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Portfolios are used in midwifery education to provide students with a central place to store their accumulative evidence of clinical experience for initial registration in Australia. Portfolio formats can be paper-based or electronic. Anecdotal discussion between midwifery students in Queensland debated the best format to document the requirements for the Australian Nursing and Midwifery Accreditation Council (ANMAC) standard 8.11. Midwifery students using paper-based portfolios envisioned that an ePortfolio would be streamline, simple, safe to use, and able to be used anywhere with WIFI, while some students using an ePortfolio expressed a desire to have a paper-based portfolio as a hard copy. This situation called for evidence of a comparison to resolve the debate. The aim of this study was to investigate midwifery students' experiences of the benefits and challenges between paper-based and ePortfolios when compiling evidence to meet the requirements for initial registration as a midwife in Australia (ANMAC, 2014). • Each type of portfolio had challenges and benefits. • Portfolio completion is time consuming, and stressful due to the need for verification of evidence. • Students require early and regular feedback on portfolio development. • National standards are required for consistency in documentation across universities. [ABSTRACT FROM AUTHOR]

Abstract Since Bitner's (1992) introduction of the servicescape concept, many conceptual and empirical studies have been conducted. Even though a relatively solid theoretical base has been established, the nature of the concept has not been updated with contemporary views on theories explaining behavior of consumers, employees and other stakeholders. Hence, the current study scanned the literature on servicescape and relevant concepts in order to update servicescape. The review of literature resulted in a new term, experienscape that is enhanced with the organizational culture of hospitality and the inclusion of employees, as both internal customers and service providers, as well as other stakeholders. For a comprehensive understanding of experienscape, a multidisciplinary approach is proposed by integrating views and theories from marketing, human resource management, organizational behavior, psychology, social psychology, communication, architecture, environmental design, and other related fields. [ABSTRACT FROM AUTHOR]

The experience of stuttering is wide ranging and includes a variety of perceived and unperceived behaviors and experiences. One of those experiences is anticipation of stuttering. While anticipation of stuttering is commonly discussed in terms of being a prediction of an upcoming event, it has also been equated to an internal realization of stuttering – which is the conceptualization applied here. The aim of this paper is to impress upon the reader that anticipated moments of stuttering (whether at a conscious or subconscious level) must be met with an adaptive reaction or response (which may also occur consciously or subconsciously). While these adaptive reactions and responses may differ based on whether they promote positive or negative communicative behaviors, they still represent adaptations by the speaker. Among the broad category of reactions and responses to anticipation of stuttering are motoric adaptations to speech, which include characteristic stuttering behaviors and other adaptations that may contribute to speech that is perceived by listeners as fluent. An outcome of this conceptualization is, even when adaptations result in listener perceived fluency, the speech of the person who stutters is still controlled by stuttering – meaning that some observable or unobservable adaptation is required. It is critical that speech-language pathologists recognize that the behaviors of people who stutter may reflect reactions and responses to an internal realization of stuttering and observable and unobservable reactions and responses must be considered in both assessments and interventions. • Stuttering is conceptualized as first being internally realized by the speaker. • Internal realization of stuttering occurs both consciously and subconsciously. • Internal realization can be met with adaptive reactions and/or responses. • Speech can be adapted in many ways, including listener perceived fluent speech. • Stuttering can still be present amidst perceivably fluent speech. [ABSTRACT FROM AUTHOR]

Abstract: This study investigated the comparability of paper and computer versions of a functional writing assessment administered to adults 16 and older. Three writing tasks were administered in both paper and computer modes to volunteers in the field test of an assessment of adult literacy in 2008. One set of analyses examined mode effects on scoring by comparing scores for adults’ original handwritten responses to scores for their transcribed word-processed versions. Differences in overall or individual criterion scores were either statistically or practically nonsignificant. A second analysis examined differences in performance between adults who received paper versus computer versions of the same task. A third analysis examined whether the differences between administration modes were moderated by demographic variables or by computer experience. Results showed that adults performed better overall and on most aspects of the writing tasks when writing on paper than on computer. The effects of administration mode varied by employment status for one task, by race/ethnicity, age and word-processor experience for another task, and remained the same for all subgroups for the third task. These results suggest that, depending upon the writing tasks, a computer mode of administration may disadvantage some subgroups (e.g., unemployed) more than others (e.g., employed). [ABSTRACT FROM AUTHOR]

Abstract: Background: Paper based simulated patients are widely used to analyse nurses’ clinical judgements. However, developments in the physical simulation of clinical environments offer exciting, but relatively underexploited, opportunities for exploring nurses’ judgements. Critical event risk assessment is an element of acute care practice which lends itself well to simulation and in which more clinical experience is often assumed to lead to better quality judgements. Objectives: To model nurses’ judgements of critical event risk using physical and paper simulation and to examine whether improving fidelity via physical clinical simulation impacts on the apparent benefits of clinical experience on nurses’ judgement performance. Design: A comparative clinical judgement analysis. Setting: A university in Northern England. Methods: Sixty-three nursing students and 34 experienced nurses made dichotomous risk assessment judgements (“at risk” or “not at risk”) in response to 25 paper and physical simulated scenarios. These were randomly generated from a dataset of real patient case records. Clinical outcomes (the judgement criteria) for a ‘correct’ judgement were derived from the same case records. Logistic regression models were constructed to derive statistics for each nurse representing various measures of judgement performance: achievement (r a ), consistency (R s ) and clinical information use (G). These statistics were known as Lens Model statistics (from the psychological theory of Brunswik''s Lens Model of judgement). Performance measures for novice and experienced nurses were compared. Results: No significant differences in judgemental achievement (r a ) between experienced nurses and students were observed in either paper or high fidelity clinical simulations. Similarly, there were no significant differences in the nurses’ abilities to correctly match the ways they synthesised clinical information with the optimum synthesis required by the task (policy matching) (G). When faced with “paper patients” experienced nurses exercised more cognitive control/consistency (R s ) than students (P =0.04). However, this heightened control in experienced nurses was absent when those same nurses made judgements in the higher fidelity clinical simulation environment. Conclusion: Clinical experience made no difference to nurses’ judgement achievement (accuracy) in either the lower fidelity paper scenarios or the higher fidelity setting of the clinical simulation unit. The significant impact of clinical experience on judgement consistency was negated by the increases in fidelity offered through clinical simulation. [Copyright &y& Elsevier]

• This paper adds important new knowledge about the experience of telemonitoring. • Women found the benefits of telemonitoring to outweigh the challenges. • Telemonitoring was experienced as timesaving, stress-reducing, promoting normality. • The challenges are timing, lack of feedback, and issues with the equipment. • Adaption of the findings will rather easily improve women's experiences. The use of telemonitoring in healthcare is generally increasing. Women with complicated pregnancies are using telemonitoring as an alternative to conventional management, encompassing hospitalization or frequent outpatient clinic visits. However, there is sparse evidence on how pregnant women experience monitoring of their unborn babies at home. Women might feel uncomfortable with this responsibility, and moreover they might miss face-to-face contact with healthcare personnel. The study setting was a Danish hospital with a tertiary obstetric unit attending approximately 3400 births annually. A qualitative study design with interview as method included 11 pregnant women with type 1 diabetes or Gestational Diabetes Mellitus. This design was used to investigate how pregnant women with complicated pregnancies experienced telemonitoring of the fetus. Reflexive thematic analysis was used to analyze the pregnant women's experiences of telemonitoring. Women with type 1 diabetes or Gestational Diabetes Mellitus found the advantages of telemonitoring to outweigh the disadvantages. They experienced telemonitoring as time-saving and that telemonitoring decreased the level of stress. Moreover, telemonitoring supports positive collaboration with healthcare professionals. The women also experienced a lack of coordination of consultations between different departments at the hospital and challenges with timing, feedback, and technical issues. Moreover, the women requested an opportunity to discuss family formation and emotions. Pregnant women with type 1 diabetes or Gestational Diabetes Mellitus benefit from the use of telemonitoring. To further improve the implementation and use of telemonitoring clinical implications, consider how timing and coordination of care, technical equipment, and feedback mechanisms could be improved. [ABSTRACT FROM AUTHOR]

