Advocacy Role Research Articles

Digital Advocacy Journalism’s Push for the Narrative Tipping Point of Singapore’s Capital Punishment

A narrative tipping point leading to the abolition of capital punishment will come from specific events and broader trends that move public opinion and the accompanying legal systems away from the justification for death penalties. Through Singapore’s independent digital journalist Kirsten Han’s reflection on her reportage and advocacy for the abolition of capital punishment in the republic, this paper seeks to highlight the role of digital advocacy in pushing for the narrative tipping point on the death penalty online. Against global trends of abolition, retentionist cultures on capital punishment remain resilient, particularly in countries that claim strong domestic support for authoritarian populist narratives of being “tough on crime.” Institutionally sustained and discursively binarized as “Asian values” against rights-based Western individualism and continuously reiterated by national leaders, Singapore’s policy on capital punishment is termed muscular retentionism. Contending with this dominance in cyberspace is Han’s affective emphasis on death row inmates facing imminent execution, particularly those condemned to death for drug trafficking. Using a partially autobiographical approach as the second author of this paper, she illustrates her experiences as a woman activist in Singapore, journeying with these inmates and documenting their experiences as part of the broader effort to move toward the narrative tipping point. Positioned against the largely impersonalized and instrumental justification of the traditional retentionist position established in the pre-Internet decades is Han’s rights-based emphasis on the sanctity of life. Receiving little attention in the republic’s mainstream media, cyberspace has oxygenated this perspective. Aside from facing legal and police scrutiny for her involvement in abolitionist campaigns, Han has also been subjected to misogynist ad-hominem attacks online from supporters of retention. Kirsten Han’s digital advocacy journalism poignantly sharpens the existing feminist critique in Singapore of the carceral regime with a more intersectional approach toward expanding the scope of the discussion to that of predominately male death row inmates. Her emphasis comes from the notion of difference feminism in considering the structural inequalities and power dynamics that render the more socially disadvantaged vulnerable to the regimes of punishment. Aside from being openly singled out and chastised by the state, it may remain difficult to determine the public impact of Han’s journalistic work. Nonetheless, through amplifying the otherwise invisible emotional states and voices of death row inmates and their families as individuals, she exposes the human cost in the regime of capital punishment and in the process inches Singapore toward the narrative tipping point.

Addressing US Military Transgender Care Inequalities: Clinical Nurse Specialist Bridging Healthcare Gaps.

There are more than 130 000 US veterans and more than 12 500 active-duty service members who identify as transgender. Lack of training in transgender and gender-affirming care among healthcare providers in the military is still reported. The article aims to explore and advocate for the unique role of advanced practice registered nurses, especially clinical nurse specialists, in providing culturally sensitive and evidence-based care to the transgender population within the US military. The clinical nurse specialists' pivotal role in policy advocacy and translation of evidence to improve the quality of care and patient outcomes for transgender service members is highlighted. The article also explores the historical journey of transgender care in the US military, addressing discriminatory policies and the implications of the ever-evolving regulations in military transgender healthcare. The article aims to create awareness of clinical nurse specialist utilization in US military healthcare services to improve the care of transgender individuals in the military. The uncertain future for transgender service members highlights the ongoing commitment needed to navigate complex military healthcare policies and foster inclusive, evidence-based practices. Therefore, the clinical nurse specialist plays a pivotal role in shaping the future of transgender healthcare within the US military.

"Understanding dementia together": The design, delivery and evaluation of a collaborative, inter-professional dementia workshop for healthcare students.

A collaborative, multi-disciplinary team input is crucial for the optimal management of the older adult with complex care needs such as dementia. Interprofessional learning (IPL) at undergraduate level can lead to improved collaborative knowledge and skills. The aim of this study was to develop, deliver and evaluate an IPL dementia workshop for healthcare students across 11 disciplines. A secondary aim was to determine whether there is a clinical application of learned knowledge in students who completed the workshop and subsequently underwent clinical placement. The design of the IPL workshop aligned with Kern's map for the development of a curriculum in medical education. The Alzheimer's Disease Knowledge Scale (ADKS) was used to assess students' knowledge of dementia pre-and-post workshop, as well as opened-ended questions on role recognition and communication. A total of 102 students completed the workshop questionnaire, with a follow up of 47 students on clinical placement. There was a statistically significant increase in students' knowledge and confidence levels in communication with a person with dementia. Students reported positively on the workshop format, the collaborative nature of the workshop, as well as the role of the patient advocate. The follow up of students on clinical placement showed a perceived behavioural change in communication modification. Our study demonstrates the benefits of an IPL initiative across multiple disciplines, with perceived behavioural change on clinical placement.

