An Educational Intervention to Increase Emergency Department Nurse’s Knowledge and Confidence in Recognizing Victims of Human Trafficking

Abstract Objective/Purpose: To provide an educational intervention to Registered Nurses (RNs) in the Emergency Department (ED) to increase their knowledge and confidence in recognizing/identifying victims of human trafficking (HT). Methods: A quantitative study using a presurvey, pretest-posttest design to collect information on ED RNs knowledge, awareness and confidence in identifying HT victims. The study used a ten-question survey and ten-question pre and post-test, developed in collaboration with other researchers, based on the evidence identified in the literature. Results: The paired sample t test results did not show a statistically significant change from pretest to posttest mean scores (t = -1.797, p = .074), suggesting the educational intervention did not make a significant impact on improving the ED RNs knowledge, likely the participants entered the project with the knowledge necessary to score well on the pre and posttest. Conclusion: HT victims interact with EDs every day and the victims continue to go unnoticed. Providing proper education for ED RNs in Pennsylvania, specifically Montgomery County, the ED becomes a safe place, or more importantly a place for healing for victims. The screening tool aimed at identifying HT victims will contribute to improving outcomes for them and is the only way to fight the criminal construct of HT. Raising the knowledge and confidence of the RNs in the Eds, and building a rapport with the victim are the necessary steps to assist in ending HT

The value of 'community' in supporting transitions outside university

Statistics from the Destinations of Leavers in Higher Education (DLHE) survey has shown that graduate level employment or study 6 months after graduation is relatively low for psychology graduates compared to graduates from other disciplines. Due to highly competitive conditions for postgraduate places on professional psychology training courses, new graduates often spend time developing their portfolio of relevant skills and experience in order to compete for postgraduate places one or more years after graduating. In addition, QAA (2010) noted that only 15-20% of psychology graduates develop careers as professional psychologists. Many initiatives have been introduced across the UK (see Reddy, Lantz, & Hulme, 2013) to support students' transitions out of university and into employment or further study, however these initiatives vary in the extent to which they are embedded and capture student engagement. At the University of Strathclyde, we are taking a multi-pronged approach to enhancing students’ employability that is underpinned by an ethos of ‘community’. First, the creation of the Strathclyde Psychology Alumni Network (SPAN), developed in collaboration with students, provides a platform through which current students, alumni, and staff, interact as members of the Strathclyde Psychology Community, virtually via LinkedIn and face-to-face at networking events. Second, a new work placement class in the final year will provide students the opportunity to enhance their experience and apply their psychological knowledge and skills in a work-based context. Third, a novel curriculum review process involving staff, alumni, and employers (representing private, public, and third sectors) has sought to identify the opportunities and challenges that graduates face, and the characteristics of the ‘Ideal Strathclyde Psychology Graduate’. A core competency framework will be output from this process and will drive the curriculum enhancement process so that students have the opportunity to develop the characteristics of the ‘Ideal Strathclyde Psychology Graduate’

Diagnosing the Demonic: Reading Valerii Briusov’s Fiery Angel as Pathography

Russian Symbolists struggled to write a counter-narrative to the prevailing master narrative of disintegration, degeneration, and social pathology advanced by the emerging fields of social science, psychology, and modern medicine at the turn of the twentieth century. The Symbolists invested their counter-narrative of transformation in the medieval alchemical promise of restored wholeness and transcendence of the material—even as the modern world rushed toward materialism. They attempted to realize their narrative through the process of poetic zhiznetvorchestvo, or life creation. This dissertation examines one attempt to “practice” zhiznetvorchestvo by tracing Symbolist Valerii Briusov’s (1873–1924) experiment in life creation with the minor writer Nina Petrovskaia (1879–1928), which he captured in his major novel, Fiery Angel (1907–1908). In Fiery Angel, Briusov poeticized Petrovskaia as “Renata,” the unhappy and tortured psychopomp to Briusov’s own alter-ego, the rational Ruprecht. Setting the work in the sixteenth century, a period of change and confusion eerily echoed by the Silver Age, Briusov diagnosed his and Petrovskaia’s quest for mystical experience as an encounter with demonomania, a medieval condition indicative of demonic possession that afflicted witch and saint alike and whose signs and symptoms corresponded to hysteria as defined by the fin de siècle. Briusov’s novel chronicles Renata’s descent into illness, her suffering, and her eventual death by fusing autobiographical details with historical data and clearly-defined medical symptoms. Briusov’s novel thus functions as a pathography—an extended account of an illness, individual or social, and the dysfunctionalities it introduces into the world of the sufferer and the people close to him or her. As a specific genre, pathography attempts to describe the illness, to find a way to come to terms with it, and to deal with its inevitable consequences. This genre offered Briusov an opportunity to diagnose and explore the relationship that existed among himself, Petrovskaia, and Andrei Belyi (1880–1934; the Count Heinrich of the novel). It also allowed him to explore the dysfunctionalities of the Russian Symbolist milieu and to diagnose the fin de siècle as “mad”—in a particular way. The dissertation explores the master narrative of the fin de siècle and the Symbolist counter-narrative, investigates the concept of life creation, describes the genre of pathography and its distinctive features, and examines Briusov’s Fiery Angel in this context

