"Everything Is Changing, We Need to Adapt": Between Tradition and Modernity-Educators Coping with Child Sexual Abuse.

Socio-cultural contexts are formative to how teachers understand, conceptualize, and act when contending with child sexual abuse (CSA) cases among their students. The purpose of the present study was to investigate the experiences of Druze Arab teachers in Israel coping with cases of CSA among their students and the meaning they attribute to CSA in the context of socio-cultural change. Semi-structured interviews were conducted with 12 female Druze elementary school teachers. All of the participants taught in schools located in Druze villages, where the children of Druze families comprise the majority of the student body. The analysis used a thematic approach. The analysis revealed that a transition between tradition and modernity in the Druze socio-cultural group was the central conceptual framework through which the teachers' narratives regarding CSA emerged. As an emblem of modernity, increasing openness around sexual topics was perceived as simultaneously favorable and threatening to both the welfare of children and the well-being of the community. Coping with CSA was viewed as a negotiation between closed (traditional) and open (modern) society, as well as silence and dialogue regarding CSA. This study highlights the importance of preventing teachers' cultural biases from affecting their contributions to CSA interventions, as well as how religion can be a source of strength when confronting CSA. Implications for policy and developing bottom-up, culturally sensitive training, practice, and interventions are discussed.

COVID-19's Impact on Digital Health Adoption: The Growing Gap Between a Technological and a Cultural Transformation.

Health care in the 21st century has started undergoing major changes due to the rising number of patients with chronic conditions; increased access to new technologies, medical information, and peer support via the internet; and the ivory tower of medicine breaking down. This marks the beginning of a cultural transformation called digital health. This has also led to a shift in the roles of patients and medical professionals, resulting in a new, equal partnership. When COVID-19 hit, the adoption of digital health technologies skyrocketed. The technological revolution we had been aiming for in health care took place in just months due to the pandemic, but the cultural transition is lagging. This creates a dangerous gap between what is possible technologically through remote care, at-home lab tests, or health sensors and what patients and physicians are actually longing for. If we do it well enough now, we can spare a decade of technological transformations and bring that long-term vision of patients becoming the point of care to the practical reality of today. This is a historic opportunity we might not want to waste.

Moving from practice to praxis: A qualitative descriptive study revealing the value of Project7 Mindfulness Pledge©.

AIM: To examine the experiences of nurses and nursing assistants who participated in a mindfulness project. BACKGROUND: Increased demands and fewer resources have become the norm in most health care settings. As a result, health care professionals face exceptional stress in their work environments and are vulnerable to burnout and compassion fatigue. Even more distressing, many new nurses are leaving their jobs within the first two years. METHODS: Qualitative interviews were conducted with nine participants to discover their experience with the project. RESULTS: The major theme, a process of moving from practice to praxis, is brought forth through in-depth descriptive analysis of nine individual interviews. The process occurred through three themes: fostering self-awareness and compassion; fostering other-awareness and compassion; and compelling transformation in the unit culture. CONCLUSIONS: This study develops an evidence base for incorporating and building mindfulness into health care environments at a time when there is a tremendous need for highly functioning practitioners. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse leaders are encouraged to examine how they can support their staff in moving from practice to praxis as a part of improving professional well-being, retention, quality and safety in health care.

Expanding The Rubric of "Patient-Centered Care" (PCC) to "Patient and Professional Centered Care" (PPCC) to Enhance Provider Well-Being.

Burnout among physicians, nurses, and students is a serious problem in U.S. healthcare that reflects inattentive management practices, outmoded images of the "good" provider as selflessly ignoring the care of the self, and an overarching rubric of Patient Centered Care (PCC) that leaves professional self-care out of the equation. We ask herein if expanding PCC to Patient and Professional Centered Care (PPCC) would be a useful idea to make provider self-care an explicit part of mission statements, a major part of management strategies and institutional goal setting, and of educational programs. We offer several practical suggestions for PPCC implementation, including structuring healthcare systems so as to nurture professional meaning, integrity, and inter-personal reflective emotional processing as a buffer against burnout and as a key to better patient care. It should not bring into question the primacy of practitioner commitment to the good of patients, nor should it be taken to suggest in any way a shift in focus away from patients' values and respect for patient autonomy. PPCC asserts that the respect for patient's values and autonomous choices properly remains the ethical benchmark of modern healthcare systems, along with altruistic professional commitment to the optimal care of patients. However, it enunciates an explicit commitment to structuring systems that allow for and actively encourage the professional well-being and wellness upon which good patient care depends.

An evaluation of forums for discussions on inclusion in a college of nursing.