COVID-19 has had serious, negative impacts on children's health and development. But the impacts have not been felt equally. Disabled children and their families have been hit particularly hard. In this paper we summarize UK legislation to limit the spread of the virus and describe how services to disabled children changed as a result. We discuss the long-term deleterious impacts of changes in service provision on the health and wellbeing of disabled children and the parent carers supporting them. We close with lessons learned for resetting services to support the ongoing recovery of children and their families and recommendations for delivering services better in future emergencies to ensure that disabled children's health and wellbeing is maintained. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Medical Imaging & Radiation Sciences is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Communication is a central part of radiological procedures and influences children's experiences. Previous research concentrates on communication and experiences during complex radiological procedures such as magnetic resonance imaging (MRI). Less is known about the communication that occurs with children undergoing procedures, such as non-urgent X-ray procedures, or the impact communication has on a child's experience. This scoping review examined evidence relating to the communication which occurs between children, parents and radiographers during children's X-ray procedures and how children experience undergoing X-ray procedures. The comprehensive search identified eight papers. Evidence shows that radiographers dominate communication during X-ray procedures, with their communication in many cases being instructional, closed and limiting the opportunities for children to be involved. Evidence indicates that radiographers have a role in facilitating children in actively engaging in communication during their procedure. The papers that sought children's first-hand experiences highlight children's mainly positive experiences of having an X-ray, and the importance of informing children about their X-ray before and during the procedure. The scarcity of literature highlights a need for research exploring communication during children's radiological procedures and children's first-hand experiences of undergoing these procedures. Findings highlight a need for an approach that recognises the importance of dyadic (radiographer and child), and triadic (radiographer, parent and child) communication opportunities during an X-ray procedure. This review highlights a need for an inclusive and participatory approach to communication that recognises children's voice and agency in X-ray procedures. [ABSTRACT FROM AUTHOR]

Making decisions to withhold or withdraw treatment in the paediatric intensive care setting can be complex, emotive and morally challenging. The process draws on the expertise and experience of both the families and the medical teams, their understanding of the needs and (where possible) choices of the child, and a balance of trust between all parties to want to achieve the right outcome. It is important that all healthcare professionals caring for children, particularly those living with potentially life-limiting or life-threatening conditions, are aware of the processes involved so they can support patients and families with confidence and sensitivity. This paper explores the basic aspects of withholding and withdrawing interventions in the PICU with the aim of demonstrating the situations in which these decisions might be necessary. It explains the frameworks and considerations guiding the decision-making process and describes the practicalities of providing ongoing care through collaboration with hospital and community services. [ABSTRACT FROM AUTHOR]

Dans cet article, les auteurs présentent la Palette des émotions, une médiation graphique facilitant l'expression du vécu émotionnel des patients après une mesure d'isolement. Dans le cadre d'une politique de réduction de l'isolement et de la contention, les auteurs montrent en quoi l'approche relationnelle basée sur cette médiation peut favoriser l'amélioration de ces pratiques et constituer un outil de prévention tertiaire. À partir d'une revue ciblée de la littérature sur le thème de l'isolement et de la contention, qui montre l'intérêt du recueil du vécu des patients, les auteurs décrivent la conception et la procédure d'utilisation de la Palette des émotions, ainsi que l'approche relationnelle qu'elle implique. Trois vignettes cliniques sont proposées afin d'illustrer le propos. En facilitant l'expression des émotions ressenties dans le cadre d'une mesure d'isolement, la Palette des émotions reconnaît la valeur de l'expérience du patient et induit une dynamique relationnelle qui lui permet de recouvrer une position active dans le soin. S'il révèle un vécu essentiellement négatif autour de l'épisode d'isolement, le recueil des émotions l'amène aussi à envisager des améliorations et des alternatives aux pratiques coercitives. Dans la mesure enfin où son utilisation comporte une discussion des résultats au sein de l'équipe soignante, la Palette des émotions favorise une approche éthique et thérapeutique valorisant l'écoute et la prise en compte de l'expérience de l'usager. Les cas cliniques illustrent ces différents points. L'utilisation de la Palette des émotions et les témoignages cliniques qui en sont issus font ressortir la plus-value éthique et thérapeutique potentielle de cet outil. The use of seclusion and restraint within mental health settings has long been considered controversial. According to the literature, patient experiences of seclusion and restraint are mainly negative, harmful or traumatic. Patients express a need to discuss the seclusion or restraint event and their feelings afterwards. This paper describes the Emotional Palette, a graphical tool for enhancing patients' expression of emotional experience after seclusion or restraint. On the basis of a focused review of literature, demonstrating the relevance of investigating patients' experiences after seclusion or restraint, this article presents the Emotional Palette, a graphic tool created in a psychiatric ward for helping patients express their emotional experience. This graphical tool (figure 1) consists of a coloured checkerboard which presents terms typically used to express emotions relating to seclusion or restraint's experience. Each term is associated with a colour, ranging from red (negative feeling) to white (intermediate feeling) and green (positive feeling). Patients are interviewed a few days after seclusion. Firstly, they are asked to complete three Emotional Palettes, which refer to three moments of their experience : the time when they were put inside the seclusion room, the time spent during the seclusion process, and the time after the seclusion. For each moment, patients identify the predominant emotions on the corresponding Palette. After completing the Palettes, they are interviewed. The aim is to promote a relationship of confidence to make the persons feel free to say what they like. They are also encouraged to express their own proposals for alternative methods and suggestions for improving seclusion practice. In this article, the usefulness of the approach based on this tool is discussed within three clinical case studies. For each patient the result of the Emotional Palette was transcribed and a thematic analysis was used to analyse the verbatim. The seclusion-related negative emotions mainly identified by patients were fear, anger, boredom, helplessness, resignation, loneliness and humiliation. Negative feelings were linked to perceived lack of interaction with the staff before and during seclusion. Patients reported that they were not given enough information about the reason for their seclusion and what would happen next. After the seclusion process, they mentioned positive experiences such as finding calm, gratitude and confidence in the nursing staff. Some patients' suggestions regarding the improvement of seclusion practices were related to a need for more interaction with nurses and doctors. These emotions and views expressed by patients echo the findings of previous studies and surveys. Beyond these results, the main benefit lies in the fact that, by giving the opportunity to have a debrief, the Emotional Palette tends to strengthen the patient's position and involvement. All of them expressed a satisfaction to be able to discuss the seclusion event and their feelings afterwards. They suggested alternatives to seclusion that could expressly work for them (one-to-one intervention, specific activities..). They stressed the importance of interaction with the nurses and the doctors, through empathetic listening, attention and understanding, active communication and for more staff presence in the ward. Thanks to the Emotional Palette, patients experienced that their views and emotions had been heard and recognized. Finally, by giving every patient an opportunity to discuss his/her experience with the staff, the Emotional Palette helps to develop a personal prevention strategy that could offer alternative methods for seclusion in case of crisis. Future research is needed to provide generalizable data and validate the usefulness of the Emotional Palette. By helping patients to express their emotions after a seclusion process, the Emotional Palette offers a framework and a therapeutic approach which prove useful in regaining a positive interpersonal relationship with a patient. By allowing the patient to give their views and suggestions for improvement and alternatives, this tool could also constitute a means to reduce seclusion practices. [ABSTRACT FROM AUTHOR]

