School-Based Nurse Practitioners’ Perceptions of the Health Care Needs of Transgender and Gender Nonconforming Adolescents

School-based nurse practitioners (NPs) can reduce health disparities for transgender and gender nonconforming (TGNC) adolescents. However, research is limited regarding their understanding of TGNC health. This study aimed to explore school-based NPs’ perceptions of the health needs of TGNC adolescents. A qualitative, descriptive analysis utilizing a demographic survey and semi-structured interview questionnaire was conducted. School-based NPs ( N = 6) were recruited via the New York School-Based Health Alliance listserv and through clinical networking. An essentialist, reflexive approach utilizing inductive thematic analysis was utilized. Four key themes and an overarching theme were identified. The overarching theme was the following: School-based NPs are primary resources—or “point people”—for TGNC adolescents seeking support, safety, and accessibility to health care. Findings identified the need for improvements in the areas of TGNC advocacy and education.

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PAR Method

International Review of Qualitative Research ◽

10.1525/irqr.2010.3.3.355 ◽

2010 ◽

Vol 3 (3) ◽

pp. 355-375 ◽

Cited By ~ 3

Author(s):

Michelle Billies

Keyword(s):

New York ◽

Low Income ◽

Critical Consciousness ◽

Design Method ◽

Participatory Action ◽

Community Members ◽

Context Analysis ◽

Gender Nonconforming ◽

The Social ◽

And Gender

The work of the Welfare Warriors Research Collaborative (WWRC), a participatory action research (PAR) project that looks at how low income lesbian, gay, bisexual, transgender, and gender nonconforming (LG-BTGNC) people survive and resist violence and discrimination in New York City, raises the question of what it means to make conscientization, or critical consciousness, a core feature of PAR. Guishard's (2009) reconceptualization of conscientization as “moments of consciousness” provides a new way of looking at what seemed to be missing from WWRC's process and analysis. According to Guishard, rather than a singular awakening, critical consciousness emerges continually through interactions with others and the social context. Analysis of the WWRC's process demonstrates that PAR researchers doing “PAR deep” (Fine, 2008)—research in which community members share in all aspects of design, method, analysis and product development—should have an agenda for developing critical consciousness, just as they would have agendas for participation, for action, and for research.

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Mapping end-of-life and anticipatory medications in palliative care patients using a longitudinal general practice database

Palliative & Supportive Care ◽

10.1017/s1478951521000092 ◽

2021 ◽

pp. 1-7

Author(s):

H. Khalil ◽

M. Garett ◽

A. Byrne ◽

P. Poon ◽

K. Gardner ◽

...

Keyword(s):

Health Care ◽

Palliative Care ◽

General Practice ◽

End Of Life ◽

Nurse Practitioners ◽

Hospital Admissions ◽

Population Level ◽

Screening Tools ◽

Care Needs ◽

Stakeholder Consultation

Abstract Objective End-of-life and anticipatory medications (AMs) have been widely used in various health care settings for people approaching end-of-life. Lack of access to medications at times of need may result in unnecessary hospital admissions and increased patient and family distress in managing palliative care at home. The study aimed to map the use of end-of-life and AM in a cohort of palliative care patients through the use of the Population Level Analysis and Reporting Data Space and to discuss the results through stakeholder consultation of the relevant organizations. Methods A retrospective observational cohort study of 799 palliative care patients in 25 Australian general practice health records with a palliative care referral was undertaken over a period of 10 years. This was followed by stakeholders’ consultation with palliative care nurse practitioners and general practitioners who have palliative care patients. Results End-of-life and AM prescribing have been increasing over the recent years. Only a small percentage (13.5%) of palliative care patients received medications through general practice. Stakeholders’ consultation on AM prescribing showed that there is confusion about identifying patients needing medications for end-of-life and mixed knowledge about palliative care referral pathways. Significance of results Improved knowledge and information around referral pathways enabling access to palliative care services for general practice patients and their caregivers are needed. Similarly, the increased utility of screening tools to identify patients with palliative care needs may be useful for health care practitioners to ensure timely care is provided.

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School-based nutrition services positively affect children with special health care needs and their families

Journal of the American Dietetic Association ◽

10.1016/0002-8223(94)92466-x ◽

1994 ◽

Vol 94 (11) ◽

pp. 1307-1309 ◽

Cited By ~ 4

Author(s):

Kim A Cross-McClintic ◽

Mary Jane Oakland ◽

Mary Jane Brotherson ◽

Christine Secrist-Mertz ◽

Jean A Linder

Keyword(s):

Health Care ◽

Special Health Care Needs ◽

Health Care Needs ◽

Care Needs ◽

Special Health Care ◽

Nutrition Services ◽

School Based ◽

Special Health

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Demographic Characteristics, Care, and Outcomes for Children with Oral Clefts in Three States Using Participants from the National Birth Defects Prevention Study

The Cleft Palate-Craniofacial Journal ◽

10.1597/07-237.1 ◽

2009 ◽

Vol 46 (6) ◽

pp. 575-582 ◽

Cited By ~ 5

Author(s):

Peter Damiano ◽

Margaret Tyler ◽

Paul A. Romitti ◽

Charlotte Druschel ◽

April A. Austin ◽

...

