Discursive Review Research Articles

Serious Games in EDI Education: A Preliminary Discursive Literature

In Higher Education Institutions Equality, Diversity, and Inclusion (EDI) training sometimes has great variability and may lack sensitivity. As a result, the process often lacks depth and does not provide the ability to make mistakes in a more risk free/simulated practice environment in a simulated practice way. EDI can often encompass and touch on rather uncomfortable subjects that people would much prefer to avoid such as racism, discrimination, sexuality, religion, disabilities, marginalisation, lack of representation, unconscious bias and micro-aggressions, professional dilemmas, and ambivalence. People tend to avoid having difficult conversations and asking questions to enhance understanding. Serious games can offer a vehicle to explore some of these issues in a simulated, risk free, immersive environment with no real world consequences. They are a legitimate academic discipline used in a number of diverse fields such as business, mathematics, and soft skills. This paper will perform a preliminary discursive review of the use of games-based learning and serious games in EDI education and associated terms to produce valuable empirical evidence. The study will review developmental, evaluation and development frameworks for developing serious games for potentially difficult contexts in line with EDI i.e. resistance, ambivalence, and challenging confrontational discussions.

A Discursive Review of Intellectual Capital versus Organizational Development and Organizational Design

A Discursive Review of Intellectual Capital versus Organizational Development and Organizational Design

Continuous glucose monitoring for black older adults with type 2 diabetes mellitus: Challenges, innovations and implications: A discursive review.

To conduct a discursive review on continuous glucose monitoring use among Black older adults and to address the issue of racial disparities in diabetes management and outcomes. Type 2 diabetes mellitus is a global health concern with significant complications and mortality rates. Black older adults are disproportionately affected. Initially designed for type 1 diabetes, continuous glucose monitoring has emerged as an innovative tool for type 2 diabetes mellitus management. Despite its potential, there are challenges related to adherence and digital literacy among Black older adults for managing Diabetes. A discursive review. Searching literature in PubMed, Scopus, and Google Scholar for papers published from 2017 to 2023, we explored the use of continuous glucose monitoring in Black older adults with type 2 diabetes mellitus, examining barriers, facilitators and challenges. We highlight recommendations from the literature which included barriers, facilitators, and cultural factors associated with continuous glucose monitoring use. Findings underscore the importance of addressing these challenges to reduce racial-ethnic disparities in type 2 diabetes mellitus management among Black older adults. Nurses and advanced practice registered nurses are at the forefront and can play a pivotal role in exploring and implementing interventions to promote access and proper use of continuous glucose monitoring among Black older adult patients with type 2 diabetes mellitus.

What is nursing in advanced nursing practice? Applying theories and models to advanced nursing practice-A discursive review.

This article appraises models and theories related to advanced nursing practice. It argues that while the role of the advanced nurse practitioner builds on and extends beyond traditional nursing, it remains firmly grounded in 'caring'. The stereotype that nurses 'care' and doctors 'cure' is fading. Increasingly, nurses have crossed boundaries and conducted independent assessment, diagnosis, prescribing and consultation, which used to be the doctor's role. Confusion and argument have arisen due to the higher-level practice of the advanced nurse practitioner, as many questions where these 'doctor nurses' stand. A literature review. Databases, including CINAHL, Medline and Google Scholar, were searched. Databases were searched, and relevant studies and review articles from 1970 to 2023 were identified using the following keywords: 'advanced nurse practitioner', 'nurse practitioner', 'advanced nursing', 'advance practice', 'nurse practitioner', 'nursing theory' and 'nursing model'. Although advanced nurse practitioners identify themselves as nurses, there is limited use of nursing theory to conceptualize this new level of practice and to define their contribution to the multi-disciplinary team. It is noted that a holistic approach to personalized patient care, based on therapeutic relationships and effective communication, may help us identify the unique contribution of the advanced nurse practitioner. The development of advanced nursing theory needs to capture this holistic approach and its caring element to recognize the value and strengthen the identity allegiance of this hybrid role. Holistic approach and patient-centred care, effective communication and the therapeutic relationship are strong characteristics relating to ANP practice, the latter of which is yet to be clearly defined and captured in nursing theories. Conceptualizing ANP practice and capturing their valuable nursing care will enable better understanding and clarity for the role to realize its full potential.

Tribalism: A Thorny Concern in Nigerian Politics–A Discursive Review and Appraisal

This paper conducts a review and appraisal of discourse surrounding tribalism, which is deeply entrenched in Nigerian politics at different levels of government as the polity of the country has often experienced significant tension along tribal/ethnic lines. Using digital media data, with specific focus on discourses produced during the 2023 general elections in the country, this study reviews and analyses the discourse of tribalism in Nigerian political communication. In an election heavily contested by the All Progressives Congress (APC), the People’s Democratic Party (PDP), and the Labour Party (LP), with candidates representing three major ethnic groups in Nigeria involving Yoruba, Hausa, and Igbo respectively, the entrenched nature of the tribalism mindset in the country was fully exposed. Although tribalism in Nigerian politics has been in existence for a long time, it was only recently witnessed on a large scale on social media given that it is the first time that three popular presidential candidates have emerged from the country’s three most popular ethnic groups. Through a multimodal discourse analysis, the study reveals instances of tribalist discourse in the country vis-à-vis the social context and implications for the democracy, national cohesion, and the development of the country.

