Positive Encounters Research Articles

Community Connections: Understanding Local Dynamics in Italian Asylum Policy Implementation

Italy hosts significant numbers of forced migrants throughout its territory. The implementation of asylum policy thus occurs in diverse and sometimes fraught contexts, presenting different resources and obstacles. This paper examines how local context shapes the experiences and practices of street-level bureaucrats (SLBs) implementing policy in the Italian statutory asylum system. Semi-structured interviews with workers in two projects, one in a conservative rural area and one in a progressive urban area, show that the urban/rural divide alone is not an appropriate predictor of similarities and differences in policy implementation and outcomes, which are largely shaped by context-specific sociocultural and relational elements. Workers’ off-duty mediation in interpersonal contact between migrants and community members fosters positive encounters that could partially offset traditionally conservative political cultures and hostile attitudes; however, the same cultures and attitudes cause workers to feel isolated and alienated from their community. Furthermore, SLBs’ decision-making practices in both projects are always collegial and constrained by exhaustive rules, largely eliminating the need for individual discretion typical of SLBs and creating instead “group discretionary” bureaucrats. In light of these findings, I argue for increased attention to locality beyond the simple urban versus rural lens, and increased focus on asylum SLBs as a distinct category of “doubly embedded” SLBs participating in both policy implementation and local context.

Awareness, attendance, and attitudes toward cervical cancer screening among HIV-positive Chinese women in Yunnan province: a cross-sectional study

BackgroundCervical cancer is a major health threat in the female population. Human immunodeficiency virus (HIV)-positive women encounter a higher risk of cervical cancer. It is significant to promote cervical cancer screening attendance among HIV-positive women. Little is known about the awareness, attendance, and attitudes toward cervical cancer screening, as well as the associated factors, among Chinese HIV-positive women.MethodsA cross-sectional study was conducted among 411 HIV-positive women attending a large ART clinic in Yunnan, an HIV-endemic province in China. Participants were recruited using the convenient sampling method from January 2019 to August 2020. An interviewer-administered semi-structured questionnaire was utilized to collect information on socio-demographic and behavioral characteristics, clinical characteristics related to HIV infection, awareness, attendance, and attitudes toward cervical cancer screening. Binary logistic regression analyses were used to determine factors associated with awareness, attendance, and attitude toward cervical cancer screening.ResultsSome 69.8% (287) of the participants were aware of cervical cancer screening, but only 27.7% (114) had attended screening within 3 years. After receiving a brief health education, 72.3% (297) of the participants exhibited a positive attitude toward cervical cancer screening. Participants with a higher education background and longer duration of antiretroviral therapy were more likely to be aware of cervical cancer screening and have up-to-date screening. The up-to-date screening attendance was also influenced by age, smoking status, and health insurance. Single participants were less likely to show a positive attitude toward cervical cancer screening compared married or cohabiting counterparts. The main facilitators to attending cervical cancer screening were health promotion activity and well-organized programs, while the main barriers were high costs of the service and inadequate awareness.ConclusionsAlthough most HIV-positive women attending a large ART clinic in Yunnan were aware of cervical cancer screening, the up-to-date attendance was low. It is crucial to conduct health education and promotion through efficient channels to improve awareness and attendance. The discrepancy between awareness and attendance also emphasized the importance of adopting appropriate screening strategies and powerful health policies that can foster the attendance of cervical cancer screening among HIV-positive women. Efforts should be devoted to constructing a comprehensive healthcare system with high accessibility in China for cervical cancer prevention and management for HIV-positive women.

Legal status and refugees' perceptions of institutional justice: The role of communication quality

AbstractWhat factors influence refugees' perceptions of justice in bureaucratic institutions? As global migration movements draw increasing attention, migrants' experiences as constituents in destination countries merit further research. Drawing evidence from the 2018 survey of refugees participating in the German Socio‐Economic Panel, this article examines the role of legal status in shaping perceptions of justice at government offices. Our findings highlight a stark contrast: refugees with unstable legal statuses often perceive bureaucratic proceedings as less just compared to those with firmer legal standings. However, refugees' perceptions of a more positive encounter their encounters with street‐level bureaucrats can act as a buffer against the negative effects of legal status on perceptions of justice at government offices. These insights underscore a pressing policy implication: asylum procedures, currently marked by ambiguity and delays, could benefit significantly from enhanced communication quality on the part of street‐level bureaucrats.