Context and practices of health advocacy role by nurses in Ghana: A qualitative study

Background & Aim: Nurses play a crucial role in health advocacy, which is both morally obligatory and has significant consequences for the clinician. However, there is a paucity of empirical evidence regarding its context and practices. The location, method, and rationale behind nurses fulfilling their health advocacy duties are crucial in hospital settings. This study explored and described where and under what circumstances nurses fulfill their health advocacy responsibilities in Ghana. Methods & Materials: The study employed an inductive qualitative exploratory descriptive design to gather and analyze data from 24 nurses and midwives. Using a semi-structured interview guide, participants were selected from three regional hospitals in the upper, middle, and southern zones of Ghana, and qualitative content analysis was performed. Results: Nurses and midwives carried out their health advocacy roles both inside and outside of healthcare institutions, using both proactive and reactive advocacy practices to initiate their role performance. Although reactive advocacy roles were reported more, the nurses and midwives identified unfair client treatment, health professionals' errors or omissions of procedure, and social injustice as the driving forces behind their advocacy. Conclusion: Although health advocacy is performed by both nurses and midwives in hospitals and outside the hospitals, they are mostly reacting to situations. Teaching biopsychosocial assessment techniques to students during training and providing them with coaching and mentoring during clinical practice may enhance their ability to assess clients for unmet advocacy needs, enabling them to be proactive in their role performance.

Exploring Implementation of Reasonable Adjustments in Hospitals for People With Intellectual Disability: Using a Realist Lens.

To explore the factors influencing the implementation of reasonable adjustments in hospitals for people with intellectual disability: using a realist lens. A qualitative study using a realist lens. Data collection involved one focus group interview and three semi-structured interviews with healthcare professionals working in hospital or community settings in September 2023. Data were analysed using qualitative content analysis and findings were mapped to the Context and Implementation of Complex Interventions (CICI) framework across the dimension's context, implementation and setting. Healthcare professionals support the provision of reasonable adjustments in acute hospitals as a person-centred approach to caring for people with intellectual disability. While reasonable adjustments are evident in practice, they are mostly individual-level cases with little evidence of strategic system-level implementation. The factors influencing the implementation of reasonable adjustments in practice were conceptualised using the CICI framework. Context factors spanned the domains of epidemiological (e.g., ageing population), socio-cultural (e.g., historical healthcare), political (e.g., lack of integrated care pathways) and ethical (e.g., provision of person-centred care). Implementation factors spanned the domains of strategies (e.g., leadership strategies), agents (e.g., liaison and advocacy roles) and outcomes (e.g., individual-level reasonable adjustments). The setting for the complex intervention was the acute hospital. System-level indicators for successful implementation include intellectual disability specific policies/procedures for integrated care pathways, education and awareness training for hospital staff, and leadership strategies such as the development of liaison nursing roles and the appropriate allocation of physical and human resources. A radical change is needed where implementation of reasonable adjustments in acute hospitals are broadened beyond isolated individual-level cases to system-level healthcare. This research highlights the importance of exploring the integrated dimensions of context, implementation and setting in complex interventions such as reasonable adjustments and sets foundation for further implementation research in this area. Reasonable adjustments at the system-level within acute hospitals would promote person-centred care and help address the inequities and health disparities experienced by people with intellectual disability. This research uses a realist lens to explore the factors influencing the implementation of reasonable adjustments in acute hospitals for people with intellectual disability. The factors influencing the implementation of reasonable adjustments in practice were conceptualised using the CICI framework across the dimensions of context (domains epidemiological, socio-cultural, political and ethical), implementation (domains strategies, agents and outcomes) and setting. System-level indicators for successful implementation include intellectual disability specific policies/procedures for integrated care pathways, education and awareness training for hospital staff, and leadership strategies such as the development of liaison nursing roles and the appropriate allocation of physical and human resources. This research highlights the importance of exploring the integrated dimensions of context, implementation and setting of complex interventions such as reasonable adjustments and sets a foundation for further implementation research in this area. This research adhered to the Equator research reporting guideline: standards for reporting qualitative research. A parent of a child with intellectual disability was involved in the conduct of this research, specifically in the design, data collection and preparation of the manuscript.

