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Background: Well Parent Japan (WPJ) is a new hybrid group parent training programme combining sessions to improve mothers' psychological well‐being with a culturally adapted version of the New Forest Parenting Programme (NFPP). This study investigates the effectiveness and cost‐effectiveness of WPJ against treatment as usual (TAU) within Japanese child mental health services. Methods: TRANSFORM was a pragmatic multi‐site randomised controlled trial (RCT) with two parallel arms. Altogether 124 mothers of 6–12‐year‐old children with DSM‐5 ADHD were randomised to WPJ (n = 65) or TAU (n = 59). Participants were assessed at baseline, post‐treatment and three‐month follow‐up. The primary outcome was parent‐domain stress following intervention. Secondary outcomes included maternal reports of child‐domain stress, parenting practices, parenting efficacy, mood, family strain, child behaviour and impairment. Objective measures of the parent–child relationship were collected at baseline and post‐treatment. Data analysis was intention to treat (ITT) with treatment effects quantified through analysis of covariance (ANCOVA) via multilevel modelling. An incremental cost‐effectiveness ratio (ICER) assessed WPJ's cost‐effectiveness. Results: WPJ was superior to TAU in reducing parent‐domain stress post‐treatment (adjusted mean difference = 5.05, 95% CI 0.33 to 9.81, p =.036) and at follow‐up (adjusted mean difference 4.82, 95% CI 0.09 to 9.55, p =.046). Significant WPJ intervention effects were also observed for parenting practices, parenting efficacy and family strain. WPJ and TAU were not significantly different post‐intervention or at follow‐up for the other secondary outcomes. The incremental cost of WPJ was 34,202 JPY (315.81 USD). The probability that WPJ is cost‐effective is 74% at 10,000 JPY (USD 108.30) per one‐point improvement in parenting stress, 92% at 20,000 JPY (216.60 USD). The programme was delivered with high fidelity and excellent retention. Conclusions: WPJ can be delivered in routine clinical care at modest cost with positive effects on self‐reported well‐being of the mothers, parenting practices and family coping. WPJ is a promising addition to psychosocial interventions for ADHD in Japan. [ABSTRACT FROM AUTHOR]

During the COVID-19 pandemic, older people were identified as requiring additional support and protection. This multi-method qualitative study shifts this narrative by asking: how did older people contribute to the COVID-19 public health response? We conducted a reflexive thematic analysis of responses from 870 letter-writers and 44 interviewees who were older people living in Aotearoa, New Zealand during the COVID-19 pandemic. Older people made substantial contributions during the COVID-19 pandemic through: 1) volunteering; 2) nurturing; and 3) advocacy/activism. We argue that policy makers should take seriously the ways older people were providers of help and support in this period. [ABSTRACT FROM AUTHOR]

In the 1960s, Fred Rogers created Mr. Rogers' Neighborhood (MRN), a television shows for children. Although Rogers may not have been aware that his series carried the potential for a public health model, such an observation becomes apparent in contemporary terms. This transdisciplinary narrative explores MRN through the lens of holistic "health & wellness." Several themes come in perspective as they relate to health as defined by the World Health Organization for present and future communities. Targeting a young population, Rogers focuses on emotional nurturing and health with safety for all and within a happy and healthy community--themes that are the core of public health. Through the "health & wellness" lens, the footprints for a child's behavioral and social model are evident; a model particularly relevant to present and future generations with emotional growth, health, and community spirit as essential. In MRN, children are learning through the visual and audio arts, self-esteem, caring, and positive behaviors for personal and social health. Through this lens, besides the footprints to an educational model, another evidence manifests itself, which is the timeless impact of the content of Rogers' life lessons that are constantly adjusting to the next audience of this age group by updating its format in parallel with an advancing technology, which supports the validity of MRN' potential for a holistic public health model toward complete physical, mental, spiritual, and social well-being, and as previously proposed by the World Health Organization. [ABSTRACT FROM AUTHOR]

Purpose: Relational aggression seriously affects adolescents' social adaptation, physical and mental health, and personality development. In an individual's life and development, parenting style profoundly influences adolescents' relational aggression; however, little is known about the association between parental harsh discipline and adolescents' relational aggression and its potential mediating mechanisms. Methods: This study used 3-waves longitudinal questionnaires from 453 students from three colleges as research materials. Using SPSS and AMOS software, a structural equation model was established, and the bootstrap method was used to examine the mediation effect of trait anger and moral disengagement in the link between parental harsh discipline (including psychological aggression and corporal punishment) and adolescents' relational aggression. Results: Research has found that parental psychological aggression directly and positively impacts adolescents' relational aggression. Parental harsh discipline can also affect relational aggression by increasing their trait anger and moral disengagement. Additionally, trait anger can increase moral disengagement. Conclusion: This study explores the underlying mechanisms of parental harsh discipline on adolescents' relational aggression, demonstrating the connection between parental harsh discipline, trait anger, moral disengagement, and adolescents' relational aggression. The results of this study provide insights for interventions in adolescent relational aggression. Targeting parental nurturing behaviors through family interventions can reduce the risks of adolescent trait anger, moral disengagement, and relational aggression. [ABSTRACT FROM AUTHOR]

Background: Empathy stands as a cornerstone of humanistic qualities and is essential in healthcare for understanding and alleviating emotional suffering. Despite its necessity, formal empathy training remains elusive in postgraduate medical education across the globe, contributing to decline of humanistic practice among trainees. This study aims to assess and establish the need for empathy training by evaluating the perspectives of postgraduate trainees and faculty. Materials and Methods: The study was conducted in a medical college of western India in 2023. Three online validated questionnaires were used to assess empathy-related perceptions among faculty and postgraduate trainees across various specialties. The questionnaires focused on demographic data, importance of empathy in patient care, empathy training, perceived levels of empathy, reasons for shortfalls in empathetic behavior and recommendations for nurturing empathy. Data were analyzed quantitatively and thematically. Results: A total of 150 and 127 responses were gathered and analyzed from faculty and trainees, respectively. Excessive workload, lack of formal training, and technology-dependent fast paced lifestyle were attributed for lack of empathy in clinical care. All the faculty agreed that empathy training is essential and majority (67%) believed that lack of empathetic behavior led to dissatisfaction among patients and caregivers. Conclusion: Empathetic communication and behaviors are fundamental competencies for health-care professionals. There is need for a structured training for empathy in postgraduate medical curriculum. [ABSTRACT FROM AUTHOR]