British Cardiovascular Intervention Society Training Culture Focus Group Position Statement: Bringing Trainees and Trainers Together.

Unprofessional behaviour within cardiology has been well documented and commonly occurs within the cardiac catheterisation laboratory, with higher rates in interventional subspecialities. While most trainees have positive experiences and encounters within the catheterisation laboratory, around one in five report experiencing bullying. This not only has a significant negative impact on the individuals directly involved, but also on the wider multidisciplinary team; importantly, it will have a deleterious effect on patient safety. The British Cardiovascular Intervention Society established the Training Culture Focus Group in 2022 to analyse and offer potential solutions to this pressing issue. We recommend that a cohesive approach between trainers and trainees is the most effective way to reduce unprofessional behaviour incidents, thus improving departmental workplace culture and a subsequent reduction in adverse patient safety events.

Orality as a Ground for Dialogue and Positive Encounter: A Case Study of the Orang Rimba in Jambi, Indonesia

This article discusses the role of oral tradition in the Orang Rimba community who inhabit the Makekal Ilir forest area, in Jambi Province. The author reads the orality in the frame of the relationship between the Orang Rimba and the residents of Tanah Garo Village. The latter are considered to have a brotherhood or kinship relationship with the former. The fundamental question is whether orality is the key word in building a positive encounter and dialogue on meaningful relations between the Orang Rimba and the residents of Tanah Garo, or on the contrary becomes a vehicle for exploitation? The author asserts that positive potential is possible if orality, which is the common thread of the relationship between the two communities, is properly disseminated to the descendants of the two communities. Without good transmission, the negative potential and exploitation will be more prominent.

Student Teachers’ Resilience During The COVID-19 Pandemic: Navigating Remote Teaching Practice

This article explores student teachers’ resilience during the COVID-19 pandemic and their ability to thrive in online teaching practice. Amid the pandemic’s unprecedented challenges, student teachers exhibited remarkable adaptability in navigating the shift to remote teaching. Through qualitative research and thematic analysis, this article delves into student teachers’ experiences, highlighting their positive encounters with online teaching methodologies and tools. The findings underscore the importance of resilience and adaptability in the dynamic field of education, emphasising the valuable skills student teachers attained through their engagement with online teaching. Furthermore, the article explores the advantages of online practical assessments, shedding light on innovative evaluation methods that may shape future educational practices. Overall, the insights gleaned from this research contribute to a deeper understanding of student teachers’ experiences during times of educational transformation. Recommendations are also offered to integrate online teaching methods into teacher training programmes to enhance these students’ resilience and adaptability in the face of adversity.

Clinical supervisor’s experiences of peer group clinical supervision during COVID-19: a mixed methods study

BackgroundProviding positive and supportive environments for nurses and midwives working in ever-changing and complex healthcare services is paramount. Clinical supervision is one approach that nurtures and supports professional guidance, ethical practice, and personal development, which impacts positively on staff morale and standards of care delivery. In the context of this study, peer group clinical supervision provides allocated time to reflect and discuss care provided and facilitated by clinical supervisors who are at the same grade/level as the supervisees.MethodsTo explore the clinical supervisor’s experiences of peer group clinical supervision a mixed methods study design was utilised within Irish health services (midwifery, intellectual disability, general, mental health). The Manchester Clinical Supervision Scale was used to survey clinical supervisors (n = 36) and semi-structured interviews (n = 10) with clinical supervisors were conducted. Survey data were analysed through SPSS and interview data were analysed utilising content analysis. The qualitative and quantitative data’s reporting rigour was guided by the CROSS and SRQR guidelines.ResultsParticipants generally had a positive encounter when providing clinical supervision. They highly appreciated the value of clinical supervision and expressed a considerable degree of contentment with the supervision they provided to supervisees. The advantages of peer group clinical supervision encompass aspects related to self (such as confidence, leadership, personal development, and resilience), service and organisation (including a positive working environment, employee retention, and safety), and patient care (involving critical thinking and evaluation, patient safety, adherence to quality standards, and elevated levels of care).ConclusionThere are many benefits of peer group clinical supervision at an individual, service, organisation, and patient level. Nevertheless, there is a need to address a lack of awareness and misconceptions surrounding clinical supervision to create an environment and culture conducive to realising its full potential. It is crucial that clinical supervision be accessible to nurses and midwives of all grades across all healthcare services, with national planning to address capacity and sustainability.

