Support Package Research Articles

Scaling up an intervention to protect preterm infants from neurodevelopmental disabilities — findings from a qualitative process evaluation comparing standard with enhanced quality improvement support packages for maternity units in England

BackgroundA quality improvement strategy (PReCePT) was used in a standard and enhanced format to scale up a clinical intervention (administering magnesium sulphate to women in preterm labour) across all maternity units in England to protect prematurely born infants from neurodevelopmental disabilities. Formal evaluations reported the effectiveness of the standard package alone in increasing the administration of magnesium sulphate. In this paper, we focus on the findings of the process evaluations, using normalisation process theory to explain how different implementation contexts generated the observed outcomes relating to normative and relational restructuring and sustainment.MethodsInterviews were conducted with key individuals in implementation of leadership positions nationally and locally. Interviews were analysed initially using the framework method. We then engaged recursively with NPT constructs to generate generalisable insights with pragmatic applicability in other settings.ResultsIn total, 72 interviews were conducted with good representation from units across England and staff from the National Academic Health Science Network. We found that all units irrespective of whether they received a standard or enhanced QI package were successful in the ‘normative restructuring’ of their setting to enable magnesium sulphate to be administered. This suggests that this implementation outcome is necessary to achieve improvements. However, it may not be sufficient to sustain the changes once additional resources have been withdrawn. Sustainment, our findings suggest, required ‘relational restructuring’ to accommodate altered workflows and facilitate the sharing of responsibilities and tasks in daily practice. Relational restructuring was more likely to have been achieved units receiving enhanced QI support but also happened in units with standard QI support, especially in those where perinatal team working was already well established.ConclusionUnlike other large QI-focused spread-and-scale programmes which failed to show any impact on outcomes, the PReCePT programme in both the enhanced and standard support packages led to improvements in the uptake of magnesium sulphate. The findings suggest that QI programmes interact with the enabling factors, such as strong interprofessional team working, already present in the setting. A standard package with minimal support was therefore sufficient in settings with enabling factors, but enhanced support was required in units where these were absent.

Nursing home infection control strategies during the COVID-19 pandemic.

The American Rescue Plan Act of 2021 awarded $500 million toward scaling "strike teams" to mitigate the impact of Coronavirus Disease 2019 (COVID-19) within nursing homes. The Massachusetts Nursing Facility Accountability and Support Package (NFASP) piloted one such model during the first weeks of the pandemic, providing nursing homes financial, administrative, and educational support. For a subset of nursing homes deemed high-risk, the state offered supplemental, in-person technical infection control support. Using state death certificate data and federal nursing home occupancy data, we examined longitudinal all-cause mortality per 100,000 residents and changes in occupancy across NFASP participants and subgroups that varied in their receipt of the supplemental intervention. Nursing home mortality peaked in the weeks preceding the NFASP, with a steeper increase among those receiving the supplemental intervention. There were contemporaneous declines in weekly occupancy. The potential for temporal confounding and differential selection across NFASP subgroups precluded estimation of causal effects of the intervention on mortality. We offer policy and design suggestions for future strike team iterations that could inform the allocation of state and federal funding. We recommend expanded data collection infrastructure and, ideally, randomized assignment to intervention subgroups to support causal inference as strike team models are scaled under the direction of state and federal agencies.

Facilitators and barriers to engaging with the DREAMS initiative among young women who sell sex aged 18–24 in Zimbabwe: a qualitative study

BackgroundAdolescent girls and young women (AGYW) are at high risk of contracting HIV and exchanging sex for financial or material support heightens their risk. In Zimbabwe, the DREAMS initiative integrated education and employment opportunities within HIV health promotion and clinical services for vulnerable young women, including those who sell sex. While most participants accessed health services, fewer than 10% participated in any social programmes.MethodsWe conducted semi-structured qualitative interviews with 43 young women aged 18–24 to understand their experiences of engaging with the DREAMS programme. We purposively sampled participants for diversity in level of education, type and location of selling sex. We analysed the data by applying the Theoretical Domains Framework to explore facilitators and barriers to engaging with DREAMS.ResultsEligible women were motivated by hopes of escaping poverty, and their longer-term engagement was sustained through exposure to new social networks, including friendships with less vulnerable peers. Barriers included opportunity costs and expenses such as transport or equipment required for job placements. Participants also described pervasive stigma and discrimination related to their involvement in selling sex. Interviews highlighted the young women’s struggles in a context of entrenched social and material deprivation and structural discrimination that hindered their ability to take up most of the social services offered.ConclusionsThis study demonstrates that while poverty was a key driver of participation in an integrated package of support, it also constrained the ability of highly vulnerable young women to benefit fully from the DREAMS initiative. Multi-layered HIV prevention approaches such as DREAMS that seek to alter complex and longstanding social and economic deprivation address many of the challenges faced by YWSS but will only succeed if the underlying drivers of HIV risk among YWSS are also addressed.