Due to the vital role of empathy in promoting prosocial behaviors and nurturing social bonds, there is a growing interest in cultivating empathy. Yet, the effectiveness of existing training methods on empathy, especially on different dimensions of empathy (i.e., affective, cognitive, motivational, and behavioral empathy), varies tremendously, and the underlying causes for this heterogeneity remain insufficiently explored. To address this issue, we categorized various training methods into three distinct approaches based on the premise that empathy can be influenced by factors associated with the subject, the object, and their relationship. Respectively, these are Subject-Oriented, Object-Oriented, and Socially Oriented approaches. To examine the effects of training and sustainability of these approaches on different dimensions of empathy, we conducted a meta-analysis encompassing 110 eligible studies with 32, 44, 39, 39, and 91 samples for affective, cognitive, motivational, behavioral, and composite empathy, respectively. Results showed that trainings produced small and unsustainable effects on affective empathy, moderate and unsustainable effects on cognitive empathy, small and sustainable effects on motivational empathy, and moderate and sustainable effects on behavioral empathy. The effects of training on composite empathy were robust but decreased over time. Among the three training approaches, Socially Oriented approaches were the most effective in improving all dimensions of empathy. Subject-Oriented and Object-Oriented approaches were effective only in improving cognitive and composite empathy. Altogether, our study offers practical guidance for selecting appropriate training approaches and proposes theoretical principles for developing optimal training strategies in both basic research and clinical applications. Public Significance Statement: Empathy is essential for building strong social connections and encouraging positive behaviors toward others. This meta-analytic review reveals that while affective empathy (emotional resonance) is hard to train, cognitive (perspective taking), motivational (caring), and behavioral empathy (empathetic actions) are more easily enhanced. Approaches aiming to improve social relationships are the most effective in enhancing empathy, offering practical insights for training on empathy in educational, clinical, and community settings to foster a more empathetic and cohesive society. [ABSTRACT FROM AUTHOR]

To analyze trends in breastfeeding and complementary feeding indicators for infants and young children receiving primary health care (PHC) services in Brazil, considering the contextual aspects of local nurturing care (NC) environments. Ecological time-series study. Ten feeding indicators were extracted from 1,055,907 food intake records of children aged <2 years reported by PHC facilities from 2015 to 2019. Local NC environments were assessed with the Brazilian Early Childhood Friendly Municipal Index, calculating overall and stratified scores for the NC domains of adequate nutrition, good health, opportunities for early learning, and security and safety. Prais–Winsten regression was used to calculate annual percent changes (APC) by sex and the contrast in APC between the lower and upper quintiles of NC scores. Positive or negative APC with P -values <0.05 represented increasing or decreasing trends. No significant trends of exclusive and continued breastfeeding, food introduction, or minimum dietary diversity were observed, with 2019 prevalences of 54.5%, 45.2%, 92.5%, and 78.2%, respectively. Increasing trends were observed for mixed milk feeding (2019: 19.2%; APC, +2.42%) and minimum meal frequency (2019: 61.1%; APC, +2.56%), while decreasing trends were observed for sweet beverage consumption (2019: 31.9%; APC, −5.92%) and unhealthy foods (2019: 16.1%; APC, −4.69%). Indicator improvements were significantly stronger in environments more favorable for NC. Although the indicators did not meet global targets for infant feeding practices, the results suggest that the local NC environment encompasses facilitators that may be strategic in the design of early childhood programs and policies to improve nutrition. [ABSTRACT FROM AUTHOR]

The article highlights the significance of early relationship health between parents and infants, particularly in the context of high-risk babies in intensive care. Topics discussed include the critical role of safe, stable nurturing relationships (SSNRs) in a child's development, the challenges faced by parents of medically fragile infants, and the necessity of non-separation practices to foster emotional and physiological connections.

Embedded within social dynamics and social‐information processing, the current qualitative study explores the social goal orientations, self‐perceptions and perceptions of popularity of students attending regular and special education schools in Germany. Semi‐structured interviews were conducted with seven students in Grade 8, of which three were attending a special educational school specialised in supporting social‐emotional development. Students' endorsement of leadership, intimacy, nurturance and popularity goals were determined, with a focus on the strategies they employ for attainment within everyday social encounters. A range of strategies emerged, including communication strategies, humour and prosocial spending, which expands on past literature that only focused generalised behavioural tendencies and responses to conflict situations. Furthermore, students named both agentic and communal traits when describing how their peers view them. Lastly, students' perspective of popularity characteristics was explored, which thus far has only received minimal inquiry in Germany. This resulted in a collection of conditions, traits and behaviours required for popularity, with both similarities and differences in comparison to other European countries. The inclusion of both students attending regular and special education schools, offered new perspectives and contributed towards addressing knowledge gaps, generating insights and conceptual understandings, as well as offering directions for future research endeavours. [ABSTRACT FROM AUTHOR]

AbstractComputer-supported collaborative argumentation is an online activity that can engage students in deep discussion and analysis of complex problems. Given the potentially confrontational nature of argumentation, using polite language becomes a strategic approach to prevent breakdowns in group communication and nurture productive dialogues. This study aims to understand how politeness and argumentation moves influence subsequent conversation dynamics in online debates. Student postings in threaded discussions (from 20 online debates containing 2,008 messages posted by students across five semesters of a graduate-level course on distance education) were coded and scored on politeness and impoliteness using natural language processing software. The scored postings were examined to determine how impoliteness and politeness impact students’ proclivity to engage in and produce more sustained argumentative exchanges to evaluate presented claims thoroughly. The findings show that impoliteness steadily increased by up to 84% as contentious discussion threads reached 7 levels deep, and impoliteness was significantly higher in frequency in postings presenting challenges. Correspondingly, the use of politeness increased steadily by up to 139% as discussion threads reached 6 levels deep, with the frequency of politeness nearly equal across postings presenting challenges, explanations, and evidence. [ABSTRACT FROM AUTHOR]

Aim: To consolidate healthcare professionals' insights about waterbirths and water immersion during labour. Design: Mixed studies review. Data Sources: Seven electronic databases were searched from their inception dates till June 2023: PubMed, Embase, CINAHL, PsycINFO, Web of Science, Scopus, ProQuest Dissertations and Theses Global. Methods: The Preferred Reporting Items for Systematic Reviews and Meta‐Analysis (PRISMA) guidelines and Pluye and Hong's mixed studies review framework guided this review. The quality of included studies was evaluated using the Mixed Methods Appraisal Tool. Findings were synthesized using the convergent qualitative synthesis method, and results were thematically analysed using Braun and Clarke's framework. Results: Three main themes were identified from the 22 included studies: (1) believing in waterbirths, (2) opposing forces and (3) plotting the course ahead. Conclusion: Healthcare professionals reported different views about waterbirths and water immersion practices; midwives were most likely to support these practices, followed by nurses and lastly, few physicians supported them. Reasons for opposing waterbirths include insufficient training and support from colleagues as well as concerns about work efficiency, waterbirth safety and litigation issues. Impact: The available evidence suggests the need to provide waterbirth training for healthcare professionals, equip healthcare facilities with necessary waterbirth‐related infrastructure and develop appropriate waterbirth policies/guidelines. Healthcare professionals could also consider providing antenatal waterbirth education to women and obtain women's feedback to improve current policies/guidelines. Future research should explore the views of different types of healthcare professionals from more diverse cultures. Reporting Method: The PRISMA guidelines. No Patient or Public Contribution: Systematic review. [ABSTRACT FROM AUTHOR]

