Facilitators of a Campus Tobacco-free Policy: Navigating the Politics

Objective: In this paper, we discuss prioritization, formulation, and adoption of a comprehensive campus tobacco-free policy on a large, diverse campus at a public university in the United States. Methods: We examined the comprehensive campus tobacco-free policy experience through Kindgon's Multiple Streams Framework, which stipulates that policy change can happen when problem, policy, and politics align. We focus on the factors that led the political stream to align with the problem and policy streams to create a "window of opportunity" for adopting this policy. Results: The campus experience with COVID-19 helped spur policy adoption. Support from leadership, a committed faculty-administration team, engagement with stakeholders and community partners, knowledge of the policy adoption process, and sustained advocacy all contributed to policy adoption. Conclusions: Campus tobacco-free policy advocates can navigate the politics of prioritizing, formulating, and adopting a campus smoke-free policy by knowing the context and process, being comfortable with policy work, engaging with tobacco prevention stakeholders, sustaining their efforts and advocating in multiple ways, and considering implementation and evaluation early.

Supporting student and faculty wellbeing in graduate education: Teaching, learning, policy, and praxis

Promoting and sustaining wellbeing have gained prominence in a globalizing world, especially during the COVID-19 pandemic. Higher-education institutions are increasingly expected to consider and support the wellbeing of their students, staff, and faculty. Within higher education, new understandings are emerging about the intricacies and intersectionalities of psychological, social, and cultural factors that impact wellbeing of diverse individuals, including Indigenous, international, refugee, immigrant, and other marginalized groups. There is growing recognition that learning and working within academia are stressful experiences for faculty and graduate students. The need to understand wellbeing in general and wellbeing in graduate education, in particular, is also evident in the reports and studies that indicate an emerging crisis of wellbeing among graduate students and faculty. This book recognizes new pressures impacting graduate students and their supervisors, teachers, and mentors globally. It provides a range of insights and strategies which reflect on wellbeing as an integral part of teaching, learning, policy, and student-mentor relationships. The book offers a uniquely holistic approach to supporting the wellbeing of both students and academic staff in graduate education. It showcases optimized approaches to self-care, self-regulation, and policy development, as well as trauma-informed, arts-based, and embodied pedagogies. Particular attention is given to the challenges faced by minority groups including Indigenous, international, refugee, and immigrant students and staff. Providing a timely analysis of the current issues surrounding student and faculty wellbeing, the book appeals to scholars and researchers working across the fields of higher education, sociology of education, educational psychology, and student affairs. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Engaging frontline workers in policy development to support the implementation of measurement-based care: Lessons learned from a field-based workgroup.

Measurement-Based Care (MBC) is the use of patient-reported outcome measures repeatedly over the course of treatment to track progress and empower both providers and patients to collaboratively set goals and plan treatment. The Measurement-Based Care in Mental Health Initiative within the Department of Veterans Affairs' Office of Mental Health and Suicide Prevention partnered with the Post Traumatic Stress Disorder (PTSD) Mentoring Program to create an interdisciplinary field-based workgroup. The workgroup included psychologists, clinical social workers, and mental health counselors from PTSD Clinical Teams. The task of the workgroup was to create guidelines for best practice in delivery of MBC in PTSD Clinical Teams given anticipated policy requiring MBC to be used in PTSD Clinical Teams. Framed in the Strategic Action Field Framework for Policy Implementation Research, the current paper evaluates this hybrid top-down and bottom-up process of policy development. Major barriers included difficulty with the workgroup as an authentic bottom-up process, inability to reach the entire field (e.g., focus groups not widely attended by providers), and limited diversity in the workgroup. Facilitators included using consensus to make decisions, support provided to workgroup members by national operations partners, and collaboration and mutual respect among workgroup members. Workgroup members noted an equal, respectful partnership between operations partners and the workgroup; they reported feeling empowered and believed the viewpoints of the field were included in the guidelines. Further, due to the COVID-19 pandemic, the workgroup included more guidelines specific to telehealth into the guidelines. This hybrid model provides a process through which frontline workers can inform policy development and implementation.

Identification and reduction of seafarers' cognitive and behavioral fatigue impacts for effective MET policy development

The analysis of the interviews, conducted among the crewing agencies representatives, active seafarers and cadets, review of the instruments, developed by the International Maritime Organization (IMO), evaluation of the accidents' database, collected by the International Transport Workers' Federation (ITF) display fatigue as one of the leading factors greatly influencing upon the seafarers and effectiveness of their performance, especially due to the COVID-19 pandemic. Therefore, the aim of the proposed paper is to share the results of the implemented research, related with identification of cognitive and behavioral markers prioritization and inclusion of fatigue detection and decrease into Maritime Education and Training (MET) policy development aimed at improvement of seafarers' performance and safety of navigation. © 2022 IAMUC. All Rights Reserved.