Implementation of Automatic DSP Code Generation Based on Closed-loop Algorithm for Three-level Inverters

Wind energy has the advantages of wide distribution, renewable, and non-polluting, so it is receiving more and more attention from more and more countries. As more and more wind power systems are integrated into the grid, it has an impact on the stability of the grid. To keep the power system stable, there is an urgent need for a grid simulator that can simulate various behaviors of the grid and test the reliability of the wind turbine before grid integration. Inverters, especially multilevel inverters, as the core part of the grid simulator, have been widely studied by scholars in recent years. However, compared to conventional inverters, multilevel inverters are characterized by high code development effort, great difficulty, and a long development period. In this paper, we adopt an automatic DSP code generation method with MATLAB hardware support package and give a complete system design method and development flow based on MATLAB and TMSF28335 automatic code generation. Finally, we take the closed-loop three-level MMC inverter as an example, propose an equalization algorithm suitable for automatic code generation for the capacitor-voltage balancing part, and verify the feasibility of the DSP automatic code generation in a multilevel inverter development. The feasibility of DSP automatic code generation in the development of a multilevel inverter is verified. The experimental results show that the proposed equalization algorithm with variable reference coefficient and DSP automatic code generation method can be used in the development of a multilevel inverter, which can improve development efficiency and reduce development costs.

Investment in new coal-fired power plants after the COVID-19 pandemic: experts expect 170–270 GW of new coal

To avoid dangerous climate change, the global community has committed to phasing down coal at COP26 in Glasgow. Since policies and pledges currently implemented in the power sector are not sufficient to meet mitigation targets, countries are expected to increase their ambition over time within the UNFCCC process. Furthermore, some countries are bilaterally negotiating support packages to speed up the phase-out of coal through ‘Just Energy Transition Partnerships’. Yet, to assess those ratcheting up efforts an understanding of the current baseline is pivotal. Here, we quantify the probability that currently planned coal plants will be built, based on an in-depth expert elicitation consisting of interviews with 29 experts from ten countries. We analyze the most important factors influencing the realization of the coal pipeline, isolate the effect of the COVID-19 pandemic, and compare the experts’ forecasts with mitigation pathways scenarios. We find that globally 170 GW–270 GW of new coal-fired power plants are likely to be built in the upcoming years. Future negotiations for joint partnerships can use the results of this elicitation as a baseline to determine ambitious coal phase-out plans.

Economic Activity, Fiscal Space and Types of COVID-19 Containment Measures.

This paper argues that the type of COVID-19 containment measures affects the trade-offs between infection cases, economic activity and sovereign risk. Using local projection methods and a year and a half of high-frequency daily data covering 44 advanced and emerging economies, we find that smart (e.g. testing) as opposed to physical (e.g. lockdown) measures appear to be best placed to tackle these trade-offs. Initial conditions also matter whereby containment measures can be less disruptive when public health response time is fast and public debt is low. We also construct a database of daily fiscal announcements for Euro area countries, and find that sovereign risk is improved under a combination of large support packages and smart measures.

Nuclear Deterrence and A Prospective Assessment of the Russian-Ukrainian War

Nuclear weapons, which people first became acquainted with in history with the attack on Hiroshima and Nagasaki by the United States of America towards the end of the Second World War, have been a deterrent tool, especially with this painful experience in which 220,000 civilians lost their lives, and have been used for this purpose when needed by those countries who possess them. Nuclear deterrence was most intensely used as a deterrent tool, especially during the Cold War and between the two great superpowers of the time, the Soviet Union and the United States.
 With the developments after Russia intervened in Ukraine in February 2022 and the wide support packages provided by Western countries to Ukraine, the President Vladimir Putin stated that the use of nuclear weapons is now among the options. In this study, firstly, concepts such as nuclear strategy, nuclear weapons, nuclear power, and nuclear deterrence will be discussed in the context of the conceptual framework; by following that, a prospective evaluation of the Russia-Ukraine war will be made in the context of nuclear deterrence.