A Discursive Review of Recent Development and Patents on Glycerosomes.

To achieve a target-based drug delivery with minimal side effects, novel drug delivery systems are being continuously explored. Vesicular systems are one such system that can ameliorate the bioavailability of the encapsulated drug by delivering the drug at the targeted site and can minimize the side effect. The objective of this patent review is to provide a vivid description of glycerosomes and their applications. Glycerosomes are sphere-shaped versatile vesicles consisting of one or more phospholipid bilayers similar to liposomes but contain a high concentration of glycerol, which modifies the liposome bilayer fluidity. Glycerosomes can encapsulate both hydrophobic and hydrophilic drugs, which makes them the promising vehicle in the field of drug delivery. Most of the glycerosome formulations prepared were targeted for topical delivery and in particular, a cutaneous route where they have shown promising results. These vesicles are biocompatible and due to the high glycerol concentration, they have improved spreadability and penetrability. It is therefore imperative to explore the other topical routes such as ocular, vaginal, nasal, and rectal for delivery of drugs.

All inside our heads? A critical discursive review of unconscious bias training in the sciences

AbstractIn response to persistent systemic gendered and racial exclusions in the sciences, unconscious or implicit bias training is now widely established as an organizational intervention in Higher Education (HE). Recent systematic reviews have considered the efficacy of unconscious bias training (UBT) but not the wider characteristics and effects of the interventions themselves. Guided by feminist scholarship in critical psychology and post‐structuralist discourse theory, this article critically examines UBT across STEMM and in HE institutions with a discursive analysis of published studies. Drawn from systematic searches in 4 databases, we identify three types of UBT reported in 22 studies with considerable variation in intervention types, target groups, and evaluation methods. Guided by limited cognitive problematizations of unconscious bias as a problem located inside individual minds, interventions follow established patterns in neoliberal governmentality and make available specific feeling rules and subject positions. These current Equality, Diversity & Inclusion practices present a new technology of power through which organizations may regulate affect and behavior but leave structural inequalities and barriers to inclusion intact.

Addressing hypertension among Haitian adults with insufficient access to quality healthcare: A discursive review.

The purpose of this article is to summarize research targeting hypertension and healthcare access among adults living in rural Haiti. Hypertension is a significant public health problem that impacts one in five persons globally. It is the leading cause of cardiovascular-related conditions such as stroke and myocardial infarction and accounts for most global non-communicable disease-related deaths. Limited healthcare access and social determinants of health are known contributors to poor health outcomes among persons with hypertension. Among Haitians, there are stark health disparities between those who live in urban versus rural areas. A discursive review. Several issues are identified as barriers to proper hypertension prevention and management. However, after examining the effective interventions, we found that social determinants of health such as transportation costs, lack of field care facilities close to patients, roadway conditions, political disturbance, and ineffective leadership and policies are major barriers to controlling hypertension in Haiti. Although Haiti has received help from international organizations, strengthening its internal infrastructure is paramount in improving healthcare access. The review concludes that Haitians living in rural parts of Haiti are less likely to receive healthcare to manage non-communicable diseases such as hypertension. Similar to other developing countries, a heightened awareness is needed to address the lack of healthcare access for those living in rural communities. Nurses and other healthcare professionals working with populations in Haiti should become aware of the barriers and facilitators that promote sufficient healthcare access. To achieve this goal, nurses must understand the social determinants and other factors that serve as barriers for achieving access to quality care for this vulnerable population. There was no patient or public involvement in the design or drafting of this discursive paper.

Literatures in English in a Microcosm: A Discursive Review of Works by Pakistani-English Writers

Literatures in English in a Microcosm: A Discursive Review of Works by Pakistani-English Writers

The Role of Exercise Training in Delaying Kidney Function Decline in Non-Dialysis-Dependent Chronic Kidney Disease

Chronic Kidney Disease (CKD) is a progressive condition characterised by declining eGFR and associated, particularly in advanced stages, with increased morbidity and cardiovascular mortality. Current treatment options for delaying disease progression are limited to a small number of pharmacological agents. Considering that rates of kidney function decline are greater in patients with lower levels of habitual physical activity, there is interest in the potential benefits of structured exercise training in delaying CKD progression. This discursive review summarises the current state-of-play in this field of research by critically analysing the published systematic reviews of randomised controlled trials of structured exercise training in the non-dialysis CKD population. Several issues are highlighted that hamper definite conclusions as to the therapeutic effectiveness of exercise training for this purpose. However, following an overview of the pathophysiology and risk factors for kidney function decline, several potential mechanisms explaining how exercise training may benefit CKD progression are offered. Finally, suggestions for future research in this area are made. The review concludes that there is a need for further research on the effectiveness of exercise before it can be recommended as part of routine care for the purpose of delaying CKD progression. Exercise can be recommended, however, to individual patients because of a potential benefit to kidney function, and definite benefits to other outcomes such as quality of life, with no apparent evidence of harm.

