we also have responsibilities of an environmental and social concern. Food retailing and equality of shopping provision is one such concern. Food is a basic right. According to the Universal Declaration of Human Rights everyone has a fundamental right to be free from hunger and have access to safe and nutritious food. Social exclusion refers to those in the population who are unable to participate in economic, political, social and cultural life. Social exclusion is different from, but related to, poverty since it further marginalises the most disadvantaged -- for example, those who cannot access a large supermarket. In keeping with the rights/responsibilities language, the consumer has a basic right to food and the retailer has the social responsibility to supply the needs of the consumer. It is in this respect that food is an ethical issue and has social justice implications. Inability to consume, or have access to, sufficient food of nutritional quality is a global concern. In North America the issue is one of 'food insecurity' or 'food poverty' due to inadequate finance to purchase sufficient food. In the United Kingdom the same problem arises within the context of access to food stores. This is identified as a 'food (shopping) desert', where due to restricted access social exclusion can arise. The term 'food deserts' was first used by the Low Income Project Team of the Nutrition Task Force in 1996 and was succinctly defined by Tessa Jowell (Government Health Minister) in 1997 when she stated that a food desert was an area "where people do not have easy access to healthy, fresh foods particularly if they are poor and have limited mobility". The term 'food desert' is an emotive one referring to a unique tool of social polarisation and exclusion (Lang 5). The issues compounding the problem include low income, locational policy of supermarkets with the acquisition of edge-of-town / out-of-town sites, consumer mobility, car ownership levels and food availability. This research study focuses on Northern Ireland -- a region of the UK on the periphery of Europe. The Province of Northern Ireland (Ulster) is a sparsely populated (122 people per km²), predominantly rural area with the highest unemployment and poverty statistics in the United Kingdom. Similarly, Northern Ireland has a proportionately high degree of non-car ownership (35%) which further complicates the equation since shopping is increasingly becoming a car-borne activity necessitating transportation to edge-of-town superstores. Those not able to avail themselves of large edge-of-town superstores are being socially excluded, since inner-city areas are becoming denuded of food stores. Those that do exist usually have a limited range of food items, usually non-perishable, or are specialist shops stocking high priced items. It is the aim of the study to identify the characteristics, extent and location of food deserts in both rural and urban areas of Northern Ireland. It is a particularly apt time to do so since Northern Ireland is experiencing a 'retail revolution' with the arrival of the major UK grocery multiples and subsequent situational policies to locate off-centre. Similarly, there are plans to curtail out-of-town developments which has been viewed by some smaller retailers as "too little, too late". With the above in mind, it is a timely study for Northern Ireland. Multiple research tools of both a qualitative and a quantitative nature have been employed including consumer focus groups, shopping diaries, comparative shopping exercises, consumer questionnaires and retail interviews. This will enable sufficient validation of results. The focus groups provide qualitative depth (Colquhoun 39) and serve to highlight the issues of shopping inequality from the point of view of different consumer groups which could be identified as potentially vulnerable in the food poverty stakes; the elderly, the disabled, the unemployed or low income families, lone-parent families and females in general; to whom falls the responsibility for provisioning the household, organising the kitchen and doing the household's cooking (Murcott 11). Basically, food is gendered -- women are mainly in charge (Vaines 13). The respondents in this study demonstrate exactly that point since 77% of the sample were female and reported that they were responsible for household shopping. This point is particularly prevalent with regard to access to cars. In fact over 50% of women in 1991-1993 either lived in households without a car or were non-drivers in a household with a car. Similarly, although there is a rising proportion of women who work they still do most of the shopping and spend twice as much time as men provisioning the household (Piachaud & Webb 18). Ultimately, anything that affects the purchaser also affects the purchasing experience -- in this case physical access to the foodstore. Comparative shopping exercises illustrate the availability and price indices of food and reiterate the price differences between the smaller independents, the local corner shops and the supermarkets. Initial research using the British Ministry of Agriculture, Fisheries and Food's "Low Cost, Healthy Diet" (Leather 