To examine experiences, context, and outcomes of personal and bystander harassment among hospital nurses.
Harassment of nurses is common, affecting victims and bystanders. Yet, little is known about ...the nature and context of these experiences.
A cross-sectional study of hospital nurses was completed via an anonymous online survey.
A majority of nurses experienced personal or bystander harassment. Nearly half experienced both of these forms of harassment. Personal harassment victims frequently told their managers and coworkers, but actions to prevent further harassment or mitigate harm were rare. Bystanders frequently intervened to help victims of personal harassment but rarely reported it. These experiences negatively impacted work relationships and performance.
Personal and bystander harassment may co-occur in cultures that tolerate harassment. The lack of response to personal harassment and lack of reporting of bystander harassment may perpetuate it.
•Inadequate nursing education may exacerbate LGBTQ+ health disparities.•Findings highlight strengths and gaps of nursing education related to LGBTQ+ health.•Improving nurses’ knowledge and attitudes ...related to LGBTQ+ populations will decrease health disparities.
Conduct a college level assessment of the perspective of staff, faculty and students on the climate, educational adequacy, and understanding on LGBTQ+ health and healthcare.
LGBTQ+ individuals face health disparities and discrimination. Inadequate educational preparation allows students to enter their professions with inadequate knowledge and biases.
Cross-sectional study of faculty, staff, students (N = 343) in a college of health and human services college in the Midwest.
Data were gathered via anonymous internet surveys focused on LGBTQ+ climate, knowledge, and comfort. Descriptive statistics and chi square were used for analysis.
Witnessing or experiencing LGBTQ+ harassment was more common in the community (33%, n = 115) than the university campus (5.6%), classrooms (2.9%, n = 10), clinical areas (0.3%, n = 1). While the majority (81.4-100%) correctly answered knowledge-based health questions regarding the LGBTQ+ population, 21% noted that they experienced more discomfort discussing sexual health with LGBTQ+ patients compared to non-LGBTQ+ patients.
To review the research findings for mental and physical health outcomes and health behaviors of African American women and adolescents after sexual assault.
Searches of the Cumulative Index to ...Nursing and Allied Health Literature, Cochrane Library, PsycINFO, and PubMed from January 2001 through May 2012 using the terms Blacks, African Americans, sexual abuse, sexual offenses, and rape.
Criteria for inclusion included (a) results of primary research conducted in the United States and published in English, (b) African American females age 13 and older, (c) sexual assault or sexual abuse reported as distinct from other types of abuse, and (d) health status as an outcome variable. Twenty‐one publications met inclusion criteria.
Articles were reviewed for the mental and physical health and health behavior outcomes associated with sexual assault of African American women and adolescents.
Sexual assault was associated with increased risk of poor mental and physical health outcomes in the general population of women and adolescents. There was an increased risk of unhealthy behaviors (e.g., drinking, drug use, risky sexual behaviors) for all women and adolescents, with the highest risk reported for African American women and adolescents. Help seeking from family and friends demonstrated conflicting results. Cumulative effects of repeated assaults appear to worsen health outcomes.
Sexual assault has significant effects on the physical and mental health and health behaviors of women and adolescents in the general population. Less evidence is available for differences among African American women and adolescents. More research is needed to understand the influence of race on women's and adolescents’ responses to assault.
Introduction
The overall purpose of this study was to elicit perspectives from a diverse group of postpartum individuals about their perinatal outpatient informational support and education. In ...addition, suggestions from participants are provided. Although informational support is crucial in the peripartum period, it is often inadequate or biased. Qualitative research, which offers a nuanced and patient‐centered perspective, is limited. The qualitive research that does exist is limited to the prenatal period only, neglecting perspectives throughout the entire peripartum period.
Methods
This qualitative descriptive study was part of a larger observational cross‐sectional study of postpartum individuals in Kalamazoo, Michigan in 2017. Two years after the initial study (2019), participants were recruited into 8 focus groups. Trained facilitators guided focus group conversations using semistructured interview questions. The questions centered on overall experiences with perinatal outpatient health care experiences and informational support. Thematic analyses were used in data analysis. Interrater reliability between coders ranged from 92% to 100%.