This paper reflects on the experience of one Scottish University in conducting a face-to-face Objective Structured Examination (OSCE) for large cohorts of student nurses. It outlines the challenges experienced and learning gained. Borton's model of reflection frames this work due to its simplicity, ease of application and cyclical nature. The theoretical framework for the OSCE is critical thinking, enabling students to apply those skills authentically. OSCE's are designed to transfer classroom knowledge to clinical practice and offer an authentic work-based assessment. Validity and robustness are key considerations in any assessment and in OSCE, the number of stations that students encounter is important and debated. We used a case-study based OSCE approach initially over four stations and following reflection, changed to one long station with four phases. In OSCE examinations, interrater reliability is a necessity, and students expect equity of approach. We identified that despite clear marking criteria, marks were polarised, with students achieving high or low marks with little middle ground. Review of examination papers highlighted that although students' overall performance was good, some had failed in at least one station, suggesting a four-station approach may skew results. On reflection we hypothesised that using a one station case study-based, phased approach enabled the examiner to build up a more holistic picture of student knowledge and skills. It also provided the student opportunity to develop a rapport with the examiner and standardised patient, thereby putting them more at ease. We argue that this approach is holistic, authentic and student centred. Our experience highlights that a single station, four phase OSCE is preferrable, enabling students to integrate all aspects of the assessment and provides a holistic view of clinical skills and knowledge. [ABSTRACT FROM AUTHOR]

This paper presents an evidence informed rationale for focussing on harmful gambling products and industry practices in public health messaging through the example of a recent innovation called 'Odds Are: They Win'. 'Odds Are: They Win' was initially developed through coproduction involving public health professionals and people with lived experience of gambling harms and implemented across a city-region area. A review of relevant evidence was undertaken, upon which the research team reflected to draw out the implications of 'Odds Are: They Win' for gambling harms messaging. Evidence is mounting that safer gambling campaigns framed in terms of individual responsibility are ineffective and can generate stigma. 'Odds Are: They Win' presents an alternative focus that is not anti-gambling but raises awareness of industry manipulation of the situational and structural context of gambling. This is in-keeping with historical lessons from the stop smoking field and emerging research in critical health literacy. The latter highlights the potential of education on the social and commercial determinants of health to stimulate behaviour change and collective action. 'Odds Are: They Win' is a potentially disruptive innovation for the gambling harms field. Research is required to robustly evaluate this intervention across diverse criteria, target audiences, and delivery settings. [ABSTRACT FROM AUTHOR]

Patient perspectives have an important role in improving the quality of outpatient hysteroscopy (OPH) services. Understanding women's experiences can help provide important insights regarding the OPH journey. The purpose of this paper is to share perspectives and reflect on the experiences of women that participated in a national benchmarking OPH survey. In addition, we explore the correlation between women's experience of OPH and reported pain scores. Over a two-month period, 5151 women took part in the national OPH survey. Free text comments relating to women's OPH experience, collected as part of the survey, were subjected to qualitative analysis using NVivo 12 software to provide a better understanding of the OPH journey. In addition, correlations were drawn between the qualitative and quantitative data collected for pain scores and satisfaction using SPSS software. 1720 (33.3%) women provided comments on their OPH experience. Qualitative thematic analysis generated themes that were divided into positive (82%) and negative (7%) experiences of care. Potential areas of improvement in relation to the OPH service were highlighted in 11% of themes. Most women regarded OPH as a safe, tolerable, and well delivered outpatient service. Quantitative analysis showed that 1829 (35.5%) women reported procedural pain between 70 and 100 mm. These women reported equivalent quality of care on a 10 cm visual analogue scale (9.71 [SD1.04] vs. 9.76 [0.73]; P = 0.06) but were more likely to decline having the procedure done in the same way again (19.4% vs. 3.1%; RR 6.30, 95% CI 5.06 to 7.83) compared to women with pain scores < 70 mm. Qualitative data supports the usefulness, safety, tolerability, and acceptance of hysteroscopy in an outpatient setting by most women. However, the reasons for high procedural pain, poor tolerability and negative experiences warrant review and exploration of both individual patient and relevant institutional factors including training, equipment, and local processes. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Medical Imaging & Radiation Sciences is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This is the fourth in a series of papers that provides an historical record in this journal of contributions made by the most influential figures in the field of stuttering. Ann Packman is an Australian researcher who will retire shortly. This paper reflects on her long and productive career, and her contributions to the field. With a background in literature, linguistics, philosophy, psychology, and the brain and language, she became well equipped to contribute to understanding stuttering causality. That work, and an accompanying collection of basic and applied clinical research, was constantly grounded with the thoughts and feelings of those who stutter in the community. • Ann Packman is an Australian researcher who will retire shortly. • This paper reflects on her career and her contributions to the field. • Her work was grounded with the thoughts and feelings of those who stutter. [ABSTRACT FROM AUTHOR]

• South and Southeast (S/SE) Asian refugee parents experience significant impacts to emotional and physical wellbeing in the antenatal and postnatal period in resettlement countries. • Parents experienced various challenges in maternity healthcare settings including confusion, distress, limited interpreting support, and feeling unable to voice concerns. • Parents highlighted the importance of formal supports including interpreters, and informal supports including family and community in the First 2000 Days. • Culturally responsive care may enhance the wellbeing and support experiences of S/SE Asian refugee families in the First 2000 Days. There is growing scholarly attention concerning the wellbeing experiences of people from refugee and asylum-seeking backgrounds, particularly in relation to antenatal and postnatal care in countries of resettlement. However, less is known about early childhood support for refugee and asylum-seeking parents during the First 2000 Days of a child's life (conception to age five). There is also little understanding of the needs of refugees and asylum-seekers from South and Southeast (S/SE) Asia for whom there may be unique cultural considerations regarding parenting and support. This systematic review therefore aimed to explore the emotional and physical wellbeing and support experiences of refugee and asylum-seeking families (mothers, fathers, and other family members with caregiving roles) from S/SE Asia during the First 2000 Days. This review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We identified publications through a systematic search of six databases. Eligible papers were peer-reviewed, primary data studies published in English, conducted in middle- to high-income countries of resettlement, and included data that could be disaggregated for S/SE Asian families. Of 5,770 publications, 13 articles met inclusion criteria. While our review aimed to explore the experiences of various family members, included papers focused primarily on the experiences of refugee women. Our review found that S/SE Asian refugee parents reported various challenges to physical and emotional wellbeing during the First 2000 Days ranging from nutrition and diet concerns to feelings of anxiousness, grief, isolation, and feelings of distress in healthcare settings. Parents also expressed a level of trust and satisfaction with maternity care during resettlement, however, these experiences were challenged by a lack of culturally responsive care. Findings speak to the importance of informal social supports for S/SE Asian refugee parents, and culturally safe, formal supports where parents feel comfortable to voice their concerns. [ABSTRACT FROM AUTHOR]

Supporting people to 'age in place' – to live independently at home and remain connected to the community – is an international policy priority. But the process of ageing in place is mediated in a socio-cultural context where neoliberal tropes of successful ageing reproduce a pervasive model about 'ageing well' by elevating ideals of individualised choice and self-governance. Based on two waves of qualitative interviews and interim observations, we employ a Bourdieusian logic to explore the ramifications of this context on the experiences of 46 people in later older age (80+) ageing in place in North East England. All participants enacted everyday improvisatory practices to render their homes habitable. But our participants – most of whom were located in middle-class social positions – supplemented such improvisions with a strategic disposition to plan for and actively shape their ageing-in-place futures. Our participants conveyed a distinct sense of agency over their ageing futures. Underpinning their orientations to practice was an awareness of the value attached to individually 'ageing well' and a distancing from the agedness associated with the fourth age. Our analysis demonstrates the role of capital, accrued throughout the life course, in bringing such future trajectories into effect. The central argument of this paper therefore is that the embodiment of (neoliberal) ideals of successful ageing in place requires the deployment of classed capital. In sum, contrary to the individualising narratives ubiquitous in policy pertaining to ageing well, we show the importance of classed structural moorings in this process. • Regardless of class, older adults (80+) tinker to render their homes habitable. • Bourdieusian analysis shows how class shapes (successful) ageing in place. • Focusing on middle-class experiences deepens insight into ageing inequalities. • Dispositions to plan for and actively shape ageing futures requires capital. • The individualising focus of successful ageing ideals is inherently classed. [ABSTRACT FROM AUTHOR]