Emergency Policy from A Public Policy Perspective

Covid-19 has affected the policy-making strategy of every country in a critical situation. The Indonesian government also faced policy-making and implementation-related challenges during the pandemic. This study aimed to explore emergency policy from a public policy perspective in Indonesia. The study's purpose is grounded on the findings and research gaps in the literature to explore the unaddressed area in the literature. The study's motivation is to improve the policy-making strategy to avoid bad circumstances during a future pandemic. This study has used the narrative review method and explored the literature on public policy in Indonesia to determine the role of public policy in social services. This study concluded that public policy development was a major challenge for the Indonesian government during Covid-19. The findings of this study disclosed that public policy must have academic studies, public tests, and a socialization stage. The scope of this study is limited to government department policy making and implementation in Indonesia. Moreover, the literary contribution of this study enhanced the body of knowledge as the governance issues for policymakers were not discussed in the earlier studies. The practical implications and future directions would provide a way for the Indonesian government for improving the emergency policy from the perspective of government policy.

Evaluation and Prediction of Coupling Coordinated Development of Compound System of Key State-owned Forest Region in Daxing'anling, Heilongjiang Province

Coordination is an important part of the new development philosophy. Promoting the coordinated development is the main goal of deepening the reform and development in state-owned forest region. Aiming to provide scientific basis and theoretical supports for promoting the continuous deepening of reform of state-owned forest region and realizing comprehensive and high-quality coordinated development, the key state-owned forest region in Daxing'anling, Heilongjiang Province was chosen as the research object. A compound system covering ecological conservation, industrial development, enterprise management, well-being of the people and support capability was constructed. The coupling coordination model was used to quantitatively evaluate the coupling coordination status of the compound system from 2000 to 2020. The Grey Markov model was used to predict the trend of coupling coordination development in this compound system from 2021 to 2022. Results show that, after 21-year of transformation and development, the development index of each subsystem of state-owned forest region in Daxing'anling, Heilongjiang Province has been changed, however, the process were different among subsystems. The growth rates of the subsystems of well-being of the people and resource conservation have been high, while the subsystems of enterprise management and the support capability have been lagged dramatically behind. The development stage of coupling coordination of the compound system has changed from misalignment to coordination, nevertheless, the coordinated development level was regressive in recent years due to certain factors such as policy, COVID-19, etc. It is predicted that by 2022, the development stage of coupling coordination of compound system will be recovered to the benign coordinated development type, however, there is still a big gap before it reaches the high-quality coordinated development type. It is suggested that the existing support policies and inputs should be kept stable, moreover, the enterprise management and support capability should be strengthened, in order to promote the stable and high-quality coupling coordinated development in the key state-owned forest regions in Daxing'anling, Heilongjiang Province. © 2022, China Environmental Science Press. All rights reserved.

Fit for Purpose-Re-Designing Australia's Mental Health Information System.

BACKGROUND: Monitoring and reporting mental health is complex. Australia's first National Mental Health Strategy in 1992 included a new national commitment to accountability and data collection in mental health. This article provides a narrative review of thirty years of experience. MATERIALS AND METHODS: This review considers key documents, policies, plans and strategies in relation to the evolution of mental health data and reporting. Documents produced by the Federal and the eight state and territory governments are considered, as well as publications produced by key information agencies, statutory authorities and others. A review of this literature demonstrates both its abundance and limitations. RESULTS: Australia's approach to mental health reporting is characterised by duplication and a lack of clarity. The data available fail to do justice to the mental health services provided in Australia. Mental health data collection and reporting processes are centrally driven, top-down and activity-focused, largely eschewing actual health outcomes, the social determinants of mental health. There is little, if any, link to clearly identifiable service user or carer priorities. Consequently, it is difficult to link this process longitudinally to clinical or systemic quality improvement. Initial links between the focus of national reform efforts and mental health data collection were evident, but these links have weakened over time. Changes to governance and reporting, including under COVID, have made the task of delivering accountability for mental health more difficult. CONCLUSION: Australia's current approach is not fit for purpose. It is at a pivotal point in mental health reform, with new capacity to use modelled data to simulate prospective mental health reform options. By drawing on these new techniques and learning the lessons of the past, Australia (and other nations) can design and implement more effective systems of planning, reporting and accountability for mental health.