75) provides evidence of a cost differential of £1.41, or a 26% cost penalty by shopping at a corner store rather than a superstore. Availability among corner shops similarly compared unfavourably with the supermarkets, with the smallest stores offering minimal fresh fruit and vegetables and regularly offering no 'economy' branded equivalent to an established manufacturer's brand. This supports previous research which found that in areas where small shops do exist they offer only a limited overpriced range of processed foods (Elliott 5), and it is generally accepted that those who can shop at supermarkets can generally benefit from lower prices and more choice (Piachaud & Webb 32). The benefits of supermarkets are not therefore available to all. Shopping diaries further illustrate this point with the dichotomy existing where the lower-income consumer shops more frequently and locally than does her higher-income counterpart and it is these same consumers who patronise the smaller, often more expensive corner shop. Many consumers like the convenience of large supermarkets where they have access to a vast range of items and do not mind paying premium prices on some items for this convenience. Supermarkets do not offer low prices on all items, but do stock economy lines as well as premium priced items. The consumer questionnaire provides some quantitative analysis and statistical weight to the data and was analysed using the χ-square test on SPSS for Windows Version 8. With the χ-square test the important detail is the significance level (reported as a p-value). A p-value of less than 0.05 indicates that the two groups are significantly different at a confidence level of 95% -- in other words, it can be concluded that the author is 95% certain that the result is statistically significant and free from error. Four areas of the Province were sampled -- two rural and two urban. The sample was 77% female and the median age group fell between 45 to 54 years. The social class status was skewed towards the lower socio-economic classes and only 12% fell into social classes A or B. The mean household income was £151 to £200 per week. The survey was interviewer-assisted and pointed to some interesting correlations between levels of satisfaction with store location and distance travelled, product choice and the decision to continue shopping in the town centre. Thirty percent of the sample stated that they shop at off-centre complexes and 70% of the sampled households shop in the town centre or closer to home. This sample also provides evidence that shopping is largely a car-borne activity with 58% of the sample using the family car. Journey distance is significantly influenced by degree of satisfaction with locality: p<0.01 and is supported with the evidence that 64% of the respondents stated that they shop less than fifteen minutes from home. Similar relationships exist between reported satisfaction with locality and differing degrees of satisfaction for product choice: p<0.01. A significant bias similarly exists between those who continue to shop in the town centre after the advent of the UK multiples into Northern Ireland in 1996 and those who do not: p<0.05 with a bias towards those continuing to shop in the town centre reporting high satisfaction levels. Ultimately, perceived adequacy of shopping provision influences satisfaction with store locality: p<0.05. Although the majority of respondents' weekly shopping is conducted at a multiple there is still an identified need for the local corner shops and independents since approximately 29% of respondents buy essentials like bread, milk and other basic grocery provision there. In fact, 98% of those surveyed reported that every town centre should have a food store, and 82% noticed a reduction in the number of food stores locally in recent years. In a concluding open question in the survey attitudes towards off-centre supermarkets were gauged. Responses ranged from positive in nature ("better parking facilities") to indifferent ("I never bother with them") to negative ("they [out-of-town supermarkets] only suit people with cars" and "they hurt the small shopkeeper"). From a retail management point of view, the multiple stores perceive (or want the consumer to believe) that they have a "social responsibility" but suggest that it should be a coalition between retailers and councillors to rejuvenate the town centres and it is not their sole responsibility. The corner shops argue their business position has survived but allude to the fact that the migration to out-of-town sites by the supermarkets has "created a void in the town centre". The issue is complex. While it is true that the multiples have brought shoppers a number of benefits -- price, choice and quality -- they have also both directly (siting shops outside town centres and in high income areas) and indirectly (undermining the economies of small, local outlets) increased costs on disadvantaged consumers in terms of time, physical effort and transport. This has led to a degree of social exclusion amongst certain consumer groups, although this was not quantitatively expressed as significant via the medium of the questionnaire in this preliminary