Predicting online learning experiences in sports education during the COVID-19 pandemic: Implications for pedagogical strategies

This research aims to assess the predictors that impact the online learning experiences (OLEs) of undergraduate sports students amid the Coronavirus Disease 2019 (COVID-19) outbreak utilizing the Community of Inquiry (CoI) framework. An online survey was employed using the cluster sampling method to systematically examine the associations among the variables related to the OLE of sports students. A sample size of 402 undergraduate sports students from two universities in China was chosen and surveyed. Exploratory factor analysis was conducted to assess the validity of the questionnaires and model adequacy. Finally, a multiple linear regression analysis was performed to explore the associations of the study constructs. The results revealed that open communication, social presence, design and organization, and facilitation possess significant potential in predicting students’ OLE. This demonstrates the paramountcy of transparent communication, directs focus towards the indispensability of fostering a sense of reception and admiration among sports students, and highlights educators' sway in shaping their students' holistic and positive educational encounters. The scalability of our study highlights its potential to contribute valuable insights for developing national-level policies and educational strategies for this demographic.

"I was given PrEP, but had no privacy": Mystery shopper perspectives of PrEP counseling for adolescent girls and young women in Kisumu County, Kenya.

Pre-exposure prophylaxis (PrEP) is being scaled up to prevent HIV acquisition among adolescent girls and young women (AGYW) in Eastern and Southern Africa. In a prior study more than one-third of AGYW 'mystery shoppers' stated they would not return to care based on interactions with health providers. We examined the experiences of AGYW in this study to identify main barriers to effective PrEP services. Unannounced patient actors (USP/'mystery shoppers') posed as AGYWs seeking PrEP using standardized scenarios 8 months after providers had received training to improve PrEP services. We conducted targeted debriefings using open-ended questions to assess PrEP service provision and counseling quality with USPs immediately following their visit. Debriefings were audio-recorded and transcribed. Transcripts were analyzed using thematic analysis to explore why USPs reported either positive or negative encounters. We conducted 91 USP debriefings at 24 facilities and identified three primary influences on PrEP service experiences: 1) Privacy improved likelihood of continuing care, 2) respectful attitudes created a safe environment for USPs, and 3) patient-centered communication improved the experience and increased confidence for PrEP initiation among USPs. Privacy and provider attitudes were primary drivers that influenced decision-making around PrEP in USP debriefs. Access to privacy and improving provider attitudes is important for scale-up of PrEP to AGYW.

Unveiling the dynamics of revisit intention and word-of-mouth: an attribution theory approach to Halal-friendly hotel attributes and service encounter evaluation

PurposeThis study examined the revisit intention of tourists in Muslim-friendly hotels in nexus with Halal-friendly hotel attributes (social environment, facilities, food and beverage, locals and staff, and services), corporate image, customer engagement, perceived value, and service encounter evaluation. It further examined the mediating role of corporate image, customer engagement and perceived value between Halal-friendly hotel attributes and service encounter evaluation.Design/methodology/approachUsing a structured survey instrument, 390 valid responses were gathered from international tourists who visited Malaysia. The collected data were analyzed using Partial Least Squares – Structural Equation Modeling (PLS-SEM) to test the assumed relationships.FindingsThe research shows that corporate image (CI), customer engagement (CE), and perceived value (PV) are directly influenced by Halal-friendly hotel attributes (HFHA) and exert influence on service encounter evaluation (SEE). Findings also suggest the mediating effect of CI, CE, and PV between HFHA and SEE. SEE further positively and significantly enhances the revisit intention and positive word-of-mouth.Practical implicationsThe findings of this study stipulate that hotel owners should ensure the presence of HFHA in their offers to retain their existing guests and ensure their positive communication towards potential visitors through developing a fascinating image, engagement, and lucrative value.Originality/valueGrounded on the attribution theory, this study contributes to the Halal tourism literature by exploring the role of Halal-friendly hotel attributes in enhancing the hotel’s image, customer engagement, and perceived value to enhance positive service encounter evaluation and revisiting intention for the hotel.