Literature on the delivery and impact of foster parent training, such as the Nurturing Parenting Program (NPP), is sparse, particularly for relative foster parents. This study investigates (a) how NPP referral, initiation, and completion rates vary between relative and non-relative foster parents, (b) reasons for not initiating NPP, and (c) changes in parenting attitudes and behaviors for relative and non-relative foster parents after participating in NPP. The study analyzed data from the Illinois Birth to Three (IB3) study for 722 relative and 397 non-relative foster parents of children ages three and younger. Relative and non-relative foster parents had similar NPP referral and initiation rates, but relatives had significantly lower completion rates. Content analysis of case notes for 498 cases showed that relative foster parents more frequently noted barriers (e.g., childcare, transportation) to NPP initiation. Among NPP completers, both groups reported similar levels of improvements in parenting attitudes and behaviors at the end of NPP, but a pattern of lower scores was observed for relative foster parents. The findings suggest a need for more support for foster parents, particularly relative foster parents. [ABSTRACT FROM AUTHOR]

Simple Summary: In the testis of infertile patients, we have demonstrated a high prevalence of immune cells (orchitis); their presence together with high FSH levels are associated with alterations in the behavior of nurturing Sertoli cells, which are mostly immature, in the disturbed balance of death and proliferation of germ cells facts leading to reduced sperm production. The experimental model of infertility in rats associated with chronic testicular inflammation, experimental autoimmune orchitis (EAO), shares a common hormonal profile and Sertoli cell and germ cell behavior with orchitis in humans. We support EAO as a useful tool to study how infertility is initiated and progresses, and to search for therapies to improve and/or restore gamete production in infertile patients. Experimental autoimmune orchitis (EAO) is a well-established rodent model of organ-specific autoimmunity associated with infertility in which the testis immunohistopathology has been extensively studied. In contrast, analysis of testis biopsies from infertile patients associated with inflammation has been more limited. In this work, testicular biopsies from patients with idiopathic non-obstructive azoospermia diagnosed with hypospermatogenesis (HypoSp) [mild: n = 9, and severe: n = 11], with obstructive azoospermia and complete Sp (spermatogenesis) (control group, C, n = 9), and from Sertoli cell-only syndrome (SCOS, n = 9) were analyzed for the presence of immune cells, spermatogonia and Sertoli cell (SCs) alterations, and reproductive hormones levels. These parameters were compared with those obtained in rats with EAO. The presence of increased CD45+ cells in the seminiferous tubules (STs) wall and lumen in severe HypoSp is associated with increased numbers of apoptotic meiotic germ cells and decreased populations of undifferentiated and differentiated spermatogonia. The SCs showed an immature profile with the highest expression of AMH in patients with SCOS and severe HypoSp. In SCOS patients, the amount of SCs/ST and Ki67+ SCs/ST increased and correlated with high serum FSH levels and CD45+ cells. In the severe phase of EAO, immune cell infiltration and apoptosis of meiotic germ cells increased and the number of undifferentiated and differentiated spermatogonia was lowest, as previously reported. Here, we found that orchitis leads to reduced sperm number, viability, and motility. SCs were mature (AMH-) but increased in number, with Ki67+ observed in severely damaged STs and associated with the highest levels of FSH and inflammatory cells. Our findings demonstrate that in a scenario where a chronic inflammatory process is underway, FSH levels, immune cell infiltration, and immature phenotypes of SCs are associated with severe changes in spermatogenesis, leading to azoospermia. Furthermore, AMH and Ki67 expression in SCs is a distinctive marker of severe alterations of STs in human orchitis. [ABSTRACT FROM AUTHOR]

Emerging literature links neighborhood disadvantage to altered neural function in regions supporting socioemotional and threat processing. Few studies, however, have examined the proximal mechanisms through which neighborhood disadvantage is associated with neural functioning. In a sample of 7- to 19-year-old twins recruited from disadvantaged neighborhoods (354 families, 708 twins; 54.5% boys; 78.5% White, 13.0% Black, 8.5% other racial/ethnic group membership), we found that exposure to community violence was related to increased amygdala reactivity during socioemotional processing and may be one mechanism linking neighborhood disadvantage to amygdala functioning. Importantly, parenting behavior appeared to modulate these effects, such that high parental nurturance buffered the effect of exposure to community violence on amygdala reactivity. These findings elucidate the potential impact of exposure to community violence on brain function and highlight the role parents can play in protecting youth from the neural effects of exposure to adversity. Public Significance Statement: Although prior studies have primarily focused on family-level adversities, developmental researchers are now paying increased attention to the effect of neighborhood-level adversity on youth brain development. We find that increased exposure to community violence is related to heightened amygdala reactivity to threat and may be a mechanism explaining the link between neighborhood disadvantage and brain function in youth. Further, the study highlights that nurturing parenting can protect children from the risks posed by living in a disadvantaged and dangerous neighborhood. [ABSTRACT FROM AUTHOR]

The quality of mother-to-infant bonding (MIB) is a crucial determinant of nurturing behaviors and infant development, with bonding difficulties (MIBD) posing a substantial threat. While it is essential to identify MIBD risk factors, previous studies have generally examined MIBD at one time point, leaving the contributors to persistent MIBD uncertain. This study aims to discern longitudinal risk factors for persistent versus episodic MIBD. We evaluated 1833 postpartum Japanese women who delivered in the past twelve months, utilizing the Mother-to-Infant Bonding Scale (MIBS) and other sociodemographic, health, pregnancy, childbirth, and child-rearing related data (T1). Follow-up data were obtained six months later (T2). MIBD was defined as a MIBS score of five or more, with "persistent" and "episodic" MIBD classified based on its occurrence at both or either one of the time points, respectively. Logistic generalized estimating equations and inverse probability weighting were used to identify risk factors and address selective attribution bias. Of the subjects, 15.8 % reported episodic and 11.3 % reported persistent MIBD. Shared risk factors for both conditions included postpartum depression and low levels of family support (OR = 1.501–6.343). However, pre-pregnancy underweight status (OR = 1.698) was a unique risk factor for episodic MIBD, while first-time motherhood, no or discontinuation of breastfeeding, and later postpartum months (OR = 1.540–3.179) were distinctive risk factors for persistent MIBD. We identified both shared and unique risk factors for episodic and persistent MIBD. Particular attention should be afforded to persistent MIBD and early and proactive interventions to mitigate identified risk factors are recommended. • We differentiated persistent and episodic mother-to-infant bonding difficulties (MIBD). • Inverse probability weighting was used to address selective attribution bias. • We identified both shared and unique risk factors for episodic and persistent MIBD. [ABSTRACT FROM AUTHOR]

