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The persistence of the COVID-19 pandemic has led to a multitude of changes in the ways nursing education, research, and practice are carried out. In addition to the demands of shifting to remote education as well as finding alternatives to direct patient care learning, nursing faculty and students are directly confronting morbidity and mortality among classmates, colleagues, friends, and family members. These experiences unquestionably meet criteria for traumatic experience, and this must be accounted for in nursing education as they can have detrimental effects on learning, teaching, and well-being. The current generation of nursing students and faculty will necessarily carry the traumatic experiences of this chaotic time into workplace, classroom, and community settings. Understanding how to manage this trauma appropriately not only supports individuals through this experience but provides increased opportunity and capacity for the provision of trauma-informed care (TIC) to patients and colleagues going forward. This paper describes some of the ways COVID-19-related trauma may affect nursing faculty and students; and proposes application of TIC principles to research, education, and practice environments to enhance well-being and overall functioning in the profession.

This study examines trends in violence research funding within and across National Institutes of Health (NIH) institutes/centers from 2011 to 2020.

This mixed-methods paper describes the development and preliminary validation of the Behavioral Intentions Questionnaire (BIQ), a multi-scale questionnaire developed to assess determinants influencing Puerto Rican adolescents' intentions to engage in abusive behaviors in dating relationships. Items were developed qualitatively, and face and content validity were established by expert and target population judges via semi-structured interviews (n = 48), discussions, and four focus groups (n = 6 each). The questionnaire was pilot tested twice. An initial pilot test was conducted with students aged 13 to 17 from a private alternative education program in San Juan, Puerto Rico (n = 32). A second pilot test was conducted with a sample of students from the same site (n = 22), in addition to students in the same age range from a private school (n = 88) in San Juan. Confirmatory and Exploratory factor analysis was used to determine construct validity and Cronbach's coefficient alpha determined the subscales internal consistency reliability. Correlations between subscales were examined. Thematic content analysis was used to analyze qualitative data. Qualitative data suggested the need to revise or eliminate items and instructions and incorporate a social desirability measure. Factor analyses yielded a unidimensional structure for each subscale and each subscale demonstrated high internal consistency. Preliminary analysis on the factor structure, internal reliability, and validity of the BIQ were encouraging. However, further psychometric testing is needed before this measure can be considered a useful tool for measuring intentions to engage in abusive behaviors in dating relationships., Author(s): Diana M. Padilla Medina [sup.1] , Ohad Gilbar [sup.2] , Jessica R. Williams [sup.2] Author Affiliations: (1) grid.280412.d, Graduate School of Social Work Beatriz Lassalle, University of Puerto Rico, [...]

The practice of trauma-informed care (TIC) allows nurses in any setting to identify and intervene with traumatized individuals and to create a continuum of care when forensic nursing services are needed. The purpose of this article is to suggest ways to incorporate TIC content into baccalaureate nursing programs. We begin with an overview of baccalaureate nursing curricula and common types of traumatic experience important for students to understand. We then propose specific strategies for inclusion of TIC content in baccalaureate nursing education, using the American Association of Colleges of Nursing Essentials of Baccalaureate Education for Professional Nursing Practice. With a solid foundation in TIC, baccalaureate-prepared nursing students can provide effective patient care and better support forensic nursing practice. This will increase the capacity of the nursing profession in general to meet the needs of those affected by trauma, violence, and abuse.

Objective: The purpose of this study is to describe current sexual violence screening practices of student health centers located on universities in Florida. Participants: Institutional level data was collected from 33 student health centers from November 2015 through January 2016. The student health centers were located on public or private universities. Methods: A cross-sectional descriptive study design was used. Data was collected from student health center representatives through use of a telephone administered survey. Results: Findings reveal that the majority of student health centers screen for sexual violence. However, not all use effective screening strategies. Further, the majority of screening questions used are not specific to sexual violence. Conclusions: Findings can be used to assist universities with responding to campus sexual violence among the college population. Recommendations for strengthening sexual violence screening practices and future research are provided.

