bluuebunny/crossref_metadata_2025 huggingface dataset:
Youth-Led Antiracism Research: Making a Case for Participatory Methods and Creative Strategies in Developmental Science
Authors: Aldana Adriana , Richards-Schuster Katie
Published: September 2021

In this article, we conceptualize youth-led antiracism research in developmental science. First, we discuss how Youth Participatory Action Research (YPAR) principles converge with critical race epistemological approaches to knowledge production. Second, we propose that youth-led antiracism research requires a commitment to multiple ways of knowing, countering paternalism, focusing on structural racism, and activist scholarship that advances racial equity. These commitments are necessary to challenge how White supremacy culture shapes social science research paradigms. We weave existing empirical evidence and theory on YPAR with counter-storytelling methodology to identify various participatory methods and creative strategies that exemplify these commitments and emerged from co-creating research projects with ethnically and racially diverse youth. We conclude with implications for developmental science and offer guiding questions that may help scholars reimagine research in partnership with youth in ways that advance racial justice.
Exploring the Daily Lives and Well-Being of Orphaned Adolescents Affected by the Armed Conflict in Thailand’s Deep South
Authors: Nguyen Amanda J. , Roe Jenny , Jeharsae Rohani , Samankasikorn Wilaiporn , Bullock Linda
Published: September 2021

Adolescents in Thailand’s Deep South are growing up amid protracted instability, yet limited research has left a critical gap in understanding their strengths, stressors, and unmet support needs. This study aimed to gain understanding of daily lives and well-being of orphaned adolescents in the Deep South to inform future intervention efforts. In total, 10 orphaned adolescents and their primary caregivers were recruited for study participation. Adolescents participated in a visual ethnography study over the course of 2 days to “ show us a day in your life with photos,” with follow-up interviews to discuss their photos. Caregivers participated in a focus group discussion about the challenges of caring for orphaned adolescents and supports that would be helpful in alleviating these challenges. Qualitative transcripts were coded by five researchers from multiple disciplines to identify emergent themes using a grounded theory approach. Themes included tension related to technology use, limited caregiver-adolescent communication, social isolation, financial hardship, and future aspirations. Lacking in peer social interaction, exploration, and opportunities to take risks, the atmosphere of restricted mobility has important implications for adolescents’ social development. Caregivers and their children have little family time for recreation and leisure that would provide opportunities to connect and navigate these issues.
Evaluation of Neurotoxin and Filler Injection Training in Otolaryngology Residency
Authors: Cristel Robert T. , Caniglia Alexander J.
Published: September 2021

Introduction:

Residency training courses are fundamental to an Otolaryngology (ENT) residency curriculum. Neurotoxin and filler injections have become common during ENT residency, and the outcomes of training courses have not been previously evaluated. We hypothesize that after participating in the course, resident knowledge, skill, and likelihood of using neurotoxin and filler injections in future practice will significantly improve.

Materials and Methods:

A prospective study was designed among ENT residents undergoing neurotoxin and filler injection educational training courses from April 2019 to November 2020. After the completion of the course and injections, residents completed a self-evaluation to assess their level of knowledge and skill level with neurotoxin and filler injections.

Results:

The mean number of neurotoxin and filler injections besides within the course was 1.67 and 0.33, whereas during the course was 3.39 ( P = .008) and 1.39 ( P = .0009), respectively. Resident knowledge, skill, and likelihood of using neurotoxin and filler injections in future practice all significantly improved ( P < .05). This study found that a biannual training course for neurotoxin and injectable fillers was an effective strategy at improving resident knowledge, skill, and likelihood of use in future practice.
Public Opinions on Applying Adult Sex Offender Legislation to Minors Convicted of Sex Crimes
Authors: Cain Calli M. , Sample Lisa L.
Published: September 2021

A controversial part of the Adam Walsh Act (AWA) mandates that states require minors adjudicated of certain sexual offenses to be on the sex offender registry, but not all states have complied. Our article examines how far the public in one Midwestern state that has not complied with the AWA is willing to go to manage juvenile sex offenders. We use a statewide survey of adults to examine attitudes toward applying adult sex offender penalties to minors adjudicated of a sex crime (residency restrictions, prohibitions from public schools, school zones, public parks, and social networking sites). Results indicate more than half (60%) of participants agreed that juveniles should be on the public sex offender registry. However, there was less consensus on how punitively juveniles should be treated compared with adult sex offenders. Results indicated which demographics in this state were more likely to hold punitive views toward juvenile sex offenders.
Leading-Following and Mentoring: Making Connections
Authors: Ortiz Mario R.
Published: September 2021

There are many meaning-making moments within the leader-leader protégé relationship that shapes each person moment-to-moment over time. It is important that there is a nursing theoretical framework to serve as the foundation to build a professional relationship with a knowledge base that is unique and shared by the leader-leader protégé. It is essential to think about the ways in which leading and mentoring may be connected, so that mentoring may arise within leadership. The purpose of this paper is to explore the essences of Parse’s (2021) leading-following model in light of mentoring.
Unitary Caring Science
Authors: Doe Mi Jin
Published: September 2021

