The ICF encourages a bio-psycho-social and person-centred approach to healthcare and may provide a useful tool for guiding clinical assessment and encouraging clinicians to consider the multitude of factors which impact health, which may result in more specific and individualised treatment targeted at individual needs. Using a common framework that can be understood across health disciplines may enhance interdisciplinary communication and collaboration, improving health care delivery. The ICF may be used to compare perspectives of individuals and their health professionals and to identify people's needs that are not adequately being addressed, which may have significant implications for improving healthcare provided and overall health outcomes.

Our data show evidence of gatekeeping by primary care physicians when deciding to participate in, and recruit their patients to, clinical studies. We argue that such gatekeeping is a way of addressing the dual and sometimes conflicting roles of clinician and researcher. It need not be ethically problematic, but primary care physicians should be reflexive about their recruitment practices and biases. In addition, this form of gatekeeping should be explicitly recognized in protocol design and the analysis of trial findings.

We develop a simulation model for prediction of forest canopy interception of upwelling fire radiated energy from sub-canopy smouldering vegetation fires. We apply this model spatially across the North American boreal forest in order to map minimum detectable sub-canopy smouldering fire size for three satellite fire detection systems (sensor and algorithm), broadly representative of the Moderate Resolution Imaging Spectroradiometer (MODIS), Sea and Land Surface Temperature Radiometer (SLSTR) and Visible Infrared Imaging Radiometer Suite (VIIRS). We evaluate our results according to fire management requirements for “early detection” of wildland fires. In comparison to the historic fire archive (Canadian National Fire Database, 1980–2017), satellite data with a 1000 m pixel size used with an algorithm having a minimum MWIR channel BT elevation threshold of 5 and 3 K above background (e.g., MODIS or SLSTR) proves incapable of providing a sub-0.2 ha smouldering fire detection 70% and 45% of the time respectively, even assuming that the sensor overpassed the relevant location within the correct time window. By contrast, reducing the pixel area by an order of magnitude (e.g., 375 m pixels of VIIRS) and using a 3.5 K active fire detection threshold offers the potential for successfully detecting all fires when they are still below 0.2 ha. Our results represent a ‘theoretical best performance’ of remote sensing systems to detect sub-canopy smoldering fires early in their lifetime.

Consent is a concept inherent in any nurse-patient relationship and provides nursing with both theoretical and practical challenges. Within the perioperative area written informed consent is obtained for surgical and anaesthetic interventions. Consent is not formally negotiated for the multitude of interventions undertaken to facilitate the most straightforward of surgical procedures. An explorative, qualitative research project was undertaken to explore the processes used by perioperative nurses for negotiating such consent. Data was collected from perioperative nurses working in an acute teaching hospital using ‘consent episodes’ as units of data focusing on daily tasks of perioperative patient care. Findings indicate there is a dominant discourse of implied consent in which perioperative nursing practice is located.

Ethical concerns about therapeutic misconception have been raised since the early 1980s. This concept was originally described as research participants' assumptions that decisions relating to research interventions are made on the basis of their individual therapeutic needs. The term has since been used to refer to a range of 'misunderstandings' that research participants may have. In this paper, we describe a new concept-therapeutic appropriation Therapeutic appropriation occurs when patients, or clinicians, actively reframe research participation as an opportunity to enhance patients' clinical care, while simultaneously acknowledging the generalised research aims. To illustrate the concept of therapeutic appropriation, we draw on data from an interview study which we conducted to investigate the experiences of patients and general practitioners involved in clinical trials in primary care. We argue that therapeutic appropriation has two key elements: comprehension that the research project is not necessarily aiming to benefit participants and the deliberate use of incidental features of the research for personal therapeutic benefit of various kinds. We conclude that therapeutic appropriation is a useful concept that refines understanding of potential ethical problems in clinical research, and points to strategies to address them.