Keyword(s):

Health Care ◽

New York ◽

Health Status ◽

Birth Defects ◽

Population Based ◽

Primary Objective ◽

Demographic Characteristics ◽

Prevention Study ◽

Care Needs ◽

Oral Clefts

Objective: The primary objective of this study was to evaluate whether there were differences in the characteristics and outcomes of care for children with oral clefts (OCs) among population-based samples in three states. Design: Data on the health status and on speech and esthetic outcomes were collected using structured telephone interviews conducted during 2005–2006 with mothers of children with OCs aged 2 to 7 in Arkansas, Iowa, and New York. Participants: Mothers of children born with nonsyndromic OCs on or after January 1, 1998, and on or before December 31, 2003, in Arkansas, Iowa, or New York. Subjects were identified through their participation in the ongoing National Birth Defects Prevention Study. Main Outcome Measures: Demographic characteristics, rating of cleft care, severity of condition, health status, esthetic outcomes, and speech problems were evaluated by state of residence. Results: Children with OCs from Arkansas were from lower income families, and their parents were less likely to be married. Children with OCs from Arkansas were more likely to have special health care needs and to require mental health care. Few differences were found across states in type of cleft, severity of cleft, or outcomes of cleft care. Conclusions: Combining results from population-based samples across multiple studies increases the variability of sample characteristics. Including multiple states can be an efficient way to learn more about the outcomes of medical care for less common conditions such as oral cleft.

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Sexual and Gender Minority Health Curricula in Health Care Professional Schools

10.21203/rs.2.18264/v1 ◽

2019 ◽

Author(s):

Mandi L. Pratt-Chapman

Keyword(s):

Health Care ◽

Health Care Professional ◽

Professional Education ◽

Minority Health ◽

Care Needs ◽

Professional Schools ◽

Gender Minority ◽

Academic Settings ◽

Sexual And Gender Minority ◽

And Gender

Abstract Background Lesbian, gay, bisexual, transgender, queer, and intersex people—inclusively termed “sexual and gender minorities”—have unique health and health care needs that are not being met by most healthcare providers due to lack of training in health care professional schools. The purpose of this study was to examine implementation factors for advancing sexual and gender minority health professional student curricula in academic settings. Methods: Semi-structured interviews, structured by the Consolidated Framework for Implementation Research, were conducted with sixteen curricular champions to identify factors relevant to curricular adoption, integration, and sustainment. Themes were coded using a hybrid of deductive and inductive approaches. Results: Facilitators supporting implementation of sexual and gender minority health curricula included collaboration among multiple stakeholders, alignment of formal and hidden curricula, fostering an organizational culture that valued inclusion and diversity, engagement with external subject matter experts or faculty with content expertise, and thoughtful and inclusive planning. Conclusion: This study contributes to health care professional education research as well as to implementation science. Facilitators that were identified in this study can be used to increase the adoption, integration, and sustainment of sexual and gender minority health curricula in diverse academic settings.

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Prison Abolition

Oxford Research Encyclopedia of Criminology and Criminal Justice ◽

10.1093/acrefore/9780190264079.013.625 ◽

2021 ◽

Author(s):

Kayla M. Martensen ◽

Beth E. Richie

Keyword(s):

New York ◽

White Supremacy ◽

Fundamental Rights ◽

Aboriginal Peoples ◽

Industrial Complex ◽

Gender Nonconforming ◽

Movement Strategy ◽

And Gender ◽

Prison Abolition ◽

Abolition Movement

Prison abolition as an American movement, strategy, and theory has existed since the establishment of prison as the primary mode of punishment. In many of its forms, it is an extension of abolition movements dating back to the inception of slavery. The long-term goal of prison abolition is for all people to live in a safe, liberated, and free world. In practice, prison abolition values healing and accountability, suggesting an entirely different way of living and maintaining relationships outside of oppressive regimes, including that of the prison. Prison abolition is concerned with the dismantling of the prison–industrial complex and other oppressive institutions and structures, which restrict true liberation of people who have been marginalized by those in power. These structures include white supremacy, patriarchy, capitalism, and ablest and heteronormative ideologies. The origins of the prison regime are both global and rooted in history with two fundamental strategies of dominance, the captivity of African-descended peoples, and the conquest of Indigenous and Aboriginal peoples, land and resource. Similarly, the origins of prison abolition begin with the resistance of these systems of dominance. The contemporary prison abolition movement, today, is traced to the Attica Prison Uprising in 1971 when incarcerated people in the New York prison rebelled and demanded change in the living conditions inside prison. The nature of the uprising was different from prior efforts, insofar as the organizers’ demands were about fundamental rights, not merely reforms. Throughout the history of abolition work, there is continuous division between reform and abolition organizers. When the lives, voices, and leadership of the people most impacted by the violence of these oppressive regimes is centered, there is minimal space for discussion of reform. Throughout the abolition movement in America, and other western cultures, the leadership of Black, Indigenous, women, and gender-nonconforming people of color play a pivotal role. By centering the experiences of those most vulnerable, abolitionists understand prison does not need to be reformed and is critical of fashionable reforms and alternatives to prisons which are still rooted in carceral logic.

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