scholarly journals An Aging Nursing Workforce: Thematic Analysis from the Nurstory Project

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 599-599
Author(s):  
Raeann LeBlanc
Keyword(s):  
Lived Experience ◽  
Narrative Analysis ◽  
The United States ◽  
Nursing Workforce ◽  
Power Dynamics ◽  
First Person ◽  
Aging Workforce ◽  
Data Set ◽  
Occupational Expectations ◽  
Digital Stories

Abstract Background Nursing in the United States of America is an aging workforce. This study sought to better understand the lived experience of aging nurses. Because nurses work in systems where other forms of interpersonal power dynamics may influence internalized and external stereotype an approach based on intersectional theory was applied. Methods A qualitative thematic narrative analysis of an existing data set of first-person digital stories in the Nurstory project, authored by a group of nurses, was the data source. An emergent coding method was applied. The collection of five digital stories were analyzed. Results All stories were first person accounts of experiences that represented their internalized reflections and elements of ageism in how their age interacted with their work environment. Dominant themes included: 1) Role constriction 2) Strength 3) Tired and (re)Tired 4) Age perceived and 5)Loneliness. Conclusions These aging nursing stories add to the contextual layers of the aging healthcare workplace and aging nursing workforce. These individual experiences offer a nuanced understanding of the internalized responses to aging and ageism. These stories highlight socially constructed and socially reinforced attitudes that are complicated by the personal and occupational expectations of nurse’s work, their role and embedded hierarchies in healthcare. Stories such as these are important individual and collective indicators of lived experiences that offer a deeper understanding into the intersections of social identity and aging, that when listened to, can offer insight and a way forward in addressing the stereotype, discrimination and social inequities of ageism.

Between Families and Frankenstein

2018 ◽  
Author(s):  
Erin Heidt-Forsythe
Keyword(s):  
United States ◽  
Narrative Analysis ◽  
Political Institutions ◽  
Original Data ◽  
The United States ◽  
Egg Donation ◽  
Data Set ◽  
Science And Policy ◽  
Policy Framing ◽  
The U.S

In this book, I undertake the first comprehensive theoretical and empirical analysis of the politics of the “wild west” of egg donation in the United States. If egg donation is so publicly recognizable and evokes such social interest, why does the U.S. system fail to regulate it? This book challenges conventional thinking around egg donation politics, exploring answers to how egg donation is defined, debated, and regulated in the United States, as well as exploring the logic of why the U.S. system of politics is organized the way it is around egg donation. Building upon theories of normative femininity in reproduction and scientific research, this book examines the relationships between subnational politics and policy in contemporary egg donation. I use three interdisciplinary areas of inquiry—policy framing, body politics and morality politics, and representation by gender and political party to answer long-standing questions about egg donation and politics in the fields of women’s and gender studies, political science and policy studies, and bioethics. Employing case studies, qualitative narrative analysis, and quantitative public-policy analyses of an original data set of over eight hundred state-level public policies around egg donation, this book clarifies the ways that gender, race, and class, as well as political institutions and actors, create systems of egg donation politics and regulation, particularly at the subnational level.

State Medical Boards' Perceptions of a Minimum Data Set and Current Practices for Collecting Physician Information

2013 ◽  
Vol 99 (4) ◽  
pp. 40-45 ◽  
Author(s):  
Aaron Young ◽  
Philip Davignon ◽  
Margaret B. Hansen ◽  
Mark A. Eggen
Keyword(s):  
Media Coverage ◽  
The United States ◽  
Minimum Data Set ◽  
Direct Patient Care ◽  
Physician Workforce ◽  
Data Set ◽  
Minimum Data ◽  
State Medical Boards ◽  
The Impact ◽  
Current Practices