The current study aims to investigate the factors associated with mental health problems to draw the attention of the health experts to design interventions to improve the migrant father–adolescent relationship and their mental health. A quantitative design was utilized to investigate the mental health of left-behind adolescents in relation to paternal attachment, self-esteem, and maternal nurturance. Standardized instruments were administered to 400 left-behind adolescents (LBAs) from two districts in Pakistan using a survey methodology. The results revealed that self-esteem mediated the influence of paternal attachment on LBAs' mental health problems. Furthermore, maternal nurturance moderated the first part of the mediation process. [ABSTRACT FROM AUTHOR]

The present study sought to contribute to self-determination theory by examining the nature of adolescents' academic motivation profiles defined while considering its global and specific nature. The construct validity of these profiles was examined by considering their replicability across samples of upper elementary (n = 781) and secondary (n = 467) school students, as well as their associations with predictors (perceived parental need nurturing behaviors) and outcomes (academic achievement and expectations of success). Latent profile analyses revealed four profiles (Non-Motivated, Identified, Amotivated, and Strongly Motivated) characterized by differing levels of global and specific levels of academic motivation. These profiles were fully replicated across educational levels. Most profiles differed from one another in terms of outcomes, although differences in terms of outcomes associations were observed across educational levels. Finally, profile membership was predicted by global levels of need nurturing and by some of the specific need nurturing behaviors in a way that replicated across educational levels. Our results suggest that the specific qualities of academic motivation and the global levels of self-determination are equally important in the identification of academic motivation profiles. [ABSTRACT FROM AUTHOR]

In this digital age, where parental attention is often diverted by digital engagement, the phenomenon of "parental phubbing," defined as parents ignoring their children in favor of mobile devices, is scrutinized for its potential impact on child development. This study, utilizing questionnaire data from 612 parents and Structural Equation Modeling (SEM) with moderated mediation, examines the potential association between parental phubbing and young children's electronic media use. The findings revealed a correlation between parental phubbing and increased electronic media use in children. Parent–child conflict, informed by instances of parental phubbing, was identified as a partial mediator in this relation. Notably, children's emotion regulation emerged as a moderating factor, with adept regulation linked to reduced adverse effects of parental phubbing and improved relational harmony. These findings underscore the importance of parental awareness of their digital behaviors and the benefits of fostering robust parent–child relationships and supporting children's emotional regulation to nurture well-adjusted "digital citizens" in the contemporary media landscape. [ABSTRACT FROM AUTHOR]

In exploring why American mothers spend more time on care work compared to prior decades while increasingly engaging in paid work, Hays (1997) attributed women's actions to intensive motherhood (IM) ideology. Hays also asserted that women purposedly adhere to IM to resist an increasingly neoliberal market-based society by dedicating time and effort to nurturing children and family life. Here, we undertake a content analysis to take stock of IM literature's evolution in recent decades. Specifically, we examine scholars' treatment of how women adhere to IM, and why and whether women do so in resistance to neoliberalism. We found that while scholars consistently cite and echo Hays (1997) on how women adhere to IM, most depart from Hays (1997) by positing women adhere to live up to an ideal of being a perfect mother due to the pervasive nature of IM. We also found many scholars focus on the possibility of resisting IM ideology itself rather than Hays's (1997) perspective that women employ the ideology to resist neoliberalism. These findings raise questions about how women's agency manifests in the IM context, and concerns about embedded assumptions that limit our understanding of women's realities. Implications are discussed. [ABSTRACT FROM AUTHOR]

Essential life skills related to food and meals have a potential triple dividend for children and adolescents, that is, short-term, medium-term and possible generational effects with regard to public health, sustainability and well-being of future citizens in local communities. While parents and childhood environments are a basis for learning about food and meals, systematic food education in the setting of primary and lower secondary schools may have a significant role that should be utilized more strongly, reaching and benefitting all pupils from a life course perspective. Through this article, we explore the current state of the art of the mandatory school subject Food and Health (FH) from the Nordic perspective. Our leading questions are: (1) What potential is currently utilized and which future potential does FH education have in primary and secondary schools in terms of food education for essential life skills and competencies, and (2) How can this untapped potential be better harnessed with a goal of facilitating better learning in FH? Drawing on data from Norway as a case study, supported by Swedish and Finnish data, we discuss the status, challenges and potential reformation of food education, focusing on FH. This includes perspectives on the prioritization of the FH subject and the organization of more systematic food education in schools, which might improve FH's status and significance. Combining theory-practice, creating room for discussion and focusing less on cooking-related activities may better facilitate learning in FH. Without proper FH, food education might be nonsystematic, thereby generating unequal outcomes for children and adolescents. [ABSTRACT FROM AUTHOR]

This research describes the proportion of children in four low‐ and middle‐income countries with adequate dietary practices at 6, 12, 18 and 24 months of age and how these practices changed over time using the World Health Organisation and UNICEF's infant young child feeding (IYCF) indicators. The associations between the IYCF indicators and anthropometric z‐scores from 6 to 24 months, and between the IYCF indicators and the family care indicators (FCIs) at 24 months are described. This was a longitudinal study of offspring from participants in the Women First Preconception Maternal Nutrition Trial conducted in Sud‐Ubangi, Democratic Republic of Congo; Chimaltenango, Guatemala; Belagavi, North Karnataka, India; and Thatta, Sindh Province, Pakistan. The frequency of the minimum dietary diversity (MDD), minimum meal frequency (MMF), and minimum adequate diet (MAD) increased between 6 and 24 months, but even at 24 months MAD remained below 50% at all sites. MDD (β = 0.12; 95% CI = 0.04−0.22) and MMF (β = 0.10; 95% CI = 0.03−0.17) were positively associated with length‐for‐age z‐score at 24 months. All IYCF indicators were positively associated with mean total FCI score: MDD (proportion ratio [PR] = 1.04; 95% CI = 1.02−1.07), MMF (PR = 1.02; 95% CI = 1.01−1.04), MAD (PR = 1.05; 95% CI = 1.02−1.08). Although there are multiple barriers to young children having an adequate diet, our results support a positive association between familial interactions and improved IYCF feeding practices. Key messages: Minimum dietary diversity (MDD), minimum meal frequency (MMF) and minimum adequate diet (MAD) increased from 6 to 24 months of age, but MAD remained below 50% frequency at all sites at 24 months.MDD and MMF were positively associated with length‐for‐age z‐scores at 24 months.The total family care indicator score was positively associated with all three infant young child feeding indicators at 24 months. [ABSTRACT FROM AUTHOR]