To protect and to serve? Comparing students’ perceptions of the legitimacy of the campus police in urban and suburban contexts

PurposeGiven that previous research examining students’ perceptions of the legitimacy of the campus police (CP) has largely taken place on a single campus and utilized quantitative methods, the purpose of this qualitative study was to understand how community context shapes students’ interactions with and perceptions of the CP in two distinct campus settings.Design/methodology/approachThis study draws on in-depth interviews with 70 undergraduates, including 36 attending a university in a relatively safe, affluent suburban area and 34 attending a university in a high crime, disadvantaged urban area.FindingsAlthough participants at both universities appreciated the presence and visibility of the CP, some Suburban U students felt that rather than being protected from outside threats, they were instead policed for engaging in behaviors that they deemed typical of the college experience. Alternatively, Urban U students expressed the opposite of their CP, providing evidence that brief and positive officer-initiated encounters can enhance perceptions of legitimacy, particularly in settings characterized by higher crime rates.Research limitations/implicationsThese findings have implications for how the CP can build trust and legitimacy among students to enhance campus safety and foster future compliance and mutual respect.Originality/valueThis study extends the findings of previous research in two important ways. First, it compares two starkly different campus contexts to understand how community setting and local crime rates influence students’ perceptions of the CP, and second, it utilizes both a comparative and qualitative research design.

Exploring Teachers’ View on Technology and a Sustainable Adoption Framework in Language Teaching and Learning: A Systematic Review

This systematic review investigates teachers' viewpoints on technology integration in language teaching and learning, focusing on developing a sustainable adoption framework. Using the PRISMA framework, 225 peer-reviewed articles were initially selected, and 35 articles were finally included as they specifically addressed teachers' attitudes towards technology. Noteworthy findings reveal that 90% of these articles reflect positive perceptions among teachers, indicating a belief in technology's potential to enhance learning and teaching. However, despite this optimism, approximately 90% of those with positive views encounter challenges in effectively integrating technology into their teaching practices. The identified challenges underscore the need for a sustainable framework to promote technology integration into language teaching and learning. The findings contribute to the discourse on technology integration in language education, offering practical implications for educators, institutions, and policymakers. The proposed sustainable framework guides overcoming challenges and ensuring holistic and sustained technology integration in language teaching and learning.

Remote islands as natural laboratories: human-food association increases attraction to humans and novelty exploration in a seabird.

Increased attraction to humans and their objects often arises after repeated and positive human-wildlife encounters (e.g. food provided in tourist settings). The causes of this 'over-attraction', which may result from a learned association between humans and food, are still poorly studied in wild animals. Understanding the influence of humans on animals' responses is yet crucial to prevent negative effects (e.g. aggression). We presented three novel objects to two groups of free-ranging brown skuas (Catharacta antarctica ssp. lonnbergi) in the remote sub-Antarctic, where their habitats show no or minimal human disturbance. Skuas in one group (Verte) had previously participated in repeated food-rewarded behavioural and cognitive tasks with a human experimenter; skuas in the other group (Ratmanoff) had never done so. Objects consisted of (i) one natural-food-resembling object (plastic fish), (ii) one anthropogenic food object (real cake slice), and (iii) one anthropogenic non-food object (yellow glove). Verte group skuas approached the human experimenter and pecked significantly more and sooner at novel objects. Human-food association may have thus resulted in increased attraction to humans and novelty exploration in previously naive brown skuas, making this species a useful model for investigating the consequences of experience with humans on wildlife behaviour.

