Policy guidelines promoting best practice for annotation feedback on draft assignments risk neutralising lecturers' feedback and higher education potential as an emancipatory pedagogy. Annotation use within higher education is more complex than its definition suggests compounded by a lack of supporting evidence and a largely inductive practice. With emphasis placed on receiving formative annotative feedback on draft assignments lecturers' can empower students' skills for lifelong learning and closing the gap between actual and desired performance on assessed work. Analysis of findings from a survey methodology, questionnaires (students' n = 600, lecturers' n = 112) and feedback comments are discussed with literature published from 1997 to 2009. Themes impacting on formative annotation feedback and educational transformation were identified. Students' (n = 13, 2.17% response rate) felt frustrated by feedback requiring them to 'read between the lines' and interpret the lecturer's actual intended message. Lecturers' (n = 22, 19.64% response rate) indicated they valued feedback but despite preceding summative, formative annotative feedback was perceived to be indistinct from summative feedback. The generic nature of feedback policy, guidelines and literature reinforces this perception. In reality the different timing and aims of formative annotation means that feedback generalities maybe unhelpful.

We critically review qualitative research studies conducted from 2000 to 2012 exploring Western mothers' breastfeeding experiences. We used the search criteria "breastfeeding," "qualitative," and "experiences" to retrieve 74 qualitative research studies, which were reduced to 28 when the terms "existential'' and "research'' were applied. We found that the impact of technology and the pervasive worldwide marketing of infant formula devalued breastfeeding mothers' narratives in a number of ways. Women's bodies were viewed as machine-like objects and the breast was seen as a disembodied object. Dominated by technological narrative, women's bodies were considered unpredictable and hormonal, needing to be managed by health care professionals. This means the disseminating breastfeeding discourse needs to be reinterpreted for practical use. We found that some of the researchers utilized narrative informed by phenomenological philosophy that appears to edge closer to understanding mothers' experiences in a more profound way than nonphenomenological research. However, we need to be mindful of the transparency of terms in replacing one form of technological narrative with another.

Aim(s) A discussion paper on the United Kingdom (UK) National Health Service (NHS) market reforms. Background NHS market reforms reliance on management science methods introduced a fundamental shift in measuring care for commissioning. Evaluation A number of key reports are discussed in relation to NHS market reforms and management science. Key issues NHS market reforms were influenced through a close alliance between policy makers, the department of health, free market think tanks and management consultancies. The timing of reforms coincided with reports on NHS failings and the evolution of measurement methods to focus on finance. Conclusions The balance in favour of measurement practises is of concern. Management science methods are criticised in the Francis Report yet promoted as the solution to some of the key findings; why may be explained by the close alliance. Implications for Nursing Management A return to principles of management involving consensus, trust and involvement to promote quality care and use management science methods to this end.

Healthcare organisations and nurse leaders have an important role in promoting patients' right to vote, through the development of policy guidelines, integrated networking and innovative practice. Patients' mental capacity to vote is usually assessed by nurses, who must therefore be aware of clients' voting rights and if the right resources are in place to help them do so. Patients' rights, as citizens, are recognised in law and in professional guidelines, but more needs to be done to protect their voting rights. There should also be better access to transport and family support, and more flexible electoral procedures. This article reviews the literature on promoting patients' participation in local and general elections and suggests that their voting rights should be endorsed by organisations and nurse leaders through policy guidelines and a flexible and proactive nursing approach to participation.

In the short months following the result of the UK 2010 General election, a new Government White Paper has been released entitled: Equity and Excellence: Liberating the NHS (Department of Health (DH), 2010a). It strives to distance itself from previous health-care proposals (DH, 2009), yet if the initiatives of this latest paper are combined against previous initiatives, also using high impact declarative terms, such as competition and choice, it is clear that little has changed and more important principles than saving money are at risk.