Background: Services to support nurturing care through early childhood development (ECD) in low‐ and middle‐income countries are hampered by significant workforce challenges. The global early childhood workforce is both diverse and complex, and it supports the delivery of a wide range of services in extremely diverse geographical and social settings. In the context of contemporary global goals for the universal provision of quality early childhood provision, there is an urgent need to build appropriate platforms for strengthening and supporting this workforce. However, the evidence base to support this work is severely limited. Methods: To contribute to evidence on how to strengthen the ECD workforce in low‐ and middle‐income countries, this study used a Delphi methodology involving three rounds of data collection with 14 global experts, to reach consensus on the most critical training needs of three key early childhood workforce groups: (i) health; (ii) community‐based paraprofessionals, and (iii) educational professionals working across ECD programmes. Results: The study identified a comprehensive set of shared, as well as distinct, training needs across the three groups. Shared training needs include the following: (i) nurturing dispositions that facilitate work with children and families in complex settings; (ii) knowledge and skills to support responsive, adaptable delivery of ECD programmes; and (iii) systems for ECD training and professional pathways that prioritise ongoing mentoring and support. Conclusions: The study's detailed findings help to address a critical gap in the evidence on training needs for ECD workers in low‐resource contexts. They provide insights into how to strengthen content, systems, and methods of training to support intersectoral ECD work in resource‐constrained contexts. [ABSTRACT FROM AUTHOR]

Social support is a valuable resource for immigrant parents to maintain their parental self-efficacy and fulfill childrearing duties. Using data from a sample of first-generation Asian American immigrant parents of multiple ethnic groups who were born outside the United States (N = 670), this study examined the relationships among social support, parental self-efficacy, and nurturing parenting behaviors. The analysis revealed that positive parenting behaviors, measured by parental nurturance, were positively associated with social support. When analyzing the sources of social support separately, we found a significant association between parental nurturance and family support, but no significant associations were observed with partner or friends' support. Parental self-efficacy played a significant mediating role in the relationship between family support and parental nurturance. These findings have important implications for clinical practice and policy interventions that address the needs of first-generation Asian American parents, the fastest growing ethnic minority group in the U.S. Highlights: This analysis encompassed the childrearing experiences of 670 Asian American immigrant parents who were foreign-born Parental self-efficacy and family support were positively associated with parental nurturance of children Parental self-efficacy was found to play a significant mediating role in the relationship between family support and parental nurturance Giving due attention to family support in service provision is vital for enhancing self-efficacy and nurturance among Asian American immigrant parents [ABSTRACT FROM AUTHOR]

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The implementation of a firm's corporate environmental strategy is contingent on a practical mechanism between leaders and employees as stakeholders to spread a collective stimulus of responsible behaviors from top to bottom. This study builds on the theoretical underpinnings of social identity theory to examine the influence of corporate environmental strategy on employees' voluntary green behavior through the mediating role of middle managers' environmentally responsible leadership and the moderating role of CEOs' environmentally responsible leadership. The sample included 1532 middle managers‐subordinate dyads from 91 automotive firms and their supply chain business partners in China. Multi‐source data on CEOs' and managers' environmentally responsible leadership and employees' voluntary green behavior were collected in two stages and analyzed with multilevel structural equation modeling through the MPlus 8.3 software. The findings supported all the hypothesized relationships in predicting employees' voluntary green behavior, including the mediating and moderating mechanisms. Theoretical and managerial implications are offered, along with limitations and suggestions for future research. [ABSTRACT FROM AUTHOR]

The rising prevalence of autism internationally has been accompanied by an increased appreciation of the poorer mental health experienced by people with this condition and also of their family care-givers. In particular, higher incidences of anxiety and depression are reported in high-income nations and these conditions are likely to be under-recognised and under-reported in lower-resourced regions or countries. Mainstream mental health services seem to be ill-equipped to respond adequately to the needs of autistic persons and their care-givers. This literature review of 29 recently published reviews covering nearly 1000 journal articles summarises the insights and strategies that have been shown to promote the mental health and emotional wellbeing of autistic persons. In particular, a focus on family-centred, community-based supports is recommended that aim to enhance social communication, extend social connections and promote an individual's self-esteem, self-determination and social motivation. These low-cost interventions are especially pertinent in low-resourced settings, but they can be used internationally to prevent mental illness and assist in the treatment of anxiety and depression in autistic persons and their family carers. The priority is to focus on primary-care responses with cross-sectoral working rather than investing in high-cost psychiatric provision. [ABSTRACT FROM AUTHOR]

In the modern era, cyberspace has an impact on every facet of human connection. The Internet, which offers forums for people to connect, engage, and work with one another in all facets of life is transforming the world in many ways. In a sense, it has developed into an additional setting for social contact between people, much like their homes, schools, workplaces, neighborhoods, etc. This also has a direct impact on mental and emotional well-being while blending their personal, social, and professional spaces with cyberspace. Hence, it is important to create awareness about the impact as well as the ways and means of maintaining a balance in cyberspace to ensure healthy mental and emotional well-being. Nurturing mental and emotional wellness through various strategies is essential. By fostering awareness, embracing digital wellness practices, and advocating for a more empathetic online culture, we can harness the potential of cyberspace while prioritizing mental and emotional health in this rapidly evolving digital age. [ABSTRACT FROM AUTHOR]

Support teachers are responsible for educating students with disabilities who have complex needs and require additional resources. Because of the highly stressful nature of the role, support teachers are at greater risk of professional burnout, higher attrition rates, and impacts on wellbeing. There is a distinct lack of Australian or state/territory empirical evidence on strategies to promote support teacher wellbeing. In this exploratory qualitative study, we applied thematic analysis to interviews of Tasmanian support teachers to find that their wellbeing relies on principals' and leadership staff's support and implementation of wellbeing and inclusive education practices. Support teachers are experiencing stress, anxiety, emotional exhaustion, and depression caused by workload, accountability for funding, and poor leadership. School leaders who value wellbeing and inclusive practices foster a positive culture, demonstrating ecological theory. This study marks an initial step towards understanding how to nurture the support teachers of Tasmania. [ABSTRACT FROM AUTHOR]

Many institutions have turned to course-based undergraduate research experiences (CUREs) to involve more students in authentic research. However, research is lacking on how to best support and nurture student motivation in CUREs. Motivation is a critical construct to understand at the undergraduate level as lack of motivation has been identified as contributory to lower achievement as well as reduced interests in STEM college degrees and careers. Using mixed methods and self-determination theory (SDT), the purpose of the current study was to determine how students’ basic psychological needs were supported or frustrated during CURE activities. Findings suggested that student motivation was potentially reduced during all CURE activities (i.e. scientific practices, collaboration, discovery, and iteration). Furthermore, students reported that autonomy was the least supported motivational construct during the CURE. Considering these challenges, the authors recommended specific strategies to increase choice, support competence, improve collaboration, inspire discovery, and create more opportunities for iteration during CUREs. [ABSTRACT FROM AUTHOR]

