Imagining Trauma-Informed Care in Libraries (2 Hour Workshop)

Trauma-informed care is widely discussed in literature related to social work and psychology, however, trauma-informed care principles can be applied everywhere. To put it simply, trauma-informed care asks What happened to you? instead of What\u27s wrong with you? However, it isn\u27t easy to ask this question directly in libraries as opposed to social work and/or psychology. However, there are ways to create trauma-informed practices in librarianship. It gives regard and consideration to individual trauma and well as the systemic trauma that comes with racism, sexism, transphobia, ableism, homophobia, ageism, and other forms of oppression, especially related white supremacy and capitalism. With anti-racism committees and EDI-focused library leadership positions being created in libraries, especially after the murder of George Floyd, Breonna Taylor, and more, the impact trauma on the body, intergenerationally, and how trauma affects our nervous system is not discussed at length In this workshop, participants will be presented with the principles of trauma-informed care and its effect on the nervous system and will imagine ways to apply it to different aspects of librarianship. Participants will relate trauma-informed care principles to their professional settings, examine how the nervous system is affected by trauma, and integrate trauma-informed principles into library-specific contexts

Clinical features and management of individuals admitted to hospital with monkeypox and associated complications across the UK: a retrospective cohort study.

BACKGROUND The scale of the 2022 global mpox (formerly known as monkeypox) outbreak has been unprecedented. In less than 6 months, non-endemic countries have reported more than 67 000 cases of a disease that had previously been rare outside of Africa. Mortality has been reported as rare but hospital admission has been relatively common. We aimed to describe the clinical and laboratory characteristics and outcomes of individuals admitted to hospital with mpox and associated complications, including tecovirimat recipients. METHODS In this cohort study, we undertook retrospective review of electronic clinical records and pathology data for all individuals admitted between May 6, and Aug 3, 2022, to 16 hospitals from the Specialist and High Consequence Infectious Diseases Network for Monkeypox. The hospitals were located in ten cities in England and Northern Ireland. Inclusion criteria were clinical signs consistent with mpox and MPXV DNA detected from at least one clinical sample by PCR testing. Patients admitted solely for isolation purposes were excluded from the study. Key outcomes included admission indication, complications (including pain, secondary infection, and mortality) and use of antibiotic and anti-viral treatments. Routine biochemistry, haematology, microbiology, and virology data were also collected. Outcomes were assessed in all patients with available data. FINDINGS 156 individuals were admitted to hospital with complicated mpox during the study period. 153 (98%) were male and three (2%) were female, with a median age of 35 years (IQR 30-44). Gender data were collected from electronic patient records, which encompassed full formal review of clincian notes. The prespecified options for data collection for gender were male, female, trans, non-binary, or unknown. 105 (71%) of 148 participants with available ethnicity data were of White ethnicity and 47 (30%) of 155 were living with HIV with a median CD4 count of 510 cells per mm (IQR 349-828). Rectal or perianal pain (including proctitis) was the most common indication for hospital admission (44 [28%] of 156). Severe pain was reported in 89 (57%) of 156, and secondary bacterial infection in 82 (58%) of 142 individuals with available data. Median admission duration was 5 days (IQR 2-9). Ten individuals required surgery and two cases of encephalitis were reported. 38 (24%) of the 156 individuals received tecovirimat with early cessation in four cases (two owing to hepatic transaminitis, one to rapid treatment response, and one to patient choice). No deaths occurred during the study period. INTERPRETATION Although life-threatening mpox appears rare in hospitalised populations during the current outbreak, severe mpox and associated complications can occur in immunocompetent individuals. Analgesia and management of superimposed bacterial infection are priorities for patients admitted to hospital

Hospital and Health System-Level Interventions to Improve Care for Limited English Proficiency Patients: A Systematic Review.

Although federal legislation mandates the provision of qualified interpreters for limited English proficiency (LEP) patients, language services are consistently underutilized by health care providers even when readily available. The objective of this study was to systematically review the literature and summarize evidence for interventions at the hospital or health system level that improve communication with, quality of care for, or health outcomes of LEP patients.The literature was systematically reviewed according to PRISMA guidelines to answer the following question: "For patients with limited English proficiency, which interventions at the hospital or health system level will result in improved communication, quality of care, or health outcomes?"The search yielded an initial 16,686 references, 19 of which met the inclusion criteria. Baseline rates of language service utilization were extremely low and remained at low levels postintervention in multiple studies. Most studies focused on language service utilization, patient communication, metric tracking, and access to care, whereas few studies evaluated quality of care or health outcomes of LEP patients. Multifaceted interventions that include elements of administrative emphasis, process evaluation, and education appear to improve language service use and communication.This review revealed large gaps in the evidence to guide hospital and health system improvement strategies for LEP patient care. Given the large and persistent performance gaps in the provision of language assistance for LEP patients, hospitals, health systems, and granting agencies should invest in implementation and dissemination research focused on language service use

Hospital and Health System-Level Interventions to Improve Care for Limited English Proficiency Patients: A Systematic Review.

Although federal legislation mandates the provision of qualified interpreters for limited English proficiency (LEP) patients, language services are consistently underutilized by health care providers even when readily available. The objective of this study was to systematically review the literature and summarize evidence for interventions at the hospital or health system level that improve communication with, quality of care for, or health outcomes of LEP patients.The literature was systematically reviewed according to PRISMA guidelines to answer the following question: "For patients with limited English proficiency, which interventions at the hospital or health system level will result in improved communication, quality of care, or health outcomes?"The search yielded an initial 16,686 references, 19 of which met the inclusion criteria. Baseline rates of language service utilization were extremely low and remained at low levels postintervention in multiple studies. Most studies focused on language service utilization, patient communication, metric tracking, and access to care, whereas few studies evaluated quality of care or health outcomes of LEP patients. Multifaceted interventions that include elements of administrative emphasis, process evaluation, and education appear to improve language service use and communication.This review revealed large gaps in the evidence to guide hospital and health system improvement strategies for LEP patient care. Given the large and persistent performance gaps in the provision of language assistance for LEP patients, hospitals, health systems, and granting agencies should invest in implementation and dissemination research focused on language service use

The WI+RE Way

WI+RE (Writing Instruction + Research Education) is a learner-led team of undergraduate and graduate student employees at UCLA Library who apply values-driven design principles and grassroots instructional media production techniques to foster breakthroughs in research, reading, and writing for their fellow learners. The WI+RE Way (UCLA Library WI+RE, 2019c) is a collaboratively authored manifesto for learner-led design co-authored by WI+RE's learner-designers in collaboration with library staff. 

Sexual Harassment at University of California Libraries: Understanding the Experiences of Library Staff Members

In the first study measuring sexual harassment experiences of academic library employees at a single institution, we conducted a census of 1,610 nonstudent employees at the 10-campus University of California Libraries system. This anonymous online survey measured how sexual harassment was experienced and observed in terms of behaviors, exhibitors, reporting and disclosure, institutional support and betrayal, and recommendations for future actions. Out of 579 respondents, 54% experienced and/or observed sexual harassment at work. Respondents recommended training, workplace culture change, support from leadership, and clear reporting processes in order to address sexual harassment at University of California Libraries