The author in this article provides the introduction to the review of A Handbook for Caring Science: Expanding the Paradigm, edited by Rosa et al. (2019), contemplating Unitary Caring Science from a unitary transformative worldview.
The VA Storybook Program: Humanizing Care With Nurse Stories
Authors: Roberts Tonya J. , Ringler Thor , Jovaag Seth
Published: September 2021

The Veterans Affairs (VA) Storybook Program was developed to enhance nurse-patient relationships and satisfaction with care. Personal stories about nurses were distributed to patients on a medical/surgical unit. Quantitative and qualitative evaluation data were collected from patients and nurses to capture patients’ descriptions of nurses and perceptions of program value. Results show patients describe nurses differently after reading the storybook. Patients were highly satisfied with the program, and interviews suggest the stories fostered connection and developed an atmosphere of trust. Story programs may be an effective, structured approach to enhancing nurse-patient relationships.
Advance-Care Planning Implementation Through the Nursing Process
Authors: García-Garcés Laura , Bellver Capella Vicente
Published: September 2021

If healthcare professionals wish to provide healthcare that protects patients’ values and preferences, it is necessary to find a way to systematically implement the Advance-Care Planning process. The purpose of this article is to review the literature and present a theoretical model of Advance-Care Planning implementation through the Nursing Process.
Professional Preparation: Faculty Practices for NCLEX-RN® Success
Authors: Davis Janet H. , Morrow Mary R.
Published: September 2021

Davis proposed that there are three overlapping phases of a caring relationship to NCLEX-RN® preparation, grounded in Peplau’s theory. Faculty members’ perspectives on successful strategies related to NCLEX-RN® results were explored using semistructured phone interviews. Faculty perspectives were categorized under external support structures and internal collaborative processes. The results indicate that a multifaceted collaborative approach using commercial testing products and program evaluation is the best approach.
Ethical Implications for Mentoring and the Discipline of Nursing
Authors: Milton Constance L.
Published: September 2021

The discipline of nursing is at a crossroads following the pandemic as scores of both budding and seasoned scholars and practitioners have left the discipline of nursing. Lower numbers of experienced nurses are entering into doctoral programs of nursing, especially PhD programs. A mentoring model is needed to guide and retain budding scholars of the discipline. The author of this article presents the humanbecoming mentorship model. It will be used to illustrate ethical straight-thinking implications for the future of the discipline of nursing.
Testing a Middle -Range Theory of Heart Failure Self-Care
Authors: Attaallah Sumayya A. , Peters Rosalind M. , Benkert Ramona , Yarandi Hossein , Oliver-McNeil Sandra , Hopp Faith
Published: September 2021

A middle-range theory of heart failure self-care, derived from the self-care deficit theory of nursing, was tested among 175 Arab American older adults with heart failure. The middle-range theory achieved good statistical fit, but not all hypothesized relationships were supported. Specifically, conceptualizing basic conditioning factors as a single latent variable was not supported. However, individual factors of depression, social support, and time living with heart failure had a direct effect on both self-care agency and quality of life. Understanding predictors and outcomes of self-care within a theoretical framework is essential in caring for patients with heart failure.
Student Plagiarism: Never-Ending Challenges and Possibilities for Faculty
Authors: Morrow Mary R.
Published: September 2021

Student plagiarism is a never-ending challenge for faculty. This column introduction shares faculty experiences as well as some successful interventions. The author grounds faculty student plagiarism struggles with the humanbecoming teaching-learning module and reminds faculty to address the issue for the benefit of the student and the discipline.
Book Review: A Handbook for Caring Science: Expanding the Paradigm, by Rosa, W., Horton-Deutsch, S., & Watson, J. (Eds.). Springer.
Authors: Flanagan Jane
Published: September 2021

This is a review of the book A Handbook for Caring Science: Expanding the Paradigm. Leading scholars in the field of Caring Science contribute to this important work covering a range of topics. The book is divided into 10 sections, each of which is focused on areas of Caring Science including practice, research, education, and leadership. Importantly, this work considers an international perspective. A focus on nurses’ self- care is also emphasized. Grounding this work is a discussion of the philosophical, ontological, metaphysical, cosmological, and ethical ideas of Unitary Caring Science. This book is a must read for students, nurses in practice, nurse researchers, and academics who are interested in Caring Science.
Being Lost to Follow-Up to Healthcare Appointments: A Concept Analysis
Authors: Ojukwu Emmanuela N. , Brownlee Kristi J. , Cianelli Rosina
Published: September 2021

The concept of being lost to follow-up is very common in healthcare. Though its meaning might seem literal, its use, particularly in healthcare, requires detailed analysis, to understand factors surrounding its incidence and ways of curtailing its detrimental consequences. Walker and Avant’s eight-step concept analysis was used to identify the antecedents, attributes, empirical referents, and consequences of this concept. The attributes of the concept include a clinical starter event suffered by a patient that requires ongoing evaluation by an event tracker at a given location and frequency. However, despite a mutual agreement between the patient and the event tracker, the evaluation suffers a hiatus due to several modifiable and nonmodifiable risk factors (antecedents of the concept), consequences which might include morbidity and death. Early identification and intervention are critical to avoid the occurrence of being lost to follow-up, and nurses need to be cognizant of such knowledge.
Behold—The Gift
Authors: Bunkers Sandra Schmidt
Published: September 2021

This article presents descriptions of mentoring from a philosophy of education and a humanbecoming mentoring model perspective. Descriptions of mentoring-protégé relationships experienced by the author are included using the humanbecoming paradigm as a guide in describing such experiences.
Adaptive Challenges and Family Support: Patient Self-Management during Treatment for Chronic Hepatitis C
Authors: Bailey Donald E. , Muir Andrew J. , Cary Michael P. , Ammarell Natalie , Seaver Sarah , Scirica Emily , Mah’moud Mitch , Anderson Ruth A.
Published: September 2021

The authors describe a family’s adaptive challenges and adaptive work during a family member’s treatment for Chronic Hepatitis C. We audiorecorded index and final clinical visits and interviewed participants (patients and providers) following the visits. We interviewed by telephone and reviewed medical records over the course of treatment. Transcripts were analyzed using directed content analysis. Three themes were identified: family adaptive challenges, patient-described aspects of family members’ adaptive challenges, and family adaptive work. There were four subthemes related to family adaptive work. The adaptive leadership framework for chronic illness provided direction for future family intervention.
“Are psychological attributes quantitative?” is not an empirical question: Conceptual confusions in the measurement debate
Authors: Franz David J.
Published: September 2021

Critics of psychological measurement have accused quantitative psychologists of ignoring the empirical hypothesis that psychological phenomena are quantitative (Michell), or have claimed that it is impossible in principle to find out whether psychological phenomena are actually quantitative (Trendler). By drawing on Bennett and Hacker (2003), I argue that both criticisms do not go far enough because they sidestep the fundamental conceptual problem of the measurement debate: It is impossible to give concrete formulations of the question “Are psychological attributes quantitative?” without transgressing the boundaries of meaningful language. Conceptual confusions and questionable philosophical assumptions have contributed to the misguided idea that the quantity of psychological phenomena must or can be demonstrated empirically. First, the measurement debate is characterized by misleading examples and ambiguous terminology. Second, the idea of psychological measurement is inherently Cartesian. In summary, psychological measurement is even more problematic than Michell and Trendler have argued.
Multiple geographies of precarity: Accommodation policies for asylum seekers in metropolitan Athens, Greece
Authors: Papatzani Eva (Evangelia) , Psallidaki Timokleia , Kandylis George , Micha Irini
Published: September 2021

Since early 2016, in the context of the so-called ‘refugee crisis’, a series of accommodation policies for asylum seekers were developed in Greece under the regime of ‘emergency’, consisting of two pillars: on the one hand, the ‘campisation’ of accommodation in the mainland and, on the other hand, urban apartments. This article sheds light on the uneven geographies of accommodation policies for asylum seekers in metropolitan Athens, by investigating in a complementary way the aforementioned distinct – yet intertwined – types of accommodation. Through the lens of ‘precarity of place’, it argues that asylum accommodation in Athens reproduces multiple geographies of precarity through (a) filtering mechanisms based mainly on vulnerability categorisations, (b) socio-spatial isolation and segregation, and (c) a no-choice basis and extensive control of everyday habitation. The article explores the impact of the above on the everyday lives, socio-spatial relationships, and processes of belonging of asylum seekers, as well as on how they experience – and sometimes contest – precarity of place. The research, conducted in metropolitan Athens, is based on a mixed-methods approach that includes critical policy analysis and interviews with asylum seekers accommodated in camps and apartments, and representatives of institutional actors involved in the accommodation sector.
An Isolated Thrombocytopenia in a Newborn
Authors: Nassih Houda , Taher Fatima , Elqadiry Rabiy , Bourrahouat Aicha , Ait Sab Imane
Published: September 2021

Isolated thrombocytopenia is a common finding in neonates and infants. Physicians should rule out infection at first. Meanwhile, neonatal lupus erythematosus is classically revealed by cutaneous and cardiac manifestations. Hematological involvement is possible but rare. In this article, we report the case of a one-month-old boy who had been suffering from isolated thrombocytopenia and was diagnosed with neonatal lupus.
Attitudinal Correlates of HPV Vaccination in College Women
Authors: Kasting Monica L. , Christy Shannon M. , Stout Madison E. , Zimet Gregory D. , Mosher Catherine E.
Published: September 2021