What Promotes healing among the wrongfully convicted? Results from a qualitative study of exonerated persons in California

Background: Exonerees are individuals who have been wrongfully convicted of a crime. Later found innocent and released from prison, exonerees often spend decades incarcerated. While limited, research suggests that the unique trauma of wrongful conviction has profound adverse mental health implications which challenge reintegration, well-being and healing. In this study we examined exoneree perceptions of their mental health and coping mechanisms used to support healing. Methods: We conducted a qualitative study utilizing a phenomenological approach to examine shared coping and healing mechanisms among exonerees. Twelve California exonerees participated in semi-structured interviews describing their experiences with coping and healing due to wrongful conviction. Interviews were audio recorded and transcribed, transcripts were coded with a hybrid coding scheme utilizing a thematic analysis. Results: Overall findings underscore the lifelong trauma and subsequent adverse mental well-being among wrongfully convicted exonerees, framed in association with depression, anxiety, post-traumatic stress disorder (PTSD) and hypervigilance. Three areas emerged as valuable coping mechanisms for exonerees that support a pathway toward healing: 1) Peer support and building community with other exonerees through organized meetings (convenings and healing circles); 2) Community education to build community awareness through storytelling; and 3) Advocacy engagement in the wrongful conviction movement and criminal justice reform. Conclusions: Complementing comprehensive mental health services with opportunities for peer support, advocacy, and community education through storytelling may help exonerees regain lives lost to their wrongful convictions

Light drinking in pregnancy, a risk for behavioural problems and cognitive deficits at 3 years of age?

Background The objective of this study was to determine whether there was an association between mothers’ light drinking during pregnancy and risk of behavioural problems, and cognitive deficits in their children at age 3 years. Methods Data from the first two sweeps of the nationally representative prospective UK Millennium Cohort study were used. Drinking patterns during pregnancy and behavioural and cognitive outcomes were assessed during interviews and home visits. Behavioural problems were indicated by scores falling above defined clinically 15 relevant cut-offs on the parent-report version of the Strengths and Difficulties Questionnaire (SDQ). Cognitive ability was assessed using the naming vocabulary subscale from the British Ability Scale (BAS) and the Bracken School Readiness Assessment (BSRA). Results There was a J-shaped relationship between mothers drinking 20 during pregnancy and the likelihood of high scores (above the cut-off) on the total difficulties scale of the SDQ and the conduct problems, hyperactivity and emotional symptom SDQ subscales. Children born to light drinkers were less likely to score above the cut-offs compared with children of abstinent mothers. Children 25 born to heavy drinkers were more likely to score above the cut-offs compared with children of abstinent mothers. Boys born to mothers who had up to 1–2 drinks per week or per occasion were less likely to have conduct problems (OR 0.59, 95% CI 0.45–0.77) and hyperactivity (OR 0.71, 95% CI 0.54–0.94). These effects remained 30 in fully adjusted models. Girls were less likely to have emotional symptoms (OR 0.72, 95% CI 0.51–1.01) and peer problems (OR 0.68, 95% CI 0.52–0.92) compared with those born to abstainers. These effects were attenuated in fully adjusted models. Boys born to light drinkers had higher cognitive ability test scores [standard 35 deviations, (95% CI)] BAS 0.15 (0.08–0.23) BSRA 0.24 (0.16–0.32) compared with boys born to abstainers. The difference for BAS was attenuated on adjustment for socio-economic factors, whilst the difference for BSRA remained statistically significant. Conclusions Children born to mothers who drank up to 1–2 drinks per week or per occasion during pregnancy were not at increased risk of clinically relevant behavioural difficulties or cognitive deficits compared with children of abstinent mothers. Heavy drinking 5 during pregnancy appears to be associated with behavioural problems and cognitive deficits in offspring at age 3 years whereas light drinking does not