Living with adversity can create wide-ranging challenges for people's health and wellbeing. This adversity may arise through personal embodied difference (e.g. acquiring a brain injury or losing mobility in older age) as well as wider structural relations that shape a person's capacity to adapt. A number of dichotomies have dominated our understanding of how people engage with health and wellbeing practices in their lives, from classifying behaviours as harmful/health-enabling, to understanding the self as being defined before/after illness. This paper critically interrogates a number of these dichotomies and proposes the concept of 'hopeful adaptation' to understand the myriad, often non-linear ways that people seek and find health and wellbeing in spite of adversity. We highlight the transformative potential in these adaptive practices, rather than solely focusing on how people persist and absorb adversity. The paper outlines an agenda for a health geography of hopeful adaptation, introducing a collection of papers that examine varied forms of adaptation in people's everyday struggles to find health and wellbeing whilst living with and challenging adversity. • This paper looks at how people adapt to personal and structural challenges. • People adapt to find health and wellbeing and to transform the challenges. • The paper proposes the idea of 'hopeful adaptation' to understand these practices. • It outlines an agenda for a health geography of adapting to adversity. • It introduces a special issue on this subject. [ABSTRACT FROM AUTHOR]

Human geography's varied engagement with the brain has involved considerations of the way people know and respond to their environments, and their place-based experiences with emotions, mental illnesses and disorders, intellectual disabilities and particular neurological conditions. This paper argues however that this scholarship could be augmented by, and existing expertise be directed towards, considering physical brain abnormalities and injuries. As a case in point it considers the spatial experience of living with Type 1 Chiari Malformation. Through interviews with four sufferers, the research articulates three domains that they have had to re-negotiate - home space, social space and medical space - emphasizing supportive and challenging aspects of each, as well as meaningful and affective qualities to encounters. The paper concludes with some pointers towards the future study of physical brain abnormalities and injuries and the kinds of knowledge it might create to increase awareness and inform care. • Extends a geographical research lens to structural brain abnormalities and injuries. • Shows how life spaces are negotiated by people with Chiari Malformation. • Exposes both meaningful and affective levels to their encounters with life spaces. [ABSTRACT FROM AUTHOR]

Abstract Summary Incorporating the voice of the child is essential for a holistic assessment that is used to guide social work interventions targeted at enhancing the well-being of children. In order to include children as key participants in understanding their worldview, social workers need to provide a space for children to voice out their subjective assessment of their current life experiences and conditions. This paper aims to bring attention to utilizing photo eliciting interviewing (PEI) as a means to access children's subjective well-being from low-income families. Findings By utilizing photoraphy and in-depth interviews sequentially to engage and gain access into children's worldviews, this study found that children from low-income families possessed agentic capabilities and are capable of contributing towards their well-being. Despite the financial constraints experienced by their families, children did not perceive their families to be poor. Instead, they took into account the family context and parental efforts in assessing the family's circumstances. Furthermore, children initiated strategies to create opportunities of happiness or to intervene in situations of sadness that stemmed from financial constraints. Application This study propose social workers to employ PEI as a complement to the objective measurement tools commonly utilized in social work assessments and interventions when working with children from low-income families. Other than constructing a holistic assessment of children's well-being, PEI also allows for the inclusion of children as integral partners in social work interventions and programme designs. Children possess the knowledge and ability to initiate and contribute solutions to problems, which when identified and tapped upon, promotes children's participation as change agents of their own lives. Highlights • This paper highlights the relevance of using Photo Elicitation Interviewing as a supplementary information gathering method for social work assessment in working with children. • Utilizing this method, this paper illustrates how it engaged children from low-income families by empowering them to use photography to express their views on their families' financial constraints. • From the results of using photos to elicit conversations, children were facilitated to voice their perspectives, world views and their sense of agency. • It is proposed that Photo Elicitation Interview can be a useful tool for social work assessment alongside with standardized assessment measurements and framework to access children's voice. [ABSTRACT FROM AUTHOR]

Abstract Advocacy for people using health and social care services is widely promoted but its theoretical foundation is under-developed and its impact poorly conceptualised. This paper explores the liberatory potential of independent advocacy, using Fricker's concept of 'epistemic injustice' as a framework. People experiencing mental distress are particularly vulnerable to epistemic injustices as a consequence of deeply embedded social stigma resulting in a priori assumptions of irrationality and unreliability such that their knowledge is often discounted or downgraded. The mental health service user/survivor movement is at the forefront of validating personal experience and narrative to secure a different ontological and epistemological basis for mental distress. A foundational strand of this is advocacy to enable people to give voice to their experience. The case of independent mental health advocacy (IMHA) services under mental health legislation in England, provides an opportunity to critically examine whether advocacy can promote epistemic justice as a result of the legally sanctioned encounter between clinical assessment and subjective experience, pivoting on judgements about risk. This paper draws on empirical data from a national evaluation of IMHA services, which included 90 individual interviews with people subject to detention and three focus groups with mental health service users. Fricker's concept of epistemic injustice is used as a lens to investigate how this type of advocacy might mitigate forms of epistemic injustice, and thereby promote greater social justice in mental health. The concept of epistemic injustice provides a valuable theoretical basis for understanding the worth of advocacy in addressing testimonial injustice as well as its relative weakness in overcoming hermeneutical injustice. The challenge of independent advocacy to the dominant discourse within mental health is considered and questions raised about the place of advocacy in modern democratic mental health systems. Highlights • Analyses service user accounts of independent mental health advocacy (IMHA). • The concept of 'epistemic injustice' is used to identify if IMHA promotes equality. • The epistemic agency of those detained under MH legislation is compromised. • IMHA promotes testimonial justice but has limited impact on hermeneutic injustice. • Epistemic injustice is helpful in advancing more democratic mental health services. [ABSTRACT FROM AUTHOR]

The purpose of this paper is to identify what individual experiences contribute to the development of students' intercultural competence in study abroad contexts and how these experiences positively or negatively impact their intercultural development. Fifty-one students completed the IDI both before and after their year-long sojourn abroad. Upon their return, twenty-six students participated in focus group debriefing sessions in which they answered questions regarding their personal growth and intercultural development while abroad. Thirteen categories of experiences—ten related to intercultural gains and three intercultural regressions—were identified and further abstracted into three broad themes (cognitive, behavioral, and affective). These findings partially confirm existing frameworks describing intercultural competence but add more nuance and complexity. Through the exploration of both the positive and negative learning outcomes by focusing on students' experiences at the individual level during study abroad, this study answers key questions of why study abroad experiences can lead to positive changes in intercultural competence for some students but negative ones for others. [ABSTRACT FROM AUTHOR]

Despite the recent growth in the integration of artificial intelligence (AI) into second/foreign language (L2) education, its emotional side has been ignored, to date. In order to address this gap, the present qualitative study aimed to explore the typology of emotions that Chinese English as a foreign language (EFL) teachers had experienced in their AI-based L2 classes. Drawing on the technology acceptance model (TAM) and control value theory (CVT), a sample of 50 EFL teachers were interviewed individually. The results of thematic analysis showed that Chinese EFL teachers, in this study, had experienced a variety of positive and negative emotions due to AI technologies. The most frequently experienced positive emotions were 'enjoyment', 'excitement', 'motivation', and 'satisfaction'. Conversely, the participants had most repeatedly experienced negative emotions of 'anxiety', 'stress', 'worry', and 'frustration' in their AI-based classes. The findings are discussed in light of prior research and suggestions and implications are presented to EFL teachers and educators. • This study explored the typology of emotions that Chinese English as a foreign language (EFL) teachers had experienced in their AI-based L2 classes. • In this study, 50 Chinese EFL teachers were selected by convenience sampling technique, these teachers were interviewed individually. • This paper presents recommendations and implications for English teachers and educators to raise their awareness of emotionality in AI-mediated L2 teaching. [ABSTRACT FROM AUTHOR]