study. It should be remembered that food and mealtimes are imbued with social and cultural meaning (Lang 27) and that "food is a vehicle for social control" (7). In fact food desertification has been likened to the "food equivalent of disconnecting the water supply" (27) and initiatives should be considered to alleviate food poverty and rejuvenate town centres throughout the Province. A multidisciplinary approach is necessary with input from retailers, councillors, health promotion personnel and education bodies to bring about a policy to eradicate this form of social exclusion and disadvantage. References Colquhoun, A. "Food Retailing in Transition: Memories of Traditional Grocer Shops in the 1950s." Strugnell and Armstrong. Elliott, V. "Food Deserts Threaten Health of Poor and Old." Sunday Times 5 Nov. 1997: 5. Lang, T. "Running On Empty." Demos Collection 12 (1997). 25-7. ---. "Food Education and the Citizen: Whose Responsibility?" Strugnell and Armstrong 7. Leather, S. "Less Money, Less Choice: Poverty and Diet in the United Kingdom Today". Your Food: Whose Choice? Ed. National Consumer Council. London: HMSO, 1992. 72-94. McGregor, S. "Globalising Consumer Education: Shifting from Individual Consumer Rights to Collective Human Responsibilities." Strugnell and Armstrong 43-52. Murcott, A. "Is It Still a Pleasure to Cook for Him? Social Changes in the Household and the Family." Strugnell and Armstrong 11. Piachaud, D. and J. Webb. The Price of Food: Missing Out on Mass Consumption." London: London School of Economics and Political Science, 1996. 32. Strugnell, C. J. "Food Deserts: Fact or Fiction." Nutrition and Food Science 6. MCB UP. 349-50. Strugnell, C.J. and G. A. Armstrong, eds. Consumer Education: An International Dimension. Conference Proceedings of the XIXth International Consumer Studies and Home Economics Research Conference. Belfast: University of Ulster, 1999. Vaines, E. "The Sacred Nature of Food: A Family Perspective" Strugnell and Armstrong 13. Citation reference for this article MLA style: Sinead Furey, Heather McIlveen, Christopher Strugnell. "Food Deserts: An Issue of Social Justice." M/C: A Journal of Media and Culture 2.7 (1999). [your date of access] <http://www.uq.edu.au/mc/9910/deserts.php>. Chicago style: Sinead Furey, Heather McIlveen, Christopher Strugnell, "Food Deserts: An Issue of Social Justice," M/C: A Journal of Media and Culture 2, no. 7 (1999), <http://www.uq.edu.au/mc/9910/deserts.php> ([your date of access]). APA style: Sinead Furey, Heather McIlveen, Christopher Strugnell. (1999) Food deserts: an issue of social justice. M/C: A Journal of Media and Culture 2(7). <http://www.uq.edu.au/mc/9910/deserts.php> ([your date of access]).

This journal has a complex subtitle: Media, technology and lifelong learning. The subtitle will to many of our readers be perceived as a synonymous to “ICT in education”. However, ICT in education is strongly influenced by informatics and psychology. Even if schools are main receivers of educational technology, not many inventions in the field stem from the educational field itself. There are many tendencies reminding us of the continual conflict between technology and education. The task of this journal has the aim to discuss media and technology on educational grounds. One might think that in the ideal world, media and technologies would develop gradually from good practice where the technology would fit to the expressed needs and desires of the teachers and students of the actual situation. Ivan Illich brings such an example to the fore: in the 7th century the process of christening the people in Northern Europe came to slow down. For some reasons it was difficult to teach newly recruited students in the monastery schools Latin and therefore Christianity. Some clever monks in Ireland came up with the idea of inserting a graphical sign - an open space - to mark the differences between letters that ends a word and starts the next (Illich 1995, p. 87). Inserting an open space, made words distinct and a lot easier to understand. This innovation speeded up the learning process not only for slow learners of the Northern Europe, but for the whole community of readers worldwide. Inserting a space greatly improved the technology of writing, reading and teaching. A genuinely simple innovation radically changed how writing was undertaken, and the innovation came from teaching. It might not be common to think of writing as technology. In Carl Mitcham’s seminal work “Thinking through technology” he points out how technology has developed historically, and covers a number of shapes and forms. In the modern everyday conception of technology, most people – as well as academics – think of technology as visible artefacts, gadgets, gizmos or whatever material expressions it may take. But a wider interpretation is that technology is an expression of “how things work”. According to Mitcham (1994), technology can be identified on many levels: as knowledge, as artefacts, as activity, and as volition. In this sense didactics and didactical interventions are both knowledge and activity. But there are also manifest artefacts representing didactics, that act as the type of “organ projections” that technology has been conceived to be: textbooks, classrooms, computers, projectors etc.. The problem with educational technology is that so much of it does not come as a response to expressed desires and needs. This is a general concern with technology. Technologies are invented for some specific purpose – or simply because it was possible to develop. By accident or serendipity it is all of a sudden applied to some other function. Dissemination of technology is difficult to predict, its patterns, means and ends is difficult to foresee. Our first contributor, Bjørn Hofmann, deals with this phenomenon, and he describes this as an uncontrollable technology. He explains how rather technology controls us. From being a means, technology now has become the end in itself. Hofmann offers us also a profound critique of this position. He claims there is a fundamental link between values and technology. We, educators as well as citizens in general, have a certain responsibility to screen and test technology according to its effects. We have to evaluate the ethics of the technology that surrounds us, and never accept this superfluous fact implied in “technological determination”. He asks us to trace the values inherent in the technology in question and seek beyond the imperatives of technology, for the ethics of technology. The second article addresses a specific context of teaching about human communication. Halvor Nordby seeks to explore the nature of face-to-face and interactive communication and the respective challenges that students of a national further education program for medical paramedics experience. Nordby builds his paper on an analysis of the communicative situations paramedics often find themselves in. He addresses two main questions: What are the basic problems of understanding paramedics confront when they meet patients and other health personnel in face-to-face situations? And how are these problems similar to, but also different from, the challenges they confront when they communicate interactively via radio or telephone with other health personnel? Nordby uses philosophy of mind and language to understand these situations and provides us with an analytical framework for not only understanding the similarities and differences, but also to avoid misunderstandings. Nordby’s paper is an excellent example on how one can develop fine research from investigating one’s own teaching. Another insight from Carl Mitcham is how technology seems to follow steps of naturalistic innovation. What started as an idea and turned into standard procedures in a community of practitioners became more or less fundamental “rules of thumb”, written down in manuals, and distributed in the community. In the next stage one seeks for more consistent systems of predictions, such as ‘if A, then B’ appear, a semi-scientific stage which strives for Scientific precision. In its final stage, agents of the community seek to legitimize and systematize what once was a practical rule by transforming it to science. Now, scientific theories are of two kinds, Mitcham argues: the highest status is gained by being defined as a substantial theory, to which most nature sciences belong. The second group, operational theories, offer less absolute certainty, more insecurity, less predictability. Think of “thermodynamics” and “management” as examples of the two kinds. Education is often trapped between these types of scientific theory. On one hand most teachers act on the grounds of “rules of thumb”, believing there is a good reason to claim that “If I do A, B will follow”. These are dimensions of the personal knowledge teachers carry without giving it much thought. University teachers are no exception in this respect. Even if they seek to build their research on scientific theories, their lives are just as based on personal knowledge as any layperson. When it comes to teaching, university teachers are equally attached do unreflected traditions, habits and unjustified patterns of action. The last paper deals with how scientific interventions into education seeks to challenge established “ways of doing things”, by changing methods of assessment. The paper suggests that giving students proper feedback on their written essays pays off significantly: more students pass the exam, and with better results. Raaheim has screened the available literature on what seems to have a positive effect on student learning when writing papers, and shows how using a different method improves the studying conditions for students. He offers a technological innovation that illuminates the recursive process between the developmental levels of technologies. The obligation of educators is to improve the chances for learners to fulfil their aims. Even if education never can become a scientific theory on par with “substantial” theories, the obligation is still there to increase the chance for making A be followed by B. Literature: Illich, I. (1995): In the Vineyard of the text. A Commentary to Hugh's Didascalicon. The University of Chicago Press, Chicago. Mitcham, C. (1994): Thinking through technology : the path between engineering and philosophy . University of Chicago Press, Chicago.