This study examined associations between general attitudes toward seeking medical care, attitudes about vaccines/fear of shots, and human papillomavirus (HPV) vaccine uptake and intentions in college women. Hypothesized associations were framed by the Theory of Planned Behavior (TPB). Participants ( N = 330, mean age = 18.9 years, 75% White) completed a one-time survey. The majority (61%; n = 201) had received ≥1 HPV vaccine dose. Hierarchical logistic regression examined relationships between attitudes and vaccine uptake. Pearson correlation coefficients and Kruskal-Wallis tests examined associations between attitudes and vaccine intentions. Results were partially consistent with the TPB. In the final model, perceived benefits, but not fear of shots, were associated with vaccine uptake. Among the unvaccinated, perceived benefits, but not fear of shots, were associated with vaccine intentions. Provider recommendation was the strongest predictor of vaccine uptake. Findings suggest interventions incorporating discussion of perceived benefits and provider recommendation may improve HPV vaccine receipt among college women.
Event-Specific Emotional Expression of Persons Living With Dementia in Long-term Care: A 6 Months Follow-up Study
Authors: Lee Kyung Hee , Lee Ji Yeon , Kim Bora , Boltz Marie
Published: September 2021

This longitudinal study aimed to explore the event-specific emotional expressions of persons living with dementia in long-term care during a 6-month period with repeated observations. Emotional expressions at three specific events (mealtime, personal care, and social activity) were videotaped at the beginning, month 3, and month 6. Thirty participants were enrolled, and nine observations were made for each participant. Mixed-effect models were used for statistical analysis. The type of care events, the person who provides care, and the facility type were associated with emotional expressions. Specifically, personal care, interaction with non-nursing providers, and facility type were associated with positive emotional expressions. Negative emotional expressions were related to personal care, interaction with family or volunteer, and facility type. This study provides a better understanding of event-specific emotional expressions and knowledge to support the development of emotion-oriented intervention programs to improve the psychological well-being of persons living with dementia.
Call to Action: Addressing Social Determinants of Health in Pharmacy Practice
Authors: Kalabalik-Hoganson Julie , Ozdener-Poyraz Ayse Elif , Rizzolo Denise
Published: September 2021

Social determinants of health (SDOH) are conditions in which individuals are born, live, work, learn, play, and age that affect health, risks, functioning, and outcomes. SDOH are recognized barriers to care, risk factors for certain diseases, and associated with poorer health outcomes. Screening for SDOH in physician practices and hospitals is reportedly low. The accessibility of pharmacists and established relationships with patients make pharmacy settings ideal for identifying and mitigating social needs. An evaluation of the impact of SDOH on health outcomes and opportunities for pharmacists to embed screening into practice is warranted.
Apixaban and Rivaroxaban Anti-Xa Level Monitoring Versus Standard Monitoring in Hospitalized Patients With Acute Kidney Injury
Authors: Towers William , Nguyen Steffany N. , Ruegger Melanie C. , Salazar Eric , Donahue Kevin R.
Published: September 2021

Background:

Oral direct factor Xa inhibitors (FxaIs) are renally eliminated; thus, acute kidney injury (AKI) may increase the risk for drug accumulation and bleeding. There is minimal data describing the effects of AKI on FxaI anti-Xa levels or clinical outcomes.

Objective:

To compare anti-Xa level monitoring with standard monitoring in patients who experience AKI on apixaban or rivaroxaban.

Methods:

This retrospective study included patients admitted within a large hospital system from May 2016 to October 2020. Patients were included if they received apixaban or rivaroxaban prior to AKI. Patients were stratified into 1 of 2 groups: those with anti-Xa level monitoring or those who received standard monitoring. The primary outcome was major bleeding as defined by the International Society of Thrombosis and Haemostasis.

Results:

A total of 196 patients were included in the final analysis. Major bleeding occurred in 2 patients who received anti-Xa level monitoring, compared with 14 patients who received standard monitoring (2.1% vs 14%; P < 0.01). Variables identified as predictors of major bleeding included a documented history of liver disease (adjusted odds ratio = 3.17; 95% CI = 1.04-9.67; P = 0.04) and antiplatelet use (adjusted odds ratio = 4.18; 95% CI = 1.28-13.7; P = 0.02).

Conclusion and Relevance:

This is the first study to demonstrate that anti-Xa level monitoring was associated with a significant reduction in major bleeding compared with standard monitoring in patients with AKI who received apixaban or rivaroxaban. The optimal management of antithrombotic medications in patients with AKI and recent exposure to an FxaI requires further investigation.
A Review of Selumetinib in the Treatment of Neurofibromatosis Type 1–Related Plexiform Neurofibromas
Authors: Anderson Mary Kate , Johnson Meredith , Thornburg Lauren , Halford Zachery
Published: September 2021

Objective:

To evaluate the safety and efficacy of selumetinib, a novel MEK inhibitor, for the treatment of plexiform neurofibromas (PN) in patients with neurofibromatosis type 1 (NF1).

Data Sources:

An English-based literature search of PubMed, EMBASE, and ClinicalTrials.gov was conducted using the terms selumetinib AND neurofibromatosis from inception to August 1, 2021.