Video games offer a unique platform for players to engage interactively with morally challenging topics and dilemmas. Despite the growing popularity of games that offer such content, there is a paucity of research on the player experiences and the specific game mechanics that facilitate moral decision making. To address this gap, this research identifies key game mechanics that support moral decision making through a comprehensive review of related literature and qualitative survey responses from players (n = 30). The effects of these mechanics on players' decision making processes and their overall impact on player experience were further explored through semi-structured, video-elicitation interviews (n = 11). This research develops a theoretical framework based on the findings from these two exploratory studies, culminating in a set of design guidelines to inform the future development of moral decision making games. • This research highlights key game mechanics that facilitate moral decision making and their impact on player experience. • Surveys and interviews with 39 players explored decision-making factors and experiences in morally challenging games. • Context and personal values shape how game mechanics enhance or hinder immersion, decision-making, agency, and reflection. • Our paper provides guidelines based on these findings on using game mechanics to enhance player experiences. • New framework links players' values, game mechanics and context to decisions and experiences, contributing to games research. [ABSTRACT FROM AUTHOR]

This paper seeks to contribute to debates about how people's adult lives unfold after experiencing childhood adversity. It presents analysis from the British Chinese Adoption Study: a mixed methods follow-up study of women, now aged in their 40s and early 50s, who spent their infant lives in Hong Kong orphanages and were then adopted by families in the UK in the 1960s. Sixty-eight women participated via questionnaires and face-to-face interviews. The paper draws on both quantitative analysis (using standardised measures and systematically coded data on adult life events) and qualitative analysis of interview data to identify the context and subjective meaning of the quantitative findings. We found that most of the women lived largely positive, stable, well-supported lives although punctuated by challenging periods. Using regression analysis, two variables were significantly associated with poorer mid-life functioning over and above other potential influences: a) feeling unhappy about being adopted, and b) partnership adversity after age 25. No associations were found between childhood experiences and patterns of adult adversity. Illustrations are given, based on the interviews, of the women's multi-faceted perspectives on the long-term impact of being internationally adopted and on professional support. We conclude that when early orphanage care (of reasonable quality) was followed by a good quality adoption, most women were able to negotiate the majority of later difficulties successfully. The findings suggest two important implications for understanding mid-life outcomes: a) that experiences in both childhood and adulthood should be taken into account and b) individuals' subjective views on being internationally adopted may help explain divergent outcomes within groups with similar early experiences. [ABSTRACT FROM AUTHOR]

There is a view that applied researchers produce more relevant findings for practitioners in the tourism industry if they use quantitative methods. This paper claims that findings relevant to industry can be produced through the use of qualitative methods of data collection, and indeed a unique perspective is offered by qualitative research that a quantitative approach may not produce. Furthermore, a mixed methods approach to research combines the advantages offered by both qualitative and quantitative research, and is advocated as an appropriate way forward when both types of data are needed. Using a unique mixed-methods study of the meaning of tranquillity to visitors to and authorities and residents in Dorset, Southern England, this paper illustrates the value of both qualitative and quantitative data to tourism planners. The study reveals that tranquillity was most commonly aligned to the natural environment whereas non-tranquillity concerned both sounds and sights of manmade origin. [ABSTRACT FROM AUTHOR]

Background Substantial numbers of Enrolled Nurses (ENs) enrol in higher education programs to undergo the transition to Registered Nurse (RN) with the experience described as containing numerous challenges. Objectives This paper reports on a synthesis of the literature that explores the experiences of ENs undertaking a program of study to convert to RN. Consequently, a model is developed to identify educational interventions and resources to enable a successful transition for these students. Design A narrative review was completed with thematic synthesis of the literature guided by Schlossberg's Transition Theory, and Thomas and Harden's framework for systematic analysis of qualitative studies. Data sources CINAHL, Scopus, ProQuest Central and Health Collection were searched. Review methods The databases were searched for English language journal articles, theses and grey literature published from 1987 to 2016 from Australia, New Zealand, the United Kingdom, Canada and the USA. The key search words included truncations of: “enrolled nurse”, ‘licensed practical nurse’, “transition”, “conversion” and “experience”. This resulted in the identification of 33 related articles for review. Results Themes and sub-themes developed from the literature synthesis were integrated into an ‘EN to RN Transition model.’ The four stages of the model reflect the experiences of the ENs as they overcame the various challenges they encountered during their transition to RN. The model was used to develop recommendations that may improve their transition experience and decrease attrition. Conclusion This paper reports on a synthesis of the literature, and presents a four stage model, that reflects the experiences of ENs in their transition to RN. Recognising the elements within each stage can assist educators develop strategies and provide educational resources to enhance the EN journey. [ABSTRACT FROM AUTHOR]

Figures from 2015 show that two hundred and five children entered secure accommodation from England and Wales. 47% were placed because they were on remand or sentenced for committing a serious offence. 43% were placed by social services under a child welfare order. The remaining 10% were secured by their local authority on criminal justice grounds. This paper uses the example of girls in secure care to explore understandings that are applied to young people considered ‘vulnerable’ and ‘troublesome’ simultaneously. While policy around secure accommodation claims that it offers a therapeutic intervention, to help young people work through their problems and learn appropriate coping mechanisms, it also keeps them ‘safe’ by physically locking them away from the world in which they have been entrenched. Using detailed ethnographic fieldwork, this paper explores the experiences of girls living in a setting usually exempt from scrutiny and showcases their views of being ‘worked with’ in an institution designed to enable reform. Significantly, findings show that girls rejected the ‘vulnerable’ label that was ascribed to them and instead felt that vulnerability was better defined by life experience instead of age. By examining girl's own perspectives of their complex pathways into secure care, this paper will contest the binding of childhood and vulnerability and argue that such an act disenfranchises girls from the services that are designed to help them. [ABSTRACT FROM AUTHOR]

This paper evaluates the most influential current approaches to the mechanisms of radicalisation on the basis of their empirical evidence and calls for a focus on research designs capable of arbitrating on matters of causality, not just correlation. It shows how the existing evidence converges on a handful of factors involved in radicalisation, including negative life experiences leading to fundamental uncertainty or loss of significance, which spur on the search for and identity shift towards groups with strong norms and ideals, including sacred values that enable extreme ingroup defences (e.g. acts of terrorism). The cumulative empirical data indicates support for some, but not all, kinds of interventions. Finally, because both theoretical approaches and current interventions propose cause-and-effect relationships, the paper argues that it is imperative that the field shifts its focus to experimental research designs capable of making causal inferences. [ABSTRACT FROM AUTHOR]

