Background As part of a larger study focused on interventions to enhance the capacity of nurses and other health care workers to provide equity-oriented care in emergency departments (EDs), we conducted an analysis of news media related to three EDs. The purpose of the analysis was to examine how media writers frame issues pertaining to nursing, as well as the health and social inequities that drive emergency department contexts, while considering what implications these portrayals hold for nursing practice. Methods We conducted a search of media articles specific to three EDs in Canada, published between January 1, 2018 and May 1, 2019. Media items (N = 368) were coded by story and theme attributes. A thematic analysis was completed to understand how writers in public media present issues pertaining to nursing practice within the ED context. Results Two overarching themes were found. First, in ED-related media that portrays health care needs of people experiencing health and social inequities, messaging frequently perpetuates stigmatizing discourses. Second, media writers portray pressures experienced by nurses working in the ED in a way that evades structural determinants of quality of care. Underlying both themes is an absence of perspectives and authorship from practicing nurses themselves. Conclusions We recommend that frontline nurses be prioritized as experts in public media communications. Nurses must be supported to gain critical media skills to contribute to media, to destigmatize the health care needs of people experiencing inequity who attend their practice, and to shed light on the structural causes of pressures experienced by nurses working within emergency department settings.
Amidst the increasing push to address racial disparities in maternal health equity, fewer studies have considered Black women’s perspectives on their needs, concerns, and priorities regarding family planning care. Such evidence might help address the lack of support and information that many Black women report in patient–provider encounters, and broaden empirical knowledge on the contextual factors that influence Black women’s reproductive decisions. In the present qualitative study, we explored Black women’s pathways to motherhood within a reproductive justice framework. We drew on individual, semi-structured interview data from 31 Black mothers (25–50 years, Mage = 35 years) across the United States. Using consensual qualitative research methods, we elaborated on three themes: (1) intentional family planning, (2) unintended pregnancy, and (3) othermothering. The findings challenge deficit-based stereotypes of Black mothers’ reproductive choices and illuminate how health practitioners can facilitate humanizing conversations that prioritize Black women’s family planning goals and decision-making.
Problem Leadership has been shown to be crucial in the success of organizations, especially in higher education. However, little research has been done about leadership styles and effectiveness in North American Division (NAD) of Seventh-Day Adventists (SDA) higher education institutions. My study examined transformational, transactional, and passive avoidant leadership styles and leadership effectiveness in these higher education institutions. Method To examine leadership in Adventist colleges, I used the online MLQ-5X short form. I secured participation from 12 colleges and after repeated emails secured 168 responses. I analyzed the relationship between leadership styles, several leader characteristics and leader effectiveness, using SEM, correlation, and multiple regression. Findings Of the 168 respondents, 92 were males and 76 females. Transformational leadership was predictive of greater leadership effectiveness. Although weak, transactional leadership had a direct effect on leadership effectiveness. However, it was not statistically significant. Passive avoidant was negatively correlated to leadership effectiveness. Age was positively correlated with leadership effectiveness, in that older leaders reported higher effectiveness. By contrast, gender did not significantly predict leadership effectiveness. Additionally, years of experience at their institution had a negative non-significant correlation with leadership effectiveness. Multiple regression also showed age was statistically significantly related to leadership effectiveness with older leaders reporting higher effectiveness. However, years of experience did not show a significant relationship with leadership effectiveness. Multiple regression also did not significantly predict effectiveness between male and female. Although not statistically significant, being a leader with more years of experience at their institution was associated with less leadership effectiveness. Conclusion My findings mirror the scholarship that shows transformational leadership style is strongly correlated with leadership effectiveness. However, an exception showed in data suggesting that transformation and transactional leadership style overlapped and both positively impacted leadership effectiveness. I call that overlap, transact-formational leadership style. Effective leaders display aspects of both transformational leadership and transactional leadership styles. I recommend institutions considering recruiting and/or developing leaders toward these transact-formational leadership characteristics. Because age was positively correlated with leadership effectiveness but negatively (non-significantly) related to years of experience, I discussed hiring as a balance between securing leaders that have used age to garner wisdom, but need to be cautious about assuming leaders with longer experiences or service have the breadth of experience for effectiveness.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.