Study Selection and Data Extraction:

Relevant prescribing information, abstracts, and articles identified through the search were considered for inclusion in this review.

Data Synthesis:

The open-label, multicenter, single-arm, phase II SPRINT trial demonstrated clinically significant improvements in PN-related complications. Of 50 symptomatic patients, 68% experienced a partial response, with a median change in tumor volume of −27.9% from baseline. Estimated progression-free survival at 3 years was 84%. Additionally, clinically meaningful improvements were seen on patient- and parent-reported assessments evaluating pain, range of motion, disfigurement, and quality of life. Overall, the adverse effect profile for selumetinib appears mild and manageable.

Relevance to Patient Care and Clinical Practice:

Selumetinib is the first FDA-approved treatment for inoperable PN in patients with NF1, demonstrating that MEK inhibition is a promising therapeutic strategy. Studies are ongoing to assess the effect of selumetinib on other NF1-associated tumor types and to determine the optimal dosing schedule and treatment duration. Cost and treatment burden must be considered when selecting selumetinib therapy.

Conclusion:

Selumetinib exhibits impressive antitumor activity and sustained clinical benefit in patients lacking other viable treatment options. Further studies are warranted to determine the optimal age of initiation, treatment duration, and overall cost-effectiveness of selumetinib.
Development and Validation of a Shortened Form of SELweb EE, a Web-Based Assessment of Children’s Social and Emotional Competence
Authors: McKown Clark , Kharitonova Maria , Russo-Ponsaran Nicole M. , Aksu-Dunya Beyza
Published: September 2021

This article describes the development and validation of a shortened form of SELweb EE, a web-based assessment for social–emotional skills in the early elementary grades. Using a Rasch approach, in the first study, we used data from two archival data sets to reduce the number of items in three subtests to create short forms that maintained item fit, item difficulty, item discrimination, and test information function range. In the second study, we created and administered a short form of SELweb EE to a demographically diverse cross-validation sample of 22,683 students. We evaluated the shortened assessment subtests’ score reliability, fit to a hypothesized factor structure, and association with age and other variables to evaluate criterion-related validity. Findings from this study suggest that score reliabilities, factor structure, and criterion-related validity for the short form are similar to corresponding properties of the long form. In addition, using a confirmatory factor analysis framework, the short form of SELweb EE demonstrated evidence of configural, metric, and scalar invariance across sex, ethnicity, and language. Shortening SELweb EE reduced the mean administration duration from 36 to 24 minutes. This reduction substantially increases its usability and feasibility while maintaining its psychometric merit.
Developments in National Cancer Control Programmes in Europe – Results From the Analysis of a Pan-European Survey
Authors: Jelenc Marjetka , Weiderpass Elisabete , Fitzpatrick Patricia , Albreht Tit
Published: September 2021

Introduction

National Cancer Control Programmes (NCCPs) provide a country’s policy framework for the development of cancer control, focussing on the reduction of cancer morbidity and mortality and improving quality of life of cancer patients.

Objective

Exploring and analysing to which extent some of the key elements of the European Guide for Quality National Cancer Control Programmes (Guide) are implemented in NCCPs in the EU.

Methods

Survey carried out through 30 countries, EU members, Iceland, Montenegro, Norway and Turkey, focussing on stakeholders’ participation, inclusion of all the envisaged chapters from the Guide as well as implementation and dissemination.

Results

The results of the policy survey on European NCCPs carried out within Cancer Control Joint Action (CANCON JA) are presented. The response was 30 out of 35 countries. In total, 28 out of 30 countries, which completed the survey, had an NCCP or another cancer document. Cancer documents were mostly single documents, managed and supervised by the respective Ministries of Health and communicated to the public via websites and press. Nine documents were defined as programmes, eight as plans and six as strategies; in five countries, terminology was mixed. Regarding the content, recommended by the Guide from 2015, comprising ten chapter areas in three parts. Only 10 countries included in their NCCPs all elements suggested in the Guide.

Conclusion

Based on our results, we can see that a more comprehensive approach in the process of NCCPs is needed. Policy should focus on the development of instruments for efficient cancer management, which would encompass the entire trajectory of the cancer care from diagnosis to survivorship and supportive care.
Nursing Staff Attitude, Subjective Norms, Perceived Behavior Control, and Intention to Provide Tobacco Treatment in a Psychiatric Hospital
Authors: Abufarsakh Bassema , Okoli Chizimuzo T.C.
Published: September 2021

BACKGROUND:

Although the nursing staff is fundamental in assisting individuals with mental illnesses (MI) to stop tobacco use, they often have mixed feelings about providing tobacco treatment (TT) services to people with MI in inpatient psychiatric settings.

AIMS:

Therefore, this study aimed to understand factors associated with nursing staff’s intentions to provide TT interventions for individuals diagnosed with MI in a psychiatric facility using the constructs of the theory of planned behavior (TPB).

