This manuscript highlights the impressive advocacy work that members of the American Academy of Pediatrics have achieved and serves to inspire pediatric health care providers of all specialties to ...pursue such efforts beyond the acute physical need of the child. This article represents one of the Symposia presented at the 2023 American Academy of Pediatrics Section on Surgery.
Summary Surgery is essential for global cancer care in all resource settings. Of the 15·2 million new cases of cancer in 2015, over 80% of cases will need surgery, some several times. By 2030, we ...estimate that annually 45 million surgical procedures will be needed worldwide. Yet, less than 25% of patients with cancer worldwide actually get safe, affordable, or timely surgery. This Commission on global cancer surgery, building on Global Surgery 2030, has examined the state of global cancer surgery through an analysis of the burden of surgical disease and breadth of cancer surgery, economics and financing, factors for strengthening surgical systems for cancer with multiple-country studies, the research agenda, and the political factors that frame policy making in this area. We found wide equity and economic gaps in global cancer surgery. Many patients throughout the world do not have access to cancer surgery, and the failure to train more cancer surgeons and strengthen systems could result in as much as US$6·2 trillion in lost cumulative gross domestic product by 2030. Many of the key adjunct treatment modalities for cancer surgery—eg, pathology and imaging—are also inadequate. Our analysis identified substantial issues, but also highlights solutions and innovations. Issues of access, a paucity of investment in public surgical systems, low investment in research, and training and education gaps are remarkably widespread. Solutions include better regulated public systems, international partnerships, super-centralisation of surgical services, novel surgical clinical trials, and new approaches to improve quality and scale up cancer surgical systems through education and training. Our key messages are directed at many global stakeholders, but the central message is that to deliver safe, affordable, and timely cancer surgery to all, surgery must be at the heart of global and national cancer control planning.
In this paper, I reflect on my experiences conducting legal geographic research within a Central Pennsylvania courtroom. This research builds on my former professional experience as a legal advocate ...where I worked for five years providing advocacy services to over 800 survivors of domestic violence and sexual assault. I discuss how I incorporated two common advocacy practices – accompaniment and institutional advocacy – into my research praxis as a means to fulfil my commitment to conduct activist research as a feminist legal geographer. I argue that the advocacy skills I learned outside of academia helped me navigate the tensions of studying power with legal actors in the privileged space of the courtroom. This paper contributes to recent interest in the methodological practices that legal geographers utilise within courtroom spaces, while also encouraging legal geographers to consider what knowledge and skills – beyond academic methodologies and methods – might serve to support activist research within spaces of power.
In this paper, I reflect on my experiences conducting legal geographic research within a Central Pennsylvania courtroom. I argue that the advocacy skills I learned outside of academia helped me navigate the tensions of studying power with legal actors in the privileged space of the courtroom. This paper contributes to recent interest in the methodological practices that legal geographers utilise within courtroom spaces, while also encouraging legal geographers to consider what knowledge and skills – beyond academic methodologies and methods – might serve to support activist research within spaces of power.
•Affiliative humor of supervisors was positively associated with employee advocacy.•Aggressive humor of supervisors was negatively associated with employee advocacy.•Supervisor humor has a ...significant effect on perceived supervisor authenticity.•Supervisor authenticity is positively associated with the quality of EOR.•The quality of EOR is positively associated with employee advocacy.
This study examines how supervisor humor styles influence employee advocacy by building the linkage between affiliative humor, aggressive humor, supervisor authenticity, employee-organization relationships, and employee advocacy. Through a quantitative survey with 350 employees who work for a variety of organizations, the study’s results indicated that the relationship between supervisor humor style and employee advocacy is fully mediated by supervisor authenticity and employee-organization relationships. Significant theoretical and practical implications are discussed.
Independent mental health advocacy was introduced in England to protect and promote the rights of people detained under mental health legislation. However, shortcomings in access and delivery to ...racialised people, raising concerns about equity, were identified by a review of the Mental Health Act. The development of culturally appropriate advocacy was recommended. While the term culturally appropriate may be taken for granted it is poorly defined and limited efforts have conceptualized it in relation to advocacy. Ideally, advocacy operates as a liberatory practice to challenge epistemic injustice, which people experiencing poor mental health are at acute risk of. This is amplified for people from racialised communities through systemic racism. This paper argues that advocacy and culturally appropriate practices are especially relevant to racialised people. It clarifies the importance of culture, race and racism to the role of advocacy, and understanding advocacy through the conceptual lens of epistemic injustice. A central aim of the paper is to draw on and appraise cultural competency models to develop a conceptual framing of cultural appropriate advocacy to promote epistemic justice.
Patients with advanced cancer face an onslaught of challenges. Self-advocacy refers to the way patients with cancer ensure their needs and priorities are met in the face of a challenge. The three key ...dimensions of self-advocacy include: (1) informed decision-making, (2) connected strength, and (3) effective communication. Our research team developed Strong Together, a narrative serious game to teach self-advocacy skills to female cancer survivors. Evidence-based evaluation to optimize serious game features is lacking. We aim to present a novel research protocol to assess the impacts of various game mechanisms of Strong Together (including its aesthetic feedback systems, soft fail states, and third-person perspective as opposed to explicit feedback, hard fail states, and a first-person perspective) embedded within a randomized clinical trial.
To date, there has been little research on how advocacy coalitions influence the dynamic relationships between norms. Addressing norm collisions as a particular type of norm dynamics, we ask if and ...how advocacy coalitions and the constellations between them bring such norm collisions to the fore. Norm collisions surface in situations in which actors claim that two or more norms are incompatible with each other, promoting different, even opposing, behavioural choices. We examine the effect of advocacy coalition constellations (ACC) on the activation and varying evolution of norm collisions in three issue areas: international drug control, human trafficking, and child labour. These areas have a legally codified prohibitive regime in common. At the same time, they differ with regard to the specific ACC present. Exploiting this variation, we generate insights into how power asymmetries and other characteristics of ACC affect norm collisions across our three issue areas.
In grassroots water environment governance, political–community dialog is an unavoidable issue. Traditional policy analysis tools emphasize top-down stages and sequences, often ignoring the essential ...role of social factors (organizations, resources, or individuals)—outside the policy subsystem—in policy advocacy. The Advocacy Alliance Framework (ACF) provides a perspective on the role of social factors in policy changes and the interaction mechanism driving the relevant stages and alliances. In this study, we re-examine the key elements of the ACF and extract the grassroots logic of policy advocacy by discussing how actors act from policy divergence to policy learning, constructing an action framework to explain grassroots social policy advocacy in China. We find that policy advocacy depends on the joint influence of multiple elements such as the alliance members, alliance belief system and alliance resources. Therefore, social forces can better intervene in the policy agenda and achieve effective political–community dialog by identifying the relevant elements.
PDF