Assessment of Perceived Social support of Caregivers of patients with Stroke

Stroke is one of the leading causes of mortality and morbidity worldwide. This study has been conducted to assess the perceived social support of caregivers of patients with stroke. The objectives of the study were to assess the perceived social support of caregivers of patients with stroke, associate the selected demographic variables with perceived social support of caregivers of patients with stroke and to design a social support package for caregivers of patients with stroke. Quantitative research approach, descriptive research design was used for the study. Hundred samples were selected by convenience sampling technique. Perceived social support of caregivers was done by using perceived social support scale. The collected data were analysed by using descriptive and inferential statistics. The results of the study showed that 14% of caregivers had very low perceived social support, 75% had low perceived social support and 11% had medium support. The perceived social support was assessed under the main four areas like physical, emotional, financial and informational support. While considering the physical aspect 39% of caregivers had very low physical support, 36% had low physical support 14% had medium support and 11% had high physical support. With respect to the emotional support 12% had very low support, 73% had low support and 15% had medium support. With regard to the financial support 50% had very low, 36% had low and 14% had medium support. Among the caregivers 15% had very low, 33% had low, 13% had medium and only 1% had high support in informational aspects. Thus, it can be concluded that the majority of the caregivers of patients with stroke were getting low social support.

Heterogeneous effects of energy consumption structure on ecological footprint.

Attention to environmental sustainability has increased among nations, especially after the Paris Agreement and COP26 of 2021. Considering that fossil fuel consumption is one of the main factors causing environmental degradation, altering the energy consumption patterns of nations toward clean energy can be a suitable solution. For this purpose, this study investigates the impact of energy consumption structure (ECS) on the ecological footprint from 1990 to 2017. This research includes three steps: First, the energy consumption structure is calculated using the Shannon-Wiener index. Second, from 64 countries with middle- and high-income levels, the club convergence method is used to identify countries with similar patterns in an ecological footprint over time. Third, using the method of moments quantile regression (MM-QR), we examined the effects of ECS in different quantiles. The results of club convergence show that the two groups of countries with 23 and 29 members have similar behavior over time. The results of the MM-QR model show that for club 1, the energy consumption structure in quantiles of 10th, 25th, and 50th has positive effects on the ecological footprint, while in 75th and 90th are negative. The results of club 2 indicate that the energy consumption structure has positive effects on the ecological footprint in quantiles 10th and 25th, but negative effects on 75th. Also, the results show that GDP, energy consumption, and population in both clubs have positive effects, and trade openness has negative effects on ecological footprint. Considering that the results indicate that changing the structure of energy consumption from fossil fuels to clean energies improves the environmental quality, so governments should use incentive policies and support packages for the development of clean energy and reduce the costs of installing renewable energy.

Factors associated with common mental disorders among breastfeeding mothers in tertiary hospital nurseries in Nigeria.

Several studies have shown that the impact of maternal mental health disorders on newborns' well-being in low and middle-income countries (LMIC) are underreported, multi-dimensional and varies over time and differs from what is reported in high-income countries. We present the prevalence and risk factors associated with common mental disorders (CMDs) among breastfeeding mothers whose infants were admitted to Nigerian tertiary care facilities. This was a national cross-sectional study involving mothers of hospitalised babies from eleven Nigerian tertiary hospitals. We used the WHO self-reporting Questionnaire 20 and an adapted WHO/UNICEF ten-step breastfeeding support package to assess mothers' mental health and breastfeeding support. Only 895 of the 1,120 mothers recruited from eleven tertiary healthcare nurseries in six geopolitical zones of Nigeria had complete datasets for analysis. The participants' mean age was 29.9 ± 6.2 years. One in four had CMDs; 24.0% (95% CI: 21.235, 26.937%). The ages of mothers, parity, gestational age at delivery, and length of hospital stay were comparable between mothers with and those without CMDs. Antenatal care at primary healthcare facilities (adjusted odds ratio [aOR:13], primary education [aOR:3.255] living in the south-southern region of the country [aOR 2.207], poor breastfeeding support [aOR:1.467], polygamous family settings [aOR:2.182], and a previous history of mental health disorders [aOR:4.684] were significantly associated with CMDs. In contrast, those from the middle and lower socioeconomic classes were less likely to develop CMDs, with [aOR:0.532] and [aOR:0.493], respectively. In Nigeria, the prevalence of CMDs is relatively high among breastfeeding mothers with infants admitted to a tertiary care facility. Prior history of mental illness, polygamous households, mothers living in the southern region and low or no educational attainment have a greater risk of developing CMDs. This study provides evidence for assessing and tailoring interventions to CMDs among breastfeeding mothers in neonatal nurseries in LMIC.