Environmentally sustainable person-centred care: Occupational therapy students' attitudes, perceptions and self-perceived preparedness for practice.

Climate change threatens the environments in which person-centred occupational therapy occurs. Environmental sustainability is directly linked with the health and wellbeing of current and future generations, presenting occupational therapists with a unique advocacy and activist role. As practitioners of the future, there is an urgent need to understand students' attitudes, perceptions of, and self-perceived preparedness for, dealing with environmental determinants of health and intergenerational occupational and climate justice. A cross-sectional exploratory descriptive survey collected United Kingdom (UK) based allied health professional students' attitudes, perceptions, and self-perceived preparedness for advocating for environmental sustainability in the context of person-centred care. The survey was distributed to 48 gatekeepers in UK institutions with approved allied health professional training programmes (44 offered occupational therapy); 62 occupational therapy students responded. Descriptive and non-parametric inferential statistics were used to analyse quantitative data. Text and short answers were analysed qualitatively via inductive content analysis. The study was co-designed and implemented with MSc (pre-registration) occupational therapy students. Participants (94%) expressed concerns for climate change, with 84% feeling responsible for addressing environmental sustainability in health care. While 64.5% identified climate justice as a top priority, a perceived challenge emerged between person-centred care and sustainability, with only 18% of participants feeling prepared for environmental sustainability in occupational therapy practice. Participants requested education on personal and professional sustainability practices, as well as collective action. Sharing personal climate change experiences, advocating with family and friends, and facilitating connections for collective action were highlighted as potentially transformative educational tools in this area. Occupational therapy curricula should address environmental sustainability through pragmatic, critical, and ethical lenses to enhance students' preparedness for this advocacy and activist role. Reflection and continuous professional development for environmentally sustainable practices is recommended. Occupational therapists believe that it is important to support people to participate in occupations that matter to them. However, the activities that some people choose to participate in may have negative effects on the environment and the planet. It is important to ensure that when occupational therapists support people in their choices of activities, this does not lead to unequal access to healthy and meaningful occupations of others, now or in the future. That is because occupational therapists also have a responsibility to prevent occupational injustice. Occupational therapy students are the professionals of the future, so it is important to include them in research about this topic. They need to develop skills that allow them to simultaneously make sure that they are delivering person-centred care, which is not environmentally detrimental and that does not lead to occupational injustice. Making sure that occupational therapists provide person-centred care while also managing risks of occupational injustice may be seen as a profession-specific dilemma. In this study, occupational therapy students in the UK completed a survey about their feelings, views, and readiness for managing this dilemma. Results showed that most respondents are concerned about climate change, but do not feel that their occupational therapy education sufficiently prepared them to practise in an environmentally sustainable way. They were asked to propose ideas for addressing this issue, and the article discusses how occupational therapy curricula might be changed in accordance.

Experiences of rural poverty in Stratford district, Aotearoa New Zealand: A qualitative study with implications for rural social work

INTRODUCTION: People experiencing poverty who live in rural communities may have complex needs as rurality exacerbates their issues. Isolation, stigma, transport difficulties and a lack of services contribute to the challenges experienced by people living in rural communities who experience poverty. For social workers, responses need to be creative and flexible to counter the lack of services or people being unable to access services due to distance and/or a lack of transport. METHODS: I conducted semi-structured, in-depth interviews with 28 participants. Participants self-identified as experiencing poverty and ranged in age from teenagers to over 65s. Transcripts were analysed using applied thematic analysis. FINDINGS: Four themes were identified: stigma, isolation, transportation and access to services. Issues in these areas exacerbated participants’ experience of poverty. CONCLUSION: The findings of the study suggest that there is a significant advocacy role for social workers in rural communities regarding access to services and service development, transportation and challenging stigma to improve the lives of people living in rural communities who experience poverty. Further investigation is suggested to explore specific groups experiencing poverty in rural communities, particularly Māori, and to consider other marginalised identity groups and different geographical areas.