Nurses' perceptions of virtual consultations and home-monitoring in patients with cardiac disease: a qualitative meta-synthesis

Abstract Objective This study aims to investigate the facilitators and barriers perceived by nurses in utilizing video-consultations supported by home-monitoring for patients with cardiac disease. Methodology A systematic search was conducted in PubMed, CINAHL, Scopus, and Web of Science for qualitative data published in English, Norwegian, Swedish, or Danish between 2013-2023. Ten studies were included in the qualitative synthesis using Braun and Clarke's methodology. Findings From the qualitative meta-synthesis, a main theme emerged: Nurses’ uncertainty toward telemedicine is a risk toward the use of video-consultations and home-monitoring The findings spans from nurses' positive encounters to their frustrations with the implementation process and the inadequate technical support for both clinicians and patients. Nurses frequently experienced frustration and uncertainty regarding the quality of care delivered through virtual consultations. Conclusion The successful implementation of video-consultations and home-monitoring necessitates a focus on the specific context in which they are applied, considering the perspectives of both patients and nurses. Additionally, active involvement of nurses, leveraging their clinical expertise, is crucial for the effective integration of these technologies.

Neurodivergent patient experience in a tertiary children's hospital-a qualitative analysis.

Sensory processing challenges are commonly encountered in pediatric patients, particularly in those who are neurodivergent. We previously developed a novel clinical pathway (named "Sensory Pathway") which aimed at improving patient care for those with sensory barriers via staff training, provision of sensory toolkits and early integration of families throughout the hospital stay. We hypothesized that utilization of this pathway will result in improved patient experience and provide valuable feedback to improve care. A voluntary survey was made available to all patients who utilized this resource as part of our hospital wide patient satisfaction survey. Qualitative data was coded using open coding as part of the constant comparison method data using NVivo 12 for Windows software for analysis. Software was used to create word clouds and clusters for visualization, which confirmed the themes and patterns that were noted from initial open coding. Between 2021 and 2022, surveys were obtained from 160 patients who utilized the Sensory Pathway. More than 50% reported that the most helpful components of the pathway were the approach by the staff and sensory tools. The three major themes identified from the survey were (1) Tools and techniques that benefited their children; (2) Positive interactions and communication with the hospital staff, and (3) Suggestions for future improvement. The survey results highlight the importance of having tools readily available to aid with sensory regulation and comfort of patients during healthcare encounters, the value of a positive patient and staff encounter, as well as opportunities for improvement.

Lived experiences of transgender and nonbinary people in the perioperative context: a qualitative study.

Transgender and nonbinary (TNB) people experience obstacles that create barriers to accessing health care, including stigmatization and health inequities. Our intention was to describe the lived experiences of TNB patients and identify potential gaps in the education of health care professionals. We conducted a qualitative descriptive study influenced by phenomenology by interviewing with TNB adults who underwent surgery in Canada within the previous 5 years. We recruited participants using purposeful and snowball sampling via online social networking sites. Audio recordings were transcribed. Two authors coded the transcripts and derived the themes. We interviewed 21 participants, with a median interview duration of 49 minutes. Participants described positive and negative health care encounters that led to stress, confusion, and feelings of vulnerability. Major themes included having to justify their need for health care in the face of structural discrimination; fear and previous traumatic experiences; community as a source of support and information; and the impact of interactions with health care professionals. Participants detailed barriers to accessing care, struggled to participate in shared decision-making, and desired trauma-informed care principles; they described strength in community and positive interactions with health care professionals, although barriers to accessing gender-affirming care often overshadowed other aspects of the perioperative experience. Additional research, increased education for health care professionals, and policy changes are necessary to improve access to competent care for TNB people.