Maximum Power Point Tracking for Solar Photovoltaic System Based on Interval Type-3 Fuzzy Logic: Practical Validation

Maximum power point tracking (MPPT) is a technique that allows photovoltaic (PV) arrays to operate at or near their maximum power point (MPP) under all weather conditions. Fuzzy logic controller (FLC) is the most popular method to monitor the MPPT, such as Type-1 fuzzy logic (T1FL), Type-2 fuzzy logic (T2FL), and Type-3 fuzzy logic (T3FL) controllers. This article proposes a new T3FL algorithm that improves tracking efficiency and tracking speed because it is better equipped to deal with uncertainty arising from disturbances. The proposed system consists of a PV module, a DC-DC buck converter controlled by the MPPT algorithm, a resistive load, and a battery. The PV solar panel is directly connected to the DC-DC buck converter, which operates based on the proposed controller’s output pulse width to ensure that the PV system works at MPP. The T3FL algorithm has the advantage of extracting the maximum power from the PV panel while preventing battery damage caused by variable MPPT voltage and thus extending battery lifetime. The maximum power and voltage of T3FL are compared with the existing T1FL and T2FL of battery and ohmic load. The MPPT performance of the proposed different algorithms was applied to a PV module and a DC-DC buck converter to be evaluated via simulation studies and experimental studies. MATLAB/Simulink is used to implement different algorithms. Several weather conditions are simulated: (i) uniform irradiation, (ii) sudden changing, and (iii) partial shading. A real-time implementation of the three MPPT algorithms by using Arduino Uno and spatial Simulink package known as the “support package for Arduino hardware”. Finally, the simulation and experimental results demonstrate that the T3FL controller of an ohmic load provides accurate maximum power, high levels of stability, and robust performance against uncertainties arising from disturbances to the PV system’s inputs

Food Security Challenges in Europe in the Context of the Prolonged Russian–Ukrainian Conflict

The ongoing conflict between Russia and Ukraine, two major agricultural powers, has numerous severe socio-economic consequences that are presently being felt worldwide and that are undermining the functioning of the global food system. The war has also had a profound impact on the European food system. Accordingly, this paper examines the implications of the ongoing conflict on food security pillars (viz. availability, access, use, stability) in European countries and considers potential strategies for addressing and mitigating these effects. The paper highlights that the food supply in Europe does not seem to be jeopardized since most European countries are generally self-sufficient in many products. Nonetheless, the conflict might impact food access and production costs. Indeed, the European agricultural industry is a net importer of several commodities, such as inputs and animal feed. This vulnerability, combined with the high costs of inputs such as fertilizers and energy, creates production difficulties for farmers and threatens to drive up food prices, affecting food affordability and access. Higher input prices increase production costs and, ultimately, inflation. This may affect food security and increase (food) poverty. The paper concludes that increasing food aid, ensuring a stable fertilizer supply, imposing an energy price cap, initiating a farmer support package, switching to renewable energy sources for cultivation, changing individual food behaviors, lifting trade restrictions, and political stability can safeguard food security pillars and strengthen the resilience of the European food system.