ABSTRACT Recent media coverage has focused on the supply of physicians in the United States, especially with the impact of a growing physician shortage and the Affordable Care Act. State medical boards and other entities maintain data on physician licensure and discipline, as well as some biographical data describing their physician populations. However, there are gaps of workforce information in these sources. The Federation of State Medical Boards' (FSMB) Census of Licensed Physicians and the AMA Masterfile, for example, offer valuable information, but they provide a limited picture of the physician workforce. Furthermore, they are unable to shed light on some of the nuances in physician availability, such as how much time physicians spend providing direct patient care. In response to these gaps, policymakers and regulators have in recent years discussed the creation of a physician minimum data set (MDS), which would be gathered periodically and would provide key physician workforce information. While proponents of an MDS believe it would provide benefits to a variety of stakeholders, an effort has not been attempted to determine whether state medical boards think it is important to collect physician workforce data and if they currently collect workforce information from licensed physicians. To learn more, the FSMB sent surveys to the executive directors at state medical boards to determine their perceptions of collecting workforce data and current practices regarding their collection of such data. The purpose of this article is to convey results from this effort. Survey findings indicate that the vast majority of boards view physician workforce information as valuable in the determination of health care needs within their state, and that various boards are already collecting some data elements. Analysis of the data confirms the potential benefits of a physician minimum data set (MDS) and why state medical boards are in a unique position to collect MDS information from physicians.

People and Climate Change

2019 ◽  
Keyword(s):  
Climate Change ◽  
Lived Experience ◽  
Social Institutions ◽  
Well Being ◽  
The United States ◽  
Negative Consequences ◽  
Social Dimensions ◽  
Community Inclusion ◽  
Global Issue ◽  
Political Challenge

Climate change is a profoundly social and political challenge with many social justice concerns around every corner. A global issue, climate change threatens the well-being, livelihood, and survival of people in communities worldwide. Often, those who have contributed least to climate change are the most likely to suffer from its negative consequences and are often excluded from the policy discussions and decisions that affect their lives. This book pays particular attention to the social dimensions of climate change. It examines closely people’s lived experience, climate-related injustice and inequity, why some groups are more vulnerable than others, and what can be done about it—especially through greater community inclusion in policy change. A highlight of the book is its diversity of rich, community-based examples from throughout the Global South and North. Sacrificial flood zones in urban Argentina, forced relocation of United Houma tribal members in the United States, and gendered water insecurities in Bangladesh and Australia are just some of the in-depth cases included in the book. Throughout, the book asks social and political questions about climate change. Of key importance, it asks what can be done about the unequal consequences of climate change by questioning and transforming social institutions and arrangements—guided by values that prioritize the experience of affected groups and the inclusion of diverse voices and communities in the policy process.

Legislative Diversity and the Rise of Women Lobbyists

2021 ◽  
pp. 106591292110093
Author(s):  
James M. Strickland ◽  
Katelyn E. Stauffer
Keyword(s):  
Gender Diversity ◽  
Personal Characteristics ◽  
The United States ◽  
Revolving Door ◽  
Women And Politics ◽  
Political Equality ◽  
Data Set ◽  
Women Legislators ◽  
Organized Interests ◽  
American States

Despite a growing body of literature examining the consequences of women’s inclusion among lobbyists, our understanding of the factors that lead to women’s initial emergence in the profession is limited. In this study, we propose that gender diversity among legislative targets incentivizes organized interests to hire women lobbyists, and thus helps to explain when and how women emerge as lobbyists. Using a comprehensive data set of registered lobbyist–client pairings from all American states in 1989 and 2011, we find that legislative diversity influences not only the number of lobby contracts held by women but also the number of former women legislators who become revolving-door lobbyists. This second finding further supports the argument that interests capitalize on the personal characteristics of lobbyists, specifically by hiring women to work in more diverse legislatures. Our findings have implications for women and politics, lobbying, and voice and political equality in the United States.

scholarly journals Actors, Partisan Inclination, and Emotions: An Analysis of Government Shutdown News Stories Shared on Twitter

2021 ◽  
Vol 7 (2) ◽  
pp. 205630512110088
Author(s):  
Colin Agur ◽  
Lanhuizi Gan
Keyword(s):  
Emotional Responses ◽  
The United States ◽  
Online Information ◽  
News Frames ◽  
Data Set ◽  
Political Issues ◽  
News Stories ◽  
News Sharing ◽  
Government Shutdown

Scholars have recognized emotion as an increasingly important element in the reception and retransmission of online information. In the United States, because of existing differences in ideology, among both audiences and producers of news stories, political issues are prone to spark considerable emotional responses online. While much research has explored emotional responses during election campaigns, this study focuses on the role of online emotion in social media posts related to day-to-day governance in between election periods. Specifically, this study takes the 2018–2019 government shutdown as its subject of investigation. The data set shows the prominence of journalistic and political figures in leading the discussion of news stories, the nuance of emotions employed in the news frames, and the choice of pro-attitudinal news sharing.