Developing a Health Equity and Criminal Justice Concentration for a Master of Public Health (MPH) Program: Results From a Needs Assessment Among Community Partners and Potential Employers

The United States has experienced a 4-fold increase in jail and prison populations over the last 40 years, disproportionately burdening African American and Hispanic/Latinx communities. Mass incarceration threatens the health of individuals, families, and communities, and requires a public health response. The Master of Public Health (MPH) Program at Touro University California (TUC) trains students to become skillful, socially-conscious public health professionals. We are developing a concentration focused on the public health impacts of incarceration. Along with the core public health curriculum, students of this new Health Equity and Criminal Justice (HECJ) concentration will receive training in criminal justice, reentry, reintegration, recidivism, restorative justice, structural racism, and social and community impacts of incarceration. Our study gauges interest in an HECJ concentration in our local community, including potential employers. We surveyed a cross-section of community partners including public health departments, other governmental agencies, California correctional facilities, county jails, community groups, health clinics, and hospitals. A majority (89%) of respondents consider mass incarceration a public health problem and 86% believe specialized training would make graduates employable by criminal justice related organizations. The HECJ track will fill a gap in the field and train a future generation of public health professionals to address the epidemic of mass incarceration

Complications and Hospital Admissions among Pregnant Women with Substance Abuse

In recent times, there has been an increase in drug abuse in not only the general population, but in women of reproductive age. Our objectives were to identify, classify, and describe the spectrum of complications, the average number of admissions, and length of hospital stay that occur among pregnant women with substance abuse. The aim was to obtain better understanding of complication prevalence to improve management in this ever-growing population. A retrospective chart review was conducted of pregnant women ages 18-45 with a history of substance abuse from 2013-2018 in the tri-state area of West Virginia, Ohio, and Kentucky. We collected the following data: demographics, medical history, specific substances abused, inpatient admission dates and diagnoses, and delivery information. A total of 411 patients met the inclusion criteria, with a total of 525 pregnancies. Out of 525 pregnancies, 71.6 % used buprenorphine (i.e., Subutex), 43.4% used opiates, excluding heroin, and 35% of patients used heroin. Out of the 525 pregnancies, there were 714 inpatient antepartum admissions. Of these, 376 were admissions due to withdrawal symptoms (52.7%). A total of 263 pregnancies had at least one admission for withdrawal, drug abuse, overdose, or buprenorphine/methadone conversion (50%). The average length of hospital stay for withdrawal admissions was 3.4 days (SD). There were 62 admissions for infectious causes, 24 of these being due to pyelonephritis (38.7%). The findings highlight multiple areas for future studies as well as areas for quality improvement in the management of this population

A data quality control program for computer-assisted personal interviews

Researchers strive to optimize data quality in order to ensure that study findings are valid and reliable. In this paper, we describe a data quality control program designed to maximize quality of survey data collected using computer-assisted personal interviews. The quality control program comprised three phases: (1) software development, (2) an interviewer quality control protocol, and (3) a data cleaning and processing protocol. To illustrate the value of the program, we assess its use in the Translating Research in Elder Care Study. We utilize data collected annually for two years from computer-assisted personal interviews with 3004 healthcare aides. Data quality was assessed using both survey and process data. Missing data and data errors were minimal. Mean and median values and standard deviations were within acceptable limits. Process data indicated that in only 3.4% and 4.0% of cases was the interviewer unable to conduct interviews in accordance with the details of the program. Interviewers&rsquo; perceptions of interview quality also significantly improved between Years 1 and 2. While this data quality control program was demanding in terms of time and resources, we found that the benefits clearly outweighed the effort required to achieve high-quality data.<br /