BACKGROUND: The lack of diversity in the nursing profession could be an outcome of unconscious biases. Forums allowing the personal reflection and discourse of these unconscious biases are needed in order for a diverse and inclusive learning environment to exist. PURPOSE: The purpose of this study was to describe the experiences of students, staff, faculty members, and guests participating in a forum on diversity and inclusion. METHODS: An exploratory design was used to understand the experiences of college of nursing students, staff, faculty members, and guests who participated in a diversity and inclusion intervention sponsored by the college of nursing's Diversity Advisory Council. Attendees to 12 diversity book club, movie night, and speaker series' sessions completed a program evaluation tool. Responses to open-ended items were analyzed using a constant comparative analysis method.Responses from 197 participants were analyzed. Eight book club, seven movie night, and six speaker series' themes were derived from the data including Humanness is Universal, Personal Connection, The Problem, Awareness of Disparity, Make a Difference, and No Change. DISCUSSION: Participants at each session critically dialogued about their conscious and unconscious biases. The study findings show that participants also were able to document changes to their knowledge, attitudes, and behaviors in relation to the historically oppressed populations focused on during the intervention activities. CONCLUSION: Education entertainment as used in this study was a valuable mechanism for hosting conversations about diversity and inclusion.

Connecting Past with Present: A Mixed-Methods Science Ethics Course and its Evaluation.

We present a graduate science ethics course that connects cases from the historical record to present realities and practices in the areas of social responsibility, authorship, and human/animal experimentation. This content is delivered with mixed methods, including films, debates, blogging, and practicum; even the instructional team is mixed, including a historian of science and a research scientist. What really unites all of the course's components is the experiential aspect: from acting in historical debates to participating in the current scientific enterprise. The course aims to change the students' culture into one deeply devoted to the science ethics cause. To measure the sought after cultural change, we developed and validated a relevant questionnaire. Results of this questionnaire from students who took the course, demonstrate that the course had the intended effect on them. Furthermore, results of this questionnaire from controls indicate the need for cultural change in that cohort. All these quantitative results are reinforced by qualitative outcomes.

Bandas de congo e política oficial: cenários de tradições e transformações estéticas corporais / Band of congo and the official politics: sceneries of traditions and body esthetic transformation / Bandas de congo y política oficial: escenarios de tradiciones y transformaciones estéticas corporales

O objetivo foi analisar os grupos de congo do município de Vitória-ES, quanto aos elementos que os estruturam, como: expressões corporais, inserção de novos atores e a relação com o Poder Público. Foram utilizadas entrevistas abertas com três lideranças de grupos de congo e as análises pautaram-se nas categorias e conceitos identificados nas falas dos entrevistados, conforme Minayo (2007). Concluiu-se que há transformações no processo de expressões corporais advindos da entrada de novos atores nos grupos, entre esses os jovens, que introduziram novas estéticas corporais. A relação com o Poder Público possibilitou aos grupos se conhecerem e se relacionarem, aderindo a novos arranjos estéticos. Identificou funções e noções de papéis quanto ao gênero dos atores dos grupos analisados. Coletivamente as expressões corporais não possuem destinações de papéis, mas revelou que individualmente o congo as reproduz.

The objective was to analyze groups of congo in the city of Vitória - State of Espírito Santo, regarding their structure elements, such as: body expressions, introduction of new actors and their relation with the Government. An open interview was conducted with three leaders and the analysis were guided according to categories and concepts identified in the answers of the interviewees, according to Minayo (2007). The results showed that the introduction of new actors in the group caused transformation in the body expressions among these young people and their relation with the Government, which enabled the groups to acquire new body esthetics. Functions and participation of the actor role type in the analyzed groups were identified. Collectively, the body expressions do not have destination of role types, but, individually, congo reproduces it.

El objetivo fue analizar los grupos de congo del municipio de Vitória-ES, en cuanto a los elementos que los estructuran, como: expresiones corporales, inserción de nuevos actores y la relación con el Poder Público. Se utilizaron entrevistas abiertas con tres liderazgos y los análisis se pautaron en las categorías y conceptos identificados en las conversaciones con los entrevistados, conforme a Minayo (2007). Se concluye en que hubo transformaciones en las expresiones corporales devenidas de la entrada de nuevos actores en los grupos, entre esos los jóvenes y la relación con el Poder Público posibilitó a los grupos adherir a nuevos arreglos estéticos. Identificó funciones y nociones de papeles en relación con el género de los actores de los grupos analizados. Colectivamente las expresiones corporales no poseen destinaciones de papeles, pero individualmente el congo las reproduce.