STEM-Focused Career Courses and College Pipeline for Students with Learning Disabilities

2021 ◽  
pp. 089590482110199
Author(s):  
Jennifer A. Freeman ◽  
Michael A. Gottfried ◽  
Jay Stratte Plasman
Keyword(s):  
High School ◽  
Learning Disabilities ◽  
High School Students ◽  
The United States ◽  
Students With Learning Disabilities ◽  
School Students ◽  
Data Set ◽  
Stem Majors ◽  
Career And Technical ◽  
Nationally Representative

Recent educational policies in the United States have fostered the growth of science, technology, engineering, and mathematics (STEM) career-focused courses to support high school students’ persistence into these fields in college and beyond. As one key example, federal legislation has embedded new types of “applied STEM” (AS) courses into the career and technical education curriculum (CTE), which can help students persist in STEM through high school and college. Yet, little is known about the link between AS-CTE coursetaking and college STEM persistence for students with learning disabilities (LDs). Using a nationally representative data set, we found no evidence that earning more units of AS-CTE in high school influenced college enrollment patterns or major selection in non-AS STEM fields for students with LDs. That said, students with LDs who earned more units of AS-CTE in high school were more likely to seriously consider and ultimately declare AS-related STEM majors in college.

scholarly journals The COVID Connection: Pandemic Anxiety, COVID-19 Comprehension, and Digital Confidence

2021 ◽  
pp. 000276422110031
Author(s):  
Laura Robinson ◽  
Jeremy Schulz ◽  
Øyvind N. Wiborg ◽  
Elisha Johnston
Keyword(s):  
Logistic Models ◽  
The United States ◽  
Sociodemographic Factors ◽  
Future Research ◽  
Lower Probability ◽  
Data Set ◽  
Digital Inequality ◽  
Partner Status ◽  
General Anxiety ◽  
Nationally Representative

This article presents logistic models examining how pandemic anxiety and COVID-19 comprehension vary with digital confidence among adults in the United States during the first wave of the pandemic. As we demonstrate statistically with a nationally representative data set, the digitally confident have lower probability of experiencing physical manifestations of pandemic anxiety and higher probability of adequately comprehending critical information on COVID-19. The effects of digital confidence on both pandemic anxiety and COVID-19 comprehension persist, even after a broad range of potentially confounding factors are taken into account, including sociodemographic factors such as age, gender, race/ethnicity, metropolitan status, and partner status. They also remain discernable after the introduction of general anxiety, as well as income and education. These results offer evidence that the digitally disadvantaged experience greater vulnerability to the secondary effects of the pandemic in the form of increased somatized stress and decreased COVID-19 comprehension. Going forward, future research and policy must make an effort to address digital confidence and digital inequality writ large as crucial factors mediating individuals’ responses to the pandemic and future crises.

Minor Feelings in the Wake of the Atlanta Attack: How a Mom of Asian Descent Spent the First 100 hours in the Aftermath

2021 ◽  
pp. 153270862110199
Author(s):  
Pengfei Zhao
Keyword(s):  
Lived Experience ◽  
Asian American ◽  
The United States ◽  
Korean American ◽  
Private Life ◽  
Traumatic Experience ◽  
American Poet ◽  
Asian Descent ◽  
Chinese Descent ◽  
Mass Shooting

This autoethnographic writing documents how a family of Chinese descent spent their first 100 hours after the Atlanta Shooting on March 16, 2021, in which a White gunman killed eight people, including six Asian women. It bears witness to the rise of the anti-Asian racism in the United States during the COVID-19 pandemic and offers a snapshot of the private life of a family of Asian descent in the dawn of the Stop Asian Hate Movement. Drawing on Korean American poet Cathy Park Hong’s term minor feelings, this essay explores how emotions, rooted in racialized lived experience and triggered by the mass shooting, evolved, shifted, and fueled the sentiments that gave rise to the Stop Asian Hate Movement. Compared with the more visible violence against Asians and Asian Americans displayed on social media, it interrogates the less visible traumatic experience that haunts Asian and Asian American communities.