• In a bid to resist a medical-moralist paradigm dominating public health ideologies, we make a case for understanding chemsex among men in Singapore vis-à-vis Deleuzean lines of flight. • Through a queer deleuzean framing, we illustrate how chemically inflected sexual encounters can offer deterritorialising flights of fantasy and freedom from a heteronormative social structure that stigmatises gay sex, among other normative regimes. • We explored how lines of flight generated by chemsex are dynamic (i.e. they can turn into lines of non-flight) and have to be unpacked contextually (i.e. in relation to unfolding senses of self and the social environment). We have also demonstrated that such deterritorialising flights of freedom can catalyse unplanned outcomes, including the propensity to reterritorialise. • Our analysis has not shied away from incorporating heartfelt anecdotes that perpetuate medico-moral, public health perspectives even as we are committed to a critical-political discussion on chemical-sexual intimacies. • Future research in this arena could potentially investigate the complicated, conflicted and protracted intimate relationships that users may have with their drug(s) of choice, as well as the varied lines of (non-)flight that these chemicals can endow over a longitudinal study. Public health scholars informed by a dominant biomedical paradigm have in their 'rush to risk' emphasised the problematic aspects of chemsex. Meanwhile, critical chemsex scholars have attemped to destigmatise such sexual-chemical practices and foreground how they can be transformative. Taking these two perspectives as points of departure, we make a case for understanding chemsex vis-à-vis Deleuzean lines of flight. Semi-structured in-depth interviews were conducted with 33 purposively sampled sexual minority men seeking therapy for chemsex dependency in Singapore. Interview topics included participants' experiences and histories of chemsex, substance use, and their ongoing recovery. Interviews were audio-recorded, transcribed and then analysed according to key themes. We illustrate how chemically inflected sexual encounters can offer deterritorialising flights of fantasy and freedom from a heteronormative social structure that pathologises gay sex. At the same time, we argue that these flight lines are not static, neither do they extend indefinitely in space-time. Rather, we show how flights of freedom can evolve into lines of fright (or non-flight) when chemsex practitioners are met with critical thresholds that reveal the less-than-desirable aspects of being intoxicated. Consequently, they may eventually consider the reterritorialisation of their lives (i.e. abstinence and recovery) as a more constructive option. Regardless of their decisions to ride on chemically-induced flight lines or to take a step back from such deterritorialising pathways, they have troubled stereotypical perspectives of drug users as passive automatons. This paper enriches the chemsex scholarship by presenting a Deleuzean conceptualisation of chemical-sexual intimacies without romantacising and/or overstating the 'escape'/'freedom' that chemsex can facilitate. Future research in this arena could explore the complicated intimate relationships that users may have with their drug(s) of choice, and their varied lines of (non-)flight over a longitudinal study. [ABSTRACT FROM AUTHOR]

The additive manufacturing of concrete components has made significant progress in the last 10 years. The increasing application of 3D printing in practice now also requires a categorization of the quality of the printed concrete surfaces that remain visible after printing. The quality of visible surfaces of additively manufactured components can be assessed according to the quality of formwork-exposed concrete surfaces. A suitable basis for this assessment is provided by the applicable regulations for exposed concrete surfaces in Germany and other international standards. In this publication, characteristics and requirements of individual concrete filaments as well as printed components are developed. These evaluate geometric, optical and structural properties of printed concrete surfaces. These can be used as a basis for further standardization of quality requirements for 3D-printed surfaces and for automated algorithms, fully automated manufacturing and monitoring of printed concrete components. • New perspectives for civil engineering, concrete technology, contract and site management are considered. • Good information base for the topic of exposed concrete. • The paper introduces a classification of quality levels for 3DCP surfaces, enhancing their visibility and evaluation. • Overview of surface design options for printed wall structures. • The effects of printing technologies on quality and basics for automated QA-/QC-processes are explained. [ABSTRACT FROM AUTHOR]

• Analysis of a subset data of 533 young people in the Czech Republic (mean age 13.6 years). • Youth identified and described their natural mentors in qualitative descriptive questionnaires. • Results describe the characteristics, risks and perceived benefits of natural mentors in youth' perspectives. • Young people identified peers, family members, and formal and informal education teachers and leaders. • Natural mentors were described as 'a good person' with a caring, attentive, kind, and friendly nature. Natural mentoring is a type of youth-adult relationship distinguished with the supportive and caring qualities. The complex conceptual definition as well as the youth-centred knowledge on this type of relationship in youths' daily experiences are missing in the literature. This empirical article reports the analysis of data subset exploring the experiences of youths in natural mentoring relationships in the Czech context. Overall, 533 young people (aged 11–16, mean age 13.4) in eight secondary schools in the Czech Republic participated in the qualitative open-ended questionnaire, identifying, and describing natural mentors from their social networks. The paper reports results of thematic analysis of selected questionnaire items on young people's experiences and perceptions of their identified natural mentors. Young people identified natural mentors most often (n = 105) among their peers or older friends. Besides, youths mentioned and described grandparents, older siblings, family acquaintances, schoolteachers, youth-group and sport leaders, and one-to-one music teachers as natural mentors. Identified mentors were most often perceived as 'a good person' with a caring, attentive, empathetic, nice, kind, and friendly nature who, as a result, is perceived as helpful and supportive. Results are discussed with recommendations for further exploration of natural mentoring as a type of youth–adult relationship, naturally occurring in institutions, organisations, and various youth-work settings where youth-adult interactions are part of the service/institution. [ABSTRACT FROM AUTHOR]

In this paper, I examine the embodied transformative memory of GuateMaya feminist group, GuateMaya Mujeres Resistiendo-Los Angeles (GMR-LA). Through a decolonial feminist perspective and feminist ethnographic approach, I built an intimate relationship with the grassroot group in Los Angeles. GMR-LA comprises Guatemala's 36-year (1960–1996) war survivors and women in the diaspora who continue to amplify the cultural memory of the disappeared. The article will delve into the concept of healing cartographies and the ethnographic work I employed in Los Angeles from 2019 to 2023. A particular method I used was body mapping to examine the embodied transformative memory of the groups and women who seek justice. Body mapping has been used with HIV-positive patients and migrant children. Latin American feminist decolonial geographers (Cabnal, 2010; Zaragocin and Caretta 2020; GeoBrujas, 2021b) are using the method of body mapping as a decolonial, counter-cartographic perspective that highlights Indigenous peoples' lived experiences. I use the method to explore the relationships between the body, memory, and healing from intergenerational trauma. Informed by decolonial feminists, I aim to center the oral and embodied testimonios of the GuateMaya feminist group and be guided by a body-mind-spirit perspective to amplify the concerns, visions, and futures of GuateMaya feminist groups across the hemisphere. • GuateMaya feminist group in the diaspora. • Guatemalan women survivors of genocide. • Body mapping a feminist popular education method. • Embodied transformative memory. [ABSTRACT FROM AUTHOR]

Return migration is a complex phenomenon of reassessment of one's place in a supposedly familiar environment that migrants stand removed from often for extended periods of time. The process possibly runs deeper than the physical act of relocation either facilitated though institutionalized schemes or done at an individual level. Post return 're-acculturation' into the host society and a subsequent 'reacceptance' by the host community are imperative for the return to take roots. Through an ethnographic study carried out in Kashmiri Valley, Jammu city and Delhi, I explore the particular case of 'homecoming' of (a section of) Kashmiri Pandit migrants who have returned to their 'homeland' after a claimed 'exile' of thirty plus years, following their conflict induced mass migration from Kashmir Valley in 1989 to 1990. The returnee expectations are heavily influenced by the celebratory connotations of a destined and permanent homecoming that have long been a part of the community discourse especially to foster a sense of identity and meaning in the dispersed community. It is challenged by the process of negotiation and adaptation that many migrants, especially the younger generations are faced with on return to their homeland. It often stands in contrast to the one they imagined based on vicarious narrations that tend to romanticize return as a pilgrimage to an unchanged, unaltered 'center' or a home immune to temporal dilutions. In doing so, the paper engages with the lacunas in the under- researched field of return migration, that tends to harbor on what counts as a permanent return. [ABSTRACT FROM AUTHOR]