Social justice is a key tenet for the social work profession and education, calling for commitment to working with and for vulnerable and oppressed populations. In fact, undergraduate and master's programs are accredited by CSWE, in part, based on fulfilling educational competencies related to supporting diversity and advancing social justice. Websites are one critical avenue through which social work programs communicate a commitment to social justice and other social work values. This study is an examination of how social work programs use their websites to convey a commitment to social justice to prospective students. Programs were identified using CSWE's accreditation list (N = 590). A social justice messaging index was created by coding program websites for five indicators: social justice language on the homepage; mission/vision statement includes social justice; evidence of a diversity, equity, and inclusion initiative; social justice language on all degree overview pages; and a social justice course required for all degrees. The most common indicator was inclusion of social justice in the programs' mission or vision statements (43%). The least common was evidence of a diversity, equity, and inclusion initiative (10%). No school met all five criteria. Implications for social work education are discussed. [ABSTRACT FROM AUTHOR]

Teen dating violence (TDV) affects millions of youth in the United States and globally each year. A systematic review was conducted to examine the help-seeking intentions and behaviors of youth between the ages of 12 and 19 based on racial and ethnic differences. Considering the high prevalence of TDV among racially and ethnically diverse youth, previous systematic reviews have recommended that future scholarship address help-seeking intentions and behaviors among racially and ethnically diverse youth. The methodologies and results of TDV and help-seeking studies published since 2000 were reviewed and analyzed. A systematic search of peer-reviewed journal articles published in English was conducted using an electronic search. The rigorous search identified 10 studies that addressed help-seeking intentions and behaviors and racial and ethnic differences in youth meeting eligibility requirements. The search yielded few studies, indicating a need to conduct future research in this area. The strength of the studies' methodologies limited generalizability and external validity. The studies primarily addressed differences among African American and Latino youth. Youth relied on informal sources of support, with youth from both groups preferring to seek help from parents and friends. Mistrust, lack of closeness, and feelings of mistrust, shame, and embarrassment informed youths' help-seeking intentions and behaviors. Racially and ethnically specific factors such as negative perceptions of father figures, familism, acculturation, and traditional gender role notions were identified as barriers to help-seeking. As part of appraising and synthesizing the evidence, recommendations for research, practice, and policy are presented. [ABSTRACT FROM AUTHOR]

The purpose of this study was to identify determinants of HIV and sexually transmitted infection (STI) testing and acquisition among female victims of intimate partner violence (IPV). Data were abstracted from intake and HIV/STI testing forms from a family justice center, to identify the socioeconomic and abuse characteristics associated with requesting and obtaining an HIV/STI test (n = 343) and acquisition of HIV/STIs (n = 111). Multiple logistic regression using forward selection was used to identify predictors of HIV/STI testing and acquisition. Females experiencing greater risk of lethality were at higher odds of requesting an HIV/STI test; however, risk of lethality did not predict the receipt of an HIV/STI test. A history of sexual assault was associated with higher odds of acquiring HIV/STIs in the past year. Interventions are needed to facilitate HIV/STI testing among female victims of IPV, especially those with higher risk of lethality and a history of sexual assault. [ABSTRACT FROM AUTHOR]

Parenting stress is common and may lead to worsening health, particularly in the context of other risk factors such as mental disorders or a history of abuse. This study investigated how parenting-related stress impacts the effect of abuse experiences on health among mothers with mental health disorders. Survey data was analyzed from 172 predominantly Hispanic mothers receiving outpatient behavioral health services. Most (80.2%) mothers had experienced abuse. Those reporting childhood abuse had 3.82 greater odds of experiencing abuse in adulthood. Findings demonstrated worse health outcomes among those experiencing abuse in both childhood and adulthood and those with a greater number of abuse experiences. Caregiving load intensified the relationship between abuse and anxiety and sleep disturbance. Parenting self-agency intensified the relationship between abuse and cigarette use. These findings have important implications for mental health nursing practice by identifying parenting-stress as an important target for interventions to improve health among women with histories of abuse and mental health disorders. [ABSTRACT FROM AUTHOR]