Background: Palliative care aims to improve the quality of life of patients who are terminally ill, but support for the sexuality of these patients is often inadequate. Aim: To identify factors related to the unmet needs of bereaved partners whose significant others died of cancer during hospitalization. Methods: Bereaved individuals in Japan aged >50 years who had lost their partners to cancer in a hospital in the last 5 years answered a questionnaire on the support desired for "time to nurture love with your partner." Outcomes: We used 3 sexual questions in the 34-item Supportive Care Needs Survey–Short Form (SCNS-SF34) and measured the unmet needs of partners of patients with terminal cancer. Results: We obtained 290 responses (equal number of males and females). Respondents' age distribution was as follows: 50 to 59 years, 34.8%; 60 to 69 years, 44.5%; 70 to 79 years, 19.3%; ≥80 years, 1.4%. In total, 81% had children. Most partners died in the general ward (59.3%). Frequency of time to nurture love with one's partner before the illness was as follows: none at all, 44 (15.2%); very little, 84 (29.0%); once in a while, 76 (26.2%); occasionally, 45 (15.5%); and often, 41 (14.1%). Roughly 20% of participants reported experiencing unmet sexual needs across all 3 selected questions in the SCNS-SF34. Multivariate analysis showed that younger age (P = .00097) and a higher frequency of time to nurture love with one's partner before illness (P = .004) were positively associated with unmet needs for sexuality during hospitalization. Clinical Implications: The study may help health care workers identify patients who are seeking sexual support. Strengths and Limitations: This study identified the unmet needs and underlying factors regarding sexuality during hospitalization for partners of patients with terminal cancer. However, differences by cancer type could not be analyzed. Additionally, the modified version of the supportive care needs measure used in this study (SCNS-SF34) may have decreased validity owing to the alterations made for its use. Conclusion: Some hospitalized patients with terminal cancer could need support for time to nurture love with their partners. Health care providers can play a crucial role by anticipating the needs of patients, preparing them mentally, and offering counseling and information to help them maintain an intimate connection with their loved ones. [ABSTRACT FROM AUTHOR]

Parents play an important role in adolescents' development of empathy. However, less understood is what dimensions of parental behavior predict changes in empathy during early adolescence and whether effects of parental behavior are moderated by pubertal timing or differ by sex. This study used data from an ethnically diverse sample of 704 youth who reported on their parents' nurturance, harsh discipline, and inter-parental conflict at age 11; on their own empathy at ages 11 and 13; and on their pubertal timing at age 13. The results showed that only parental nurturance uniquely predicted more empathy at age 13 and that this effect was stronger in females. Harsh discipline and inter-parental conflict were only concurrently associated with lower empathy at age 11. Pubertal timing did not moderate the links between parental nurturance, harsh discipline, or inter-parental conflict at age 11 and empathy at age 13. [ABSTRACT FROM AUTHOR]

While publications that aim to reflect the parent perspective are increasingly common in the medical literature, few are authored by parents in their own words. As mothers with lived and professional experience in the Neonatal Intensive Care Unit (NICU), we believe this perspective is vital to improving health outcomes. We are writing from a life course health development framework that regards health as an active process that develops over time with the integration of physical, social, emotional, and relational components. Health development trajectories are shaped by the family and community ecosystems that surround each child. This means that the child's ability to thrive is strongly linked to the family's health and well-being. These links are not being given sufficient attention in clinical practice. Psychological distress, trauma, and grief are common family experiences in the NICU. Left unaddressed, they can negatively impact parent-child bonding. Drawing on life course principles, we make a series of recommendations for changes to practice to enable NICUs to better serve children and families, and better prepare families for the post-NICU experience. These include setting a positive tone in the NICU, creating a nurturing, personalized environment; addressing the social determinants of health; supporting families to develop a 'growth' mindset; and communicating in an optimistic, positive manner. Building trust is key to ensuring families feel supported and can be promoted through establishing equitable collaborative models of care. Peer support, doulas, and community health worker engagement can facilitate early interactions crucial to the child's developmental progress and family healing. [ABSTRACT FROM AUTHOR]

Parenting was drastically challenged during the COVID-19 pandemic as families complied with the consequent containment for sanitary and social reasons. The purpose of this study is to explore the relationships among self-report measures (co-parenting, emotional experience and parental support network) and the employment condition (teleworking parents and at-home parents with governmental leave aid) that might be associated with the everyday life change, and their contribution towards family's daily routines during the first COVID-19 lockdown. A sample of 878 parents (90.2% mothers), aged from 21 to 61 years (39.58 ± 6.08), and mainly of Portuguese nationality (97.2%), was gathered through an online survey. Participants completed sociodemographic data and answered questions related to four positive parenting dimensions (Daily routines, Co-parenting, Emotional experience, and Support network) rating on a five-point Likert scale how much their behavior changed during the lockdown. Descriptive statistics and multilinear regression models were tested as well as a mediation model. The results showed that Emotional experience, Co-parenting, and Support network played an important role in family Daily routines, reinforcing that the first COVID-19 lockdown was lived differently by parents according to their employment conditions. Furthermore, the pathways model of factors associated with parental adaptability is suggestive that the direct effect of Emotional experience on Daily routines is partially mediated by Co-parenting and Support network. In line with previous studies on the complexity and dynamic ecology of parenting, the reported indicators showcase the interrelated facets of parenting and its corresponding support needs. Further, clear indicators for the design of family support interventions and family resilience enhancement to stressor events are discussed. [ABSTRACT FROM AUTHOR]

This study delves into the intricate relationship between students' perceived social support and their engagement in emotion management within the context of Vietnam National University Ho Chi Minh City. Drawing data from a sample of 675 participants through comprehensive surveys, this research employs a quantitative approach to unveil nuanced patterns and correlations. Findings reveal a multifaceted pattern of student emotion management behaviors, with male students demonstrating higher engagement levels, primarily utilizing strategies centered around emotional awareness and self-support. Notably, participants reported a relatively modest overall level of social support, with friends emerging as the primary source. Disparities in emotion management engagement, particularly among students in engineering disciplines, underscore the impact of academic contexts. Furthermore, the study uncovers a positive correlation between perceived social support and the frequency of engaging in emotion management behaviors, emphasizing the role of family and significant others in shaping students' emotional coping strategies. These results highlight the need for tailored interventions to enhance emotion management skills and foster robust social support networks in educational settings. To sum up, this study underscores the importance of creating a supportive environment that nurtures students' emotional well-being alongside their academic pursuits, contributing to holistic student development and highlighting the need for strategies that bolster emotion management abilities and reinforce social support structures in educational contexts. [ABSTRACT FROM AUTHOR]