METHOD:

Secondary data analysis was performed using cross-sectional data collected from 98 nursing staff who worked in a state inpatient psychiatric facility. A 15-item questionnaire was used to assess nursing staff intentions to provide TT services based on TPB constructs, including attitudes (four items), subjective norms (four items), perceived behavioral controls (four items), and intentions (three items) toward providing TT. The mean scores of each subscale ranged from 1 to 7. A logistic regression analysis was used to examine the relationship between TBP constructs and nursing staff intentions to provide TT for people with MI.

RESULTS:

Nursing staff had an acceptable mean score in the intentions subscale (4.34 ± 2.01). Only two constructs of TPB explained nursing staff intentions to provide TT: subjective norms (OR = 2.14, 95% CI [1.46, 3.13]) and perceived behavioral control (OR = 2.33, 95% CI [1.32, 4.12]).

CONCLUSIONS:

The constructs of the TPB, the subjective norms, and the perceived behavior control were able to predict nurses’ intentions to provide TT for inpatients in a psychiatric setting. Accordingly, we suggest implementing policies that make TT a normative practice while supporting the confidence and competence of nurses to deliver TT in psychiatric facilities.
Actor Ecosystem Readiness: Understanding the Nature and Role of Human Abilities and Motivation in a Service Ecosystem
Authors: Danatzis Ilias , Karpen Ingo O. , Kleinaltenkamp Michael
Published: September 2021

Fueled by technological advances, service delivery today is increasingly realized among multiple actors beyond dyadic service encounters. Customers, for example, often collaborate with peers, service employees, platform providers, or other actors in a service ecosystem to realize desired outcomes. Yet such multi-actor settings pose greater demands for both customers and employees given added connectivity, changing roles, and responsibilities. Advancing prior dyadic readiness conceptualizations, this article lays the theoretical ground for an ecosystem-oriented understanding of readiness, which we refer to as actor ecosystem readiness (AER) . Grounded in a six-stage systematic synthesis of literature from different disciplines, our AER concept unpacks the cognitive, emotional, interactional, and motivational conditions that enable a customer or an employee to navigate a service ecosystem effectively. Building on human capital resource literature, we propose a multilevel framework around five sets of propositions that theorize AER’s nomological interdependencies across ecosystem levels. In articulating the process of how AER results in higher-level ecosystem outcomes, we demonstrate how AER serves as a microfoundation of service ecosystem effectiveness. By bridging this micro–macro divide, our AER concept and framework advance multilevel theory on human readiness and critically refine the service ecosystem concept itself while providing managerial guidance and an extensive future research agenda.
Assessing Parent Implementation of Behavior Support Strategies and Self-Monitoring to Enhance Maintenance
Authors: Ivory Kyleigh P. , Kern Lee
Published: September 2021

Teaching parents to serve as interventionists for their children is a common approach to enhance child learning. Research demonstrates that parents are able to implement evidence-based interventions with high integrity; however, there is limited research indicating the extent to which parents are able to maintain skills. We taught parents of two children, ages 10 and 11, to implement three positive behavior support skills: praise, choice making, and setting expectations. Using a multiple baseline across skills design, parents demonstrated criterion level use of all three skills; however, only one skill for one parent maintained. We then taught parents to self-monitor the use of skills that did not maintain. Following self-monitoring, parents demonstrated immediate increases in strategy implementation. In addition, both children demonstrated significant increases in engagement and decreases in problem behavior. Social validity results indicated high acceptability by both parents.
The Use of Stimulus Preference Assessments to Determine Procedural Acceptability for Participants
Authors: Huntington Rachelle N. , Schwartz Ilene S.
Published: September 2021

The social validity of behavior intervention is rooted in consumer perception. This information is typically garnered through questionnaires and interviews conducted with relevant consumers such as teachers or caregivers. Often, the participants (i.e., the individuals with disabilities receiving the intervention) play less of a role in the assessment of social validity, despite their primary role in intervention. This study examines a procedure for including participants in the assessment of social validity, namely procedural acceptability. Three participants selected their preferred intervention in a paired stimulus preference assessment. Videos presented the intervention options, and participants’ preferred interventions were implemented. These interventions decreased target behavior(s) and increased on-task behavior for all participants. The article concludes with a discussion of implications for use of this procedure and considerations for including participants in social validity assessments.
Reactivation of varicella zoster infection presenting as acute retinal necrosis post COVID 19 vaccination in an Asian Indian male
Authors: Mishra Sai Bhakti , Mahendradas Padmamalini , Kawali Ankush , Sanjay Srinivasan , Shetty Rohit
Published: September 2021

Purpose:

To present the clinical features of a rare case of varicella zoster infection following one dose of Coronavirus Disease 2019 (COVID-19) vaccination in an elderly Asian Indian male.

Methods:

Retrospective observational case report.

