The principal finding of this review is that migrants utilize the ED more, and differently, to the native populations in EEA countries. The higher use of the ED for low-acuity presentations and the use of the ED during unsocial hours suggest that barriers to primary healthcare may be driving the higher use of these emergency services although further research is needed.
Mean-level personality development across childhood and adolescence:A temporary defiance of the maturity principle and bidirectional associations with parenting.
Rights and responsibilities lie at the heart of New Labour's social policies. Children and young people present a challenge to the social contractual model of responsibility evident in policy spheres. Government is torn between the notion that children are dependent on parents for well-being, and the idea that individuals should take responsibility for their own actions. The article examines the problem of childhood in social policy through an examination of the conflicting messages emerging out of family policy and anti-social behaviour policies. Policy discourses are then critically evaluated with reference to a qualitative study of children's ideas about responsibility. The authors suggest that policies relating to children can learn from children's private experience of responsibility in the home, and from the complex and rich ways in which children understand the moral and relational components of responsibility.
BackgroundProlonged sitting is associated with increased risks of cardiovascular disease, Type 2 diabetes, some cancers, musculoskeletal disorders and premature mortality. Workplaces contribute to a large proportion of daily sitting time, particularly among office-based workers. Interventions to reduce workplace sitting therefore represent important public health initiatives. Previous systematic reviews suggest such interventions can be effective but have reported wide variations. Further, there is uncertainty as to whether effectiveness in controlled trials can be replicated when implemented outside the research setting. The aims of this review are to identify factors important for the implementation of workplace sitting interventions and to translate these findings into a useful operational framework to support the future implementation of such interventions.MethodsA qualitative systematic review was conducted. Four health and social science databases were searched for studies set in the workplace, with office-based employees and with the primary aim of reducing workplace sitting. Extracted data were primarily from author descriptions of interventions and their implementation. Inductive thematic analysis and synthesis was undertaken.ResultsForty studies met the inclusion criteria. Nine descriptive themes were identified from which emerged three higher-order analytical themes, which related to the development, implementation and evaluation of workplace sitting interventions. Key findings included: the importance of grounding interventions in theory; utilising participative approaches during intervention development and implementation; and conducting comprehensive process and outcome evaluations. There was a general under-reporting of information relating to the context within which workplace sitting interventions were implemented, such as details of local organisation processes and structures, as well as the wider political and economic landscape, which if present would aid the translation of knowledge into “real-world” settings.ConclusionsThese findings provided the basis for an operational framework, which is a representation of all nine descriptive themes and three higher-order analytical themes, to support workplace sitting intervention development, implementation and evaluation. Once tested and refined, this framework has the potential to be incorporated into a practical toolkit, which could be used by a range of organisations to develop, implement and evaluate their own interventions to reduce workplace sitting time amongst staff.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-5768-z) contains supplementary material, which is available to authorized users.
Sedentary behaviour has been shown to have a negative impact on health. As such, prolonged sitting in the workplace is being increasingly seen as a public
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