Background and Objectives: The ongoing COVID-19 pandemic has posed an array of new challenges for medical students worldwide. Amidst academic rigors, students are confronted with unique stressors, potentially affecting their mental health and substance use. This study aimed to investigate the multifaceted effects of depression, alcohol use, and stress on medical students and discern how these factors have been amplified by the pandemic's circumstances, and to identify predictors of mental distress during the COVID-19 pandemic period. Materials and Methods: Two online anonymous and cross-sectional surveys were conducted at the University of Medicine and Pharmacy "Iuliu Hatieganu" in Romania among medical students in 2018 and in 2022. Data were gathered via online questionnaires distributed through closed student groups on social media platforms, with a total of 1061 participants, to investigate stress, depression, alcohol and drug use, and the impact of the pandemic and online education on mental health, maintaining anonymity and ethical approval. The Medical Student Stress Questionnaire (MSSQ) was employed to measure different aspects of stress, the Beck Depression Inventory (BDI) provided insights into the participants' depressive symptoms, and for the assessment of alcohol consumption habits, the Alcohol Use Disorders Identification Test (AUDIT) was utilized. Results: Our findings showed a significant decrease in mean depression scores (13.81 vs. 11.56, with p < 0.001) from 2018 to 2022. In 2018, students scored significantly higher in the overall stress-related domains. Additionally, being female, facing financial constraints, and being in pre-clinical years emerged as predictors of heightened academic-related stress and depressive symptoms. Students who had experienced the loss of a family member due to COVID-19 exhibited a statistically significant rise in their average BDI score and current anxiety levels. Conclusions: The pandemic, despite introducing new stressors, may have indirectly fostered an increased focus on students' mental health, leading to more refined support mechanisms. Specialized interventions, taking into account gender and financial problems, are needed to address the multifaceted challenges faced by medical students. Our study highlights the ongoing need to nurture both the academic and emotional strength of future medical practitioners. [ABSTRACT FROM AUTHOR]

We compare the systems of social work education and training in Hong Kong and Australia according to three aspects: (1) the admission criteria for candidates of social work training programmes, (2) the quality of social work training and (3) the induction of novice social workers into professional practice. [ABSTRACT FROM AUTHOR]

Background: Early life stress and adversity conveys risk for emotional, behavioral, and developmental disorders. To address this risk in the preschool population, Mother–Child Emotional Preparation (MCEP) was tested as an in-school dyadic intervention for facilitating mother–child emotional connection through mother–child calming cycles. In a computer-generated block randomized controlled trial enrolling preschool-aged children and their mothers, in partnership with an early childhood learning center, we at Columbia University Irving Medical Center tested effects of MCEP across multiple domains. Within this RCT we designed a qualitative sub-study to understand how MCEP aligns with calming cycle theory and its impact on mothers and the mother–child relationship. Methods: A qualitative researcher observed 14 group MCEP sessions consisting of nurture specialists facilitating reciprocal calming interactions through shared emotional expression between mothers and their preschool-aged children. We conducted two waves of participant interviews in English or Spanish, per participant preference. Participants (n = 8) were majority Hispanic at or below the federal poverty level. Group session observations were coded and analyzed for frequency, co-occurrence, variance by session, and alignment with calming cycle theory, incorporating demographic variables and attendance. Interview transcripts were translated from Spanish to English if needed, then coded and analyzed using thematic analysis. Results: Qualitative analysis revealed mothers' experiences of MCEP. Data demonstrated that calming position and emotional expression were mutually supportive, and that barriers to connection were calming cycle entry-points, not barriers. At the group level, supported by nurture specialists, fellow participants helped each other progress through calming cycles. Moreover, MCEP adapted to meet individual dyad needs, and mothers described its far-reaching impact. Conclusions: Qualitative methods show that MCEP helps mother–child dyads emotionally connect through the calming cycle and fills a gap in early childhood education services. This study generated insights for quantitative studies and suggested implications for MCEP dissemination. Trial registration: ClinicalTrials.gov, NCT03908268, Registered April 9, 2019—Retrospectively registered. [ABSTRACT FROM AUTHOR]

Background/Context: An increasing body of literature reveals how systems of racism, sexism, and classism intersect to marginalize Black girls in contexts of schooling. Few studies have explored this topic from the perspectives of Black girls in all-girls independent schools pursuing antiracist school reform. Purpose/Objective/Research Question/Focus of Study: This study examined the experiences of Black girls in all-girls independent schools to understand how they perceived themselves as mapped into or left out of conversations about race in school and society. Research Design: The study employed a qualitative research design. A total of 42 middle and high school students participated in a semi-structured focus group interview lasting 60–120 minutes. Interviews were conducted in person and online. Audio-recordings were transcribed for analysis. Data analysis involved a multilayered approach. First, transcriptions of the focus group interviews were analyzed using thematic analysis techniques to identify recurring themes and patterns. A Black Girl Cartography framework was employed to distinguish the spatial and relational aspects of the participants' experiences and identities. Finally, critical discourse analysis was applied to examine the interplay between power, identity, culture, and spatiality within the participants' narratives. Findings/Results: Data revealed that Black girls were navigating conversations about race across one-on-one, peer group, advisory meeting, classroom-based, and schoolwide interactions, where they perceived themselves to be physically and epistemologically marginalized and/or excluded. We identified dimensions of racetalk that aided in their experience of marginalization and exclusion: (1) placelessness, (2) selflessness, and (3) Blackgirlhoodlessness. Data also revealed that while participants were navigating ideologies, practices, and procedures that threatened their opportunities for development, they were also charting spaces for their individual and collective joy, healing, and racial socialization. Conclusions/Recommendations: Implications from these data explore the ways in which all-girls independent schools overlook Black girls' unique geopolitical locations in schools and society and, in so doing, miss opportunities to nurture their development. This study contributes to a rich understanding of the complex interplay between power, identity, culture, and spatiality that Black girls navigate in schooling and society. We advocate for an application of principles and best practices aligned with culturally relevant and culturally sustaining pedagogies that center the experiences of Black girls. We recommend that schools (1) employ situated and intersectional approaches to antiracist educational reform, (2) center Black girl mattering in schooling, and (3) nurture Black girl self-love, joy, and racial literacy. [ABSTRACT FROM AUTHOR]