Results:

A 71-year-old gentleman presented to us with complaints of reduced vision associated with redness and pain in his right eye for 1 week. On examination he revealed a right eye pan uveitis picture with circumcorneal congestion, multiple fine keratic precipitates, anterior chamber cells and flare, vitritis and widespread areas of acute retinal necrosis. His left eye was within normal limits. Ten days prior to the presentation he had received the first dose of COVID-19 vaccine following which he had developed fever for 2 days that preceded the red eye. The patient’s aqueous sample tested positive for varicella zoster virus (VZV) by nested polymerase chain reaction (PCR) method. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in reverse transcriptase polymerase chain reaction (RT-PCR) assay from the aqueous and also from the nasopharyngeal swab was negative.

Conclusion and significance:

To the best of our knowledge this is the earliest description of a case that has a viral reactivation following COVID-19 vaccination. Elderly people with pre-existing comorbidities, may be at a risk of both primary coronavirus infection and unconceivable risk of aberrant immune reactions leading to a different virus infection or reactivation need to be kept in mind. We present a possible link between SARS-CoV-2 virus vaccination and varicella zoster reactivation in this patient.
Safe disconnection of 5-fluorouracil elastomeric pumps: The benefit of a closed-system-transfer device designed for cytotoxic drug administration/perfusion
Authors: Raphaëlle Pesqué , Elodie Peyrilles , Nathalie Jourdan , Odile Albert , Paul Sessink , Isabelle Madelaine , Hélène Levert
Published: September 2021

Background:

Occupational exposure to cytotoxic drugs can lead to significant health problems. This study was designed to evaluate the risk of 5-fluorouracil (5-FU) contamination for nurses when disconnecting the infusion line of an elastomeric pump from a non-coring needle, by comparing three configurations: the first one using standard Male and Female Luer lock (Group 1), the second one using a needle-free connector (NFC) and a Male Luer lock (Group 2) and the third one using a closed-system transfer device (CSTD), Qimono® (Group 3).

Methods:

In this in vitro study, 10 elastomeric pumps for each of the three groups were filled with 5-FU and a tissue mimicking the patient’s arm was placed below the connection between the infusion line and the tubing of non-coring needle. After 48 h of infusion, disconnection was performed by a nurse with a wipe soaked in a mix of chlorhexidine and isopropyl alcohol in order to mimic care practices. For each pump, the tissue, the pair of gloves and the wipes used during the disconnection were collected for analysis.

Results:

Median level of overall 5-FU contamination (gloves + wipes + tissues) in group 3 was significantly lower than in group 1 ( p = 0.018) and group 2 ( p = 0.036). There was no difference between groups 1 and 2. Results per sample type showed no difference in contamination between the three configurations for the gloves as well as for the tissues. Concerning the wipes, the lowest contamination was observed in group 3, representing a mean reduction of 61% compared to group 1 and a mean reduction of 43% compared to group 2.

Conclusion:

The use of Qimono® appears to significantly reduce 5-FU contamination when disconnecting infusion lines of an elastomeric pump unlike NFC and standard Luer lock.
Analysis of influencing factors on the duration of pediatric peripheral intravenous catheter
Authors: Peng Yanxian , Zhou Yawei
Published: September 2021

Background:

The application of peripheral intravenous catheter has been an effective guarantee for the success of pediatric therapy. We aimed to investigate the correlative factors that impacting the duration of pediatric peripheral intravenous catheter.

Methods:

From January 2017 to October 2017, 370 cases of pediatric patients in the First Hospital of Hunan University of Chinese Medicine were collected as the research object. Based on the indwelling time, the collected cases were divided into two groups, namely long time group (>72 h) and short time group (<72 h). The general data and laboratory test results of two groups were collected, and the correlation factors of indwelling time were analyzed by single factor and Logistic multiple factors.

Results:

As the results revealed that compared with short time group, patients in long time group had statistically significant differences in puncture site, phlebitis, extravasation of blood vessels, hemoglobin, white blood cells, platelets, and 75% ethanol sterilization ( p < 0.05). Logistic multivariate analysis indicated that scalp puncture was the independent protective factors that affecting the duration of pediatric peripheral intravenous catheter. Moreover, phlebitis represented the independent risk factor that influencing the indwelling time of pediatric peripheral intravenous catheter. And the differences were statistically significant ( p < 0.05).

Conclusions:

Analyze factors influencing indwelling time of pediatric peripheral intravenous catheter and enhance the management of relevant factors are of great significance to prolong the indwelling time, reduce the pain of pediatric patients, and facilitate the clinical medication.
The immune self, hygiene and performative virtue in general public narratives on antibiotics and antimicrobial resistance
Authors: Davis Mark DM , Lohm Davina , Flowers Paul , Whittaker Andrea
Published: September 2021