“It’s the discharge and what comes after that” – a phenomenological analysis of peer support workers’ lived experiences of transitioning from psychiatric care

PurposeTransition from inpatient mental health care to community living can be very difficult, as people are at an increased risk of suicide, self-harm and ultimately readmission into hospital. There is little research conducted exploring peer support workers’ (PSWs) lived experiences that could provide insight into the key transitions of care, particularly the support required after discharge from inpatient mental health care. The purpose of this paper is thus to provide a particular insight into what it feels like being discharged from psychiatric care from a PSW’s perspective, how may support be improved post-discharge and what factors might impact the potential for readmission into inpatient care.Design/methodology/approachA qualitative, phenomenological approach was adopted to explore and describe PSWs’ lived experiences of transitioning from psychiatric care. Four PSWs who were employed by a UK secure mental health facility were recruited. PSW is a non-clinical role with their main duty to support patients, and they were considered for this type of the study for their experience in negotiating the discharge process to better carry out their job as a PSW.FindingsAfter being discharged from psychiatric care, PSWs experienced issues that had either a negative impact on their mental wellbeing or even resulted in their readmission back into inpatient psychiatric care. This study identified three inter-related recurrent themes – continuity of support, having options and realisation, all concerning difficulties in adjusting to independent community life following discharge. The findings of the study highlighted the importance of ensuring that service users should be actively involved in their discharge planning, and the use of effective post-discharge planning processes should be used as a crucial step to avoid readmission.Research limitations/implicationsA deeper insight into the factors that impact on readmission to secure care is needed. The active involvement of service users in effective pre- and post-discharge planning is crucial to avoid readmission.Practical implicationsMental health professionals should consider developing more effective discharge interventions in collaboration with service users; inpatient services should consider creating more effective post-discharge information care and support packages. Their lived experience empowers PSWs to play a key role in guiding patients in the discharge process.Originality/valueThis is the first study, to the best of the authors’ knowledge, to explore what it feels like being discharged from inpatient mental health care by interviewing PSWs employed at a forensic mental health hospital by adopting a phenomenological approach. This paper offers a deeper insight into the transition process and explores in detail what support is needed post discharge to avoid potential readmission from PSWs’ perspectives.

Initial impacts of the COVID-19 pandemic on Australian fisheries production, research organisations and assessment: shocks, responses and implications for decision support and resilience

Australia’s fisheries have experience in responding individually to specific shocks to stock levels (for example, marine heatwaves, floods) and markets (for example, global financial crisis, food safety access barriers). The COVID-19 pandemic was, however, novel in triggering a series of systemic shocks and disruptions to the activities and operating conditions for all Australia’s commercial fisheries sectors including those of the research agencies that provide the information needed for their sustainable management. While these disruptions have a single root cause—the public health impacts and containment responses to the COVID-19 pandemic—their transmission and effects have been varied. We examine both the impacts on Australian fisheries triggered by measures introduced by governments both internationally and domestically in response to the COVID-19 pandemic outbreak, and the countermeasures introduced to support continuity in fisheries and aquaculture production and supply chains. Impacts on fisheries production are identified by comparing annual and monthly catch data for Australia’s commercial fisheries in 2020 with averages for the last 4–5 years. We combine this with a survey of the short-term disruption to and impacts on research organisations engaged in fisheries monitoring and assessment and the adaptive measures they deployed. The dominant impact identified was triggered by containment measures both within Australia and in export receiving countries which led to loss of export markets and domestic dine-in markets for live or fresh seafood. The most heavily impact fisheries included lobster and abalone (exported live) and specific finfishes (exported fresh or sold live domestically), which experienced short-term reductions in both production and price. At the same time, improved prices and demand for seafood sold into domestic retail channels were observed. The impacts observed were both a function of the disruptions due to the COVID-19 pandemic and the countermeasures and support programs introduced by various national and state-level governments across Australia to at least partly mitigate negative impacts on harvesting activities and supply chains. These included protecting fisheries activities from specific restrictive COVID-19 containment measures, pro-actively re-establishing freight links, supporting quota roll-overs, and introducing wage and businesses support packages. Fisheries research organisations were impacted to various degrees, largely determined by the extent to which their field monitoring activities were protected from specific restrictive COVID-19 containment measures by their state-level governments. Responses of these organisations included reducing fisheries dependent and independent data collection as required while developing strategies to continue to provide assessment services, including opportunistic innovations to harvest data from new data sources. Observed short run impacts of the COVID-19 pandemic outbreak has emphasised both the vulnerability of fisheries dependent on export markets, live or fresh markets, and long supply chains and the resilience of fisheries research programs. We suggest that further and more comprehensive analysis over a longer time period of the long-run impacts of subsequent waves of variants, extended pandemic containment measures, autonomous and planned adaptive responses would be beneficial for the development of more effective counter measures for when the next major external shock affects Australian fisheries.

