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Emergency remote delivery (ERD) employed by post-compulsory education providers during COVID-19 has left an enduring legacy. In particular, hyflex (simultaneous online and in-person delivery) teaching and learning (HTL) has the potential to offer a choice of mode and flexibility, and open new ways of thinking about adult student engagement. To explore whether existing ideas about student engagement are 'fit for purpose' for HTL, we conducted a mixed-methods study, using post-course online surveys (n = 110) and semi-structured interviews with students (n = 10) engaged in undergraduate and postgraduate courses in seven disciplinary areas in a large metropolitan university in Australia. Kahu and Nelson's student engagement framework, and the educational interface in particular, guided our analysis. Our findings illustrate the ways that hyflex accommodates unplanned crises and personal challenges to provide flexible and equitable access to learning, as well as fostering aspects of the educational interface: self-efficacy, emotions, wellbeing, and belonging. Tertiary and adult education providers should build on such experiential learnings gained since the pandemic by continuing to invest in resources to support hyflex teaching as an essential feature of students and staff being able to balance the competing demands of life and study/work, especially in the context of unplanned events. [ABSTRACT FROM AUTHOR]

Attending to bereaved peoples' lived experiences offers considerable potential for better understanding how to improve support following loss. In-depth interviews (n=36) and solicited diaries (n=23) were conducted with bereaved adults following a death in palliative or residential aged care. A constructivist grounded theory approach guided data analysis, through which three themes were derived: making sense of the lived experience of bereavement; relationships in bereavement; and bereavement over time. The results reveal the nuances within everyday experiences of bereavement, in particular the multiplicity of affinities, present or lacking, in social support and recognition. [ABSTRACT FROM AUTHOR]

A rapid evidence review (RER) of empirical literature was conducted to explore aphasic stroke survivors' mental health outcomes and lived experiences, as well as the screening instruments for this cohort. The RER was informed by a critical disability theory approach and synthesised qualitative and quantitative evidence within and across 29 studies, published between 2000 and 2021, from a systematic search of three databases. Understanding the relationship between post‐stroke aphasia and mental health outcomes is essential for developing comprehensive treatment strategies and designing appropriate long‐term care. Available screening instruments currently only detect depression and anxiety, which are then used to detect further mental health issues. The RER revealed that the current screening instruments demonstrate reliability; however, research remains limited regarding their validity. Furthermore, limited studies include aphasic patients as participants and decision‐makers in stroke research. Methodological limitations across studies include comparators and small sample sizes. Importantly, across the studies, there is a lack of representation of culturally diverse and minority participants. Overall, the RER results found a high prevalence of aphasic stroke survivors experiencing depression and other mental health outcomes, indicating that implementing mood screening in a timely manner is essential. In addition, the results support that psychological care pathways must be developed and evaluated in consultation with aphasic patients' and carers' lived experiences to identify stepped levels of care and establish appropriate screening instruments. Furthermore, the health system requires consistency, which would ideally be achieved by establishing staff roles and responsibilities regarding mood screening and supportive care in these psychological care pathways. Including mental health specialists such as social workers and establishing specialist training in the multidisciplinary team would support this endeavour. There is a need for further research regarding mood screening instruments, a diversity of aphasic stroke survivors' lived experiences and the clinical expertise of those providing psychological support. [ABSTRACT FROM AUTHOR]

Women who use drugs during pregnancy are required to intersect with numerous services in relation to their and their unborn child's well-being. The purpose of this article is to stimulate practitioner debate and consideration of the ways in which substance using women engage with diverse services and specific professional groups during pregnancy and the extent to which they may comply with the various treatment plans developed for them – or not. Drawing on literature, different ways to conceptualise engagement and compliance in health and welfare interventions are discussed and key practice issues related to these concepts are identified for this client cohort. Insights from an amalgamated case exemplar informed by practice and the available literature comprehensively draws together and highlights the personal challenges women face, whilst at the same time required to navigate inconsistent expectations between the health, alcohol and other drugs treatment and child protection systems, along with the ever-present threat of removal of their infant at birth. The role of social workers in hospital and community settings in bridging the perceived divide between clients and child protection services and also in promoting collaboration is explored. Recommendations for future research are discussed. [ABSTRACT FROM AUTHOR]

Despite the potentially devastating effects of a death on the lives of adolescents, little is known about their help-seeking experiences. We interviewed by telephone 39 bereaved adolescents on their help-seeking experiences. Thematic analysis resulted in three themes: Formal support, Informal support and School-related support. Participants provided a critical appraisal of positive and negative experiences, and noted barriers and facilitators for help-seeking. As adolescents bereaved through suicide may receive less social support, professional help is a much-needed auxiliary. Parental encouragement is important in accessing adequate professional help. [ABSTRACT FROM AUTHOR]