SEL Concept: A discursive review on texts describing social and emotional learning skills.

SEL Concept: A discursive review on texts describing social and emotional learning skills.

Treating the most vulnerable: A discursive review of experimental pain in Alzheimer's disease.

AimThe purpose of this manuscript is to summarize research on how experimental pain is experienced by adults with Alzheimer's disease (AD) and to translate results into implications for nurses.DesignThis discursive review synthesizes the results of three previous research studies exploring experimental pain in adults with AD.MethodsUsing a series of fictional clinical vignettes, the authors discuss how the results from three previous papers using acute experimental pain can potentially be translated into clinical practice. The authors also introduce the reader to the concept of research‐related psychophysics using introductory definitions and concepts with the impetus to encourage other nurses to consider this research methodology.ResultsPain characteristics in AD that differ from cognitively intact controls must be explored to properly address pain in this population. Nurses are well positioned to address these issues in order to provide a high quality of care to adults with AD.

Approaches for establishing and sustaining clinical academic partnerships: A discursive review.

To discuss the need for a formalised structure that bridges the clinical and academic realms with concrete recommendations for programme development. In the rapidly changing landscape of health care, nurses are challenged with the responsibility to engage in evidence-based practice, quality improvement and research projects. Clinical and academic partnerships play a vital role in fostering collaboration, mentorship and resources. Discursive paper. Searching international literature published between 2010-2020 in PubMed, CINAHL and Google Scholar, we explored the benefits, barriers and facilitators of clinical academic partnerships from the available evidence and professional perspectives from both sides of a clinical/academic collaboration. Evidence-based literature supports the establishment of partnerships schools of nursing and clinical institutions to improve patient outcomes and experiences and provide additional resources for improved research and practice capacity between both entities. Barriers to establishing clinical academic partnerships included lack of time, lack of formal collaborations and knowledge deficits. Facilitators included visible leadership endorsement, mentoring and modelling a culture of inquiry. The establishment of formalised clinical academic partnerships can be used to develop continuing education programmes, promote engagement in nursing inquiry, fill in knowledge gaps in practice and improve available resources and patient outcomes. There is a great need for capacity building in hospitals, superficially, those with a mission to address the research-practice gap, promote nursing excellence and improve patient outcomes. Nurse leaders play an instrumental role in establishing sustainable clinical academic partnerships that create shared resources, resulting in mutual benefit, and influences a much-needed shift in organisational culture and infrastructure.

КОГНИТИВНЫЙ ПОТЕНЦИАЛ SMART-ТЕХНОЛОГИЙ КАК АНГЛОЯЗЫЧНОЙ ДИСКУРСИВНОЙ ПРАКТИКИ

The article deals with the main terminological nominations of modern technologies, which play an essential role in the transition from traditional to smart / intelligent education. The identity of the conceptual cognitive and discursive paradigm of smart technologies is given. The discursive practices of smart education in training discourse are presented. The purpose of the study is to show a cognitive and discursive review of terminological nominations that represent digital technologies used to develop smart / intelligent education and, accordingly, Technology-enhanced learning (TEL). The scientific methodology includes the search, study, and cognitive and discursive analysis of the benefits of new intelligent paradigms that are used in the development and deployment of intelligent educational systems in high schools. The relationship between information and communication technologies (ICT) and smart technologies, which act as a generic term for any activity on the Web, using digital devices, cloud storage, and various digital products, is shown. The article justifies the issues of digitalization of higher education where the discursive practices are identified as the solution to these issues.

A Green New Deal: Discursive Review and Appraisal

The notion of a Green New Deal as an ecology-centered economic stimulus program has garnered increasing political capital in recent years, particularly in OECD countries. However, resistance by political detractors has muddled the discourse under the accusation that it is a ‘far-fetched’ or ‘unworkable’ idea. This discussion paper seeks to review the extant literature on the Green New Deal, and its appraisal indicates that much theoretical and empirical basis already exists for such a proposal to be implemented. The review thereby corroborates the base case for implementing such ecological-economic stimulus programs.