Using Recovery Capital to Predict Retention and Change in Recovery Residences in Virginia, USA

ABSTRACT Interest in recovery capital has been growing and there have been increased attempts to quantify this concept. The current paper uses the REC-CAP, a standardized assessment of recovery capital, to predict retention across multiple recovery residence settings and quantify changes in recovery capital and barriers to recovery over the initial period of residence. The REC-CAP was administered by peer navigators at admission and at 90-day intervals thereafter in recovery residences in Virginia, US. Strong effects predicting retention, changes in barriers and recovery capital growth were reported based on risk-taking and addressing acute housing concerns. The strongest effects predicting retention in recovery residences were for people not using substances and not being Black or African American. Reducing barriers to recovery and to improving recovery capital focused on avoiding ongoing substance use, lack of support needs around accommodation, higher psychological wellbeing and measures associated with social support and quality of life. There is a need to develop a holistic, tailored package of support for people in recovery residents to address these core concerns.

An artificial pancreas system in android phones: A dual app architecture

An Artificial Pancreas (AP) system centered around an Android Smartphone is proposed in this paper. This unique architecture involves two separate but interacting modular Android applications (Apps) that are designed for unique functionalities. Even though an artificial pancreas system is a safety-critical system that demands a complex architecture and careful coding process, owing to their modular nature, these apps could be designed and developed through rapid prototyping processes. The first app (App-A), which runs in the front-end, serves as the user interface and acts as a connection hub for the hardware devices, was developed on the Android studio platform. Necessary communication protocols to enable communication with the hardware devices are incorporated into this app. The second app (App-B), which runs in the back-end, is developed using Simulink’s Android support package. It contains a safety-critical model predictive control algorithm with appropriate constraints to compute the required insulin rate, augmented with a Kalman Filter for estimating the states. There is an additional safety logic as well to prevent insulin over-dosage, thereby augmenting to the cause of a safety-critical control algorithm. The contribution of this work is a modular software framework and prototyping methodology that can be used for rapid development, testing and deployment of Android based AP-systems.

International recruitment of radiographers and the development of a workplace integration support package: Project evaluation

IntroductionIn October 2020, a regional workforce action group was established jointly by Health Education England (HEE) and NHS England and Improvement (NHSEI) in the South West to work collaboratively to address the workforce challenges within diagnostic imaging. Fifty-eight internationally recruited radiographers were offered employment in departments across the region, the majority of them taking up their posts in the UK in early 2021. The aim of the study presented here was to evaluate the efficacy of a training resource developed by Plymouth Marjon University, with input from HEE and NHSEI, to support workplace and cultural integration for the new recruits. MethodsThe training package to help newly recruited radiographers from outside the UK integrate into their host departments was developed using flexible learning opportunities centred on reusable digital learning assets. Self-paced e-learning sessions were augmented by group ‘connected’ sessions online. Two surveys were undertaken, exploring the impact of this workforce integration programme for International radiographers joining the NHS. ResultsSurvey results indicate that the integration programme's three-phase strategy has seen an impact on 6 out of 12 self-efficacy measures, raised awareness of challenges, and increased personal awareness of implications for practice. By the end of the programme, delegates were in the top two quintiles for their average well-being score. ConclusionPrincipal recommendations include ensuring digital accessibility for new recruits as part of the on-boarding process, considering the timing of delivery of any online connected support sessions, the provision of long-term pastoral support; and mandating the training requirement for managers and team leaders. Implications for practiceSuccess of international recruitment campaigns can be enhanced through the implementation of an online integration package

Public management, agility and innovation: The Swiss experience with the COVID-19 loan scheme