Sustainable Management and Policies: The Roles of Stakeholders in the Practice of Inclusive Education in Digital Transformation

Children are a country’s most valuable asset. Educating them and bringing them into society is one of the most fundamental tasks of a nation. The disadvantageous position that individuals with a disability are exposed to shows the importance of the need for inclusive education for the quality of life. It is important to use the merits of digital transformation to provide services and education for all to support sustainability. This research aims to shine a light on the problems related to inclusive education faced in the special education schools and rehabilitation centers and put forward suggestions for digital transformation. As inclusive means inclusion, social interaction, access, and equality for education, the role of digital transformation is examined for the quality of inclusive education. Self-reflection is a qualitative form which was employed in the research involving school managers and teachers who were selected randomly from the Special Education Schools and Rehabilitation Centers that participated in the research. It is revealed that most of the studies focus on inclusive education, the digital divide, social inclusion, online learning, and the implication of inclusive education in digital transformation. Although studies expose inclusive education in digital transformation, most of these have 0.20 quality criteria, showing an intensified need to extend the existing body of knowledge. It is shown that the vast majority of inclusive education aligns with the institution’s inclusive education vision and purpose. Concerning financing, it is difficult to find sponsors among non-governmental organizations to support the institution’s inclusive education-related material, equipment, and security needs, and Ministry of National Education funding is essential. There is a need to improve the inclusive education competencies of administrators and teachers, and in-service training should be provided. Self-improvement opportunities of administrators and teachers of the institution are significantly inadequate and should be improved.

First Nations Australians' self-determination in health and alcohol policy development: a Delphi study.

BACKGROUND: Recognition of the role of structural, cultural, political and social determinants of health is increasing. A key principle of each of these is self-determination, and according to the United Nations (2007), this is a right of Indigenous Peoples. For First Nations Australians, opportunities to exercise this right appear to be limited. This paper explores First Nations Australian communities' responses to reducing alcohol-related harms and improving the health and well-being of their communities, with a focus on understanding perceptions and experiences of their self-determination. It is noted that while including First Nations Australians in policies is not in and of itself self-determination, recognition of this right in the processes of developing health and alcohol policies is a critical element. This study aims to identify expert opinion on what is needed for First Nations Australians' self-determination in the development of health- and alcohol-related policy. METHODS: This study used the Delphi technique to translate an expert panel's opinions into group consensus. Perspectives were sought from First Nations Australians (n = 9) and non-Indigenous Peoples (n = 11) with experience in developing, evaluating and/or advocating for alcohol interventions led by First Nations Australians. Using a web-based survey, this study employed three survey rounds to identify and then gain consensus regarding the elements required for First Nations Australians' self-determination in policy development. RESULTS: Twenty panellists (n = 9 First Nations Australian) participated in at least one of the three surveys. Following the qualitative round 1 survey, six main themes, 60 subthemes and six examples of policy were identified for ranking in round 2. In round 2, consensus was reached with 67% of elements (n = 40/60). Elements that did not reach consensus were repeated in round 3, with additional elements (n = 5). Overall, consensus was reached on two thirds of elements (66%, n = 43/65). CONCLUSIONS: Self-determination is complex, with different meaning in each context. Despite some evidence of self-determination, systemic change in many areas is needed, including in government. This study has identified a starting point, with the identification of elements and structural changes necessary to facilitate First Nations Australian community-led policy development approaches, which are vital to ensuring self-determination.

Relationships among stress, resilience, and incivility in undergraduate nursing students and faculty during the COVID-19 pandemic: Policy implications for nurse leaders.

BACKGROUND: Developing successful targeted interventions to reduce incivility for undergraduate nursing students and educators will require understanding the differences in their unique experiences. Although resilience may act as protective buffer against stressors, little is known about the relationships between stress, resilience, and perceptions of the frequency of incivility in the academic environment. PURPOSE: The purpose of this study was to compare relationships among and differences between perceptions of incivility frequency and self-reported stress and resilience levels in undergraduate nursing students and faculty during the COVID-19 pandemic. METHOD: A comparative descriptive and correlational research design was utilized. An online survey was used to collect data from undergraduate nursing students and faculty (n = 710) at one public university. RESULTS: Students were significantly more stressed and less resilient than faculty. Faculty reported significantly greater low and high-level student and low-level faculty incivility behaviors than students. CONCLUSION: Understanding student and faculty perceptions of uncivil behavior frequency occurring at the intersection of high stress and moderate resilience levels is key to the creation of targeted interventions and policy development.

Emergent Crisis of COVID-19 Pandemic: Mental Health Challenges and Opportunities.