Increasing access to justice for families through preventive legal advocacy

AbstractWhat is the role of preventive legal advocacy in promoting justice for families and redefining child welfare to focus on family and community‐based systems which prioritize community‐based support and to forego government oversight, regulation and punishment? Given the timeline for systemic reforms and the necessity of providing access to justice for families presently struggling to protect their family autonomy, preventive legal advocacy is a critical piece of reform efforts and scholarly attention. This article advocates for the expansion of existing preventive legal advocacy models and legislation codifying early access to counsel with the goal of disrupting the traditional pathways into the child welfare and family regulation system, enforcing the rights of parents and children to their family autonomy and meaningfully supporting families to thrive.

Patient Advocacy in Nursing: An Integrative Literature Review

Background: Despite the crucial role of advocacy in nursing, a comprehensive understanding of its activities and their patient outcomes is lacking. Purpose: This integrative review aimed to comprehensively examine the influences of nursing advocacy, nursing activities, and their patient outcomes. Methods: An integrative review was conducted following the methods by Whittemore and Knafl (2005). Electronic databases were searched from 2000 to 2024. Studies were included if they reported patient outcomes related to nursing advocacy and involved research from med-surgical nurses or patients. Findings: Ten studies were selected and reviewed, conducted in diverse countries with various research designs, including six qualitative studies, three concept analyses, one content analysis, and one cross-sectional study. Several articles reported patient outcomes aligning with core advocacy attributes. Factors influencing nurse advocacy included nurses’ characteristics such as education, experience, autonomy, and organizational support. Advocacy activities involved ensuring patient safety, providing information, supporting decision-making, and facilitating communication. These efforts led to positive patient outcomes such as improved satisfaction, quality of life, stress reduction, and enhanced safety. Conclusion: Enhancing nurses’ advocacy competencies and creating supportive organizational environments are crucial for improving patient advocacy. Further studies with robust designs are needed to produce empirically-derived research on patient outcomes related to nursing advocacy. Future research should investigate the differential effects of advocacy attributes on patient outcomes and provide empirical evidence on the long-term impact of nurse advocacy.

Conceptualization and teaching health advocacy in undergraduate medical education:a document analysis.

Health advocacy is considered to be a core competence for physicians, but it remains unclear how the health advocacy role, despite being described in overarching competency frameworks, is operationalized in undergraduate medical education (UME). This study aimed to identify how health advocacy is conceptualized and taught in undergraduate medical curricula. We performed a qualitative analysis of curriculum documents from all eight medical schools in the Netherlands, all of which offered competency-based UME. Thematic analysis was used to code all the documents and generate themes on health advocacy conceptualization and teaching. To categorize the emerging themes, we used the framework of Van Melle et al. for evaluating the implementation of competency-based medical educational programs. Health advocacy was mostly conceptualized in mission statements about social responsibility of future physicians, related to prevention and promoting health. We found key concepts of health advocacy to be taught mainly in public health and social medicine courses in the bachelor stage and in community-based clerkships in the master stage. Specific knowledge, skills and attitudes related to health advocacy were taught mostly in distinct longitudinal learning pathways in three curricula. Health advocacy is conceptualized mostly as related to social responsibility for future physicians. Its teaching is mostly embedded in public health and social medicine courses and community-based settings. A wider implementation is warranted, extending its teaching to the full width of medical teaching, with longitudinal learning pathways providing a promising route for more integrative health advocacy teaching.

Leadership internal communication and employee creativity; role of symmetrical communication, employee advocacy and proactive personality

