https://bura.brunel.ac.uk/handle/2438/8607 Known as Brunel Business School until 2024/25 Fri, 17 Jul 2026 06:25:32 GMT 2026-07-17T06:25:32Z https://bura.brunel.ac.uk/handle/2438/33578 Title: Swallowed by a Black Hole’: The Neglected Impact of Endometriosis in the Workplace Authors: Yavuz Sercekman, M; Ayaz, O Abstract: This study examines how endometriosis, as a chronic and cyclical condition, is experienced and managed in contemporary workplaces, and what this reveals about the limits of existing human resource management (HRM) frameworks. Drawing on Feminist Disability Theory (FDT), we conceptualise endometriosis as a form of structurally produced disadvantage shaped by organisational norms of continuous, able-bodied productivity. The study is based on qualitative data from in-depth interviews (n = 26) and a focus group (n = 7) with employees diagnosed with endometriosis, complemented by open-ended survey responses from HR professionals and managers (n = 80) used as contextual insight. Data were analysed using reflexive thematic analysis. Findings identify six interrelated themes that show how workplace practices render endometriosis both invisible and consequential. Extending FDT, we theorise these patterns as systemic neglect, specifying the organisational mechanisms through which marginalisation is enacted, including rigid absence systems, performance-based objectification, and cultures of silence around reproductive health. We further introduce the concept of physiodiversity, reframing chronic and cyclical physiological variation as a legitimate dimension of workforce diversity. The study contributes to HRM scholarship by specifying how able-bodied norms are operationalised in practice and by offering a conceptual foundation for more inclusive approaches to managing chronic health conditions at work. Description: Data Availability Statement: Confidentiality and anonymity were strictly maintained throughout the study. All data were securely stored by the authors, with identifying information removed during analysis and reporting. The data supporting the findings are available upon request from the corresponding author but are not publicly accessible due to confidentiality agreements, as they include sensitive information that could compromise participant and company privacy. Tue, 07 Jul 2026 00:00:00 GMT https://bura.brunel.ac.uk/handle/2438/33578 2026-07-07T00:00:00Z https://bura.brunel.ac.uk/handle/2438/33568 Title: Blackening Careers Beyond Barriers: Intersectional Experiences of Black Women in Imperial Careers Authors: Rodrigues Silva, L; Rodrigues Silva, C; Mafra, F Abstract: This article investigates how Black Brazilian women navigate and transform careers in the fields of medicine, law, and engineering, professions historically characterized by elitism, racism, and sexism. Employing intersectionality as a theoretical framework, methodological approach, and activist tool, the study analyses personal narratives to demonstrate how these women confront systemic oppression, develop racial and gender consciousness, and challenge the exclusionary norms within their respective fields. The analysis is guided by three principal dimensions: (1) the awareness of occupying spaces historically denied to them, (2) encounters with elite, White, and male-dominated environments and their associated controlling images, and (3) collective resistance and the redefinition of professional trajectories. The concept of Blackening Careers is introduced to depict how these women resist marginalization and redefine career meanings through social justice efforts and collective action. These findings contribute to feminist and decolonial perspectives on careers within contexts shaped by racialized and colonial legacies. Description: Data Availability Statement: Research data are not shared. Thu, 18 Jun 2026 00:00:00 GMT https://bura.brunel.ac.uk/handle/2438/33568 2026-06-18T00:00:00Z https://bura.brunel.ac.uk/handle/2438/33536 Title: Identifying Clinical Managers’ Leadership Competencies: A Systematic Review and Cross-Frameworks Mapping Using the CLCF Authors: Maashi, A; Davies, J Abstract: Background/Objectives: Effective clinical leadership is a critical driver of healthcare quality, patient safety, and organisational performance. However, evidence on the leadership competencies of healthcare professionals in formal management roles remains fragmented. It is dispersed across professional groups, healthcare contexts, and conceptual frameworks, limiting opportunities for synthesis and cumulative knowledge development. This systematic review examined three questions: how clinical managers perceive their leadership competency; what challenges they encounter in exercising leadership roles; and what development mechanisms the literature identifies. Methods: A systematic review was conducted following PRISMA 2020 guidelines and registered in PROSPERO (CRD420261305279). Four databases were searched: Ovid MEDLINE, CINAHL, EMCARE, and Web of Science from January 2010 to February 2026. Two reviewers independently screened studies; methodological quality was assessed using the Mixed Methods Appraisal Tool (MMAT). Reported competencies were mapped to the five domains of the Clinical Leadership Competency Framework (CLCF) using