Key Points: Question: Is there evidence for parental genetic nurture in the risk of depression and neuroticism? Findings: In this cross-sectional study of 38 702 offspring, results from polygenic score (PGS) modeling provide limited preliminary evidence of genetic nurture in depression and neuroticism. Parental PGSs for depression were significantly associated with offspring neuroticism, with a regression estimate two-thirds that of the offspring's own PGS, whereas results suggest that previous associations between cannabis use PGS and depression may be noticeably biased by parental genetic nurture. Meaning: These findings suggest that genetic nurture may bias results from both epidemiologic and genetic studies on depression, but proper modeling should be used to identify potential avenues for future prevention and intervention efforts. This cross-sectional study used linear mixed modeling of polygenic scores to estimate the association of genetic nurture across a range of parental traits with offspring lifetime depression and neuroticism. Importance: Modeling genetic nurture (ie, the effects of parental genotypes through influences on the environment experienced by their children) is essential to accurately disentangle genetic and environmental influences on phenotypic variance. However, these influences are often ignored in both epidemiologic and genetic studies of depression. Objective: To estimate the association of genetic nurture with depression and neuroticism. Design, Setting, and Participants: This cross-sectional study jointly modeled parental and offspring polygenic scores (PGSs) across 9 traits to test for the association of genetic nurture with lifetime broad depression and neuroticism using data from nuclear families in the UK Biobank, with data collected between 2006 and 2019. A broad depression phenotype was measured in 38 702 offspring from 20 905 independent nuclear families, with most of these participants also reporting neuroticism scores. Parental genotypes were imputed from sibships or parent-offspring duos and used to calculate parental PGSs. Data were analyzed between March 2021 and January 2023. Main Outcomes and Measures: Estimates of genetic nurture and direct genetic regression coefficients on broad depression and neuroticism. Results: This study of 38 702 offspring with data on broad depression (mean [SD] age, 55.5 [8.2] years at study entry; 58% female) found limited preliminary evidence for a statistically significant association of genetic nurture with lifetime depression and neuroticism in adults. The estimated regression coefficient of the parental depression PGS on offspring neuroticism (β = 0.04, SE = 0.02, P = 6.63 × 10−3) was estimated to be approximately two-thirds (66%) that of the offspring's depression PGS (β = 0.06, SE = 0.01, P = 6.13 × 10−11). Evidence for an association between parental cannabis use disorder PGS and offspring depression was also found (β = 0.08, SE = 0.03, P =.02), which was estimated to be 2 times greater than the association between the offspring's cannabis use disorder PGS and their own depression status (β = 0.04, SE = 0.02, P =.07). Conclusions and Relevance: The results of this cross-sectional study highlight the potential for genetic nurture to bias results from epidemiologic and genetic studies on depression or neuroticism and, with further replication and larger samples, identify potential avenues for future prevention and intervention efforts. [ABSTRACT FROM AUTHOR]

Objective: This study was planned for the development, validity and reliability of the parent skill assessment scale (aged 1-3) (PASKAS 1-3) in order to evaluate the skills of parents with children aged 1-3 in nurturing. Methods: This study was carried out with a total of 400 parents with children aged 1-3 between September-October in 2022. The validity of the parent skill assessment scale (aged 1-3) (PASKAS 1-3) was tested with content validity and construct validity. Testretest, Cronbach Alpha reliability coefficient and Item Total Score Correlation coefficient were examined to determine the scale reliability. Results: The content validity index of the data was between 0.81 and Explanatory factor analysis (EFA) and confirmatory factor analysis (CFA) fit indexes of the scale, which consisted of 3 factors with a total of 30 items, were found as χ²/df: 1.687, RMSEA: 0.041, comparative fit index: 0.87, incremental fit index: 0.87, GFI: 0.90 and Tucker-Lewis index: 0.86. The Cronbach alpha reliability value was 0.82, the test-retest correlation coefficient was 0.74, and the item-total score correlation coefficient was above 0.20. Conclusion: The scale is a valid and reliable measurement tool that can be used to evaluate child nurturing skills of parents with children aged 1-3 from physical, cognitive, language development and social-emotional aspects. [ABSTRACT FROM AUTHOR]

Background: Few studies in academic literature involve the application of a spiritual health intervention for the purpose of mitigating compassion fatigue in nurses. Objectives: The purpose of this qualitative study was to explore the perspectives of Canadian spiritual health practitioners (SHPs) in their support for nurses to prevent compassion fatigue. Method: Interpretive description was utilized for this research study. Sixty-minute interviews with 7 individual SHPs were conducted. Data were analyzed with NVivo 12 software (QSR International, Burlington, Massachusetts). Thematic analysis identified common themes that allowed data from interviews, a pilot project on psychological debriefing, and a literature search to be compared, contrasted, and compiled. Results: The 3 main themes were found. The first theme highlighted the underlying issue of how spirituality is ranked or viewed within health care and the impact of leadership integrating spirituality in their practice. The second theme related to SHPs' perception of nurses' compassion fatigue and lack of connection to spirituality. The final theme explored the nature of SHP support to mitigate compassion fatigue before and during the COVID-19 pandemic. Discussion: Spiritual health practitioners are positioned in a unique role to be facilitators of connectedness. They are professionally trained to provide a type of in situ nurturing for patients and health care staff through spiritual assessments, pastoral counseling, and psychotherapy. The COVID-19 pandemic has revealed an underlying desire for in situ nurturing and connectedness in nurses due to an increase in existential questioning, unusual patient circumstances, and social isolation leading to disconnectedness. Organizational spiritual values are recommended to be exemplified by those in leadership to create holistic, sustainable work environments. [ABSTRACT FROM AUTHOR]

Parenting education programs (PEP) are an important and proven intervention strategy in preventing child abuse and neglect. While the literature on the efficacy of PEP is robust, there is still no consensus on the conditions that make some implementations of PEP more successful than others. This paper provides evidence of the impact of implementing the Nurturing Parenting Program (NPP), combined with the Family Development Matrix (FDM). Using a Pre-Post comparison design, data from the First 5 San Bernardino program were analyzed for the years 2012–2017. NPP outcome measures from the Adult-Adolescent Parenting Inventory (AAPI) improved substantially after the FDM was implemented. [ABSTRACT FROM AUTHOR]

The healthy functioning of a school system depends upon many factors. The internal micro factors require a leader to take into account the heart and human conditions that coexist within the lived environment. The external macro factors are the events that occur in unexpected ways. When these internal micro factors are not functioning well, and a macro external event occurs unexpectedly, the system can struggle. While leaders may equip themselves with dynamic leadership skills to assist in navigating through the uncharted macro events, there is no disputing the fact that the pandemic of COVID-19 caught all leaders off guard. Many leaders just wanted to get through it. Many yearned to get their organizations back to normal. This qualitative case study examined the leadership’s responses from Ulster BOCES (Board of Cooperative Education), during and after the COVID-19 pandemic. Ulster BOCES-Educator Edge leadership attended to the hearts and minds of staff in human ways throughout each stage of the pandemic. This qualitative case study used the adaptive resilient frameworks from (Heifetz, 1994; Scharmer, 2009; Schein & Schein, 2017) as an inquiry into three research questions: 1) What kind of environment nurtures human development and promotes learning? 2) How did leaders attend to the human elements in virtual and hybrid spaces? and, 3) How did inclusive contexts highlight the need for varied approaches to nurturing and developing learning for both the leader and the learner? [ABSTRACT FROM AUTHOR]