Children’s Experiences of Undergoing Forensic Interviews and Forensic Medical Examinations in a Danish Child Advocacy Center

Child abuse is a severe global problem associated with various negative consequences. It is therefore important that the services received at Child Advocacy Centers (CACs) are perceived as positive as possible by children affected by abuse. Preliminary research indicates that CACs are successful in terms of providing coordinated, professional services. However, existing research has primarily focused on service and criminal justice system outputs, rather than documenting the experiences of the target group: i.e., children undergoing the CAC proceedings. The present study seeks to investigate the children’s experiences of the forensic procedures in a CAC. Qualitative interviews were conducted with 15 children undergoing case proceedings at a Danish CAC. The overall experiences of the children of the forensic interview and forensic medical examination were documented. Additionally, five overall themes were constructed using Thematic Analysis: Localities and surroundings, Relational and communicative work, Ambivalent experiences, Need of information and overview, and Missing out on everyday life. The findings of the current study underline the importance of the physical environment of the CAC, the need of information and overview as well as strong relational and communicative skills among professional as core elements in establishing positive encounters with the CAC. Furthermore, the results indicate how negative experiences of visiting a CAC are not necessarily directly linked to the CAC but may be a result of the children experiencing missing out on well-liked everyday activities. Altogether these results are important to consider when planning future CAC visits to support the well-being of the child.

"It's like we are seen as animals": The relationship between Black people's encounters with the police, metadehumanization, and perceptions of police legitimacy.

Across two studies, we explored the relationship between Black civilians' encounters with the police, their attitudes toward the police, perceptions of police legitimacy, and metadehumanization perceptions. We predicted the more negative Black individuals' encounters with the police, the more unfavorable their views of police would be (attitudes and perceived legitimacy) and the more likely they would believe police believe Black people are less than human. We further hypothesized that the relationships between Black Americans negative counters with the police and their views of the police would be mediated by metadehumanization. Black Americans (N = 522, Mage = 35.85) were either asked about the quality of their interactions with police (Study 1) or randomly assigned to write about a positive, negative, or neutral encounter with police (Study 2). They completed attitudes toward the police and police legitimacy and metadehumanization measures. Study 1 found the more negative Black individuals' encounters with the police were, the more negative their views were toward police and the more they believed police saw them as less than human. This relationship was partially mediated by metadehumanization. Study 2 demonstrated a causal relationship between negative police encounters and negative perceptions of the police; however, metadehumanization only partially mediated this relationship. Negative encounters with the police may have lasting negative implications on Black citizens' perceptions of legitimacy but more research is necessary regarding the role of metadehumanization perceptions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Digital Transformation in Science Education: Teachers' Self-Efficacy of Distance Learning and Blended Learning Experiences

Blended learning emerges as an indispensable tool for pioneering science education practices in the 21st century. Studies underscore the efficacy of blended learning applications in science education, particularly in enhancing learners' computer proficiency, fostering positive attitudes and motivation towards science courses, and surmounting learning hurdles. This study aims to assess the levels of self-efficacy among science teachers for blended education within the context of the digital transformation process. It also seeks to investigate the predictive capacity of various factors and analyze teachers' experiences with blended learning. The research adopts a mixed-method approach, integrating both qualitative and quantitative research methodologies. Quantitatively, the study utilizes the "Self‐Efficacy Perception of Distance Education Scale" to gauge science teachers' self-efficacy perceptions about distance education. The quantitative segment encompasses a sample of 175 science teachers. On the other hand, for the qualitative aspect, 26 teachers' experiences were examined through an “Open-Ended Question Form” to gain nuanced insights. The results of the quantitative analysis demonstrated that science educators displayed a heightened level of perceived self-efficacy in the domain of distance education. The influencing factors identified included gender, seniority, school type, class size, and usage of laboratory facilities. The qualitative findings indicated that science teachers' engagement with blended learning was characterized by both positive and negative sentiments. These experiences were further categorized into subgroups of positive and negative encounters.

‘The book’s a conversation starter’: a realist exploration of the salutogenic potential of reading for pleasure

Reading for Wellbeing (RfW) is a pilot initiative, aimed at improving mental health and well-being through supporting access and increasing opportunities to read for pleasure. RfW was implemented across six...