Mental health is a fundamental human right and is part of the well-being of society. The public health burden of mental health disorders affects people's social and economic status around the world. Coronavirus's (COVID-19) negative impact on the economy and mental health worldwide is concerning. This is a worldwide emergency, and there is an urgent need for research about this topic to prevent long-lasting adverse effects on the population. Unpreparedness and inconsistencies in guidelines, lockdowns, containment strategies, unemployment, financial losses, physical distancing, isolation, chaos, and uncertainty are among factors that lead to a rise in emotional distress, anxiety, and depression. Governments' decisions affect the socioeconomic status of a country and the psychological well-being of the people. COVID-19 pandemic exposed disparities in multiple mental health care systems by having adverse mental health effects in people with pre-existing mental health disorders and previously healthy individuals. Aggregation of concurrent or cumulative comorbid risk factors for COVID-19 disease and its psychosocial sequelae could provide invaluable information for the public health stakeholders. This review aims to address the burden and the psychosocial impact of the COVID-19 pandemic, the challenges and opportunities facing mental health systems, and proposes new strategies to improve the mental health outcomes in the post-COVID era.

Preparing for a School-Located COVID-19 Vaccination Clinic.

School-located vaccination events (SLVE) have a long history in the United States and have successfully contributed to lower morbidity and mortality due to vaccine-preventable diseases. The school is an ideal place to reach children from all cultures, socioeconomic groups, and age-groups and is conveniently situated in communities for ease of accessibility for students, parents, and staff alike. School nurses play an important role in planning for SLVE and are ideally positioned to initiate this process and provide accurate information, dispelling myths about vaccines. Because school nurses are considered a trusted source of health information by the school community, they can provide valuable education on the impact of vaccination on student and staff attendance. Conducting a successful SLVE requires research, planning, and partnerships, and these partnerships are needed both within the school setting and outside this setting, within the community at large. The proliferation of the current COVID-19 pandemic and the subsequent vaccine production has caused school nurses to take the lead in preparing for mass vaccination clinics in order to help mitigate this serious public health threat. This manuscript describes the process a group of school nurses used to develop SLVE plans in response to a pandemic.

Mistakes from the HIV pandemic should inform the COVID-19 response for maternal and newborn care.

BACKGROUND: In an effort to prevent infants being infected with SARS-CoV-2, some governments, professional organisations, and health facilities are instituting policies that isolate newborns from their mothers and otherwise prevent or impede breastfeeding. WEIGHING OF RISKS IS NECESSARY IN POLICY DEVELOPMENT: Such policies are risky as was shown in the early response to the HIV pandemic where efforts to prevent mother to child transmission by replacing breastfeeding with infant formula feeding ultimately resulted in more infant deaths. In the COVID-19 pandemic, the risk of maternal SARS-CoV-2 transmission needs to be weighed against the protection skin-to-skin contact, maternal proximity, and breastfeeding affords infants. CONCLUSION: Policy makers and practitioners need to learn from the mistakes of the HIV pandemic and not undermine breastfeeding in the COVID-19 pandemic. It is clear that in order to maximise infant health and wellbeing, COVID-19 policies should support skin-to-skin contact, maternal proximity, and breastfeeding.

Promoting Community Health Worker Leadership in Policy Development: Results from a Louisiana Workforce Study.

Community health workers (CHWs) are effective in improving public health, and many states are developing policy to support the workforce. In 2019, the Louisiana legislature created the CHW Workforce Study Committee (Committee) of at least half CHWs to study the workforce and provide the state with policy recommendations. The Committee followed national best practices in CHW engagement. A CHW and an academic team identified CHWs and employers statewide, administered a survey in partnership with a CHW professional association, and conducted in-depth interviews with CHWs and employers. Descriptive statistics were used to summarize survey data and applied thematic analysis was used to interpret interview transcripts. Sixty-five CHWs and 37 employers participated in the survey. Twenty-one CHWs and 15 employers completed interviews. Survey data indicated that Louisiana CHW roles and activities are consistent with national research. Interviews revealed a lack of knowledge about CHWs among key stakeholders, CHW workforce challenges including lack of community and professional resources, and differing ideas about the value of common workforce development practices such as standardized training and credentialing. Findings suggest a need for widespread education about CHWs and support for CHW participation in professional associations to address common workforce challenges. CHW co-leadership and partnering with a CHW professional association enabled successful study execution and full participation of CHWs in the formation of Committee recommendations. A subset of Committee members, made up of at least half CHWs, continues to meet to expand and support the workforce.