narrative integrative synthesis. Results: Forty-nine studies were included across quantitative, qualitative, and mixed-methods designs from 24 countries. Competencies in the Working with Others and Demonstrating Personal Qualities domains were reported as strengths across the largest number of included studies. Competencies in Managing Services, Improving Services, and Setting Direction were reported as areas of weakness or developmental need across multiple studies. Leadership challenges included inadequate preparation, role ambiguity, limited authority, and organisational constraints. Development needs spanned formal training, strategic competency building, mentoring, and sustained organisational support. Conclusions: Clinical leadership competency is unevenly distributed across CLCF domains. This pattern reflects not only individual developmental gaps but also the organisational and contextual conditions that shape how leadership is enacted in practice. The findings support a contextual-relational model of clinical leadership. Both individual capability and enabling organisational conditions must be addressed to strengthen leadership effectiveness across healthcare systems. Description: Data Availability Statement: No new data were created or analysed in this study.; Supplementary Materials: The following supporting information can be downloaded at: https://www.mdpi.com/article/10.3390/healthcare14121720/s1, Table S1. Search strategy for four databases. Table S2. Quality assessment for qualitative studies. Table S3. Characteristics of included studies. Table S4. Mapping of reported leadership competencies from included studies to the domains of the CLCF. Mon, 15 Jun 2026 00:00:00 GMT https://bura.brunel.ac.uk/handle/2438/33536 2026-06-15T00:00:00Z https://bura.brunel.ac.uk/handle/2438/33527 Title: Burden and economic impact of RSV hospitalisations among English adults, 2023/24 Authors: Truong, T; Radin, JM; Li, L; Ordóñez-mena, JM; Hoang, U; Balogh, O; Araujo, AB; Nicodemo, C; Lusignan, SD; Madia, JE Abstract: Objectives: To provide updated, national estimates of the burden and secondary-care costs of respiratory syncytial virus (RSV) hospitalisations among adults aged ≥40 years in England, using data from 2023/24, the last season before the UK implemented its adult RSV vaccination programme, given that, while the burden of RSV is well established in young children and older adults, it remains less well characterised in working-age adults. Methods: We analysed adults admitted to hospital with an acute respiratory infection (ARI) using aggregated Hospital Episode Statistics (HES) data for England, 2023/24. RSV, influenza, and COVID-19 hospitalisations were identified using validated International Classification of Diseases, Tenth Revision (ICD-10) codes. Incidence proportion was calculated per 100,000 population by age group. To adjust for potential under-recognition of RSV among ARI admissions without an identified pathogen, proportional-redistribution methods were applied. Hospital costs were estimated using Healthcare Resource Group (HRG) emergency tariffs weighted by clinical presentation. Results: In 2023/24, 803,088 ARI admissions occurred among adults ≥40 years; 18% had a viral and 79% an unspecified aetiology recorded. RSV accounted for 4836 admissions (16 per 100,000 population) based on primary diagnosis. After proportional redistribution to account for under-recognition, this increased to an estimated 23,407 admissions (75.9 per 100,000 population; £68.5 million), which we consider the base estimate. In an expanded scenario including all recorded diagnoses, RSV admissions were estimated at 25,264 (82 per 100,000 population; £74 million), of which approximately £54 million may be attributable to unrecognised cases. Around one-third of total estimated RSV-related costs occurred in adults aged 40–74 years. RSV incidence increased steeply with age, reaching its highest levels in adults aged ≥85 years. Conclusions: RSV poses a substantial, under-recognised hospital burden in English adults and associated healthcare costs. Increased testing and improved coding and surveillance, particularly for adults aged 40–74 years, are needed to accurately measure potential impact of vaccination and guide prevention policy. Description: Data availability: All data used in this study are publicly available administrative and costing datasets. Hospital admission data were obtained from Hospital Episode Statistics (HES) Admitted Patient Care, published by NHS England: https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity. Hospital cost data were obtained from the National Cost Collection (NCC), published by NHS England: https://www.england.nhs.uk/publication/2024–25-national-cost-collection-data-publication/. Population denominators were obtained from the Office for National Statistics (ONS) mid-year population estimates: https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates. All datasets are accessible without restriction via the respective public websites.; Supplementary materials are available online at: https://www.journalofinfection.com/article/S0163-4453(26)00117-9/fulltext#supplementary-material . Wed, 10 Jun 2026 00:00:00 GMT https://bura.brunel.ac.uk/handle/2438/33527 2026-06-10T00:00:00Z