Gentrification, growing income inequality, urban development, and the affordable housing crisis necessitate understanding the impact of the concern of displacement on health — prior to or even in the absence of a displacement event. In this paper, I use the term "exclusionary displacement pressure" to unify the literature on exclusionary displacement and displacement pressure, highlighting the disproportionate and inequitable impacts of displacement pressure among communities of color. Through following 35 residents over 2.5-years (2019–2022) in one predominantly low-income Hispanic/Latinx immigrant neighborhood in Denver, Colorado, I examine how exclusionary displacement pressure shapes their health and wellbeing over time. Through paying attention to how participants' lived experience is shaped by structural vulnerability (e.g. lack of documentation status, inadequate work, limited access to safety net systems), I identify how exclusionary displacement pressure is constantly internalized and responded to as a unique embodied health experience, wearing on individuals over time and reproducing population health inequities. The framework of embodied health experiences captures the wide range of health-related impacts, from diagnosable health conditions to idioms of distress, using participant's own language of suffering to express how they were feeling , battling , and enduring the pressure. Theorizing on structural vulnerability within specific subpopulations with intersecting identities, such as low-income immigrant Hispanic/Latinx communities, provides a bottom-up refinement to existing theories of embodied health. Understanding the place-health experiences of individuals in changing neighborhoods over time is also critically important to define time points at which context-specific supports and interventions are appropriate. • Gentrification impacts health through exclusionary displacement pressure. • Embodied health experiences highlight residents' structural vulnerability. • Stabilizing interventions are needed in advance of physical displacement. [ABSTRACT FROM AUTHOR]

• Beneficial help relationships go beyond formal professional practice. • Peers and friends are central to youths' beneficial help seeking trajectories. • Family gestures and home practices are embedded in beneficial help relationships. The literature on help engagement of commercially sexually exploited youth has tended to focus on the challenges of such relationships and has been mostly grounded in studies of professional help relations from professional perspectives. This study is part of a large-scale study on help seeking and help related experiences from the perspectives of commercially sexually exploited youth (CSEY). This paper focuses specifically on the beneficial characteristics of help as seen by CSEY. Fifty commercially sexually exploited youths, in the present or in the past. In-depth semi-structured interviews, conducted and analyzed in accordance with the principles of Constructivist Grounded Theory. The study identified four characteristics of beneficial help that were salient both to help relations with professionals and in relations with peers and friends: Continuity and long-term ties; Sharing similarities; brokering help by others; "doing family," and "performing home." The significance of the various help experiences appeared to be more a function of how the help was provided and the nature of the relationship, rather than whether it was provided by formal or informal helpers. Nonetheless, the study underscores the critical importance of care and support by peers and friends and calls for further examination of the ways these might be integrated into services and programs for youths who are subject to commercial sexual exploitation. It also cautions not to "professionalize" informal friendships. [ABSTRACT FROM AUTHOR]

In this paper, we assess the role of emotions in choices. We elicited emotions using an innovative facial expression analysis approach, comparing the results to those from a traditional hedonic liking scale. To this end, we conduct an experiment combing surveys and actual wine tasting. The results show a positive and significant relationship between positive emotions (joy), positive experiences (valence), and wine choices, especially in the case of wines with credence attributes (organic and selected vintage organic wines). Moreover, we conclude that facial recognition mechanisms can be useful to elicit evoked emotions and provide complementary information to the traditional liking scales to better understand decision making. • Abundant literature shows that emotions affect choices. • Previous literature has measured emotions by mostly applying surveys and liking scales. • We employ an innovative method based on facial expressions and emotions detection. • These emotion variables are included into a discrete choice experiment framework. • We find that new facial expression recognition methods are quite useful for research. [ABSTRACT FROM AUTHOR]

Perezhivanie, i.e., emotional lived experience, is a psychological structure for understanding dynamic influences derived from personal and social sources. In this study, two Japanese university students' perezhivaniya (plural) of English learning in their final year of high school and first two years of university studies were examined using a dataset containing a semi-structural interview, informal interviews and a series of classroom observation. This paper describes these students' perezhivanyia of English learning and explains their engagement as 1. in-the-moment responses anchored in personally significant events or moments; and 2. beyond-the-moment refractions during re-visitation of these events. Language learning engagement is therefore experiential, situated and reflective from a perezhivanie perspective. The findings indicate that students' changing engagement in English learning cannot be fully understood if it is removed from the irreducible unit of perezhivanie. [ABSTRACT FROM AUTHOR]

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Work integrated learning (WIL) in the ambulance setting is an essential part of the paramedic curriculum. However, qualified ambulance personnel are reported to experience higher suicide rates and mental stress disorders due to high pressure work environments, and there is growing concern for the wellbeing of students entering this setting. The aim of this integrative review was to explore how studies have reported paramedic students' experience of stress whilst undertaking WIL. Five studies met the inclusion criteria and were evaluated for quality according to validated tools from the Critical Appraisal Skills Program, then ranked on the level of evidence used. Data was summarised in a comprehensive research paper matrix, and findings were categorised into levels and sources of stress. Levels of stress were measured by the percentage of paramedic students who developed post-traumatic stress disorder. The primary sources of stress were experiencing death and fear of making clinical mistakes. Students also identified emotional expression as a negative attribute. Future research should prioritise identifying the levels and sources of stress students face in each year of their academic program when undertaking WIL to provide a direction for preparatory activities that may mitigate the negative effects of stress. [ABSTRACT FROM AUTHOR]

‘Experiential knowledge’ is increasingly recognised as an important influence on reproductive decision-making. ‘Experiential knowledge of disability’ in particular is a significant resource within prenatal testing/screening contexts, enabling prospective parents to imagine and appraise future lives affected by disability. However, the concept of ‘experiential knowledge’ has been widely critiqued for its idiosyncrasy, its impermanence and consequently its perceived inferiority to (medical) knowledge. This paper explores some of these key critiques of experiential knowledge through an analysis of its constitution and uses in the context of reproductive decision-making. Seventeen UK-resident women with Spinal Muscular Atrophy (SMA), or with SMA in their family, took part in two in-depth interviews: one in 2007–9 and the other in 2013–4. By comparing and contrasting these women's accounts at two time points, this paper demonstrates the stark contrast between ‘lived experience’ of SMA (the visceral everyday realities of life with the condition) and the various way(s) this experience was transformed into, and presented as, ‘knowledge’ through the processes of making, and accounting, for reproductive decisions. The analysis highlights that multiple, distinct and sometimes competing experiential frameworks are used to conceptualise SMA across time and context. However, rather than evidence of its fallibility, this finding highlights that ‘knowledge’ is an inappropriate vessel with which to capture and transfer ‘experiential knowledge’. Rather, we need to consider how to value such insight in ways that harnesses its inherent strength without leaving it vulnerable to the epistemological critiques attracted by labelling it ‘knowledge’. [ABSTRACT FROM AUTHOR]

This paper advances the theoretical understanding of online customer experience in the context of e-shopping. Due to the multidisciplinary nature of experience, the relevant prior theories and definitions vary. This paper explores what an online shopping experience is as constructed by consumers, using their own words. Adopting Kelly's (1955) personal construct theory (PCT), twenty-three repertory grid interviews were conducted and analysed using multi-coder qualitative content analysis (with an inter-reliability score of 76%). The findings highlight the fluid nature of experience and its construction (emotional, perceptual, situational and behavioural). The variations in meaning explored in otherwise mutually agreed abstractions of what an experience is suggest a need for a strong emphasis on the individualistic dynamic nature of experience, both in theoretical and methodological terms. Accordingly, the paper contributes to theory by adopting a holistic approach that allows a definition of experience from the user's perspective, thus challenging current perspectives on the online shopping experience, and particularly on the emotion, risk perception and situational variables. Key managerial implications for online businesses are provided by highlighting the importance of finding better ways of managing the individualistic experience by focusing on dynamic customer journeys. [ABSTRACT FROM AUTHOR]

