There are times when researchers identify a concept or phenomenon which becomes widely known and used in many areas. The construct takes on a life beyond the original scholarship. An example of this is the notion of “emotional labour” coined by Arlie Russell Hochschild to describe the work of nurses and others when regulating their responses in stressful situations, and managing the demands of patients, families, and colleagues.1 Another case is the step-like “paradigm shifts” in which science advances through radical ruptures as new truths emerge in scientific communities.2
An example that is currently breaking through to common use is the concept of “mindlines,” coined by John Gabbay and Andree le May in an article published in The BMJ in 20043 and more thoroughly developed in their subsequent book, Practice-Based Evidence .4 Starting with a small ethnographic study in one general practice, they carefully describe how clinicians use different forms of knowledge in making
Evidence gaps in workforce research are holding back healthcare improvements, say Tara Lamont, Cat Chatfield, and Kieran Walshe
What is the optimal skill mix for virtual wards? Do new roles such as clinical pharmacists or advanced practitioners act as substitutes for, or additions to, existing staff? What works to retain staff? How much do current rates of attrition and turnover cost the NHS and social care?
These are just some of the important questions that surfaced from the first health and care workforce forum convened in March 2023 by Health Services Research UK (HSR UK). Policy makers, regulators, service leaders, and researchers came together to discuss what we already know about different workforce areas, gaps in evidence, and what we need to support more and better research in this critical area. The benefits of this exchange were clear one healthcare leader pointed out that what were “known knowns” to the research community, such as high quality evidence on the relation
commissioner ann lazarus. we have one position on the board that is currently vacant and the board may hold a meeting when there is a vacancy. in such a meeting, the board may overrule the action of a department by 3 members. to my left is deputy city attorney robert brian, at the controls tt board assistant, victor pacheco. we re also joined this evening by representatives of the city department that is have cases before the board, scott sanchez is here, he s the zoning administrator also representing the planning department and planning commission, also joined by planning staffer tim fry and joseph duffy is here, senior building inspector, who is representing the department of building inspection. at this time, mr. pacheco, if you could go over the board guidelines. the board requests all cell phones and pagers be turned off so they will not disturb the proceedings. please carry on conversations in the hallway. the board s rules of presentation are as follows: appellants
2013. we now have a few months for bidding and awarding of subcontract to finish our document. delaying the project, you know, the building is deteriorating as we speak. it s going to have to go through this winter, we don t want it to go through many more. so a delay would be disasterous for the building and the project. aside from the seismic issues, which is something else again. is it safe to assume the other mock ups have not been done? no. i mean it is safe to assume that because we will have the terra cotta mock up done when we have a terra cotta sub on board. we really need the workmen who are going to make the things to do the mock up and we need that. we re not just going to let somebody throw stuff up there. we re not going to be careless about it. even though the certificate of appropriateness does not require you as a condition to do the mock up, you are going to do it and be subject to preservation review. yes. and how do you make that available, you s
dated february 3, 2012, and it s also contradicted by the site set a-400, our exhibit 7. it s those contradictions that caused us to take a hard look at why there wasn t a condition of approval, namely that the historic preservation staff retain approval of the details of what the skylights are actually going to consist of. and what we ve heard today is consistent with that objective because we ve heard from the proponents, the respondants, that they are going to submit that to the staff so quit making that a requirement is really no harm at all. it s consistent with what they are good to go do. well, let s make it a real condition. miss lamont, you have rebuttal, 3 minutes if you care to use it. tara lamont from dpw we have been developing the project over the last year and when we started, as i mentioned earlier at the early drawings we first thought we would do steel, then the reason to do aluminium is because it has better performance characteristics and we found we c