Bereaved College Students: Examining Predictors of Grief Counseling Skills Among University Counseling Center Therapists

Between 22% to 30% of college students are grieving a death of a close friend or family member, and nearly 60% of college seniors report experiencing at least one loss in the last three years of college (Balk, 2011; Cox, Dean, & Kowalski, 2015). The university counseling center often is the primary resource for bereaved students, yet centers have limited resources and some psychologists reported inadequate training for working with grieving students (Kim, 2016). This study examined predictors of grief counseling skills in a sample of university counseling center therapists. Grounded in the death competence model (Gamino & Ritter, 2012), results indicated that cognitive competence and emotional competence predicted grief counseling skills, with training/experience being the most robust predictor. Future directions for research and clinical implications are discussed

Evaluating an Online Intervention to Educate Psychology Graduate Students about Grief and Grief Counseling and to Increase Their Self-Efficacy in Working with Bereaved Clients

Grief is a ubiquitous human experience with most if not all individuals experiencing a death loss at some point in their lives. Prior research found that all surveyed therapists reported having worked with bereaved clients at some point in their careers, with many (44.4%) noting that they provided grief counseling fairly often (Jankauskaite et al., 2021). However, research suggested that majority of therapists never received formal graduate training on grief counseling and may rely on outdated knowledge and questionable skills in working with grieving clients (e.g., Dodd et al., 2020; Jankauskaite et al., 2021; Ober et al., 2012), yet expressed desire to learn more about this clinical skill (Jankauskaite et al., 2021). Thus, the purposes of the present study were to develop an online intervention to educate psychology graduate students about grief and grief counseling and to evaluate whether the intervention can increase knowledge on grief and grief counseling and self-efficacy in working with grieving individuals. The study compared three study conditions – full video intervention, partial video intervention, and a control consisting of a reading. The results indicated that while controlling for prior grief counseling training and experience, participants randomized to the full video intervention had higher grief and grief counseling knowledge and self-efficacy in working with bereaved individuals than those randomized to the partial intervention and control groups. Overall, the results indicated that the full intervention is a feasible and efficacious way to teach psychology doctoral students about grief and grief counseling and to increase their confidence in working with bereaved client population. We end by discussing clinical implications and future research considerations

Younger Children with Respiratory Tract Infections Are More Exposed to Off-Label Treatments: An Exploratory Retrospective Study in a Pediatric Emergency Setting

Off-label drug use is prevalent in the pediatric population and represents a patient safety concern. We aimed to identify factors for off-label drug use in our pediatric emergency department (PED). Methods. We performed a retrospective data analysis. All patients aged 0–18 referred to PED from 1 September to 1 October 2022, were included. Further analysis was performed when respiratory tract infections were diagnosed. Data collected: gender, age, triage group, chronic diseases, vital signs, and PED-prescribed treatment (medications, dosages, methods of administration). Statistical analysis used SPSS 28.0, with significance at p p n = 16, 100%) and inappropriate use of salbutamol inhalations by age (34.8%, n = 16). Some medications were given orally instead of injections (ondansetron n = 5, 62.5%; dexamethasone n = 82, 98.7%) or intranasally instead of intravenously (IV) (midazolam n = 7, 87.5%). IV adrenalin was prescribed for inhalations (n = 46). Younger children were more likely to receive off-label treatment (p < 0.001). Conclusion. Our study highlights the widespread issue of off-label and unlicensed drug prescribing in pediatric emergency care. Further research is necessary, because this reliance on off-label prescribing raises concerns about patient safety and compliance, especially given the limited clinical trials and therapeutic options available