Purpose This study aims to examine the relationship between managerial supportive communication, CEO relational communication and symmetrical internal communication. It specifically investigates the mediating role of symmetrical internal communication and employee advocacy, as well as the moderating influence of proactive personality on the link between employee advocacy and employee creativity. Design/methodology/approach A survey was conducted involving 290 full-time employees, and a Partial Least Square Structural Equation Modeling (PLS-SEM) statistical approach was used to assess the proposed relationships. Findings Both managerial supportive communication and CEO relational communication were found to be positively associated with symmetrical internal communication. Furthermore, results indicated that symmetrical internal communication and employee advocacy acted as strong mediators in the hypothesized relationships. Notably, the study also found that the impact of employee advocacy on employee creativity was significantly amplified in cases where employees exhibited a higher degree of proactive personality. Practical implications By emphasizing managerial supportive communication, enhancing CEO relational communication and promoting symmetrical internal communication and employee advocacy, organizations can create an environment conducive to innovation and creativity among employees. Additionally, recognizing the buffering effect of proactive personality on employee advocacy's impact on creativity enables organizations to better tailor their strategies for fostering creativity. Originality/value This research presents a novel contribution to the field by exploring the less-explored relationships between these critical communication factors and employee creativity. It uncovers the mediating and moderating mechanisms, shedding new light on how internal communication dynamics influence creativity. This unique approach provides an original perspective on the role of communication in promoting creativity at workplace.

Carbon emission accounting and decarbonization strategies in museum industry

Carbon peaking and achieving carbon neutrality have emerged as pivotal strategic imperatives in China. These objectives not only drive a shift in production, lifestyle, and consumption patterns but also illuminate a path towards a comprehensive green metamorphosis in China’s economic and social development landscape. The distinctive nature of museums as quintessential public edifices, requiring sustained regulation of temperature and humidity alongside attracting substantial foot traffic, positions them as crucial pioneers in the pursuit of carbon peaking and neutrality. It is essential for museums to leverage their leadership and advocacy roles to catalyze low-carbon construction practices across society. This study delves into the energy dynamics specific to the museum sector, delving into the recycling of exhibition materials, methodologies for carbon footprint assessments of visitors and museum staff, and the establishment of a standardized carbon emission accounting framework tailored to the museum industry. Through meticulous examination of representative cases and subsequent analysis, this research delineates decarbonization strategies, offering indispensable technical scaffolding for carbon assessment and emission reduction efforts within the museum realm.

Imperial Residues and the Birth of the Russian Federation: Maternal Care, Racialization and Economic Migration in <em>Ayka </em>and<em> Mama</em>

Taking as its objects of study two contemporary films, Sergei Dvortsevoy’s 2018 Ayka and Anastasia Borisova’s 2019 film Mama, this article considers the vicissitudes of life as a female economic migrant and young mother in Moscow, with Mama representing the internal migration of its main protagonist from Sakha (known also as Yakutia) and Ayka the experience of a new mother from Kyrgyzstan. Both films engage the themes of pregnancy, childcare and racialised labour within post-Soviet Moscow, and they do so in analogous ways, each employing a documentary style that we might see as gesturing towards the ‘ethnofictions’ of Jean Rouch. Central to my inquiry is that both Ayka and Iye appeared at a time when pronatalist policies were actively being pursued within the Russian Federation, as part of the highly conservative agenda of V.V. Putin, and yet the dire material conditions of the films’ migrant heroines leave them unable to fully ‘assent’ to their new maternal roles. My article considers each film’s attempt to document the unequal access to postpartum care in Russia’s metropolis and draws upon theories of cinematic spectatorship to ask whether ‘intersectional’ Russophone films can transcend the violence of voyeurism and play an active role in feminist advocacy.

From Activism to Influence: Unpacking the Romanticisation of Mental Illness Online

Social media has become an integral part of daily life, particularly among youths, shaping interactions and influencing mental well-being. Unfortunately, this has also led to a rise in cyberbullying, particularly concerning the sharing of personal struggles, such as depression. Despite these challenges, some youths have adeptly navigated social media to promote mental health awareness and activism. However, a subset of these activists has become popular influencers, sometimes prioritising maintaining their online status over their advocacy roles. Consequently, there is a concern that some may inadvertently glorify or romanticise depression to sustain their popularity. In this article, I explore the influence of social media on mental health activism, focusing on its effects on the mental well-being of youths. I examine whether the portrayal of depression by influencers or mental health activists contributes positively to destigmatisation efforts or if it inadvertently perpetuates misconceptions. The data were collected from the different social media platforms of nine participants. Semi-structured interviews were conducted for an in-depth understanding of the mined data. The data were analysed using thematic analysis. The themes that emanated from the findings were: disguised “activism” and killing two birds with one stone, increased popularity versus activism, and irrelevant content. The study highlights the importance of investigating the impact of social media on mental health activism by recognising the potential implications on the mental well-being of youths. Social media influencers aim to change perceptions of depression, but there is still a growing concern whether the proposed new image of depression is helpful or misleading.