In this paper we report reflections about the scholarly mentoring experiences of undergraduate nursing students (mentees) and faculty members (mentors) involved in an intellectual partnership at a Canadian university. The paper specifically recounts the impacts of the transformative process experienced by 18 mentees and three mentors, based on their in-depth written critical reflections. In this collaborative initiative, the constructivist framework of Shor and Freire, and Mezirow's Transformative Learning Theory, served as foundations for all interactions between mentees and mentors, and guided the analysis and interpretation of their written self-reflections. Mentees and mentors were motivated by complementary goals for the intellectual relationships. Their combined contexts, self-reflective, critical dialogue, shared assumptions and ideas worked to ignite a critical awareness of their potential and self in their professional world. Sharing new ways of thinking and points of view stimulated their transformation on various levels –emotional, cognitive, and spiritual. [ABSTRACT FROM AUTHOR]

This paper aims to explore the possibility of implementing location-based game using the smartphone’s GPS to enhance the player’s experience. With the GPS technology, the player can play in a real world as well as in the virtual game world. We postulate this thus will enhance the player’s experience. To test the hypothesis, a horror game genre with location-based features was developed. The game was evaluated to thirty participants. The results demonstrate the game allowed the participants to explore a new place with fun. In addition, the participants claimed that the game allow them to enjoy a new experience in playing horror game. The participants described that playing the game was giving them more tension compare to playing a conventional horror game. Moreover, the participants claimed that they feel more familiar with the place they’ve explored during the game. Finally, some improvements could be done to improve the experience enhancement to the game. First, more variation in the storyline, quests and the enemy. As the game evaluated in this paper is served only as a prototype, the variation of the storyline, quests and the enemy (i.e. the ghost) is limited. [ABSTRACT FROM AUTHOR]

This paper summarizes the personal experience of an ophthalmologist who has been involved in medical education for over 60 years. With clinical experience and leadership positions within ophthalmology and in broad medical organizations, this paper chronicles the evolution of educational practice and approaches for over a half century. [ABSTRACT FROM AUTHOR]

Racism and poverty are intertwined throughout American society as a result of historic and current systemic oppression based on class and race. As the processes of pediatric preventive care, or well-child care, have evolved to better acknowledge and address health disparities due to racism and poverty, the structures of care have remained mostly stagnant. To cultivate long-term health and wellness of Black and Brown children, we must adopt an explicitly antiracist structure for well-child care. The pediatric medical home model is touted as the gold standard for addressing a host of health, developmental, and social needs for children and their families. However, the medical home model has not resulted in more equitable care for Black and Brown families living in poverty; there are ample data to demonstrate that these families often do not receive care that aligns with the principles of the medical home. This inequity may be most salient in the context of well-child care, as our preventive care services in pediatrics have the potential to impact population health. To appropriately address the vast array of preventive care needs of families living at the intersection of racism and poverty, a structural redesign of preventive care in the pediatric medical home is needed. In this paper, we propose a re-imagined framework for the structure of well-child care, with a focus on care for children in families living at the intersection of racism and poverty. This framework includes a team-based approach to care in which families build trusting primary care relationships with providers, as well as nonclinical members of a care team who have shared lived experiences with the community being served, and relies on primary care connections with community organizations that support the preventive health, social health, and emotional health needs of families of young children. Without a structural redesign of preventive care in the pediatric medical home, stand-alone revisions or expansions to processes of care cannot appropriately address the effects of racism and poverty on child preventive health outcomes. [ABSTRACT FROM AUTHOR]

• Most companion cats are raised under human supervision and kept strictly indoors. • Maternal support and experience with real prey could affect hunting skills in cats. • The influence of raising and keeping conditions was tested on cats' play behaviour. • Companion cats were presented with artificial stimuli that resembles prey. • Indoor only cats showed more intense reaction than indoor-outdoor cats. Many companion cats (Felis catus) in industrialised countries are raised under human supervision and often kept completely indoors. Even if we assume that cats were not selected intentionally against hunting behaviour, we can still hypothesize that because of the differences in their epigeny and prey-related experiences, adult cats would show different willingness to engage in hunting-type behaviours. Play is considered as a useful proxy for testing predatory behaviour in cats under non-invasive conditions. We investigated the influence of raising and keeping conditions on predatory play behaviour in companion cats. We recorded the subjects' (N = 31) reactions to artificial prey-like stimuli such as balls of different sizes (latency of approach and latency of contact), catching wand (frequency of failed attempts of catching, duration of holding) and playback sound of birds, paper crumpling, plastic bags, and mice (latency and duration of search for sound source). Indoor-only cats approached, touched or played with balls sooner than indoor-outdoor cats. Indoor-only cats started searching sooner than indoor-outdoor cats for the playback sounds. Cats raised with their mother for a longer duration, had less failed attempts in catching the chaser, than subjects that were raised with their mother for a shorter duration, irrespective of the keeping condition. Indoor-only cats were more interested in the artificial stimuli that show more or less resemblance with the prey, even though these cats have been completely deprived of experience with live prey. There are various theories that can explain these findings, including higher play drive because of the lack of stimulation; less refined prey recognition; or reduced fear due to lack of experience in the indoor-only cats. [ABSTRACT FROM AUTHOR]

• First acceptance study after a real experience in rural areas at 50 km/h speed. • Analysis of 298 comments from AD users in zones were public transport is scarce. • Results show safety is not related to speed but AV ability, increasing acceptance. • Users find autonomous mobility system interesting for short daily trips. • Users expect a multi-modal service where transport hubs and AD are coordinated. This paper presents people's impressions after a demonstration of a fully robotized electric vehicle in Rambouillet, a peri-urban area connected with rural sections in France. 155 participants experienced a 6.5 km ride that included driving in a narrow two-way road, negotiating roundabouts, traversing a tunnel and interacting with other users of the road such as vehicles, pedestrians and cyclists. 298 impressions from 114 respondents were collected from a written questionnaire and open interviews. Users' comments were classified in categories as follows: system capabilities, purpose and benefits, travel destination and encouraging remarks. Major results show that participants felt safe, where only 1.01% of comments denoted apprehension despite the increase of speed (up to 50 km/h) with respect to other studies. Users' were satisfied with the automated vehicle (AV) performance, where only 3.5% criticized the system, denoting they expected a higher level of autonomy. 22% of users mentioned train stations as useful application (i.e. potential destination) for an automated on-demand mobility service. More than 200 comments were related to travel destinations, pointing towards various scenarios where an AV service could be useful for them. Conclusions show that realistic vehicle speed increases passenger acceptance of automated vehicles, increasing system confidence with respect to previous studies in the field. [ABSTRACT FROM AUTHOR]

This paper aims to understand the factors promoting racial microaggression from the perspective of first-generation Black African immigrant youth in Calgary, Alberta, Canada. Most of the literature on Blacks and other visible minorities [1] in Canada is centered on integration challenges, which have been identified in terms of socioeconomic and political marginalization. Within the context of immigrant challenges of navigating the job market, one realizes that many institutionalized factors influence access to opportunities. However, there is little research on immigrant youth, notably Black youth, and their experiences of racial microaggressions in Canadian society. This study fills this gap by offering an understanding of the experiences of microaggressions among Black African youth in Calgary. This city is arguably becoming increasingly diverse with the influx of immigrants from different countries and other Canadian provinces. Drawing on qualitative research methods (40 semistructured interviews with Ghanaian and Sudanese youth immigrants, 20 females and 20 males between the ages of 18 and 30 years), we incorporate meaningful insights from African immigrant youth on racial drivers of microaggressions. The analysis is grounded in critical race theory (CRT). Findings indicate that the youth face marginalization in the labor market during the hiring process (linguistic discrimination), discrimination at the workplace, and exclusion because their names are exploited as identity markers. Overall, policies advocating for an inclusive society need to be strengthened to address these inequalities that are ingrained in Canadian cities. [1] In this study, a visible minority is defined by the Government of Canada as 'persons, other than aboriginal peoples, who are non-Caucasian in race or non-white in colour' (Statistics Canada, 2015). [ABSTRACT FROM AUTHOR]