Results
Fifty‐four individuals (22.1% response rate) participated in a total of 12 focus groups. The overarching theme was the need for recognition of individuality of patients. Three subthemes emerged, including time, multiple modalities of information support, and agency.
Discussion
This study extended previous qualitative findings across the entire peripartum period and that individualized prenatal care is an important distinction in perceived quality of care. Health care organizations should consider allocating time differently for perinatal office visits, offer flexible visit times based on individualized needs, offer information in multiple modalities, and promote agency of patients. This study was strengthened by the community involvement, women of color only focus groups, and oversampling of Black women. This study was limited by the self‐selected, homogenous sample and potential for recall bias.
In this article, the authors describe factors that enhance or detract from well-being after adult sexual assault from the perspective of sexual assault victims and survivors. The authors present a ...holistic view of the complex ways in which women respond to and cope with the impact of adult sexual assault while trying to create a sense of well-being. The forces that facilitate or detract from well-being are organized into an ecological model. The data originate from a grounded theory study in 2015, with 22 adult female adult sexual assault victims/survivors.
Storytelling is an ancient practice that has functioned to maintain history, deepen empathy and understanding, and empower groups and individuals. Unfortunately, nurses are not encouraged to share ...their stories of contributions to patient care. In this article, 3 nurses share stories about learning to be good nurses, even while going against long-held nursing ideals. The authors argue that narratives can lead to a deeper understanding of nursing as a practice and discipline. The authors also contend that narratives facilitate the empowerment in nurses and patients using narratives; nurses recognize their power and facilitate their patients' recognition of power.
Intimate Partner Violence During the Perinatal Period Wadsworth, Pamela; Degesie, Katie; Kothari, Catherine ...
Journal for nurse practitioners,
November-December 2018, 2018-11-00, 20181101, Letnik:
14, Številka:
10
Journal Article
Recenzirano
Intimate partner violence (IPV) during the perinatal period is correlated with poor health outcomes for women and babies. In addition, women who experience IPV during the perinatal period frequently ...receive late and/or inadequate health care. Despite these issues, there remain significant gaps in what is known about the perspective of abused women regarding their health care experiences during this critical period. This manuscript presents research completed with women who experienced IPV during and immediately following pregnancy, and offers their perspectives on how nurse practitioners and other health care providers can improve care to battered women during the perinatal period.
•Women experiencing intimate partner violence (IPV) value relationships with their health care providers.•Screen regularly for IPV, but do not worry about getting “the truth.”•Explore patient concerns.•Connect women with resources and safety.
Intimate partner violence (IPV) predicts poor health for victims and their children, but little is known about the perspective of victims. This study reports the perspectives of adult female IPV ...victims about the impact of IPV on their health and barriers of health care access for themselves and their children. The majority rated their health as good to excellent (69%). However, 83.5% indicated that IPV negatively affected their health; 53.5% had unmet health care needs. Mental health care was the most common unmet need for women; children's unmet needs were immunizations and preventive care. Transportation difficulties posed the biggest barrier to health care access.
Purpose: While researchers have established that sexual assault may adversely affect successful employment and academic achievement, little is known about the barriers and facilitators of ...occupational well-being from the perspective of sexual assault survivors. This study assessed the barriers and facilitators of occupational well-being. Design: Constructivist grounded theory. Method: Digitally recorded, semistructured interviews were used to collect data. Data were collected from 22 adult female sexual assault survivors. Analysis consisted of coding, creation of data matrices, and within and across case analysis. Findings: Theoretical saturation was achieved after interviews with 22 participants. Barriers to occupational well-being were mental health symptoms and diagnoses, substance abuse, inflexible attendance policies, and workplace bullying. Facilitators to occupational well-being were personal coping strategies, and organizational and social support. Conclusions: Sexual assault has significant effects on the occupational well-being of women. The work or academic environment can exacerbate the harms of sexual assault or facilitate healing in sexual assault survivors. To facilitate the occupational well-being of sexual assault survivors, workplaces and academic institutions can adopt a trauma-informed approach, create policies that allow for time off to deal with sequela of sexual assault, implement anti-bullying programs, and make resources for gendered violence available.