Abstract B112: Empowering cancer advocates: Evaluating the impact of a comprehensive training program

Abstract The Cancer Advocacy Training Program aimed to enhance participants' knowledge, skills, and confidence in cancer advocacy, particularly addressing disparities in cancer health outcomes. This evaluation assesses the program's impact through pre- and post-training survey comparisons. The program included 25 participants from various states and focused on comprehensive training. Surveys measured changes in knowledge, attitudes, self-perceived skills, and confidence. Results showed that accurate identification of cancer's main categories increased from 83% to 96%, and awareness of the NCI's mammogram recommendations rose from 70% to 96%. Recognition of the root causes of health disparities remained at 100%, and belief in the inclusivity of cancer advocacy roles was consistently high. Understanding of trust dynamics in advocacy increased by 50%, and recognition of essential political advocacy components improved by 14%. Specific learning outcomes indicated consistent identification of research advocates, a 23% increase in knowledge of strategic funding sources, a 31% improvement in understanding health communication audiences, a 19% rise in awareness of patient advocacy benefits, and a 13% increase in comprehension of informed consent. Confidence in advocacy skills also saw significant improvements. "Extremely confident" participants increased to 33% in problem-solving, adaptability, and communication with stakeholders. Confidence in fundraising and partnership building rose to 19%, evaluation of advocacy outcomes to 24%, identifying key issues to 29%, presentation skills to 33%, and using digital tools to 29%. Self-efficacy results demonstrated notable gains: confidence in solving difficult problems related to cancer advocacy increased with participants reporting "extremely confident" rising from 11% to 33%. Confidence in adaptability under stress improved significantly, with "extremely confident" participants rising from 11% to 33%. Effective communication with stakeholders saw a significant increase, with "extremely confident" participants rising from 17% to 33%. Fundraising and partnership-building confidence increased from 6% to 19%, and confidence in evaluating advocacy outcomes improved, with "extremely confident" participants rising from 6% to 24%. The program effectively enhanced participants' knowledge, attitudes, and advocacy skills, integrating theoretical and practical learning. Gains in confidence across problem-solving, adaptability, and communication skills underline the program's success in preparing participants for real-world advocacy. Participant feedback confirmed the program's relevance and efficacy, suggesting future iterations should emphasize diversity in advocacy and deepen content on key topics. This program serves as a valuable model for empowering cancer advocates and addresses the critical need for targeted training to reduce cancer health disparities. Citation Format: Manisha Salinas, Monica Albertie. Empowering cancer advocates: Evaluating the impact of a comprehensive training program [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B112.

Advocacy through storytelling: challenging eating disorders and eating disorders stigma

BackgroundAlthough eating disorders (EDs) are among the most stigmatised mental illnesses, a number of individuals break past this stigma and engage in ED advocacy by sharing their recovery stories. Little is known, however, about the role of such advocacy in their healing journeys.MethodsTo bridge this gap, the authors examined the role of autobiographical oral storytelling in the ED recovery of adult advocates. Autobiographical oral history interviews were carried out with adult advocates (n = 16) recovering from EDs. The data were analysed using a mixture of actantial and thematic analyses. Authors also used activity theory to categorise how storytelling was translated into concrete social actions. Results were then interpreted through frameworks of embodiment and the intersectionality of identity.ResultsAdvocates chose to share their ED stories as a way to embody resilience and make meaning from their ED experiences. Beyond personal gains, the social benefits of sharing their stories included raising hope and openness to converse further with audiences, advocating for greater ED resources (e.g., ED literacy among school staff), and offering new training initiatives for healthcare professionals. The ties between storytelling and the unique aspects of one’s identity are also discussed.ConclusionsEngaging in advocacy through storytelling can positively affect both the advocates and the audiences with whom they connect. Future studies, informed by feminist biopsychosocial frameworks, can examine storytelling as a therapeutic intervention. Such frameworks serve as alternatives to biomedical models of EDs and mental illnesses. They also emphasise the need for broader changes that destabilise oppressive body cultures and display how storytelling can help mobilise change.