scholarly journals 910. A Comprehensive, One Year, Hospital-Wide Snapshot of All Serious Infectious Complications in People Who Inject Drugs

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S489-S490
Author(s):  
John T Henderson ◽  
Evelyn Villacorta Cari ◽  
Nicole Leedy ◽  
Alice Thornton ◽  
Donna R Burgess ◽  
...  
Keyword(s):  
Multivariable Analysis ◽  
Vertebral Osteomyelitis ◽  
The United States ◽  
Infectious Complications ◽  
Data Set ◽  
Cumulative Impact ◽  
Mortality And Morbidity ◽  
Icu Admission ◽  
Risk Of Death ◽  
The Impact

Abstract Background There has been a dramatic rise in IV drug use (IVDU) and its associated mortality and morbidity, however, the scope of this effect has not been described. Kentucky is at the epicenter of this epidemic and is an ideal place to better understand the health complications of IVDU in order to improve outcomes. Methods All adult in-patient admissions to University of Kentucky hospitals in 2018 with an Infectious Diseases (ID) consult and an ICD 9/10 code associated with IVDU underwent thorough retrospective chart review. Demographic, descriptive, and outcome data were collected and analyzed by standard statistical analysis. Results 390 patients (467 visits) met study criteria. The top illicit substances used were methamphetamine (37.2%), heroin (38.2%), and cocaine (10.3%). While only 4.1% of tested patients were HIV+, 74.2% were HCV antibody positive. Endocarditis (41.1%), vertebral osteomyelitis (20.8%), bacteremia without endocarditis (14.1%), abscess (12.4%), and septic arthritis (10.4%) were the most common infectious complications. The in-patient death rate was 3.0%, and 32.2% of patients were readmitted within the study period. The average length of stay was 26 days. In multivariable analysis, infectious endocarditis was associated with a statistically significant increase in risk of death, ICU admission, and hospital readmission. Although not statistically significant, trends toward mortality and ICU admission were identified for patients with prior endocarditis and methadone was correlated with decreased risk of readmission and ICU stay. FIGURE 1: Reported Substances Used FIGURE 2: Comorbidities FIGURE 3: Types of Severe Infectious Complications Conclusion We report on a novel, comprehensive perspective on the serious infectious complications of IVDU in an attempt to measure its cumulative impact in an unbiased way. This preliminary analysis of a much larger dataset (2008-2019) reveals some sobering statistics about the impact of IVDU in the United States. While it confirms the well accepted mortality and morbidity associated with infective endocarditis and bacteremia, there is a significant unrecognized impact of other infectious etiologies. Additional analysis of this data set will be aimed at identifying key predictive factors in poor outcomes in hopes of mitigating them. Disclosures All Authors: No reported disclosures

Experiences of secure transport in outdoor behavioral healthcare: A narrative inquiry

2021 ◽  
pp. 147332502110200
Author(s):  
Will W Dobud
Keyword(s):  
Narrative Inquiry ◽  
Lived Experience ◽  
Wilderness Therapy ◽  
The United States ◽  
Future Research ◽  
Ethical Practice ◽  
Behavioral Healthcare ◽  
Transport Services ◽  
Outdoor Behavioral Healthcare ◽  
Trauma Informed

Often synonymous with wilderness therapy, outdoor behavioral healthcare (OBH) is a residential treatment in the United States for young people, more than half of whom are sent via secure transport services. While empirical evidence suggests the secure transport of adolescents to OBH does not impact quantitative outcomes, limited research exists exploring client voice and the lived experience of OBH participants. This qualitative study, utilizing narrative inquiry, builds knowledge on experiences of secure transport services from nine past OBH adolescent participants. Findings are analyzed, interpreted, and discussed through a social work and trauma-informed lens. Recommendations for ethical practice, linking with human rights, and future research are provided.

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