This paper employs an assemblage lens to generate analyses of general public narratives on antimicrobial resistance (AMR). Global efforts to reduce AMR include communications aiming to promote general public awareness, provide knowledge, encourage careful antibiotics use, and discourage demands for them. These efforts are somewhat compromised by the assumptions they make of individual lack of knowledge and motivation and the manner in which the AMR problem is framed in isolation from the biological, social and economic structures that produce it. Conceptualising AMR as an effect of antimicrobial assemblages of which publics are but one part, we analysed interviews with the general public on the lived experience of infections, antibiotic treatments and AMR. Far from science and policy discourse on AMR, these narratives showed antibiotics to be partly solutions to the social and biomedical challenges of infection, framed by self-defensive immunity and hygiene, the affective benefits of ‘immune boosting’, and the imperative to sustain the moral standing of the healthy citizen. Failing public awareness and action on AMR can be attributed to public health messages that overlook the social, affective and moral dimensions of infection care and separate AMR from its socio-economic drivers.
Which illicit drugs are injected in Oslo? A study based on analysis of drug residues in used injection equipment and self-reported information
Authors: Gjerde Hallvard , Bretteville-Jensen Anne Line , Bache-Andreassen Lihn , Hanoa Kristin , Furuhaugen Håvard , Brochmann Gerd-Wenche , Vindenes Vigdis
Published: September 2021

Background

People who inject drugs (PWID) have a high risk of premature death due to fatal overdoses. Newly emerged fentanyls, much more potent than heroin and other opioids, may increase this risk further. Therefore, precise information on injected drugs is critical to improving prevention strategies.

Aims

This study aimed to analyse drug residues in used injection equipment in order to determine drug and drug combinations and compare and complement findings with self-reported information.

Methods

Used syringes and needles ( n=766) were collected at the supervised drug consumption facilities, the needle exchange service and two low-threshold health services for problem drug users in Oslo, Norway. The material was collected every third month from June 2019 to June 2020 and analysed for 64 substances using highly specific analytical methods (ultra–high performance liquid chromatography tandem mass spectrometry). Additionally, a street-recruited sample of PWID was interviewed from 2017 to 2019 regarding their drug injection habits ( n=572).

Results

Heroin (65.5%) or amphetamines (59.8%), often in combination (30.5%), were commonly detected in drug residues. Other opioids, stimulants or benzodiazepines were rarely detected (6.1%). Fentanyl was detected in only one syringe. Heroin was the most reported drug (77.6% during the past four weeks, 48.3% daily/almost daily), followed by amphetamines (57.5% during the past four weeks, 23.1% daily or almost daily). Injection of methadone, buprenorphine and dissolved tablets was self-reported more frequently than determined in drug residue findings.

Conclusions

Analysis of the injection equipment proved useful as a non-invasive, rapid and accurate means to obtain detailed information on injected drugs in Oslo and supplement traditional PWID survey information.
Approaching a New Normal: Lessons Learned Transitioning Family Education Programming to a Virtual Environment
Authors: Corvin Jaime , Nabours Bradlie , Bularca Sinziana , Haile Amy
Published: September 2021

The COVID-19 pandemic is highlighting deep-rooted health inequities. While the virus itself does not discriminate, gaps in access to services and disparities in health outcomes are prevalent. Concerns over worsening mental health outcomes and increases in family violence exist. Thus, service organizations have faced an unprecedented call to rethink services, with many transitioning to virtual programming to ensure the needs of their clients can be met. This brief highlights lessons learned as one organization pivoted to meet critical client needs during the COVID-19 pandemic. Evidence suggests atypically high engagement and retention in family education and family violence reduction programming under Safer at Home orders when compared with pre-COVID engagement. Findings suggest key tenants for program success are tied to strong programming, staff engagement, and participation retention and satisfaction. Program adaptations create opportunities for increasing service equity, improving engagement and satisfaction, and improving family and mental health outcomes by maintaining connections, while providing a model for delivering services to reduce child maltreatment during times of social isolation and increased hardship.
Collaborating With Parks and Recreation Departments to Address Youth Health
Authors: Risisky Deb , MacGregor James
Published: September 2021

Adolescence is an important time for addressing health, including mental health, obesity, substance use, and food insecurity. As the myriad health and wellness needs of community members expands, it becomes increasingly difficult for one profession alone to address these needs. The park and recreation field was founded to address the health and wellness needs of people, and much of their programming is focused on youth. Thus, municipal park and recreation departments are becoming increasingly involved in collaborative partnerships with other health-serving agencies within their community. This study explored park and recreation directors’ experiences in collaborating with health agencies to better address health and wellness factors that affect the youth in their communities. This phenomenological qualitative study employed in-depth interviews with park and recreation directors and used thematic analysis. Nine interviews were conducted from four of the six New England states. The most common health concern seen by the directors was mental health, primarily behavioral health challenges. Parks and recreation collaboration with public health organizations ranged from none to close collaborations; directors regularly spoke about wanting to strengthen their collaborations. Public health and park and recreation staff have similar challenges with staffing and resources; additionally, they have complimentary skills with regard to planning and implementing health-related programs. For that reason, creating purposeful collaborative partnerships between public health agencies and park and recreation departments, focused on measurable outcomes, may increase benefits to the health of youth in a community.