The racialization of immigrants in Canada – a historical investigation how race still matters

PurposeThis paper aims to investigate the discursive ways in which racialization affects the integration process of immigrants in present-day Canada. By drawing on a historical analysis, this paper shows how race continues to be impacted by colonial principles implemented throughout the colonization process and during the formation stages of Canada as a nation. This paper contributes to management and organizational studies by shedding light on the taken-for-granted nature of discursive practices in organizations through problematizing contemporary societal and political engagements with “race”.Design/methodology/approachThis paper draws on critical diversity studies as theoretical framework to problematize a one-dimensional approach to race and diversity. Further, it applies the Foucauldian historical method (Foucault, 1981) to trace the construction of “race” over time and to show its impact on present-day discursive practices.FindingsThrough a discursive review of Canada’s past, this paper shows how seemingly non-discriminatory race-related concepts and policies such as “visible minority” contribute to the marginalization of non-white individuals, racializing them. Multiculturalism and neoliberal globalization are identified as further mechanisms in such a racialization process.Originality/valueThis paper illustrates the importance of a historical contextualization to shed light on present workplace discrimination and challenges unproblematic approaches to workplace diversity.

The quandaries of social entrepreneurship studies – a discursive review of the discipline

The aim of this paper is to investigate the ways in which social entrepreneurship knowledge is both propelled and hindered by the socioeconomic circumstances. We examine the existing body of research and identify different conceptualizations and main schools of thought. We then demonstrate how the process of constructing academic representation is shaped by the prevalent public discourses. Our analysis leads to the differentiation between social entrepreneurship as mitigation and social entrepreneurship as transformation. We conclude that a better alignment of the two approaches – broadening research focus from outcome to process – would reveal their complementarity and contribute to the conceptual advancement of the discipline. We propose expanding the existing approaches with the politics of social entrepreneurship studies and stress the importance of increased reflexivity on the plight of the new discipline.

The “Ofcourseness” of Functional Literacy: Ideologies in Adult Literacy

We used metastudy and metasynthesis techniques to conduct a discursive review of 101 recent publications on the topic of adult functional literacy (FL). Our purpose was to understand the ideologies shaping current definitions and conceptualizations of FL, as well as how and why FL is researched and assessed as it is. Using discursive review techniques, we analyzed instances of legitimation, dissimulation, reification, and “ofcourseness” to explore the ideological underpinnings of the field. Close analysis of three passages related to theory, research, and assessment illustrates ideological patterns in what “counts” as FL. These patterns are grounded in ideological divisions between cognitive and sociocultural perspectives on FL—the effects of which we traced through our findings on what “counts” as FL, the logics of inquiry that undergird the field, and the ways in which these ideologies shape adult literacy assessment. Our discussion considers the larger implications of these ideologies: What is legitimated or reified, and what is ignored, dismissed, or subsumed, by these ways of conceptualizing FL? We offer future directions and raise important questions that arise from these conclusions.

Mental healthcare staff well-being and burnout: Anarrative review of trends, causes, implications, and recommendations for future interventions.

Rising levels of burnout and poor well-being in healthcare staff are an international concern for health systems. The need to improve well-being and reduce burnout has long been acknowledged, but few interventions target mental healthcare staff, and minimal improvements have been seen in services. This review aimed to examine the problem of burnout and well-being in mental healthcare staff and to present recommendations for future research and interventions. A discursive review was undertaken examining trends, causes, implications, and interventions in burnout and well-being in healthcare staff working in mental health services. Data were drawn from national surveys, reports, and peer-reviewed journal articles. These show that staff in mental healthcare report poorer well-being than staff in other healthcare sectors. Poorer well-being and higher burnout are associated with poorer quality and safety of patient care, higher absenteeism, and higher turnover rates. Interventions are effective, but effect sizes are small. The review concludes that grounding interventions in the research literature, emphasizing the positive aspects of interventions to staff, building stronger links between healthcare organizations and universities, and designing interventions targeting burnout and improved patient care together may improve the effectiveness and uptake of interventions by staff.

Sustained biologic-free and drug-free remission in rheumatoid arthritis, where are we now?

The advent of new medications and new treatment strategies for rheumatoid arthritis has made it possible to achieve remission in more patients than before. Furthermore, recent clinical trials and register studies suggest that some patients who initially required aggressive therapy may achieve biologic-free remission or even the ultimate goal of therapy, drug-free remission, resembling recovery. Here, we present a discursive review of the most important studies addressing these issues. Based on the overall results, it remains unclear if achieving biologic-free and drug-free remissions are primarily due to the natural course of the disease or to the early therapeutic intervention according to the ‘window of opportunity’ hypothesis. Although medication-free remission is only achievable in a small subset of patients, characterizing this patient cohort may provide important information about beneficial prognostic factors and the underlying mechanisms. In summary, in a subset of patients biologic-free and even drug-free remission can be achieved; pursuing these possibilities in practice may decrease the risk for long-term side effects and attenuate the economic burden of the disease.