Within only 10 days of March 2020, the Swiss administration had designed and implemented a loan guarantee scheme for enterprises. The implementation phase was also short: it lasted less than five months. This article examines how that was possible, considering the complexity of the institutional setting and the scheme's innovative form, especially in terms of IT, including breakthroughs for the Swiss e-administrative practice: the scheme used algorithms to verify clients’ applications, a unique identification number for companies was implemented on a large scale, Swiss banks were integrated into the project's preparation and implementation, and some of their client operations were centralised on a government e-platform. The salient features of the process are identified through an analysis of the unfolding of operations during those ten days. The circumstances and context leading to radically new forms of public governance are also identified. Besides, an output analysis was undertaken to single out the innovative features of the deliverable. The case under consideration was short, and came unpredictably, so that no data or observations could be collected before or during the case. Accordingly, the study is by and large based on ex-post enquiries. With no explicitly formalised mandates, structures, or roles, the project participants came up with an informal organisation system. A well-defined deliverable was a powerful driver of the process. Several characteristics of the project, such as efficient networks, real-time information flow, flexible roles, flat hierarchy, and swift iterative subprocesses were akin to those of ‘agile organisations’. Tasks were performed concomitantly instead of sequentially. Points for practitioners It is striking that not much scholarly research has been published so far with a view to collecting and sharing the ‘lessons learned’ from the unique experience of emergency support packages during the pandemic, including at intra-organisational level. Research could be done regarding replicability both for future emergencies and for adjusting normal-times public management practices. This proposal aims to contribute to this conversation with a view to inspiring practitioners in public administrations and government entities. It foregrounds the relationship between governmental crisis management and the digitalisation of public administration processes using computer-enabled tools.

Using immersive technology and architectural design to assist head and neck cancer patients' recovery from treatment: A focus group and technology acceptance study.

Head and neck cancer patients can face debilitating treatment related side-effects, resulting in requirement for support and negatively impacting on care outcomes. This study aimed to develop a digital recovery support package and assess its acceptability with head and neck cancer patients to support their information needs and assist with their self-management. It provided additional support through development of a WebXR platform 'recovery' package, which allowed patients to live a 'virtual reality' experience, entering and moving inside a 'virtual room', accessing targeted resources and specific learning materials related to their cancer. A qualitative intervention development study consisting of three phases. This study followed the COREQ checklist for qualitative research. Phase 1- Focus groups with seven head and neck cancer patients and six healthcare professionals. Phase 2- Development of 'recovery' package based on the focus group data which informed the content and design of the WebXR recovery platform. Phase 3- Technology acceptance study. Once developed, the platform's acceptability of the experience lived inside the virtual room was assessed via qualitative interviews with six different patient participants. Most participants felt comfortable using the virtual reality platform, finding it a realistic and useful support for identifying resources and signposting to relevant materials. Participants agreed the WebXR platform was a feasible tool for the head and neck cancer setting and helped reduce anxiety. Head and neck cancer patients welcome specific targeted, information and advice to support their ability to self-manage their rehabilitation and thus focus their nursing care. The platform was implemented during the Covid-19 pandemic, demonstrating its versatility and accessibility in providing complementary support to head and neck cancer patients, to empower them to adjust to their 'new' normal as part of their ongoing cancer journeys.

The Divergent Effects of Resilience Qualities and Resilience Support in Predicting Pre-Competition Anxiety and Championship Performance

ABSTRACT Purpose: Psychological resilience is vital to the development of sport talents. Qualitative research has consistently demonstrated that sport resilience encapsulates a mixed package of resilience qualities (reflecting positive traits and characteristics) and resilience support (reflecting perceived support and related resources). Ironically, sport resilience research adopting quantitative methods has been assessing resilience as a unidimensional construct, with little attention to the multi-facet nature of resilience and its effects on performance. In the present research, we tested a novel proposition that resilience qualities predict reduced pre-competition cognitive anxiety and contribute to performance more than resilience support. Methods & Results: Across two samples of competitive table tennis players (Study 1: N = 196 competing at province level; Study 2: N = 106 competing at national level), we consistently found resilience qualities, rather than resilience support, predicted lower levels of pre-competition cognitive anxiety and superior performance at a national championship. Results also suggest that pre-competition cognitive anxiety mediated the relationship between resilience qualities and performance. Conclusion: The findings provide the first evidence supporting the divergent effects of resilience qualities and resilience support in predicting pre- competition anxiety and championship performance and call for the consideration of such a distinction when designing and delivering resilience programs.