Aims: To synthesise the current, global evidence‐informed guidance that supports nurses and midwives to recognise and respond to intimate partner violence (IPV), and how these practices can be translated from face‐to‐face encounters to care that is delivered through telehealth. Background: COVID‐19‐related social and physical distancing measures increase the risk for individuals who are socially isolated with partners who perpetuate violence. Providing support through telehealth is one strategy that can mitigate the pandemic of IPV, while helping patients and providers stay safe from COVID‐19. Design and Methods: In this discursive paper, we describe how practical guidance for safely recognising and responding to IPV in telehealth encounters was developed. The ADAPT‐ITT (Assessment, Decisions, Administration, Production, Topical Experts, Integration, Testing, Training) framework was used to guide the novel identification and adaptation of evidence‐informed guidance. We focused on the first six stages of the ADAPT‐ITT framework. Conclusions: This paper fills a gap in available guidance, specifically for IPV recognition and response via telehealth. We present strategies for prioritising safety and promoting privacy while initiating, managing or terminating a telehealth encounter with patients who may be at risk for or experiencing IPV. Strategies for assessment, planning and intervention are also summarised. System‐level responses, such as increasing equitable access to telecommunication technology, are also discussed. Relevance to clinical practice: Integrating innovative IPV‐focused practices into telehealth care is an important opportunity for nurses and midwives during the current global COVID‐19 pandemic. There are also implications for future secondary outbreaks, natural disasters or other physically isolating events, for improving healthcare efficiency, and for addressing the needs of vulnerable populations with limited access to health care. [ABSTRACT FROM AUTHOR]

The purpose of this study was to better understand victims' perspectives regarding decisions to disclose gender-based violence, namely, intimate partner violence (IPV) and human trafficking, to health care providers and what outcomes matter to them when discussing these issues with their provider. Twenty-five participants from racially/ethnically diverse backgrounds were recruited from a family justice center located in the southeastern United States. Two fifths had experienced human trafficking, and the remaining had experienced IPV. Upon obtaining informed consent, semistructured, in-depth interviews were conducted. Interviews were audio recorded and transcribed verbatim. Qualitative content analysis was used to examine interview data. Five primary themes emerged. Three themes focused on factors that may facilitate or impede disclosure: patient–provider connectedness, children, and social support. The fourth theme was related to ambiguity in the role of the health care system in addressing gender-based violence. The final theme focused on outcomes participants hope to achieve when discussing their experiences with health care providers. Similar themes emerged from both IPV and human trafficking victims; however, victims of human trafficking were more fearful of judgment and had a stronger desire to keep experiences private. Cultural factors also played an important role in decisions around disclosure and may interact with the general disparities racial/ethnic minority groups face within the health care system. Recognizing factors that influence patient engagement with the health care system as it relates to gender-based violence is critical. The health care system can respond to gender-based violence and its associated comorbidities in numerous ways and interventions must be driven by the patient's goals and desired outcomes of disclosure. These interventions may be better served by taking patient-centered factors into account and viewing the effectiveness of intervention programs through a behavioral, patient-centered lens. [ABSTRACT FROM AUTHOR]

This study examined geodemographic factors associated with availability of comprehensive intimate partner violence (IPV) screening services in Miami-Dade County, Florida. We geocoded 2014 survey data from 278 health facilities and created a population-normalized density surface of IPV screening comprehensiveness. We used correlation analysis and spatial regression techniques to evaluate census tract-level predictors of the mean normalized comprehensiveness score (NCS) for 505 census tracts in Miami-Dade. The population-adjusted density surface of IPV screening comprehensiveness revealed geographic disparities in the availability of screening services. Using a spatial lag regression model, we observed that race and ethnicity are associated with mean NCS by census tract after controlling for age, median gross rent, and receipt of Social Security benefits. The percentage of White non-Hispanic residents was positively associated with NCS, Black non-Hispanic was negatively associated with NCS, while Hispanic—the majority ethnicity in Miami-Dade—was not associated with NCS. This exploratory study may be the first to put IPV screening comprehensiveness on the map, and provides a starting point for addressing urban disparities in the availability of IPV screening services that are shaped by race, ethnicity, zoning, and socioeconomic status. [ABSTRACT FROM AUTHOR]