Background: Although the prevalence of older patients in forensic psychiatric services is increasing, research around service provision for this population is very limited. We aimed to gather the views of members of staff on how well secure services are meeting the challenges of an ageing population.
Methods: Three focus groups were carried out with 13 members of staff working with older patients in secure services. A topic guide, based on the research team’s previous research, guided the sessions. The focus groups were audio-recorded, transcribed and analysed through thematic analysis.
Results: Two themes were identified: (1) Identifying patients’ needs, which focused on how promptly any emerging issues in the older patients are identified and reported; (2) addressing patients’ needs, which focused on how the unique needs of the older patients are addressed, once established.
Conclusions: There are unique age-related issues that may have an impact on the older patients’ opportunities for recovery, including a lack of specialist training for members of staff, prolonged stay in secure care and a limited number of age-relevant activities. Far from optimal, provision requires improvement through the active involvement of the primary stakeholders. 相似文献
Why do eye clinics differ in their waiting times for women’s and men’s access to cataract extraction (CE)/“grå starroperation”? Taking a doing-gender perspective as the starting point, this study explores how gender constructions embedded in Swedish eye clinics contribute to longer waiting times for women than for men. Focus group interviews were conducted with doctors at two Swedish eye clinics: one with a larger and another with a smaller than average gender difference in waiting times for CE. Several differences were found between the clinics regarding how gender was constructed: Women and men were constructed as different with respect to ascribed traits such as assertiveness and care-seeking behaviour. Their need for visual acuity in working life was perceived as different by the doctors, and the study indicates differences between the clinics regarding their interest and awareness concerning issues related to inequity, reflected in the dissimilar prevalence of jokes with racist and misogynist connotations at the two clinics. 相似文献
This article is based on the assumption that norms can help better understand one of the expressivist aims of transitional justice, that of building a new narrative about the past. The main argument is that focus groups, as an interactive method of inquiry, are well suited to investigating how this “judicial” narrative interacts with the official and dominant war narrative in Croatia. Focus groups are more adept at this than other methodological approaches since they can effectively reflect independence of opinion; they lead to more truthful answers through spontaneity; they effectively probe taken-for-granted concepts; and they can more easily overcome distrust in post-conflict societies, especially with ex-combatants. The approach faces new challenges in such a situation since recruitment problems, insider/outsider status, and post-traumatic stress disorder, among other ethical concerns, present problems that often arise due to the group process. The powerful and unpredictable effect of the group dynamic can, therefore, provide a deep exploration of social norms, but it can also cause significant upset among participants. In this instance the methodology explores how widely accepted the war narrative is, how it is constructed, and how important the public believes it is not to question it. 相似文献
Under David Cameron's leadership reforms have been made to the Conservative party's parliamentary selection procedures and distinct women's policy initiatives have been developed. This article, based on focus group data with party members, explores attitudes towards measures designed to recruit more women Conservative MPs. Broadly, we find that, despite widespread support for the principle of greater social diversity among PPCs, members are uncomfortable with the specific measures that have been introduced. This is largely on the grounds that anything approaching 'positive discrimination' should be eschewed in favour of the 'meritocratic' selection of candidates. Further, the members tend to resent central party 'interference' in what has traditionally been the domain of local Constituency Associations. 相似文献
The practice of dual mandate‐holding, i.e. the simultaneous occupation of a political mandate at the (sub)national and the local level, is understudied in the comparative literature. Dual mandate‐holders embody the most direct link between local and central government, yet research has disregarded whether these actors actually feel and act as local ambassadors in parliament. In this article, we study whether councillors in parliament feel responsive for local grievances in terms of their respective role attitudes and behaviour, using the PARTIREP Comparative MP Survey. The estimated regression models demonstrate that dual mandate‐holders indeed perceive themselves as local brokers, even when controlling for various systemic‐, party‐ and individual‐level factors. On the other hand, they struggle to translate their localized attitudes into localized parliamentary behaviour, which could call one of the main arguments in favour of dual mandate‐holding into question. 相似文献
At present, the broadcast media (radio and television) because of their pervasive presence in society are a “taken‐for‐granted” part of the social environment, as natural as the air one breathes. The persuasive power of the media is not so readily ascertained by all who watch and listen. Looking at the growth and spread of the media in three highly industrialized countries, namely Japan, the United Kingdom, and the United States, each with its own particular broadcast system, one can see the variety of emphasis on commercial and public broadcasting. Since the media have more in common with interpersonal communication than they have differences, the public is constantly open to media messages, continuously processing as well as responding to information received via media sources. The persuasive effect of these broadcast media in terms of the latent function of commercial messages needs deep and careful analysis. 相似文献
Citizens in democracies are expected to make better decisions if they understand policy tradeoffs. However, politicians rarely have incentives to communicate them; citizens are uncomfortable choosing among valued outcomes; and devising a common metric is difficult. It is not surprising that in the United States the environment provides relatively little cuing or priming of tradeoffs in television news. Russian citizens, on the other hand, face a media environment in which tradeoff cuing is intentionally suppressed by owners' agendas, yet viewers detect concealed tradeoffs even in the absence of tradeoff priming and viewpoint diversity. Analysis of discourse among ordinary Russians in 16 focus groups convened in four cities, differentiated by political reform and media market environments, showed that when watching news in which tradeoffs are thoroughly concealed, viewers challenge stories by offering a broad spectrum of uncued tradeoffs. Tradeoffs come from diverse policy domains and represent a range of cognitive strategies, some of which are considerably more abstract than others and link elements of their observations and assumptions (together with what they can extract from the stories) into complex reasoning outcomes. 相似文献