Relationship of sustainable development goals, holistic nursing competence, and social justice advocacy role in public health nurses.

This study was conducted to examine the relationship between public health nurses' holistic nursing and social justice advocacy competencies in terms of their attitudes toward sustainable development goals. Cross-sectional survey. The study sample consisted of 384 public health nurses. Data were collected with the personal information form, the Attitudes toward Sustainable Development Scale, the Holistic Nursing Competence Scale, and the Social Justice Advocacy Scale. The sub-dimensions of environment, public, education, and economy were found to significantly affect social justice advocacy, and the indirect effects of 0.191, 0.222, 0.205, and 0.201 were found to be statistically significant with the inclusion of holistic nursing competence in the model, respectively. It was found to explain 32%, 30%, 29%, and 22% of the total effect, respectively. It supports the claim that developing public health nurses' holistic nursing competence and social justice advocacy skills is an important criterion for achieving sustainable development goals.

Nexus of Regenerative Tourism Destination Competitiveness, Climate Advocacy and Visit Intention: Mediating Role of Travel FOMO and Destination Loyalty

The Game Theory is aiding global tourism research to leverage destination appeal and competitiveness in the context of climate change advocacy. As global tourism continues to play a vital role in economic development and cultural exchange, there is a growing need to unravel the complexities of tourist behavior and destination competitiveness. Therefore, this study aims to utilize the Game Theory to investigate the relationships between Fear of Missing Out (FOMO), Regenerative Tourism Destination Competitiveness (RTDC), Tourist Visit Intention (TVI), and Destination Loyalty (DL) within the UAE, with the moderating role of Climate Advocacy. An online survey (using Google Forms) was distributed via social media platforms (primarily Facebook groups), resulting in data collection from 296 respondents. Smart PLS 4 and SPSS were utilized for data analysis. The findings revealed that RTDC had significant positive relationships with FOMO, DL, and TVI, thus supporting hypotheses 1 to 10. However, the hypothesis regarding Climate Advocacy moderating DL and TVI was not supported. Based on the Game Theory, this study contributes to the theoretical understanding of regenerative tourism destination competitiveness and offers practical implications for destination management strategies. Limitations include reliance on self-reported data and context-specific considerations. Future studies should also consider cultural contexts, to enhance the external validity of research outcomes.

Health policies and guidelines to promote, protect and support early childhood development: A narrative review.

This comprehensive review examines the pivotal role of health policies and guidelines in promoting, protecting, and supporting early childhood development (ECD). Recognizing the multifaceted nature of ECD, the study explores key elements commonly found in policies that span health, education, social services, and community support. The focus is on creating an integrated approach that ensures the optimal well-being and growth of children during their formative years. The review highlights the significance of maternal and child health care, emphasizing contact toward prenatal and postnatal care for pregnant women and newborns. Nutritional policies center around supporting breastfeeding and ensuring access to nutritious food, laying the foundation for a healthy start in life. Early childhood education programs and parental education initiatives are crucial components, emphasizing cognitive, social, and emotional development from the earliest stages. The review underscores the importance of a holistic perspective, urging the integration of services across sectors to provide a comprehensive framework for ECD. Research-based policies, continuous monitoring, and evaluation mechanisms ensure evidence-driven decision-making and ongoing refinement of strategies. Additionally, the role of legislation and advocacy is highlighted in protecting the rights and well-being of children and advocating for ECD at various levels. In the end, this review highlights the importance of ECD guidelines and health policies as investments that not only help individual children but also enhance societal productivity and general well-being. By prioritizing the early years, policymakers can lay a strong foundation for future health, learning, and success.

Using Relational Feminism as an Approach to Practice in Working with Families in Special Education

Families of children with disabilities have unique relational needs that may be addressed by practitioners in the field of family science. In this article, we discuss how relational feminism was used as an approach to working with families in a rural Special Education program to facilitate success for very young students with neurodevelopmental disorders and non-specified disabilities. This article provides a brief history of families’ roles in Special Education advocacy, along with the tenets of relational feminism. We discuss ways that relational feminism was used to create connections within the professional community, and with marginalized families. We also discuss the strengths and limitations of using relational feminism to promote connection and voice for families of marginalized and vulnerable individuals in the public education context.